Inflammation: Definition and Types

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What is the definition of inflammation?

A dynamic response of vascularized tissue to injury

What is the purpose of inflammation?

To get rid of the injury or infection

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

Formation of fluid exudate

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

Neutrophils and lymphocytes

What is the term for the migration of leukocytes across the endothelium and vessel wall?

Diapedesis

What is the term for the initial slowing of leukocytes along the endothelial surface?

Margination

What is the term for the directional movement of leukocytes towards a chemical attractant?

Chemotaxis

What is the term for the engulment and digestion of foreign particles and microorganisms?

Phagocytosis

What is the term for the sequence of events that leads to the formation of inflammatory exudate?

Exudation

What is the term for the process by which the endothelial cells contract, leading to increased permeability?

Endothelial cell contraction

What is the characteristic of the pus in Cellulitis?

Thin

Which type of inflammation is characterized by localized abscesses?

Localized suppurative inflammation

What is the term for the directed movement of inflammatory cells towards the site of injury under the effect of chemical mediators?

Chemotaxis

What is the name of the tract that communicates between a deep abscess and the surface?

Fistula

What is the process by which phagocytic cells recognize and engulf foreign particles and dead tissue, followed by their degradation?

Phagocytosis

Which type of non-suppurative inflammation is characterized by a local defect in the surface?

Urticaria

What type of acute inflammation is characterized by pus formation?

Suppurative inflammation

What is the term for the spread of infection through the bloodstream?

Septicemia

Which type of non-suppurative inflammation is characterized by a fibrinous exudate?

Fibrinous

What is the name of the enzyme responsible for fibrin deposition and localization of the infection site?

Coagulase

What is the term for a small abscess related to a hair follicle?

Furuncle

What is the term for the spread of infection through the lymphatic system?

Pyemia

Which type of non-suppurative inflammation is characterized by a pseudomembrane?

Diphtheria

What is the term for a large subcutaneous deep abscess that opens in the skin by multiple sinuses?

Carbuncle

What is the outermost zone of an abscess that consists of inflammatory cells?

Peripheral zone

What is the term for the protein-based substance that makes up the outermost layer of an abscess?

Pyogenic membrane

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

Learn about the definition and purpose of inflammation, as well as different types of inflammation affecting various body parts such as the stomach, appendix, tonsils, liver, and gallbladder.

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