LAB Exercise 1b Flashcards
Factors Determining Variation in Inflammatory Response
Factors determining variation in inflammatory response involving the organism
- Type of injury and infection
- Virulence
- Dose
- Portal of entry
- Product of organisms
Factors determining variation in inflammatory response involving the host
Systemic diseases • Immune status of host • Congenital neutrophil defects • Leukopenia • Site or type of tissue involved • Local host factors
5 types of exudation
- serous
- fibrinous
- purulent or suppurative
- hemorrhagic
- catarrhal
Considered as the mildest form of inflammation characterized by the outpouring of a thin fluid
serous inflammation
Accumulation of fluid in the peritoneal, pleural, and pericardial cavity
effusion
exudation when the fibrin content of the fluid exudate is high.
fibrinous inflammation
A fibrinous exudate is characteristic of inflammation
in the lining of body cavities
develops when the vascular leaks are large or there is a local procoagulant stimulus
Fibrinous Inflammation
develops when the vascular leaks are large or there is a local procoagulant stimulus
Fibrinous Inflammation
Exudation from the formation of creamy pus as seen in infection with pyogenic bacteria such as streptocicci or staphylococci
Suppurative or Purulent Inflammation
It is viscous yellow fluid composed of dead and dying PMNs and necrotic tissue debris. It is also rich in lytic enzymes released from leukocytes, destroyed cells, and bacteria
pus
Purulent exudate that is also rich in fibrin is said to be
purulent
localized collection of pus within an organ or tissue is called
abscess
In chronic abcsesses, the wall of an abscess is composed of a capsule consisting of
fibrotic granulation tissue
In chronic abcsesses, the wall of an abscess is composed of a capsule consisting of
fibrotic granulation tissue
A cavity, usually occupied previously by an abscess, that drains through a tract to the surface of the body when the abscess ruptures
sinus
A channel between two preexisting cavities or hollow organs that is formed when large abcesses ruptures.
fistula
Accumulation of pus in a preformed cavity
ampyema
Accumulation of pus in a preformed cavity
empyema
Inflammation that is a local defect, or excavation, of the surface of an organ or tissue that is produced by the shedding of inflamed necrotic tissue
ulcerative inflammation
Occur only when tissue necrosis and resultant inflammation exist on or near a surface
ulcerative inflammation
Morphology of cute ulcer
intense polymorphonuclear infiltration and vascular dilation in the margins of the defect.
chronic ulcer morphology
fibroblastic proliferation
scarring
accumulation of lymphocytes, macrophages, and plasma cells.
Imflmmtion where the exudate of fibrin, pus, cellular debris, and mucus forms a pseudomembrane on the surface of the ulcers.
Pseudomembranous Inflammation
inflammation caused by Clostridium difficile
pseudomembranous colitis
Four outcomes of acute inflammation
resolution
healing by fibrosis
abscess formation
chronic inflammation
Outcome that involves the restitution of normal architecture and function where the connective tissue framework of the tissue is intact
resolution
Outcome known as scar formation occurs when there is substantial damage to the connective tissue framework and/or the tissue lacks the ability to regenerate specialized cells
Healing by fibrosis
Despite the loss of some specialized cells and some architectural distortion by fibrous scar, structural integrity is reestablished.
Healing by Fibrosis
Healing by fibrosis which occurs quickly with a small amount of granulation tissue
healing by primary intention
Healing by fibrosis that is large and filled with blood clot and a variable amount of tissue debris.
healing by secondary intention
Takes place when the acute inflammatory reaction fails to destroy/remove the cause of tissue damage and continues, and is common in the case of infection by pyogenic bacteria
Abscess formation
Outcome that results following acute inflammation when an injurious agent persists over a prolonged period, causing concomitant tissue destruction.
chronic inflammation
The hallmark features of chronic inflammation
ongoing tissue damage
ongoing tissue damage is often caused by
the inflammatory cells in the infiltrate
a chronic inflammatory infiltrate
fibrosis
Chronic inflammation can be caused by one of the following three ways:
Persistent infections
Immune-mediated inflammatory diseases
Prolonged exposure to potentially toxic agents, either exogenous or endogenous
Caused by microorganisms that are difficult to eradicate like mycobacteria and certain viruses, fungi, and parasites
Persistent infections
Organisms that are difficult to eradicte often evoke an immune reaction called_________ and the inflammatory response takes a specific pattwrn called
delayed-type hypersensitivity, granulomatous reaction.
chronic inflammation cause that is group of diseases that are caused by excessive and inappropriate activation of the immune system
Immune-mediated inflammatory diseases
conditions where immune reactions develop against the individual’s own tissu
autoimmune diseases
Examplew of toxic agents, either exogenous or endogenous that cause chronic imflammation
silica causing silicosis
endogenous toxic lipid component causeing atherosclerosis
3 Morphologic Features of Chronic Inflammation
Mononuclear Cell Infiltration
Tissue Destruction or Necrosis
Proliferative Changes
2 Types of Chronic inflammation
Non-specific
Specific
An example of this inflammation is chronic ulcer when the irritant substance produces a reaction with formation of granulation tissue and healing by fibrosis
Non specific
Inflammation where the injurious agent causes a characteristic histologic tissue response like in tuberculosis
Specific
Two classifications of inflammation according to descriptive histologic features
- Chronic non-specific inflammation
2. Chronic granulomatous inflammation
This is characterized by non-specific inflammatory cell infiltration (e.g. chronic osteomyelitis, lung abscess)
Chronic non-specific inflammation
This is characterized by formation of granulomas (e.g. tuberculosis, leprosy, syphilis, etc)
Chronic granulomatous inflammation
A distinctive pattern of chronic inflammation encountered in a limited number of infectious
and some non-infectious conditions.
Granulomatous Inflammation
This is a cellular attempt to contain an offending agent that is difficult to eradicate, involving strong activation of T lymphocytes leading to macrophage activation causing injury to normal tissue
granuloma
granuloma morphology
1 mm tiny circumscribed lesiom
composed predominantly of modified macropahages (epitheliod cells)
rimmed at the periphery by lymphoid cells
Granuloma that have a large mass of cytoplasm containing 20 or more small nuclei arranged either peripherally.
Langhans-type giant cell
Granuloma that have a large mass of cytoplasm containing 20 or more small nuclei arranged either haphazardly.
foreign body-type giant cell