Pathology 1.2 Flashcards
inflammation
acute- neutrophils, vessels, mast cells
chronic- begins 1 day later. lymphos, macros, plasma cells
granulomatous- variant of chronic,
5 signs of inflamation
Rubor, tumor, calor, dolor, loss of function
leaky small vessels
redness, swelling, loval warmth
pus
lots of inflammatory cells,
fever
37.2 - 37.7 degrees celcius.
PgE2 chanfes temp regulation in hypothalamus.
serious tissue damage at 104-106 fahrenheit
“SELL at 106”
vessel’s role in inflammation
small vessels develop endothelial retraction and pinocytosis
plasma leaks out
forms exudate- clotting factors.
DDx - transudate from hemodynamic problems.
recruit inflammatory cells to site.
leukocytosis with neutrophilia
acute inflammation, bacterial infection
depleted PMNs,
left shift
leukocytocis with lymphocytocis
chronic inflamation, viral infection
Eosinophilia
parasitic infection, autoimmune, asthma/allergic, tumors
thrombocytosis
thrombocytopenia
laboratory signs of infection
increased sedimentation rate.
due to increased fibrinogen.
non-specific.
fibrinogen
acute phase protein
CRP
c-reactive protein
becomes abnormal after fast sedimentation rate
can increase by 1000 fold
mild increases can indicate atherosclerotic changes
procalcitonin
largely specific for bac infection
SAA
serum amyloid A prtein