Inflammation Flashcards

(51 cards)

1
Q

what is the purpose of acute inflammation?

A

To maintain integrity of the organism

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2
Q

what is acute inflammation?

A

It is a series of protective changes occurring in a living tissue as response to injury

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3
Q

Give 3 signs of accuse inflammation…

A

Rubor, calor, tumor,dolor, loss of function

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4
Q

Give 3 causes of acute inflammation…

A
  1. pathogenic organisms (bateria, virus, fungi, parasites)
  2. Trauma (injury)
  3. Upset to chemical balance
  4. Extreme conditions
  5. Dead tissue
  6. hypersensitivity
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5
Q

where does acute inflammation take place?

A

In the macrocirculation

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6
Q

What effect does increasing the radius of the blood vessel have on the flow of blood?

A

It increases the blood flow and causes redness of the skin, heat is also radiated

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7
Q

minuet increase in vessel radius causes….. increase in blood flow

A

Massive

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8
Q

what are the three steps in acute inflammation?

A
  1. increasing radius of the blood vessels
  2. increase permeability of blood vessels
  3. movement of neutrophils
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9
Q

what is the result of increasing vessel permeability?

A

It is a localised vascular response which results in exudation

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10
Q

what is present in the exudate that is leaked?

A

a protein rich solution with plasma, immunoglobulins and fibrinogens

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11
Q

what effect does the exudation have?

A

causes oedema (swelling)

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12
Q

what is the purpose of swelling?

A

It causes pain and therefore the function is reduced reducing further damage

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13
Q

increased permeability reduces the flow in the vessels why is that important?

A

It means that stasis is returned to normal

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14
Q

what is normal laminar flow?

A

erythrocytes are flow faster near the vessel wall and the smaller WBC flow in the middle

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15
Q

why is laminar flow reversed in acute inflammation?

A

the WBC are attracted to the vessel wall for easy transport to the affected area

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16
Q

what occurs during margination?

A

The neutrophils move to endothelium of vessel

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17
Q

What happens during pavementing?

A

Neutrophils adhere to the endothelium

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18
Q

what happens during emigration?

A

the neutrophils squeeze through the endothelium tissue- active process

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19
Q

why are the cardinal signs a benefit of acute inflammation?

A

they generally cause loss of function and so they act as a protection method

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20
Q

what is the function of the plasma proteins?

A

to localise the process

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21
Q

what is the purpose of neutrophils?

A

to destroy organisms and denature antigen for microphages

22
Q

what cells are the central cells when dealing with acute inflammation?

23
Q

how do the neutrophils move towards the foreign antigen?

A

utilising the cytokine concentration gradient

24
Q

what immune mechanism do they use?

25
what is the result of releasing granules?
the neutrophils die
26
they release enzymes why is this helpful?
it increases the specificity of the reactions to follow
27
The neutrophils produce a "soup" what is this known as?
pus
28
how does the fibrinogen act?
to form a mesh like structure to isolate the infection and prevent spread
29
Give example of cell surface mediators
ICAM-1
30
what is the function of cell surface mediators?
they help the neutrophils stick
31
what type of mediator is Histamine?
Mediator released from the cells
32
where is histamine performed?
MAST CELLS
33
what is the purpose of histamine?
causes vasodilation | increases permeability
34
what is the purpose of Serotonin?
Prevents the immune response from leaving the site of infection
35
what are cytokines?
They are small molecules produced by microphages, lymphocytes and endothelium
36
the initial systemic effects of inflammation are ...
1. Pyrexia (raised temp) 2. feeling unwell (malaise, nausea) 3. Neutrophila (raised WBC count)
37
Long term systemic effects of acute inflammation are?
1. Lymphadenopathy (regional enlargement of lymph nodes) 2. Weight loss 3. Anaemia
38
what is suppuration?
Pus formation
39
what is found in pus?
dead tissue, exudate, neutrophils, fibrin, red cells, debris
40
What walls off the pus?
pyogenic membrane
41
what is it called when pus is collected under pressure?
Abscess
42
what is a multiloculated access?
when the pus bursts through the pyogenic membrane and forms new cavities
43
what is it called if pus leaks into the blood stream?
Pyaemia
44
What is organisation?
an outcome of acute inflammation
45
What is granulation tissue formed of?
New blood vessels Fibroblasts and collagen Microphages
46
What is the formation of new blood vessels called
Angiogenesis
47
what is bacteraemia?
bacteria in the blood
48
what is septicaemia?
growth of bacteria in the blood
49
what is toxaemia?
toxin products in the blood
50
what are some signs of septic shock?
peripheral vasodilation tachycardia hypotension pyrexia
51
what is the outcome of septic shock?
Tissue hypoxia haemorrhage RAPIDLY FATAL