Inflammation: Definition and Types

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Questions and Answers

What is the definition of inflammation?

  • A normal response of non-vascularized tissue to injury
  • A permanent response of vascularized tissue to injury
  • A chronic response of vascularized tissue to injury
  • A dynamic response of vascularized tissue to injury (correct)

What is the purpose of inflammation?

  • To cause more damage to the tissue
  • To get rid of the injury or infection (correct)
  • To cause chronic inflammation
  • To prevent healing

What is the result of increased permeability and increased hydrostatic pressure?

  • Formation of a cyst
  • Formation of fluid exudate (correct)
  • Formation of a scar
  • Formation of a blood clot

What type of cells are involved in the acute inflammatory response?

<p>Neutrophils and lymphocytes (B)</p>
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What is the term for the migration of leukocytes across the endothelium and vessel wall?

<p>Diapedesis (A)</p>
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What is the term for the initial slowing of leukocytes along the endothelial surface?

<p>Margination (A)</p>
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What is the term for the directional movement of leukocytes towards a chemical attractant?

<p>Chemotaxis (D)</p>
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What is the term for the engulment and digestion of foreign particles and microorganisms?

<p>Phagocytosis (C)</p>
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What is the term for the sequence of events that leads to the formation of inflammatory exudate?

<p>Exudation (B)</p>
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What is the term for the process by which the endothelial cells contract, leading to increased permeability?

<p>Endothelial cell contraction (D)</p>
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What is the characteristic of the pus in Cellulitis?

<p>Thin (B)</p>
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Which type of inflammation is characterized by localized abscesses?

<p>Localized suppurative inflammation (B)</p>
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What is the term for the directed movement of inflammatory cells towards the site of injury under the effect of chemical mediators?

<p>Chemotaxis (C)</p>
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What is the name of the tract that communicates between a deep abscess and the surface?

<p>Fistula (B)</p>
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What is the process by which phagocytic cells recognize and engulf foreign particles and dead tissue, followed by their degradation?

<p>Phagocytosis (A)</p>
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Which type of non-suppurative inflammation is characterized by a local defect in the surface?

<p>Urticaria (D)</p>
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What type of acute inflammation is characterized by pus formation?

<p>Suppurative inflammation (A)</p>
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What is the term for the spread of infection through the bloodstream?

<p>Septicemia (D)</p>
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Which type of non-suppurative inflammation is characterized by a fibrinous exudate?

<p>Fibrinous (D)</p>
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What is the name of the enzyme responsible for fibrin deposition and localization of the infection site?

<p>Coagulase (C)</p>
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What is the term for a small abscess related to a hair follicle?

<p>Furuncle (C)</p>
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What is the term for the spread of infection through the lymphatic system?

<p>Pyemia (C)</p>
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Which type of non-suppurative inflammation is characterized by a pseudomembrane?

<p>Diphtheria (C)</p>
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What is the term for a large subcutaneous deep abscess that opens in the skin by multiple sinuses?

<p>Carbuncle (D)</p>
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What is the outermost zone of an abscess that consists of inflammatory cells?

<p>Peripheral zone (C)</p>
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What is the term for the protein-based substance that makes up the outermost layer of an abscess?

<p>Pyogenic membrane (B)</p>
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Study Notes

Definition and Purpose of Inflammation

  • Inflammation is a dynamic response of vascularized tissue to injury, aiming to get rid of the injurious agent or damaged tissue.
  • The process involves vascular changes leading to the formation of inflammatory exudate.

Types of Inflammation

  • Gastritis: inflammation of the stomach
  • Appendicitis: inflammation of the appendix
  • Tonsillitis: inflammation of the tonsil
  • Hepatitis: inflammation of the liver
  • Cholecystitis: inflammation of the gallbladder
  • Pneumonia: inflammation of the lung
  • Pleurisy: inflammation of the pleura

Causes of Inflammation

  • Chemical: acid, alkali
  • Physical: heat, cold, trauma
  • Infection: bacteria, virus, fungal
  • Immunological: effectiveness of nature of stimulus and protective mechanisms

Acute Inflammation

  • Rapid onset and short duration
  • Characterized by prominent vascular response and neutrophils
  • Aims to remove the agent/tissue damage and form fluid and cellular exudate
  • Vascular changes: transient vasoconstriction, vasodilation, and increased permeability
  • Formation of fluid exudate: vasodilation, increased hydrostatic pressure, and increased osmotic pressure

Vascular Reactions

  • Exudation: change in caliber, increased permeability, endothelial cell contraction, and endothelial damage
  • Transcytosis: protein-rich fluid (fluid exudate)

Leukocyte Journey

  • Margination: due to stasis, leukocytes come peripheral along endothelial cells
  • Rolling and adhesion to endothelial cells
  • Migration across the endothelium and vessel wall: diapedesis or transmigration
  • Chemotaxis: directed movement of inflammatory cells toward the site of injury under the effect of chemical mediators (chemoattractant)
  • Phagocytosis: recognition and engulfment of foreign particles, followed by their degradation

Types of Acute Inflammation

  • Suppurative (with pus formation): characterized by pus formation
  • Non-suppurative (without pus formation): characterized by absence of pus formation

Suppurative Inflammation

  • Mechanism of pus formation: bacteria, tissue necrosis, attraction of neutrophils, dead neutrophils, and pus
  • Types of suppurative inflammation: localized (abscess, furuncle, carbuncle) and diffuse (cellulitis, peritonitis)

Non-suppurative Inflammation

  • Fibrinous (e.g., pneumonia)
  • Serous (e.g., burn)
  • Serofibrinous (e.g., serous sac)
  • Catarrhal (e.g., rhinitis, pharyngitis)
  • Pseudomembranous (e.g., diphtheria)
  • Haemorrhagic (e.g., smallpox)
  • Necrotizing (e.g., cancrum oris)
  • Allergic (e.g., urticaria)

Complications of Inflammation

  • Resolution: tissue destruction, fibrosis, and chronic inflammation
  • Complications of abscess: sinus, fistula, ulcer
  • Spread of infection: direct, toxemia, blood, lymphatic, pyemia, and septicemia

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