Inflammation, Wound Healing, Autoimmune Disorders Flashcards
The protective, coordinated response of the body to an injurious agent
Inflammation
Inflammation that occurs rapidly in reaction to cell injury, rids the body of the offending agent, enhances healing, and terminates after a short period, either hours or a few days.
Acute inflammation
Inflammation that occurs when the inflammatory reaction persists, inhibits healing, and causes continual cellular damage and organ dysfunction.
Chronic inflammation
What at the three stages of acute inflammation?
- Vascular permeability
- Cellular chemotaxis
- System responses
Immune response to tissue injury or infection experienced as heat, redness, edema, pain and loss of function.
Inflammation
What happens immediately after injury inflammation?
Brief vasoconstriction
Two examples of vasoactive cells are:
- Prostaglandins
2. Histamine
Increased _____________ allows fluids and proteins to pass from the blood into the tissue.
Capillary permeability
A multi-stage that involves circulating immune cells (neutrophils) move out of the blood vessels to the site of injury and destroy pathogens and damaged cells.
Chemotaxis
The process where neutrophils squeeze through the endothelial gap
Diapedesis
The process where neutrophils encounter bacteria, engulf them, and digest them.
Phagocytosis
Erythema-redness
Rubor
Edema-Swelling
Tumor
Heat
Calor
Pain
Dolor
Fever, Pain, General malaise (a general feeling of poor health), lymphadenopathy (swollen lymph nodes), anorexia, sleepiness, lethargy, anemia, weight loss are all signs of what?
Systemic inflammation
Chemicals that reset the hypothalamic temperature center to a high setting
Pyrogens
The type of wound healing that occurs with clear wound edges with no missing tissue
Primary intention
A surgical incision is an example of what type of wound healing?
Primary intention
The type of wound healing where there is extensive loss of tissue
Secondary intention
Granulation and fibrous tissues are needed to fill in a gap in this kind of wound healing.
Secondary intention
The type of wound healing where the wound is missing a large amount of tissue and is contaminated.
Tertiary intention
The type of wound healing where a skin graft may be required.
Tertiary intention
What is the number one cause of delayed wound healing?
Infection
Which enzyme is involves in the formation of prostaglandins association with pain and swelling?
Cox-2
Which enzyme is involves with the production of protective prostaglandins that help maintain the health of the gastric mucosa?
COX-1
Fluid that contains cells and proteins is called ______.
Exudate
Clear fluid
Serous
Sanguineous fluid
Blood
Part of the inflammatory response that causes vasodilation that helps get the blood where it needs to go.
Histamines
Elevates levels of white blood cells in the blood.
Leukocytosis
What does ESR mean?C
Erythrocytes sedimentation rate
What kind of medication can delay wound healing?
Corticosteroids
Type of cells that continually divide and replicate, thus can replace and repair injured cells
Labile Cells
Type of cells found in the liver and bone, can be induced to replicate with a strong enough stimulus
Stable cells
Type of cells that cannot regenerate or replace lost or damage cells (ex: heart and brain)
Permanent cells
Fluid inside of a blister
Clear transudate
Carries the pathogen to the host
Vector
Ability of the immune system to protect from infection
Immuno-competence
Blood stream infection
Septicemia
Common organisms that causes infections due to a weakened immune system
Opportunistic infection
Perform advantageous function in the host
Normal flora
Organisms that can lead to disease
Pathogens
Health care acquired infections
Nosocomial
- Free living organism in the environment
- Can be advantageous or pathogenic
- Can be treated with antibiotics
Bacteria
- Depends on the host cel for their life cycle
- Reprograms the host cell to synthesize viral particles
- Can cause acute or chronic infections
- Antibiotics do not work to treat these infections
Viral
- Mold like organisms
- Can cause local or systemic infections
Fungus
Most common fungal infection
Candida (yeast)
Consists of:
- Protozoa
- Helminths (Worms)
- Insects
Parasites
What the ways parasites can be transmitted?
- Contaminated water
- Soil
- Food
- Disease carrying insects
The skin, mucous membranes, phagocytic cells, ciliated cells, and mediators of the inflammatory reactions are all examples of what immunity?
Innate
The type of immunity that is nonspecific (defends body of all pathogens).
Innate immunity
The type of immunity that is developed w/ exposure to antigens
Adapted immunity
Can change the host cells proteins in the CNS (brain) to prion-type protein leading to spongiform encephalopathy
Prions
Many organisms are transmitted by the ________________ system, but manifest somewhere else in the body.
Respiratory
Methicillin-resistance staphylococcus aureus (MRSA) are what type of bacteria?
Gram positive
The most common cause of community-acquired pneumonia
Streptococcus pneumoniae
Caused by bacteria including: neisseria meningitidis and haemophilia influenzae
Bacterial meningitis
A highly contagious disease that invades the small and large intestines as a secondary infection related to long-term antibiotic therapies
C-Diff
Causes annual outbreaks that are particularly worrisome for children, the elderly, and those with chronic illnesses. This virus contains surface antigen proteins that facilitate transport into the respiratory cells.
Influenza
- Acquired through droplet inhalation
- Incubation of 10-21 days when infection can be transmitted
- Classic macular, papular rash begins on face and trunk and moves to extremities
- Chicken pox: kids; shingles: adults
Varicella virus
- Commonly found in the GI and GU tracts
- Overgrowth in response to the disruption of normal flora due to antibiotic therapy
- Common in moist, warm areas of the body
- May be seen in immunocompromised patients; can occur systemically
Candida (yeast)
- Caused by consuming contaminated water or food when the parasite is in the cyst stage and resistant to GI acid
- Can be transmitted via the fecal-oral route
- THe clinical disorder is referred to as dysentery
Giardiasis
- I require the host cell to replicate where I cause changes in the host cells proteins
- I am a rare fatal degenerative neurological disease
- On a pathological exam, the brain appears spongy
- Symptoms: memory loss, personality changes, speech impairment, muscle rigidity and seizures
Spongiform encephalopathy
What is urticaria?
Hives
- What most people call “allergies”
- Occurs in people who were previously exposed to an antigen
- Hives, bronchial constriction, GI symptoms
- involves the degranulation of mast cells after IgE antibodies encounter the antigen
- Can be lifethreatening
Type I hypersensitivity
Anaphylactic shock can cause blood pressure to ______.
Drop
A reaction that is cytotoxic
Ex: a person receiving the wrong type of blood type
Type II hypersensitivity
Type of hypersensitivity that is immune complexed.
*Deposits of immune substances in the body tissue
Type III hypersensitivity
A delayed hypersensitivity reaction
Ex: exposure to poison oak
Type IV hypersensitivity
When the immune system do not distinguish between self and non self antigens.
Autoimmune disorder
Occurs when an infectious agent is composed of antigens that have the same amino acids sequences as some self-antigens.
Molecular mimicry
The disease that is characterized by a butterfly rash on the face and forms immune complexes that deposit in the organs and tissues.
(Inflammation is triggered and damages organs)
Systemic Lupus Erythematosus (SLE)
Body’s immune system attacks synovial tissue causing inflammation and destruction of cartilage, bones, tendons, and ligaments.
-The body’s immune system responds with B lymphocytes
Rheumatoid Arthritis (RA)
- Abnormal accumulation of fibrous tissue in skin and organs.
- Inflammation causes injury to the endothelial lining of blood vessels allowing activates cells into the body systems that are affected
- CREST syndrome
Scleroderma
Scleroderma is also known as
Systemic sclerosis
- Attacks the CD4 T-cells and macrophages
- Slowly depletes the body’s immune system, both T Cell and B Cell immunity
Human Immunodeficiency Virus (HIV)
In scleroderma, what is one of main organs effected?
Esophagus
How long does the seroconversion of HIV take?
2 weeks to 6 months
CD4 cells are also called?
T helper cells
The latent period of HIV cells can be how long?
-During this period opportunistic infections can arise
6 months to 10 years
Decreased CD4 level (helper T cells) and onset of opportunistic infection
AIDS