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Questions and Answers
What is the primary purpose of inflammation?
What is the primary purpose of inflammation?
Which of the following is NOT a recognized cause of inflammation?
Which of the following is NOT a recognized cause of inflammation?
Which of these definitions correctly describes acute inflammation?
Which of these definitions correctly describes acute inflammation?
What is a potential side effect of acute inflammation?
What is a potential side effect of acute inflammation?
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Which factor is known to trigger inflammation?
Which factor is known to trigger inflammation?
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How does chronic inflammation differ from acute inflammation?
How does chronic inflammation differ from acute inflammation?
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Which term refers to inflammation that is specific and can be long-lasting?
Which term refers to inflammation that is specific and can be long-lasting?
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What is the main clinical sign of inflammation?
What is the main clinical sign of inflammation?
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What primarily initiates the increase in C-reactive protein in response to inflammation?
What primarily initiates the increase in C-reactive protein in response to inflammation?
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What happens during the process of leukocytosis in acute inflammation?
What happens during the process of leukocytosis in acute inflammation?
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Which of the following factors does NOT modify the outcome of acute inflammation?
Which of the following factors does NOT modify the outcome of acute inflammation?
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What is the primary function of the cellular events in acute inflammation?
What is the primary function of the cellular events in acute inflammation?
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What leads to edema during acute inflammation?
What leads to edema during acute inflammation?
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What defines the resolution of acute inflammation?
What defines the resolution of acute inflammation?
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What is the outcome when there is substantial tissue destruction from inflammation?
What is the outcome when there is substantial tissue destruction from inflammation?
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Which of the following accurately describes the term 'chronicity' in inflammation?
Which of the following accurately describes the term 'chronicity' in inflammation?
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What is the role of chemical mediators during inflammation?
What is the role of chemical mediators during inflammation?
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Which of the following correctly describes vascular stasis in acute inflammation?
Which of the following correctly describes vascular stasis in acute inflammation?
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What is the significance of fibrinogen in inflammatory fluid exudate?
What is the significance of fibrinogen in inflammatory fluid exudate?
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What occurs during the arteriolar vasodilatation phase of inflammation?
What occurs during the arteriolar vasodilatation phase of inflammation?
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What is a characteristic feature of fibrinous inflammation?
What is a characteristic feature of fibrinous inflammation?
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How does acute inflammation affect lymphatic vessels?
How does acute inflammation affect lymphatic vessels?
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What can result from the failure to completely remove fibrin during organization?
What can result from the failure to completely remove fibrin during organization?
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What is the primary result of increased vessel permeability during acute inflammation?
What is the primary result of increased vessel permeability during acute inflammation?
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Which type of inflammation is exemplified by the presence of bullae in mild burns?
Which type of inflammation is exemplified by the presence of bullae in mild burns?
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What is one of the functions of inflammatory fluid exudate?
What is one of the functions of inflammatory fluid exudate?
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What defines membranous inflammation?
What defines membranous inflammation?
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Which process allows leukocytes to migrate to the site of infection?
Which process allows leukocytes to migrate to the site of infection?
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What is the outcome associated with a cellular exudate rich in red blood cells?
What is the outcome associated with a cellular exudate rich in red blood cells?
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In which situation would one most likely observe an adherent, dense, grey pseudo-membrane?
In which situation would one most likely observe an adherent, dense, grey pseudo-membrane?
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Which type of inflammation is primarily driven by an immune reaction rich in eosinophils?
Which type of inflammation is primarily driven by an immune reaction rich in eosinophils?
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What is a potential consequence of acute non-suppurative inflammation?
What is a potential consequence of acute non-suppurative inflammation?
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What is a characteristic feature of a lung abscess?
What is a characteristic feature of a lung abscess?
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Which component is NOT typically found in pus?
Which component is NOT typically found in pus?
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What is the fate of a large abscess if it is not surgically incised?
What is the fate of a large abscess if it is not surgically incised?
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What characteristic is associated with the pus that forms during cellulitis?
What characteristic is associated with the pus that forms during cellulitis?
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Which bacteria is commonly associated with cellulitis?
Which bacteria is commonly associated with cellulitis?
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What is an unusual characteristic of pus?
What is an unusual characteristic of pus?
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What is the most common site for carbuncles?
What is the most common site for carbuncles?
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Which process allows for the rapid spread of infection in cellulitis?
Which process allows for the rapid spread of infection in cellulitis?
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What defines acute suppurative inflammation?
What defines acute suppurative inflammation?
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Which organism is commonly associated with acute suppurative inflammation?
Which organism is commonly associated with acute suppurative inflammation?
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In the context of an abscess, which of the following statements is true?
In the context of an abscess, which of the following statements is true?
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What is the primary cause of pus formation during acute suppurative inflammation?
What is the primary cause of pus formation during acute suppurative inflammation?
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Which type of inflammation lacks pus formation?
Which type of inflammation lacks pus formation?
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What is the central zone of necrosis in an abscess primarily composed of?
What is the central zone of necrosis in an abscess primarily composed of?
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Which type of acute inflammation is characterized by a serous fluid exudate?
Which type of acute inflammation is characterized by a serous fluid exudate?
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What is the role of neutrophils in acute suppurative inflammation?
What is the role of neutrophils in acute suppurative inflammation?
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Study Notes
Inflammation Overview
- Inflammation is a protective response to eliminate the initial cause of cell injury and initiate tissue repair.
- Causes include infections, trauma, tissue necrosis, foreign bodies, and immune reactions.
- Key intended learning outcomes include understanding the meaning of inflammation, factors triggering it, clinical signs, vascular and cellular events, advantages and side effects of acute inflammation, its outcome, differences between chronic inflammation (specific and non-specific), and types of granulomatous reactions.
Types of Inflammation
- Inflammation is categorized as acute or chronic based on duration.
- Acute inflammation has a rapid onset and short duration (days). Chronic inflammation is prolonged (months to years).
Acute Inflammation
- Cardinal signs (described by Celsus): Rubor (redness), Tumor (swelling), Calor (heat), Dolor (pain) and Functio laesa (loss of function)
- Vascular phase involves transient vasoconstriction (insignificant), arteriolar vasodilation increasing blood flow (redness/warmth), and increased vessel permeability leading to fluid exudate (edema/swelling). Vascular stasis is also observed.
- Cellular phase involves leukocyte recruitment, their function (ingesting, killing, and eliminating necrotic tissues or foreign substances), and their activated functions, including margination, rolling, adhesion, transmigration, and chemotaxis.
- Types of acute inflammation (suppurative/localized, non-suppurative/diffuse) include Suppurative (pus formation—abscess, cellulitis) and Non-suppurative (no pus—catarrhal, fibrinous, serous, membranous, allergic, haemorrhagic).
- Fate of acute inflammation can be resolution (tissue heals), scarring and fibrosis.
- Inflammation can progress to chronic inflammation if the injurious agent cannot be eliminated completely.
Chronic Inflammation
- Inflammation of prolonged duration.
- It arises from various causes: failure of defense mechanisms in resolving acute inflammation, or persistent and/or non-degradable antigens/infection (e.g., Mycobacterium tuberculosis, silica particles, autoimmune diseases).
- Main inflammatory cells are macrophages, lymphocytes, and plasma cells (sometimes eosinophils or mast cells).
- Macrophages undergo phagocytosis, formation of giant cells (foreign bodies, TB), and secrete cytokines and growth factors.
- T-helper lymphocytes (CD4+ T cells) play a critical role in chronic inflammation.
- Chronic inflammation is characterized by infiltration of mononuclear cells (macrophages, lymphocytes, plasma cells), tissue repair by fibrosis, and thick-walled blood vessels.
Granuloma
- Granulomas are nodular aggregates of macrophages with variable lymphocyte, plasma cell, and sometimes giant cell mix.
- Macrophages transform into epithelioid cells and giant cells.
- Central necrosis may be present (e.g., caseous necrosis in tuberculosis).
- Examples of granulomatous lesions (pathological conditions caused by granulomas) are tuberculosis, leprosy, syphilis, and sarcoidosis.
- Granuloma formation is stimulated by chronic inflammation with persistent/non-degradable antigens.
Fate of Granuloma
- Granulomas may persist for a long time.
- They may slowly resolve and disappear.
- Granulomas can transform into fibrosis/tissue scarring.
- Granulomas can coalesce and damage surrounding tissues, causing cavities with necrotic material.
Conclusion
- Inflammation is a complex response to injury and is crucial for tissue repair.
- Both acute and chronic inflammation have different characteristics and outcomes with specific cells involved.
- Understanding the different types of inflammation and their processes can assist in diagnosis and treatment.
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Description
Test your knowledge on the nature of inflammation with this quiz. It covers key definitions, causes, and differences between acute and chronic inflammation. Discover the main clinical signs and potential side effects that accompany inflammation.