Inflammation Lecture Notes

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Questions and Answers

What is the primary purpose of inflammation in living tissues?

  • To localize and eliminate injury (correct)
  • To increase blood flow for nutrient delivery
  • To promote fibrosis
  • To enhance tissue regeneration

Which characteristic distinguishes acute inflammation from chronic inflammation?

  • Longer duration
  • Gradual onset
  • Increased fibrosis
  • Rapid onset (correct)

Which of the following correctly describes a type of acute inflammation?

  • Suppurative inflammation (correct)
  • Fibrosis
  • Chronic active inflammation
  • Granulomatous inflammation

What occurs first in the process of acute inflammation following tissue injury?

<p>Vasoconstriction (C)</p> Signup and view all the answers

What is a potential outcome of acute inflammation?

<p>Complete resolution (A)</p> Signup and view all the answers

What characterizes a carbuncle?

<p>Multiple loculi of pus separated by fibrous tissue (A)</p> Signup and view all the answers

Which organism is primarily associated with the development of carbuncles?

<p>Staphylococcus aureus (C)</p> Signup and view all the answers

What might occur if an acute abscess is not drained?

<p>Maturation into a chronic abscess (A)</p> Signup and view all the answers

Which type of inflammation is characterized by the secretion of fibrinolysins and streptokinase?

<p>Cellulitis (B)</p> Signup and view all the answers

What is a fistula?

<p>An abnormal tract lined by septic granulation tissue (B)</p> Signup and view all the answers

What triggers the constriction of arterioles during vascular changes?

<p>Injury response from vascular smooth muscle (B)</p> Signup and view all the answers

Which process is primarily responsible for the redness and heat at the site of injury?

<p>Dilatation of arterioles (C)</p> Signup and view all the answers

What is the correct sequence of leukocyte emigration?

<p>Margination → Rolling → Adhesion → Transmigration → Phagocytosis (B)</p> Signup and view all the answers

What role do opsonins play in the immune response?

<p>They enhance the phagocytosis of bacteria by marking them (B)</p> Signup and view all the answers

What mediates the increase in vascular permeability during inflammation?

<p>Chemical mediators affecting arterioles and capillaries (C)</p> Signup and view all the answers

Which statement correctly describes chemotaxis?

<p>It describes the attraction of leukocytes to specific substances at the injury site. (B)</p> Signup and view all the answers

What is the main component of inflammatory exudate that helps in destroying bacteria?

<p>Neutrophils and macrophages (C)</p> Signup and view all the answers

Which of the following is NOT a function of inflammatory exudate?

<p>Inhibiting leukocyte migration (D)</p> Signup and view all the answers

What type of inflammation is characterized by excess mucous secretion?

<p>Catarrhal inflammation (D)</p> Signup and view all the answers

Which of the following correctly describes the composition of pus?

<p>Living and dead microorganisms, liquefied necrotic tissue, and inflammatory fluid exudates (A)</p> Signup and view all the answers

What is the primary cause of allergic inflammation?

<p>Tissue and blood eosinophilia (C)</p> Signup and view all the answers

In which type of inflammation do bacteria produce potent exotoxins leading to necrosis and exudation?

<p>Membranous inflammation (C)</p> Signup and view all the answers

What is the defining characteristic of a furuncle?

<p>A small abscess related to hair follicles or sebaceous glands (B)</p> Signup and view all the answers

What is the fate of serofibrinous inflammation in the body?

<p>Can lead to resolution or organization (B)</p> Signup and view all the answers

What term describes localized suppurative inflammation resulting in a pus-filled cavity?

<p>Abscess (D)</p> Signup and view all the answers

Which type of inflammation is characterized primarily by tissue destruction and marked disease?

<p>Necrotizing inflammation (D)</p> Signup and view all the answers

What is one of the primary roles of fibrinogen during inflammation?

<p>Facilitating leukocyte movement (A)</p> Signup and view all the answers

Which chemical mediator is primarily responsible for vasodilatation in the inflammatory response?

<p>Histamine (D)</p> Signup and view all the answers

What is NOT a local sign of acute inflammation?

<p>Fever (B)</p> Signup and view all the answers

Which type of acute inflammation is characterized by excessive clear watery fluid exudates?

<p>Serous inflammation (A)</p> Signup and view all the answers

What effect does inflammatory exudate have on tissues?

<p>Stretches tissues and irritates nerve endings (D)</p> Signup and view all the answers

Which of the following is NOT a type of chemical mediator of inflammation?

<p>Cholesterol (B)</p> Signup and view all the answers

Which type of inflammation is characterized by the formation of abscesses?

<p>Localized suppurative inflammation (A)</p> Signup and view all the answers

What is the primary function of leukocyte recruitment during inflammation?

<p>To localize infection and promote healing (C)</p> Signup and view all the answers

What type of inflammation is characterized by the presence of granulomas?

<p>Chronic specific inflammation (D)</p> Signup and view all the answers

Which cell types are primarily involved in chronic inflammation compared to acute inflammation?

<p>Lymphocytes and plasma cells (A)</p> Signup and view all the answers

What is a common fate of chronic inflammation?

<p>Fibrosis (A)</p> Signup and view all the answers

Which feature is less prominent in chronic inflammation compared to acute inflammation?

<p>Vascular phenomena (D)</p> Signup and view all the answers

How does the onset of chronic inflammation typically differ from acute inflammation?

<p>It occurs gradually (D)</p> Signup and view all the answers

Flashcards

Acute Inflammation

A rapid tissue response to injury, lasting minutes to days, aimed at localizing and eliminating the cause.

Causes of Acute Inflammation

Acute inflammation results from physical (trauma, heat), chemical (acids, alkalis), or infective (bacteria) agents causing tissue injury.

Vascular Changes in Acute Inflammation

First response, involving temporary vasoconstriction followed by vasodilation and increased vessel permeability.

Acute vs. Chronic Inflammation

Acute inflammation is a short-term response, while chronic inflammation is a longer-term response that often leads to ongoing tissue damage.

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Inflammation

A protective response of living tissues to injury

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Leucocyte Emigration

Leukocyte (white blood cell) movement from the bloodstream to the site of injury. This process involves multiple steps like margination, rolling, adhesion, transmigration, chemotaxis, and phagocytosis.

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Vascular Changes in Inflammation

Changes in blood vessel size and permeability that occur during inflammation. It includes initial vasoconstriction, followed by vasodilation, and increased permeability leading to fluid leakage.

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Margination

The process where leukocytes slow down and move along the edges of blood vessels (near the endothelium) during inflammation.

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Rolling

A step in leucocyte emigration where leukocytes weakly bind and roll along the endothelium of the blood vessel.

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Adhesion

The firm attachment of leukocytes to the endothelium of blood vessels through integrins, facilitating their movement out of the blood vessel.

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Transmigration

The movement of leukocytes through the endothelial wall of the blood vessel and into the surrounding tissue.

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Chemotaxis

The movement of leukocytes towards the site of injury guided by chemical signals (chemotaxins) released from the injured tissue.

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Phagocytosis

The process where white blood cells (neutrophils and macrophages) engulf and digest bacteria or foreign particles.

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Fibrinogen's Role

Fibrinogen is a protein that helps form fibrin, a mesh-like structure that traps blood cells and platelets to stop bleeding. It also helps localize infection and create a scaffold for tissue repair.

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What does "Liquefy necrotic debris" mean?

This refers to the process where inflammatory cells break down dead tissue (necrotic debris) into a liquid form, making it easier to remove and clear the area for healing.

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Cell-Derived Mediators of Inflammation

These are chemicals released directly from cells that trigger the inflammatory response. Examples include histamine, serotonin, and prostaglandins.

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Plasma-Derived Mediators of Inflammation

These are proteins found in the blood that become active during inflammation. Examples include complement proteins (C3a, C5a) and bradykinin.

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What are the systemic signs of acute inflammation?

These are signs that affect the whole body, such as fever and increased white blood cell count (leukocytosis). These indicate a widespread inflammatory response.

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What is Serous Inflammation?

Serous inflammation is characterized by the release of a watery fluid, low in protein and cells. This is a mild form of inflammation.

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What is Suppurative Inflammation?

Suppurative inflammation is a more severe type, characterized by the production of pus (a thick white fluid containing dead cells and bacteria).

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Difference Between Localized and Diffuse Inflammation

Localized inflammation occurs in one specific area (e.g., an abscess), while diffuse inflammation spreads over a larger region (e.g., cellulitis).

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Chronic Inflammation

Inflammation lasting weeks or months, often resulting from persistent injury or recurrent acute inflammation.

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Chronic Inflammation Types

Chronic inflammation can be non-specific, a general response, or specific, forming granulomas, localized areas of inflammation.

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Chronic vs. Acute Inflammation

Chronic inflammation is a prolonged response compared to the rapid, short-term response of acute inflammation.

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Chronic Inflammation Microscopy

In chronic inflammation, you'll see lymphocytes, plasma cells, and fibroblasts dominating the cellular infiltrate.

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Chronic Inflammation Outcome

Chronic inflammation often leads to fibrosis (scarring) or amyloidosis, a buildup of abnormal protein.

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Carbuncle

A large, deep abscess with multiple pus-filled compartments separated by fibrous strands. It has multiple openings on the surface and commonly occurs on the back of the neck and scalp.

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Chronic Abscess

An abscess that fails to heal properly and persists for a long time, often due to inadequate drainage.

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Blood Spread of Abscess

Infections from an abscess can spread through the bloodstream, leading to various complications like toxaemia (general poisoning), septicaemia (blood poisoning), and pyaemia (pus in the blood).

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Fistula Definition

An abnormal passageway lined by granulation tissue that connects two cavities or a hollow organ to the surface. It differs from a sinus because it has two openings.

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Cellulitis

A widespread, suppurative inflammation in the skin that can spread rapidly. It is often caused by Streptococcus bacteria, which produce enzymes that help the infection spread.

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Pleurisy

Inflammation of the pleura, the membranes lining the lungs and chest cavity, causing pain with breathing.

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Serofibrinous Inflammation

Inflammation characterized by an exudate rich in serous fluid and fibrin, often seen in body cavities like the pleura and lung alveoli.

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Catarrhal Inflammation

Inflammation marked by excessive mucous secretion, commonly seen in the common cold.

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Membranous Inflammation

Inflammation with a characteristic membrane formed on the mucosal surface, often caused by bacterial toxins like in diphtheria.

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Allergic Inflammation

Inflammation caused by an allergic reaction, featuring an exudate with increased eosinophils (white blood cells) in the blood and tissues.

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Pus Formation

The process of forming pus, a thick yellow liquid containing dead cells, bacteria, and inflammatory fluid, often caused by pyogenic bacteria.

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Abscess Definition

A localized, pus-filled cavity caused by a bacterial infection, often seen in the skin.

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Furuncle (Boil)

A small abscess related to a hair follicle or sebaceous gland, commonly caused by Staphylococcus bacteria.

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Study Notes

Inflammation Lecture Notes

  • Definition: A vital process where living tissues react to injury as a protective response to localize and eliminate the injury.

Types of Inflammation

  • Acute Inflammation:
    • Rapid onset
    • Short duration (minutes to days)
    • Exudative (increased fluid)
  • Chronic Inflammation:
    • Gradual onset
    • Longer duration (days to years)
    • Productive (granulation tissue formation)
    • Fibrosis (scar tissue formation)

Causes of Inflammation

  • Physical: Trauma, heat, cold, irradiation
  • Chemical: Acids, alkalies
  • Infective: Bacteria, viruses, parasites

Acute Inflammation: Mechanisms

  • Vascular Changes:
    • Vasoconstriction (brief) followed by vasodilation (increased blood flow)
    • Increased vascular permeability (leakage of fluids)
    • Stasis (slowing of blood flow)
  • Leukocyte (white blood cell) emigration:
    • Margination (leukocytes move to vessel walls)
    • Rolling (leukocytes temporarily adhere to endothelium)
    • Adhesion (leukocytes firmly attach to endothelium)
    • Transmigration (leukocytes pass through endothelium)
    • Chemotaxis (leukocytes follow chemical signals to injury site)
    • Phagocytosis (engulfing and destroying pathogens)

Acute Inflammation: Components of Pus

  • Living and dead microorganisms
  • Liquefied necrotic tissue
  • Neutrophils and macrophages
  • Other inflammatory cells
  • Fluid exudates

Suppurative Inflammation

  • Pathogenesis of Pus Formation: Pyogenic organisms lead to tissue destruction, PNL kill, proteolytic enzymes liquefy necrotic tissue, and fluid mixes with inflammatory exudates.
  • Composition of Pus: Contains living/dead microorganisms, liquefied tissue, neutrophils/macrophages, other cells, and fluid exudates.

Types of Acute Inflammation

  • Suppurative: Localized (abscesses), diffuse (cellulitis, empyema)
  • Non-suppurative: Allergic (allergic nasal polyp), serofibrinous (acute lobar pneumonia), serous (blisters, herpes simplex), membranous (diphtheria).

Signs of Acute Inflammation (Local and Systemic)

  • Local: Redness, heat, swelling/edema, pain, and loss of function
  • Systemic: Fever, leukocytosis

Chronic Abscess: Complications

  • Chronic abscess due to inadequately treated acute abscess.
  • Blood spread (toxemia/septicaemia).
  • Lymphatic spread (lymphangitis/lymphadenitis).
  • Healing complications (ulcers, keloids, sinus fistulas).

Fistula Definition

  • An abnormal tract formed by septic granulation tissue that connects two cavities or between hollow viscera and the surface.

Cellulitis

  • Definition: A diffuse type of suppurative inflammation.
  • Cause: Often caused by Streptococcus bacteria, which spread via toxins, enzymes (fibrinolysins, hyaluronidase)
  • Site spread: commonly the subcutaneous tissue of the extremities.
  • Mm: Phlegmonous inflammation

Chronic Injuries

  • Cause: Injurious agent persistence (TB).
  • Intervention: Interference with healing due to persistence of causative agent.
  • Outcome: tissue damage and scarring.

Chronic Inflammation

  • Cause: Progression from acute inflammation, recurrent episodes of acute inflammation, or chronic inflammation de novo.
  • Types: Chronic non-specific inflammation, chronic specific inflammation (granulomas).

Acute vs. Chronic Inflammation Comparison

Feature Acute Inflammation Chronic Inflammation
Onset Sudden Gradual
Duration Short (minutes to days) Long (weeks to months)
Local Signs Prominent Less prominent
Vascular Phenomenon Prominent Less prominent
Toxaemia Acute Chronic
Microscopy (Cells) Neutrophils/macrophage Lymphocytes/plasma cells
Microscopy (Blood Vessels) Dilated, thin-walled
Microscopy (Inflammation) Exudative Productive, amyloidosis/fibrosis

Assignment

  • Attach a YouTube link illustrating leukocyte emigration to the assignment box.

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