Chapter 9a Flashcards

1
Q

inflammation

A

normal body defense mechanism which attempts to localize and remove injurious agent

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2
Q

inflammation responses to cell inury

A
  • neutralizes harmful agents
  • removes damaged and dead tissue
  • generates new tissue
  • promotes healing
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3
Q

localized signs of inflammation

A
  • swelling
  • redness
  • pain
  • heat/warmth
  • loss of function
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4
Q

what are the two stages of acute inflammation

A
  • vascular
  • cellular
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5
Q

what is part of the vascular stage

A
  • vasodilation
  • capillaries become more permeable
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6
Q

vasodilation

A
  • increasing blood flow to the injured area
  • redness and warmth
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7
Q

what is the mediator for vasodilation of the vascular stage

A
  • histamine
  • nitric oxide
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8
Q

capillaries become more permeable

A
  • allowing exudate to escape into the tissues
  • swelling, pain, and impaired function result
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9
Q

mediator for capillaries becoming more permeable

A

histamine

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10
Q

cellular stage

A
  • white blood cells enter the injured tissue:
  • destroying infective organisms
  • removing damaged cells
  • releasing more inflammatory mediators to control further inflammation and healing
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11
Q

what are the mediators for cellular stage

A
  • kinins
  • histamine
  • serotonin
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12
Q

cell derived mediators

A
  • histamine
  • nitric oxide
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13
Q

what are the different types of exudate

A
  • serous
  • fibrinous
  • purulent
  • bloody/hemorrhagic
  • membranous
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14
Q

serous exudate

A

mostly water

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15
Q

fibrinous exudate

A

thick and sticky with a lot of fibrin and cell content

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16
Q

purulent exudate

A

thick, yellow green, pus

17
Q

hemorrhagic exudate

A

if blood vessels are damaged - red

18
Q

membranous exudate

A

necrotic cells with fibropurulent exudate

19
Q

chronic inflammation

A
  • result from recurrent or progressive acute inflammatory process or from low grade response that failed to evoke an acute response
  • last for weeks, months, years
20
Q

causes of chronic inflammation

A
  • silica
  • viruses
  • bacteria
  • fungi
  • obesity
21
Q

systemic response to inflammation

A
  • leukocytes release chemicals that cause fever and lethargy
  • leukocytosis (increased WBC)
  • increased ESR
  • cellular enzymes appear in circulation
22
Q

purpose of a fever

A
  • slow down the replication of the pathogens.
  • Pyrogens (fever producing cytokines) can be released by macrophages, invading bacteria or damaged cells.
  • Pyrogens circulate in the blood and raise the hypothalamaus to reset the bodys temp - This is an attmept to kill pathogens in the system
23
Q

Bodies response that causes the increase in body temperature:

A
  • Vasoconstriction
  • Shivering
  • Increase BMR
  • Curl up body
24
Q

Bodies response that increased heat loss:

A
  • Vasodilation
  • Sweating
  • Lethargy
  • Extend body
25
what are the four fever patterns
- intermittent - remittent - sustained - relapsed/recurrent
26
intermittent
fever returns to normal at least once every 24 hrs
27
remittent
fever does not go down and varies a few degrees in either direction
28
sustained fever
the temperature remains above normal with minimal variations
29
recurrent/relapse fever
there is one or more episodes of fever, each as long as several days with one or more days of normal temperature in between episodes
30
stages of fever
- prodromal - second or chills - third or flushed - fourth or defervescence
31
prodromal period
headache, fatigue, general malaise, aches and pains
32
second or chills stage
goose bumps, cutaneous Vasoconstriction
33
third or flushed stage
cutaneous vasodilation, skin becomes warm and red
34
fourth or defervescence stage
initiation of sweating