Inflammation and Wound Healing Overview
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Questions and Answers

What type of inflammation typically has a longer duration?

  • Localized Inflammation
  • Acute Inflammation
  • Chronic Inflammation (correct)
  • Subacute Inflammation
  • Which cells are primarily involved in chronic inflammation?

  • Macrophages
  • Neutrophils
  • Eosinophils
  • Lymphocytes (correct)
  • What characterizes the appearance of tissues in chronic inflammation?

  • Fibrotic and scarred (correct)
  • Clear and normal
  • Necrotic and dead
  • Swollen and edematous
  • What is a likely challenge faced by a clinician when dealing with patients suffering from chronic inflammation?

    <p>Inability to clear the initial insult</p> Signup and view all the answers

    Which of the following is a key difference between acute and chronic inflammation?

    <p>Chronic inflammation occurs after a delay</p> Signup and view all the answers

    Which of the following is NOT a recognized cause of wounds?

    <p>Oxygen deprivation</p> Signup and view all the answers

    What is one risk factor that can predispose an individual to develop a wound?

    <p>Poor circulation</p> Signup and view all the answers

    Which type of wound is characterized by a break in the skin with the possibility of infection?

    <p>Contaminated wound</p> Signup and view all the answers

    Which stage is NOT part of the primary intention healing process?

    <p>Necrosis</p> Signup and view all the answers

    What type of wound is an example of intentional injury?

    <p>Incision</p> Signup and view all the answers

    Which of the following factors does NOT influence tissue healing?

    <p>Time of day</p> Signup and view all the answers

    Which type of wound is most likely to be classified as 'infected'?

    <p>Contaminated wound</p> Signup and view all the answers

    Which description correctly defines a 'contusion'?

    <p>A bruise resulting from blunt force</p> Signup and view all the answers

    What initiates the closure process during the proliferation phase of primary healing?

    <p>Proliferation of epithelial cells</p> Signup and view all the answers

    During which phase does collagen production begin to equal its degradation in primary healing?

    <p>Maturation phase</p> Signup and view all the answers

    What feature distinguishes secondary healing from primary healing during the inflammation phase?

    <p>Presence of necrotic tissue</p> Signup and view all the answers

    What is the role of fibroblasts in the proliferation phase of secondary healing?

    <p>To form myofibroblasts for contraction</p> Signup and view all the answers

    What happens to the collagen structure during the maturation phase of secondary healing?

    <p>Collagen is altered to a horizontal orientation</p> Signup and view all the answers

    Which of the following is not a local factor affecting wound healing?

    <p>Alcoholism</p> Signup and view all the answers

    What is the main characteristic of angiogenesis in the wound healing process?

    <p>New blood vessel formation</p> Signup and view all the answers

    Which phase of wound healing may last for a year or more?

    <p>Maturation phase</p> Signup and view all the answers

    Which complication of wound healing involves the reopening of a surgical wound?

    <p>Dehiscence</p> Signup and view all the answers

    What is a keloid scar?

    <p>An excessive growth of scar tissue</p> Signup and view all the answers

    Which complication of wound healing can lead to a passage between organs or vessels?

    <p>Fistula</p> Signup and view all the answers

    What complication commonly occurs due to a failure to adequately address infection in a wound?

    <p>Dehiscence</p> Signup and view all the answers

    What is a primary factor contributing to complications in wound healing?

    <p>Obesity</p> Signup and view all the answers

    Which of the following is NOT a complication of wound healing?

    <p>Fluid retention</p> Signup and view all the answers

    Which complication is specifically a result of bleeding at the wound site?

    <p>Haemorrhage</p> Signup and view all the answers

    Which complication involves the abnormal closure of a previously open surgical wound?

    <p>Keloid scar</p> Signup and view all the answers

    Study Notes

    Inflammation

    • Acute inflammation is the body's early response, it's short-lived.
    • Chronic inflammation occurs after a delay, lasts longer and involves more tissue damage.
    • Lymphocytes are the main inflammatory cells in chronic inflammation, compared to neutrophils in acute inflammation.
    • Chronic inflammation can lead to a more fibrotic appearance, which can happen as a way to isolate the insult, but also causes scarring.
    • Granulomas form when the body cannot clear the insult and attempts to wall it off.

    Wound Healing

    • Wounds can be intentional (surgical incisions), unintentional (trauma), open or closed, clean, contaminated, or infected
    • Factors influencing wound healing include presence of foreign bodies, extent of damage, body's response, health status, and infection.
    • Three stages of wound healing: inflammation, proliferation, and maturation.

    Primary Healing (First Intention)

    • Inflammation: The wound becomes inflamed and a blood clot forms in the first few hours. Macrophages and fibroblasts play critical roles.
    • Proliferation: Epithelial cells proliferate across the wound to close it. Angiogenesis, granulation tissue formation, and wound contraction occur. The clot becomes a scab that separates after 3-10 days.
    • Maturation: Collagen is continuously degraded and produced. As the balance is achieved, the maturation phase begins. It can last for over a year. Excess blood vessels are removed and the scar loses redness.

    Secondary Healing (Second Intention)

    • Inflammation: This phase is much more intense with necrotic tissue sloughing on top of the wound. Healing occurs by indirect union of granulating surfaces.
    • Proliferation: Similar to primary healing, but more intense. Macrophages are involved. Granulation tissue forms at the base of the cavity, and fibroblasts convert to myofibroblasts to initiate contraction.
    • Maturation: Collagen is laid down horizontally, and wound contraction is more pronounced. Tissue appearance is uneven with scar tissue.

    Tertiary Healing

    • This is a delayed wound closure that involves the third intention healing process.

    Factors affecting wound healing

    • Local factors: Ischemia (poor blood flow), foreign bodies, and infection.
    • Systemic factors: Age, gender, alcohol consumption, hormones, nutritional status, stress, immunocompromised status, diseases, medication.

    Complications of wound healing

    • Haemorrhage: Bleeding
    • Infection: Microbial contamination
    • Dehiscence: Wound separation
    • Fistula: An abnormal passage between organs or structures
    • Keloid scar: Overgrowth of scar tissue

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    Description

    This quiz covers key concepts related to inflammation and the wound healing process. It discusses the differences between acute and chronic inflammation, the role of inflammatory cells, and the stages of wound healing. Understanding these processes is crucial for recognizing how the body responds to injury.

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