Pathology Flashcards
Is a response of vascularized tissues to infections and damaged tissues that brings cells and molecules of host defense from the circulation to the sites where they are needed in order to eliminate the offending agents
Inflammation
Causes of inflammation
Infection, tissue necrosis, foreign bodies, immune reactions
First step in all inflammatory reactions
Recognition of offending agents
Recognition of microbes and damaged cells
Cellular receptors for microbes
Sensors of cell damage
Opsonins
Circulating proteins
Molecules/ receptors that activate a multiprotein cytosolic complex called inflammasome
DNA
Uric acid
ATP
Reduce intracellular K+ concentrations
Main components of inflammation
Vascular reaction
Cellular response
Steps for inflammatory response (5Rs)
Recognition of injurious agent Recruitment of leukocytes Removal of the agent Regulation of the response Repair
Three major components of acute inflammation
Dilation of small vessels
Increased permeability
Emigration of leukocytes
Hallmark of acute inflammation
Increased vascular permeability
Most common mechanism of increased vascular permeability; immediate transient response
Contraction of endothelial cells
Mechanisms of increased vascular permeability
Contraction of endothelial cells
Direct damage to endothelial injury
Endothelial injury due to leukocytes
Transcytosis
What are the mechanisms that are responsible for increased vascular permeability
Retraction or contraction of endothelial cells
Endothelial injury
Leukocyte mediated vascular injury
Increased transcytosis
Refers to the accumulation of fluid in the interstitial tissue or body cavities
Edema
Hyperemia is caused by
Increased in arterial blood flow
Obstruction to the outflow of venous blood
A type of hyperemia that is involving the dilatation of arteries/arterioles resulting in increased blood flow of a tissue or organ
Active
A pathologic active hyperemia is always associated with
inflammation
exudate formation
A type of hyperemia due to impaired venous drainage resulting in stasis and accumulation of deoxygenated venous blood
Passive
Clinical significance of hemorrhage depends upon
Amount
Rate of blood loss
Site of hemorrhage
Components that is involved in hemostasis
Endothelium
Platelet
Compliment/clotting factors
The anticoagulant factors of endothelium that inhibit platelet aggregation
Prostacyclin
ADP
NO
The anticoagulant factors of the endothelium causes
Vasodilation
Increase blood flow
Decrease adhesion in the vessel wall
Anti thrombin activity is mediated by
Thrombomodulin
The release of what factor will promote the binding of platelets to the surface
vWF
Virchow’s triad
Endothelial injury
Decrease blood flow
Hypocoagulability
The scientific study of pathology focuses on the following aspects of a lesion and disease
Etiology or causes Pathogenesis Morphological changes Pathophysiology Clinical manifestations