Inflammation 2: signs of inflammation + fate of acute inflammation Flashcards

1
Q

signs of inflammation are divided into

A

Local signs & systemic manefistations

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2
Q

enumerate local signs of inflammation

A
  1. Redness
  2. Hotness
  3. tenderness
  4. Swelling
  5. loss of function
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3
Q

chemical mediator for redness & hotness

A

Histamine:
* VD & increase blood flow
* causing red color
* causing heat from increased Blood flow & tissue reaction

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4
Q

cause of tenderness

A

(pain)
* Chemical mediators: PGE2 & bradykinins
* Compression of nerve by exudate

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5
Q

another name for swelling

A

inflammatory edema/ wheal

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6
Q

cause of swelling

A

accumulation of exudate

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7
Q

systemic manefistations of inflammations are also known as

A

Systemic inflammatory response syndrome

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8
Q

Constituents of systemic inflammatory response syndrome

A
  1. Fever
  2. production of acute phase proteins
  3. Leukocytosis
  4. Septic shock
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9
Q

explain how inflammation causes fever

A
  1. due to necrosis, there is release of Tissue Necrosis Factor (TNF) & Interleukin 1 (IL1)
  2. both increase the production of Prostaglandins at hypothalamus
  3. this resets temperature point of hypothalamus to a higher point
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10
Q

enumerate acute phase proteins

A
  • CRP
  • SAA (serum amyloid A)
  • Fibrinogen
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11
Q

Acute phase proteins are formed in the liver under the effect of ____

A

Interleukin 6 (IL6)

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12
Q

function of acute phase proteins in inflammation

A

act as opsonins and fix complements

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13
Q

explain how inflmmation can be tested for, using acute phase proteins

A

by ESR test:
* Increases during inflmmation
* due to increased levels of fibrinogen

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14
Q

site of leukocytosis

A

bone marrow

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15
Q

manifestations of septic shock

A

high levels of TNF during severe infections, leading to:
* fall in bp
* disseminated intra-vascular coagulation (DIC) (uncontrolled blood clotting)

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16
Q

Enumerate possible outcomes of acute inflammation

A
  • Resolution (immunity WINS)
  • Regression (scarring & fibrosis) (immunity wins with some damage)
  • progression & spread (bacteria wins)
  • Chronicity (tie)
17
Q

Resolution definition & example

A

Complete restoration to normal state with rapid destruction of cause, necrosis & exudate

ex: pleural effusion & pneumonia

18
Q

Regression defintion & example

A

excess tissue damage where tissue cannot fully regenrate, or heals by scar

ex: abscess formation

19
Q

types of bacterial progression & spread

A
  • Direct= extends in the tissue
  • Lymphatic= lymphangitits or Lymphandenitis
  • Blood= speticemia
20
Q

define chronicity & example

A

dangerous agents couldn’t be completely removed

ex: autoimmune diseases & viral infections