Inflammation & soft tissue repair Flashcards

1
Q

What’s inflammation

A
  • response to cell injury
  • eliminate the cause of injury & clean up dead/dying cells/tissue
  • protection
  • healing
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2
Q

Purpose of inflammation

A
  • neutralise & destroy invading & harmful agents
  • limit & spread of harmful agents to other tissue
  • remove harmful agents (pathogens & damaged cells)
  • prepare and damage cells for healing
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3
Q

5 cardinal signs of inflammation

A
  1. pain
  2. redness
  3. heat
  4. swelling
  5. loss of function
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4
Q

what is pain (in part of the 5 cardinal signs of inflammation)

A

it’s a chemical irritation/ pressure on tissue & sensory nerve endings

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5
Q

why is redness part of the 5 cardinal signs of inflammation

A

underlying hyperemia

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6
Q

why is heat part of the 5 cardinal signs of inflammation

A

hyperemia

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7
Q

why is swelling part of the 5 cardinal signs of inflammation

A

increased permeability of vessel walls, contains fibrogen & proteins

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8
Q

why is loss of function part of the 5 cardinal signs of inflammation

A

is being protective - pain & swelling

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9
Q

inflammation vs infection

A

infection = invasion of body by pathogens
inflammation = symptom of infection

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10
Q

purpose of soft tissue repair

A

after an injury the body has a natural healing process, physio will help to healthier healing and reduced risk of re-injury, chronic pain & disfucntion

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11
Q

stages of soft tissue repair

A
  • Bleeding
  • Inflammation
  • Proliferation
  • Remodel
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12
Q

Purpose of bleeding

A
  • 4-6hrs
  • more vascular tissues bleed for longer with greater escape of blood into tissue
  • soft tissue is disrupted & blood vessels are severed, releasing blood plasma & peripheral blood into the wound site
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13
Q

time taken for inflammation

A
  • rapid onset (few hrs), max reaction 2/3 days
  • resolved in a couple weeks
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14
Q

what is proliferation

A

generation of scar material

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15
Q

time taken for proliferation

A
  • rapid onset 24-48 hrs
  • peak activity (2-3 weeks post injury) - the more vascular the shorter time to reach peak
  • final functional scar = up to several months post trauma
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16
Q

time taken for remodelling

A
  • 1-2 weeks post injury
  • may take up to 1 year to complete
17
Q

what is remodelling in soft tissue repair

A

organised functional scar

18
Q

purpose of proliferation

A
  • fibroplasia (fibroblast is to repair the connective tissue)
  • angiogenesis (formation of new blood vessels = basic scar formation)
19
Q

What is inflammation/purpose

A
  • most cells detect injury to nearby cells and release histamine, initiating an inflammatory response
  • Bradykini & prostaglandins are also released from the damaged cells (to initiate pain)
  • vascular response = tissue oedema
  • cellular response = cell debris
20
Q

part of inflammation in soft tissue repair is vascular response what occurs

A
  • vasular reponse = leaky valves
  • vasodilation & vasopermability
  • dormant capillaries open
  • increased flow through capillaries = leaky vessels
  • all leads to increased exudate (tissue oedema/swelling)
21
Q

what’s exudate

A
  • dilutes irritants
  • aids the formation of a fibrin clot
  • provided initial lenion of surrounding intact tissue
22
Q

point of mast cells

A

they are specialised immune cells which release histamine to increase blood flow to area