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Questions and Answers
What is the hallmark feature of chronic inflammation observed in histopathology?
What is the hallmark feature of chronic inflammation observed in histopathology?
Which type of inflammation is characterized by a specific microscopic picture caused by distinct irritants?
Which type of inflammation is characterized by a specific microscopic picture caused by distinct irritants?
What type of granuloma is associated with tuberculosis?
What type of granuloma is associated with tuberculosis?
Which cell type primarily constitutes the bulk of a granuloma?
Which cell type primarily constitutes the bulk of a granuloma?
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In foreign body granuloma, what type of cells are indicative of the body's response to foreign materials?
In foreign body granuloma, what type of cells are indicative of the body's response to foreign materials?
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What is a key histopathological feature of infective granulomas?
What is a key histopathological feature of infective granulomas?
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Which of the following is NOT a condition associated with non-infective granulomas?
Which of the following is NOT a condition associated with non-infective granulomas?
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What type of inflammation involves different irritants leading to a similar microscopic picture?
What type of inflammation involves different irritants leading to a similar microscopic picture?
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Which term refers to a tumor-like mass formed during chronic specific inflammation?
Which term refers to a tumor-like mass formed during chronic specific inflammation?
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What is a common characteristic of foreign body granulomas observed under polarized light?
What is a common characteristic of foreign body granulomas observed under polarized light?
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What type of inflammation is characterized by excess mucus secretion?
What type of inflammation is characterized by excess mucus secretion?
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Which enzyme produced by Streptococcus haemolyticus helps to dissolve hyaluronic acid?
Which enzyme produced by Streptococcus haemolyticus helps to dissolve hyaluronic acid?
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What is a common complication of cellulitis?
What is a common complication of cellulitis?
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What type of non-suppurative inflammation is indicated by the formation of a pseudo membrane?
What type of non-suppurative inflammation is indicated by the formation of a pseudo membrane?
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Which inflammation is characterized by an exudate rich in fibrinogen?
Which inflammation is characterized by an exudate rich in fibrinogen?
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What typically indicates chronic inflammation compared to acute inflammation?
What typically indicates chronic inflammation compared to acute inflammation?
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Which of the following types of inflammation involves an antigen-antibody reaction?
Which of the following types of inflammation involves an antigen-antibody reaction?
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In which condition might chronic inflammation start as slowly progressing?
In which condition might chronic inflammation start as slowly progressing?
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What kind of exudate characterizes hemorrhagic inflammation?
What kind of exudate characterizes hemorrhagic inflammation?
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What is a defining characteristic of cellulitis as an inflammation?
What is a defining characteristic of cellulitis as an inflammation?
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Study Notes
Cellulitis
- Definition: Acute, diffuse, suppurative inflammation
- Cause: Streptococcus haemolyticus producing two enzymes
- Fibrinolysin (streptokinase): Dissolves fibrin
- Hyaluronidase (spreading factor): Dissolves hyaluronic acid of ground substance, aiding bacterial spread
- Sites: Loose connective tissues (e.g., subcutaneous tissue, scrotum, orbit, appendix wall)
- Characteristics:
- Failure of localization due to lack of fibrin
- Extensive necrosis
- Pus is thin, often containing many red blood cells (sanguinous)
- Complications:
- Acute lymphangitis and lymphadenitis
- Blood spread (septicemia and toxemia)
Non-Suppurative Inflammation
- Catarrhal Inflammation: Mild acute inflammation of mucous membranes (respiratory and gastrointestinal tracts). Characterized by excess mucus secretion. Common examples include the common cold and bronchitis
- Pseudomembranous Inflammation: Severe acute inflammation causing a pseudo membrane on affected surfaces. Composed of necrotic cells, fibrin, and leukocytes. Examples include diphtheria and bacillary dysentery
- Fibrinous Inflammation: Inflammation marked by exudate rich in fibrinogen (e.g., lobar pneumonia)
- Serous, fibrinous, and serofibrinous inflammation: Inflammation involving serous sacs (pleura, peritoneum, pericardium). Characterized by excess serous exudates in the sac and fibrin deposition on the surfaces.
Hemorrhagic Inflammation
- Characterized by cellular exudate rich in red blood cells, caused by vascular damage
- Examples: smallpox, acute hemorrhagic pancreatitis
Allergic Inflammation
- An antigen-antibody reaction, typically leading to urticaria
- Characterized by abundant fluid exudates and eosinophils
Chronic Inflammation
- Characterized by:
- Mild irritant with prolonged action
- Gradual, prolonged tissue response
- Often follows acute inflammation or starts as a slowly progressing chronic disease (e.g., tuberculosis, syphilis)
- Histopathological features:
- End arteritis obliterans (E.A.O) of small arteries
- Chronic inflammatory cells (lymphocytes, plasma cells, macrophages)
- Fibrosis (a hallmark of chronicity)
Types of Chronic Inflammation
- Chronic non-specific inflammation: Different irritants produce similar inflammatory reactions (e.g., chronic non-specific cholecystitis)
- Chronic specific inflammation: Each irritant/organism causes a unique microscopic pattern called granuloma (e.g., tuberculosis, bilharziasis, leprosy)
Granuloma
- Definition: A chronic specific inflammation that forms a tumor-like mass, characterized by focal accumulation of many chronic inflammatory cells.
- Types:
- Infective: Bacterial (tuberculosis, leprosy, syphilis), parasitic (bilharziasis, leishmaniasis), mycotic (e.g., madura foot), viral (subacute granulomatous thyroiditis)
- Non-infective: Asbestosis, silicosis, foreign-body granulomas
- Unknown cause: Sarcoidosis, Crohn's disease
- Histopathology:
- Macrophages (tissue histiocytes, blood monocytes), lymphocytes, plasma cells, eosinophils
- Granulation tissue
- Fibrous tissue
- Specific/foreign body components
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Description
This quiz covers the definitions, causes, characteristics, and complications of cellulitis as well as different types of non-suppurative inflammation. Understand the key terms like catarrhal and pseudomembranous inflammation and their clinical significance. Test your knowledge on the pathology and implications of these inflammatory conditions.