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</p> Signup and view all the answers

    What is a potential outcome of acute inflammation?

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

    What characterizes a carbuncle?

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

    Which organism is primarily associated with the development of carbuncles?

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

    What might occur if an acute abscess is not drained?

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

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

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

    What is a fistula?

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

    What triggers the constriction of arterioles during vascular changes?

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

    What is the correct sequence of leukocyte emigration?

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

    What mediates the increase in vascular permeability during inflammation?

    <p>Chemical mediators affecting arterioles and capillaries</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.</p> Signup and view all the answers

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

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

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

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

    What type of inflammation is characterized by excess mucous secretion?

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

    What is the primary cause of allergic inflammation?

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

    What is the fate of serofibrinous inflammation in the body?

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

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

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

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

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

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

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

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

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

    What is NOT a local sign of acute inflammation?

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

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

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

    What effect does inflammatory exudate have on tissues?

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

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

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

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

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

    What is the primary function of leukocyte recruitment during inflammation?

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

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

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

    What is a common fate of chronic inflammation?

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

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

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

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

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

    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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    Description

    This quiz covers key concepts related to inflammation, including its definition, types (acute and chronic), and causes. It also delves into the mechanisms of acute inflammation, highlighting vascular changes and leukocyte emigration. Test your understanding of this critical protective response to injury.

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