Inflammation Overview and Cardinal Signs
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Questions and Answers

What is an exudate primarily characterized by?

  • Absence of edema fluid
  • Presence of inflammatory cells (correct)
  • High lipid concentration
  • Low protein concentration
  • Which of the following is a beneficial effect of acute inflammation?

  • Swelling at the site
  • Hypersensitivity reactions
  • Fibrin formation (correct)
  • Tissue necrosis
  • What can be an outcome of acute inflammation?

  • Complete resolution with no further effects (correct)
  • Only progressive chronic inflammation
  • Permanent tissue damage only
  • Abscess formation (correct)
  • How does inflammation aid in the promotion of immunity?

    <p>By transporting microorganisms and toxins to lymph nodes</p> Signup and view all the answers

    What is a harmful effect of acute inflammation?

    <p>Interference in breathing due to swelling</p> Signup and view all the answers

    Which statement best describes chronic inflammation?

    <p>It involves simultaneous active inflammation and tissue repair.</p> Signup and view all the answers

    What may occur if the acute inflammatory response fails to eliminate the invaders?

    <p>Progression to chronic inflammation</p> Signup and view all the answers

    What role does exudate play in the body during an inflammatory response?

    <p>It aids in the dilution and removal of toxins.</p> Signup and view all the answers

    What does the term inflammation derive from?

    <p>A Latin term meaning to burn</p> Signup and view all the answers

    What is the primary purpose of inflammation in the body?

    <p>To eliminate harmful stimuli</p> Signup and view all the answers

    Which of the following is NOT a benefit of inflammation?

    <p>Progression of the injurious agent</p> Signup and view all the answers

    Which type of injuries can cause inflammation?

    <p>Physical injuries and chemical agents</p> Signup and view all the answers

    What role do blood vessels and leukocytes play in inflammation?

    <p>They are involved in the immune and vascular responses</p> Signup and view all the answers

    What did Sir John Hunter conclude regarding inflammation?

    <p>Inflammation is not to be considered a disease</p> Signup and view all the answers

    Which of the following correctly defines inflammation?

    <p>A systematic biological response to harmful stimuli</p> Signup and view all the answers

    What misconception about inflammation often arises?

    <p>Inflammation is detrimental in all circumstances</p> Signup and view all the answers

    What suffix is commonly used in the nomenclature of inflammatory lesions?

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

    Which of the following is NOT a cardinal sign of acute inflammation?

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

    During acute inflammation, the predominant type of leukocyte that emigrates to the site of injury is:

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

    What is the main characteristic of acute inflammation?

    <p>Immediate response to injury</p> Signup and view all the answers

    Which chemical mediators are known to induce pain during acute inflammation?

    <p>Bradykinins and prostaglandins</p> Signup and view all the answers

    Phagocytosis is primarily performed by which type of cells?

    <p>Polymorphonuclear leukocytes and macrophages</p> Signup and view all the answers

    What is chemotaxis in the context of inflammation?

    <p>Migration of leukocytes towards the site of inflammation</p> Signup and view all the answers

    Which of the following statements about chronic inflammation is true?

    <p>It can occur simultaneously with acute inflammation</p> Signup and view all the answers

    Which of the following is NOT a major cause of granulomatous inflammation?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    What is the primary role of cytokines like IL-1, IL-6, and TNF-α in inflammation?

    <p>To regulate fever responses</p> Signup and view all the answers

    What is a common leukocyte count in leukocytosis due to bacterial infections?

    <p>15,000 to 20,000 cells/mm3</p> Signup and view all the answers

    Which systemic effect of inflammation is characterized by decreased vasopressin levels?

    <p>Metabolic response</p> Signup and view all the answers

    Which of the following is primarily responsible for the behavioral responses during inflammation such as chills and malaise?

    <p>Cytokine release</p> Signup and view all the answers

    What physiological change occurs in response to autonomic responses during inflammation?

    <p>Increased pulse rate</p> Signup and view all the answers

    Which of the following types of leukocytosis is associated with parasitic infestations?

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

    Which process involves the movement of leukocytes toward the site of inflammation?

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

    What is a common cause of chronic inflammation related to certain microorganisms?

    <p>Intracellular infections</p> Signup and view all the answers

    Which of the following is a prolonged exposure cause of chronic inflammation?

    <p>Endogenous lipid components</p> Signup and view all the answers

    What progression is commonly associated with acute inflammation transitioning to chronic inflammation?

    <p>Persistent suppuration</p> Signup and view all the answers

    Which cells predominantly respond to parasitic infestations and allergic reactions in chronic inflammation?

    <p>Mast cells and eosinophils</p> Signup and view all the answers

    What characterizes nonspecific chronic inflammation?

    <p>Diffuse accumulation of macrophages and lymphocytes</p> Signup and view all the answers

    What is the defining feature of granulomatous inflammation?

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

    Which autoimmune disease is characterized by chronic inflammation?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    What is the role of epithelioid cells in granulomatous inflammation?

    <p>Formation of granulomas</p> Signup and view all the answers

    Study Notes

    Inflammation

    • Inflammation is derived from the Latin "inflammare," meaning to burn.
    • It's a local response of vascularized tissues to endogenous and exogenous stimuli.
    • Inflammation's primary function is to localize and eliminate the causative agent, limiting tissue injury.
    • It's a protective response, removing the initial cause of cell injury (e.g., microbes, toxins) and the resulting damage (e.g., necrotic cells and tissues).
    • Inflammation is defined as a complex biological response of vascularized living tissues to harmful stimuli like pathogens, damaged cells, or irritants. It aims to remove injurious stimuli and initiate the healing process.

    5 Cardinal Signs of Inflammation

    • Redness (rubor): Dilation of small blood vessels in damaged tissue (e.g., cellulitis).
    • Heat (calor): Increased blood flow (hyperemia) due to regional vascular dilation.
    • Swelling (tumor): Fluid accumulation in the extravascular space caused by increased vascular permeability.
    • Pain (dolor): Stretching and tissue destruction from inflammatory edema, and pressure from pus in abscessed areas (e.g., bradykinins, prostaglandins, serotonin).
    • Loss of function: Pain and severe swelling can physically immobilize the affected area.

    Causes of Inflammation

    • Physical agents: Mechanical injuries, temperature/pressure alterations, radiation.
    • Chemical agents: Drugs, toxins.
    • Biological agents (infectious): Bacteria, viruses, fungi, parasites.
    • Immunologic disorders: Hypersensitivity reactions, autoimmunity, immunodeficiency states.
    • Genetic/metabolic disorders: Gout, diabetes mellitus.

    Types of Inflammation (Nomenclature)

    • Inflammatory lesions are often named with the suffix "-itis." (e.g., appendicitis, meningitis).

    Types of Inflammation (Classification)

    • Acute inflammation: An immediate and early response to an injury, lasting minutes to days. Characterized by fluid and plasma protein exudation (edema) and neutrophil migration to the injury site. -Five cardinal signs of acute inflammation are redness, heat, swelling, pain, and loss of function -Cellular response includes: migration, rolling, pavementing, and adhesion of leukocytes; transmigration of leukocytes; chemotaxis; phagocytosis. -Phagocytosis is the engulfment and internalization of particulate material (microorganisms, damaged cells, tissue debris) performed by phagocytes (e.g., neutrophils, monocytes, macrophages). -Acute inflammation is manifested with production of exudate, a high protein edema fluid containing inflammatory cells. -Beneficial Effects: dilutes toxins, produces protective antibodies, forms fibrin, supplies plasma mediator systems (e.g., complement, coagulation, fibrinolytic, and kinin systems). -Outcomes of Acute Inflammation: complete resolution, healing by connective tissue replacement, progression to chronic inflammation, abscess formation.
    • Chronic inflammation: A prolonged inflammatory process (weeks or months). Characterized by active inflammation, tissue destruction, and attempts at repair occurring simultaneously. -Causes include persistent infections (e.g., tuberculosis, leprosy), prolonged exposure to non-degradable toxic substances (e.g., lipids, silica, asbestos), and autoimmunity (e.g., rheumatoid arthritis, systemic lupus erythematosus). -Cells of chronic inflammation include monocytes, macrophages, T-lymphocytes, B-lymphocytes, plasma cells, mast cells, and eosinophils (primarily in response to parasitic infestations and allergic reactions). -Classification types of chronic inflammation are nonspecific and specific inflammation (granulomatous). -Nonspecific chronic inflammation involves a diffuse accumulation of macrophages and lymphocytes, often leading to the formation of fibrous tissue around the injury site. -Granulomatous inflammation is characterized by the presence of granulomas, microscopic aggregates of activated macrophages (epithelioid cells) and lymphocytes, often with or without giant cells. -Major causes include tuberculosis, leprosy, syphilis, etc, fungi, helminthic, and protozoal infections, chlamydia infections, and inorganic dusts.

    Systemic Effects of Inflammation

    • Fever: The most important systemic manifestation, coordinated by the hypothalamus and cytokines (e.g., IL-1, IL-6, TNF-α).
    • Endocrine and metabolic responses: Liver secretes acute-phase proteins (e.g., C-reactive protein, serum amyloid A, complement and coagulation proteins). Glucocorticoids increase, and vasopressin decreases.
    • Autonomic responses: Blood flow redirected from the skin to internal organs. Pulse rate and blood pressure increase.
    • Behavioral responses: Rigor, chills, anorexia, somnolence, and malaise. Leucocytosis (increased white blood cells) is common in bacterial infections while some viral infections can cause lymphocytosis. Parasitic infestations can cause eosinophilia. Weight loss can be caused by the action of cytokines (IL-1 and TNF-α) on metabolic processes.

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    Description

    This quiz explores the concept of inflammation, its definition, and its role in the body's immune response. It also covers the five cardinal signs of inflammation, providing insight into the physiological changes that occur during this protective process. Test your knowledge on how inflammation helps in healing and tissue repair.

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