Questions and Answers
What is inflammation?
Tissue response to cell injury and infection.
List the typical sequence of events in inflammation.
Recognition, Recruitment, Removal, Regulation, Resolution.
Which of the following is NOT a cardinal sign of acute inflammation?
What type of cells are involved in the removal of offending agents during acute inflammation?
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Which of the following mediators is associated with acute inflammation?
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Chronic inflammation can be recognized by granulomatous inflammation.
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List the possible outcomes of acute inflammation.
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What can affect tissue repair?
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What is the role of macrophages in chronic inflammation?
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Study Notes
General Features of Inflammation
- Inflammation is the body's response to tissue injury and infection, involving vascular circulation and activation of inflammatory cells to eliminate pathogens and damaged cells.
- The typical sequence of inflammatory events is encapsulated in the "5 R's":
- Recognition: Identification of the triggering stimulus through receptors that detect microbial products and damage signals, leading to mediator production.
- Recruitment: Leucocyte and plasma protein migration from circulation to affected tissues.
- Removal: Elimination of the initiating stimulus primarily by phagocytic cells.
- Regulation: Modulation of the inflammatory response to prevent excessive damage.
- Repair: Restoration of tissue integrity and function post-inflammation.
Causes of Inflammation
- Inflammation can occur due to various stimuli including infections, tissue injury, toxins, and autoimmune responses.
Cardinal Signs of Acute Inflammation
- The classic signs include redness, heat, swelling, pain, and loss of function, resulting from increased blood flow and vascular permeability.
Role of Inflammatory Cells
- Acute inflammation involves mainly neutrophils, while chronic inflammation includes macrophages and lymphocytes.
- Different cells have specific roles in the inflammatory response and tissue repair.
Chemical Mediators of Inflammation
- Mediators include:
- Vasoactive amines: Such as histamine, contributing to vascular changes.
- Arachidonic acid metabolites: Including prostaglandins and leukotrienes.
- Cytokines and chemokines: Signaling proteins that regulate inflammation.
- Complement system: Enhancing phagocytosis and inducing inflammation.
Effects of Inflammation
- Inflammation can produce both beneficial effects (e.g., fighting infection) and harmful effects (e.g., tissue damage).
- Can have localized impacts and systemic effects, influencing overall health.
Morphologic Patterns of Acute Inflammation
- Key patterns include:
- Serous inflammation: Watery exudate, common in mild injuries.
- Fibrinous inflammation: Thick, fibrin-rich exudate indicating more severe injury.
- Suppurative inflammation: Formation of pus, typically from bacterial infection.
- Ulcers: Localized tissue loss, often associated with severe inflammation.
Outcomes of Acute Inflammation
- Possible outcomes include:
- Complete resolution: Restoration of normal tissue structure and function.
- Scarring/Fibrosis: Replacement of normal tissue with scar tissue, potentially leading to loss of function.
- Progression to chronic inflammation: Continuous inflammatory response with persistent injury.
Distinction Between Acute and Chronic Inflammation
- Acute inflammation is characterized by rapid onset and short duration, while chronic inflammation persists over a longer period, often resulting from unresolved acute inflammation.
- Granulomatous inflammation is a specific form of chronic inflammation marked by the formation of granulomas.
Tissue Repair
- Tissue repair can occur through regeneration (complete restoration of tissue) or scarring (incomplete restoration).
- Factors influencing repair include local conditions like blood supply, infection presence, and systemic factors such as age and nutritional status.
Complications of Tissue Repair
- Issues may arise, leading to:
- Deficient scar formation: Weak or inadequate scars.
- Excessive scarring: Hypertrophic scars or keloids.
- Contractures: Tightening of skin or tissues affecting function.
Systemic Effects of Inflammation
- Acute phase response includes fever, increased acute-phase proteins, and leukocytosis.
- Severe cases may lead to septic shock, a life-threatening condition.
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Description
This quiz explores the essential aspects of inflammation in general pathology. It covers the causes, signs, and the role of inflammatory cells and chemical mediators. Understand the dual nature of inflammation and its implications for health and disease.