P11 - Inflammation Part 6 Flashcards

1
Q

inflammation with overlap of neutrophils, fibrin deposition, clotting, cytokines and other factors

A
  • acute inflammation
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2
Q

inflammation with overlap of macrophages, granulation tissue, cell repopulation

A
  • chronic inflammation
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3
Q

inflammation with overlap of neutrophils, macrophages, fibrin deposition, clotting, granulation tissue, cell repopulation

A
  • recurrent inflammation
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4
Q

2 mechanisms of healing

A
  • healing by regeneration

- healing by repair

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5
Q

dead cells are replaced by identical cell type and tissue homeostasis is restored or near-restored
- superficial cut

A
  • healing by regeneration
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6
Q

dead cells must be replaced by another cell type (usually fibrous)
- deeper cut

A
  • healing by repair
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7
Q

cell types involved that determine type of healing (3)

A
  • labile cells
  • stabile cells
  • permanent cells
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8
Q

labile cells

A
  • highly regenerative capacity
  • regenerate for life
  • cells with high turnover
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9
Q

small intestine, bone marrow, GI and skin are all what type of cells

A
  • labile
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10
Q

stabile cells

A
  • regenerative capacity when stimulated
  • cells of parenchymatous organs
  • regenerative capacity decreases with age
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11
Q

liver, kidney, pancreas, adrenal, bone, tendon, nerve and smooth muscle are all what type of cells

A
  • stabile
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12
Q

permanent cells

A
  • little to no regenerative capacity

- healing occurs by replacement with scar tissue

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13
Q

skeletal and cardiac muscle, cells in central nervous system are all what type of cells

A
  • permanent
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14
Q

hallmark of chronic inflammation

A
  • granulation tissue
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15
Q

features of granulation tissue

A
  • arrises from healthy tissue at periphery of wounds and matures to scar tissue
  • comprised of new blood vessels and new fibroblasts
  • deposition of each in crisscross pattern
  • matures into fibrous connective tissue
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16
Q

stimulation of new blood vessels

A
  • angiogenesis
17
Q

stimulation of fibroblasts (3)

A
  • injured cells and immune cells secrete growth factors
  • fibroblasts migrate into wound from progenitor cells from tension lines
  • fibroblasts produce collagen
18
Q

TGF-beta stimulates

A
  • fibroblast cell proliferation and differentiation
19
Q

IL-1 is what for fibroblasts

A
  • chemotaxic
20
Q

exuberant granulation tissue

A
  • hyperplasia of granulation tissue (tumor-like)
21
Q

steps of primary union (6)

A
  • clot formation
  • inflammatory response
  • fibroblast and endothelial response
  • continuity of blood flow
  • epithelial regeneration
  • collagen formation
22
Q

steps of secondary union (4)

A
  • phagocytosis of debris (cleaning of wound)
  • granulation tissue comes from wound margins
  • deficit begins to be filled by granulation tissue
  • maturation to fibrosis and contraction by myelofibroblasts