Presentation 1 Flashcards

1
Q

The stages of Inflammation are?

A

Inflammatory Reaction
Proliferative (Fibroblastic) Phase
Maturation (Remodeling) Phase

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2
Q

The formation of a platelet plug is called?

A

Hemostasis

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3
Q

When blood escapes into surrounding tissue, this is called a

A

Hemorrhage

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4
Q

In the inflammatory Stage, the vascular changes are characterized by brief ____ followed by more prolonged _____

A

Vasoconstriction

Dilation

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5
Q

During vasoconstriction, the blood vessel wall becomes ____
 White blood cells
(leukocytes) adhere
(marginate) to vessel wall

A

Sticky

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6
Q

During vasoconstriction, ______ adhere to vessel wall.

A

White blood cells

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7
Q

During vasodilation,

the vessel wall becomes increasingly ________

A

Leaky/permeable

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8
Q

Initially, plasma serum
(water and electrolytes)
passes into tissue spaces. This is called ________

A

transudate

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9
Q

As vessels becomes more
permeable, leukocytes
pass into tissue/interstitial
spaces. This is called

A

Exudate

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10
Q

Polymorphonuclear leukocytes are associated with

A

Early Phagocytosis:

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11
Q

Polymorphonuclear leukocytes are small ______

white blood cells (WBCs)

A

multinucleated

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12
Q

Polymorphonuclear leukocytes are associated with early phagocytosis of _______

A

tissue debris

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13
Q

The type of WBC associated with prolonged Phagocytosis is

A

Mononuclear leukocytes

aka macrophages

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14
Q

Macrophages continue the
phagocytic process and
trigger the _____
phase of tissue healing

A

fibroblastic

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15
Q

Norepinephrine causes brief ______

A

vasoconstriction

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16
Q

Histamine produces ______

A

vasodilation

17
Q

Prostaglandins cause ___ and _____

A

vasodilation and pain

18
Q

PRICE

A

protection, rest, ice, compression, and
elevation) to decrease redness, heat, and
edema

19
Q

Treatment during inflammatory phase

A

Promote Early Healing
Cautious, gentle movement
Massage and muscle setting

20
Q

The proliferative stage is also called the _____ phase

A

Fibroblastic

21
Q

The growth of capillary beds into an area is called

A

Neovascularization or angiogenesis

22
Q

Endothelial buds develop from _______

in the area.

A

intact capillaries

23
Q

Endothelial buds grow into the damaged area and

establish a new ______

A

vascular network.

24
Q

Collagen formation is also called ________

A

Fibroplasia

25
Q

During the process of collagen formation, fibroblasts from dermis migrate into the
wounded area along strands of ______

A

fibrin.

26
Q

Fibroblasts secrete _______ to replace damaged

tissue.

A

collagen

27
Q

Early scar tissue, with its new vascular

supply, is referred to as ________

A

granulation tissue.

28
Q

T or F: Granulation tissue is very fragile and easily

injured.

A

True

29
Q

Clinical Signs in the

Proliferative Stage include

A

 Decreasing inflammation
 less redness, less heat, and decreased
edema
 Pain with tissue resistance

30
Q

Treatment during proliferative phase

A

 Promote Healing/Develop Mobile Scar
 Physical Agents: Mild heat
• May facilitate the healing process by causing
mild increase in blood flow
• But may cause more inflammation (edema,
etc.) if applied too hot and/or too long
 Physical Agents: Mild cold
• May decrease pain and inflammation
• But may increase stiffness and slow the healing
process if applied too cold and/or too long

31
Q

Treatment during proliferative phase (continued)

A

 Nondestructive exercise
• Active, resistive, and endurance exercise
• Progress carefully in intensity and range

32
Q

The maturation stage is called the ______ stage

A

Remodeling

33
Q

As scar matures, it becomes stronger but is never as strong

as the _____

A

original tissue

34
Q

• Collagen aligns to _______

A

applied stress

35
Q

Clinical signs during the proliferative (maturation) phase

A

Absence of inflammation

 Pain after tissue resistance

36
Q

Treatment during proliferative (maturation phase)

A

Treatment
 Increase strength and alignment of scar;
improve function
 If contractures or adhesions present: use heat and
stretch, massage
 If pain persists: use heat or cold
 Emphasize progressive stretching, strengthening,
endurance and functional exercises