Sept. 16, 2019 Flashcards

Local mnfts, exudates, systemic mnfts, pathogenesis of fever, CRP, Tx of inflm, Abn IR

1
Q

Characteristics of LOCAL MNFTS

A

Present at site of INJURY (ERYTHEMA, HYPEREMIA, warmth, swelling, pain, l/o Fx

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2
Q

What is EXUDATE composed of?

A

CELLS, PROTEINS, FLUID

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3
Q

What factors may effect the composition of an EXUDATE?

A

Severity and type of INJURY

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4
Q

What is one major difference between PLASMA and SERUM?

A

PLASMA contains CLOTTING FACTORS, SERUM does not

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5
Q

2 characteristics of SEROUS EXUDATE

A

1) Clear

2) Watery

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6
Q

Why might SEROUS EXUDATE be more watery than other EXUDATES?

A

Because it contains more FLUID than CELLS and PROTEINS

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7
Q

Is an INJURY that produces a SEROUS EXUDATE considered mild, moderate, or severe? Explain

A

Mild. If the EXUDATE is SEROUS, it contains more FLUID than CELLS and PROTEINS, this occurs in a mild INJURY because there is less demand for CELLS and PROTEINS, which would include more LEUKOCYTES for repair.

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8
Q

2 characteristics of PURULENT/SUPPERATIVE EXUDATE

A

1) Cloudy

2) Foul odor

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9
Q

What is PURULENT EXUDATE composed of?

A

WBCs, PROTEINS, and NECROTIC DEBRIS

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10
Q

Why is PURULENT EXUDATE thicker than SEROUS?

A

Because the NECROTIC DEBRIS is a more solid form of FLUID than the FLUID excreted in a SEROUS EXUDATE

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11
Q

What is a more common name for NECROTIC DEBRIS?

A

Pus

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12
Q

What likely conclusion can be drawn from the presence of PURULENT EXUDATE?

A

There is likely a bacterial infct

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13
Q

What would result in a HEMORRHAGIC EXUDATE? IS this a mild, moderate, or severe INJURY?

A

Severed BVs, lots of RBCs present.

Severe

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14
Q

What is a MEMBRANOUS EXUDATE?

A

NECROTIC CELLS enmeshed in FIBROPURULENT EXUDATE

This only appears to be in a membrane = PSEUDOMEMBRANOUS

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15
Q

What is formed by FIBRINOUS EXUDATE? Why is it formed?

A

Forms a sticky mesh d/t inc amounts of FIBRINOGEN

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16
Q

Are SYSTEMIC MNFTs specific or non-specific? Why might this be more or less helpful?

A

Non-specific. Less helpful because non-specific mnfts provide less info about the INJURY (where, what, why)

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17
Q

Give 4 examples of SYSTEMIC mnfts

A

1) Headache
2) Malaise
3) Fatigue
4) Fever

18
Q

Is fever a deliberate response?

A

No, it is a side-effect of something

19
Q

2 benefits of fever

A

1) Inhibits growth and reproduction of PATHOGENS

2) Enhances PHAGOCYTOSIS and IR

20
Q

What causes fever?

21
Q

How are PYROGENS brought into/released in the body?

A

Released by BACTERIA

22
Q

Are PYROGENS ENDOGENOUS or EXOGENOUS? Explain

A

EXOGENOUS although they are released in the body, the BACTERIA they are released by come from outside the body

23
Q

What would characterize an ENDOGENOUS substance?

A

ENDOGENOUS substances come from inside the body, or own CELLS

24
Q

2 kinds of ENDOGENOUS substances

A

1) INTERLEUKIN (IL)

2) TUMOR NECROSIS FACTOR (TNF)

25
What is the role of PG in the PATHOGENESIS of fever?
PGE2 binds to receptors in the HYPOTHALAMUS to adjust body temp. This is done with the aid of cAMP
26
Where is C-REACTIVE PROTEIN (CRP) synthesized?
In the LIVER
27
What is CRP and when is it produced?
CRP is a hepatic PROTEIN produced during INFLM
28
Is CRP a deliberate response to INFLM?
Yes
29
What is the purpose of CRP?
To aid COMPLEMENT in defence
30
Is CRP a specific or non-specific response?
Non-specific
31
How might CRP levels differentiate d/t ATHERSCLEROSIS?
Levels will inc
32
CHRONIC elevation of CRP is associated with...
...VASCULAR damage
33
How does applying cold help treat INFLM?
Cold = VASOCON = dec B flow = dec HYPEREMIA and ERYTHEMA = dec PERM = dec EXUDATE in IF = dec swelling = dec pain
34
How does elevation help treat INFLM?
Elevation = dec B flow = dec HYPEREMIA and ERYTHEMA = dec PERM = dec EXUDATE in IF = dec swelling = dec pain
35
How does pressure help treat INFLM?
Pressure = dec B flow = dec HYPEREMIA and ERYTHEMA = dec PERM = dec EXUDATE in IF = dec swelling = dec pain
36
Why is it beneficial to apply heat a few hours later?
To enhance PHAGOCYTOSIS/IR and VASODIL to bring more nutrients for repair
37
What are NSAIDs? Give example
NON-STEROIDAL drugs, eg Ibuprofin
38
How do NSAIDs aid in pain reduction?
Dec synthesis of PG = dec pain
39
What are some negative things about STEROIDAL anti-inflm drugs?
- Cannot be used long term w/out side effects | - Cannot use in high doses
40
How do STEROIDAL drugs aid in pain reduction?
Dec perm = dec EXUDATE = dec swelling = dec pain
41
What are 2 other things STEROIDAL drugs inhibit?
1) MEDIATOR release | 2) WBCs and MAST CELLS at site