Introductory Clinical Sciences Flashcards
What is a granuloma
- a collection of histocytes
- a form of chronic inflammation (type IV hypersensitivity)
What is Quantiferon
- a blood test for TB
What is apoptosis
Programmed cell death
What is inflammation
A local physiological response to tissue injury, it is not a disease but a manifestation of a diseases
Give 6 causes of inflammation
- microbial infection eg bacteria, viruses
- tissue necrosis e.g ischaemic infarction
- chemicals e.g corrosives, acids, alkalis and reducing agents
- hypersensitivity e.g parasites, tubercle bacilli
- bacteria toxins
- physical agents e.g trauma, uv (ionising radiation), burns, cold (frostbite)
Give 5 systemic effects of inflammation
- Pyrexia
- Constitutional symptoms
- Weight loss
- Reactive hyperplasia of the reticuloendothelial system
- Haematological changes
- Amyloidosis
Give 3 causes of increased vascular permeability based on immediate transient chemical mediators
- histamine
- bradykinin
- nitric oxide
- C5a
- leucotriene B4
- platelet activating factor
Give 2 causes of increased vascular permeability based on delayed prolonged endothelial cell Injury,
- xrays
- bacterial toxins
Give the 3 processes of acute inflammatory response
- Changes in vessel calibre and, consequently, flow
- Increased vascular permeability and formation of the fluid exudate
- Formation of the cellular exudate – emigration of the neutrophil polymorphs into the extravascular space.
What is dolor
- Pain
- results partly from the stretching and distortion of tissues due to inflammatory oedema and, in particular, from pus under pressure in an abscess cavity
- bradykinin, the prostaglandins and serotonin, are known to induce pain
What is tumor (inflammation)
Swelling
- results from oedema – the accumulation of fluid in the extravascular space as part of the fluid exudate
- formation of new connective tissue contributes to the swelling
What is calor
Heat
- due to increased blood flow (hyperaemia) through the region, resulting in vascular dilatation and the delivery of warm blood to the area
- which results from some of the chemical mediators of inflammation, also contributes to the local temperature
What is rubor
Redness
- due to dilatation of small blood vessels within the damaged area
What are the 5 essential macroscopic appearances of acute inflammation
• Rubor • Calor • Tumor • Dolor Loss of function is also characteristic
What is resolution
– initiating factor removed
– tissue undamaged or able to regenerate
What is repair
– initiating factor still present
– tissue damaged and unable to regenerate
Give 5 types of cells that regenerate
- hepatocytes
- pneumocytes
- all blood cells
- gut epithelium
- skin epithelium
- osteocytes
Give 2 types of cells that don’t regenerate
- myocardial cells
* neurones
What is within a plaque
- fibrous tissue
- lipids e.g cholesterol
- lymphocytes
- fibrous cap
What is carcinogenesis
The transformation of normal cells to neoplastic cells through permanent genetic alterations or mutations
- all carcinogens act on DNA
What is oncogenesis
Synthesis of benign and malignant tumours
What are carcinogens
Agents known or suspected to causes tumours