Inflammation: Tissue Injury & Cellular Response
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Questions and Answers

Which of the following is the primary aim of inflammation in response to tissue injury?

  • To induce a fever and increase metabolic rate.
  • To suppress the immune response and prevent autoimmunity.
  • To promote scar tissue formation immediately.
  • To fight bacteria, localize infection, and remove damaged tissue. (correct)

In the context of inflammation, what is the fundamental difference between acute and chronic inflammation regarding their cellular infiltrate?

  • The cellular infiltrate is not a distinguishing feature between acute and chronic inflammation.
  • Acute inflammation predominantly features neutrophils, whereas chronic inflammation involves lymphocytes, plasma cells, and macrophages. (correct)
  • Acute inflammation primarily involves lymphocytes, while chronic inflammation involves neutrophils.
  • Both acute and chronic inflammation involve the same types of cells but in different proportions.

A patient presents with a localized area of redness, swelling, heat, and pain. Which of the following vascular changes primarily accounts for these signs in acute inflammation?

  • Decreased vascular permeability to prevent fluid leakage.
  • Reduced blood flow to minimize cellular damage.
  • Vasoconstriction at the site of injury.
  • Vasodilatation mediated by histamine. (correct)

What is the role of Transcytosis in the context of increased vascular permeability during inflammation?

<p>It involves the transport of fluids and proteins across endothelial cells via vesicles. (D)</p> Signup and view all the answers

What is the role of inflammatory exudate in the process of inflammation?

<p>To dilute toxins, deliver antibodies, supply nutrition, and remove debris. (D)</p> Signup and view all the answers

A patient has a fluctuant, tender mass with surrounding erythema. Surgical drainage reveals purulent material. This clinical presentation is most consistent with which type of acute inflammation?

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

Which of the following cell types is most characteristic of granulomatous inflammation?

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

What is the key characteristic that distinguishes cellulitis from an abscess?

<p>Cellulitis involves diffuse inflammation of connective tissue, whereas an abscess is characterized by a localized collection of pus. (B)</p> Signup and view all the answers

Which of the following is the correct sequence of events for neutrophil extravasation during acute inflammation?

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

Chemotaxis is defined as the directed movement of neutrophils and macrophages toward an irritant. Which of the following is an example of an endogenous mediator of chemotaxis?

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

Opsonins enhance phagocytosis by facilitating which of the following steps?

<p>Recognition and attachment of the phagocyte to the target (A)</p> Signup and view all the answers

Which of the following chemical mediators of inflammation is derived from plasma?

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

Pus, a hallmark of suppurative inflammation, is composed of several elements. Which of the following is a component of pus?

<p>Liquefied necrotic tissue (A)</p> Signup and view all the answers

In the context of acute inflammation, which outcome represents a complete return to normal tissue structure and function?

<p>100% Resolution (C)</p> Signup and view all the answers

What is the primary difference between a furuncle and a carbuncle?

<p>A furuncle involves a single hair follicle, while a carbuncle involves multiple hair follicles. (C)</p> Signup and view all the answers

An excess of fibrin production is characteristically associated with the formation of which type of localized suppurative inflammation?

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

Which of the following best describes the progression from a furuncle to a carbuncle?

<p>A furuncle is a small abscess related to a hair follicle, while a carbuncle involves multiple communicating abscesses. (A)</p> Signup and view all the answers

In diffuse suppurative inflammation, such as cellulitis, which enzyme is MOST likely to contribute to its spread?

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

Which characteristic is MOST useful in differentiating between an abscess and cellulitis upon examination?

<p>The extent of inflammation (D)</p> Signup and view all the answers

What is the primary difference between acute suppurative and acute non-suppurative inflammation?

<p>Suppurative inflammation involves pus formation, while non-suppurative inflammation does not. (C)</p> Signup and view all the answers

In the context of acute non-suppurative inflammation, which type is characterized by excessive watery fluid accumulation, as seen in burns?

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

What is the underlying cause of chronic inflammation?

<p>Persistent infection or prolonged exposure to an irritant. (A)</p> Signup and view all the answers

Which of the following is the defining characteristic of a granuloma?

<p>Nodular collection of epithelioid cells, lymphocytes, and giant cells. (D)</p> Signup and view all the answers

Which of the following etiologies is associated with granuloma formation?

<p>Bacterial infections like Tuberculosis (C)</p> Signup and view all the answers

What is the primary cell type that constitutes the main body of a granuloma?

<p>Histiocytes/Epithelioid cells (D)</p> Signup and view all the answers

What distinguishes a granuloma with caseation from one without caseation?

<p>The presence of central necrosis. (B)</p> Signup and view all the answers

Flashcards

Inflammation

A local vascular and cellular response to injury or infection.

Types of Inflammation

Two main types: Acute (fast response) and Chronic (slow response).

Acute Inflammation

Rapid response to injury; prominent neutrophil infiltration.

Chronic Inflammation

Long-lasting inflammation; characterized by lymphocytes and plasma cells.

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Exudate Formation

Process of fluid and cells leaking from blood vessels during inflammation.

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Chemotaxis

Movement of cells towards a chemical signal at the site of injury.

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Phagocytosis

Process where cells engulf and digest pathogens or debris.

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Abscess vs. Cellulitis

Abscess is localized pus, cellulitis is diffuse skin infection.

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Fibrinogen

A protein involved in blood clotting and inflammation.

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Extravasation

The movement of neutrophils into tissue from blood vessels during inflammation.

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Margination

The process where neutrophils adhere to the walls of blood vessels.

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Diapedesis

The process by which cells pass through vessel walls to reach tissue.

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Chemokines

Signaling molecules that attract immune cells to sites of inflammation.

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Opsonization

The process of tagging pathogens for phagocytosis by immune cells.

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Pus

Thick fluid containing dead cells, bacteria, and tissue debris from infection.

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Serotonin

A chemical mediator involved in vasodilation and inflammation.

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Purulent

Relating to pus; characterized by the presence of pus.

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Abscess

A localized collection of pus in tissue, leading to swelling and inflammation.

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Boil (Furuncle)

A small abscess linked to a hair follicle or sebaceous gland.

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Carbuncle

A cluster of multiple communicating abscesses, often seen on the back of the neck.

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Diffuse Suppurative Inflammation

Widespread inflammation with pus, often caused by specific bacteria like streptococcus.

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Cellulitis

A diffuse soft tissue infection leading to redness, swelling, and pain.

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Granuloma

Chronic inflammation characterized by a nodular collection of epithelioid cells and giant cells.

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Types of Granulomas

Includes caseating (like TB) and non-caseating (like sarcoidosis) types.

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Chronic Inflammation Causes

Includes persistence of infection and prolonged exposure to irritants.

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Components of Granuloma

Includes histiocytes, epithelioid cells, giant cells, lymphocytes, and fibroblasts.

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Study Notes

Inflammation

  • Inflammation is a local vascular and cellular response of living tissue to an injurious agent.
  • Aims of inflammation include fighting bacteria, localizing infection, and removing damaged tissue.
  • Types of inflammation include acute and chronic.
  • Acute inflammation has a fast onset (minutes to hours), predominantly neutrophils are involved, congestion in blood vessels is present, and fibrosis is absent.
  • Chronic inflammation has a slow onset (days), lymphocytes, plasma, and macrophages are involved, blood vessel stenosis is present, and fibrosis is present.
  • Causes of inflammation include physical (trauma, heat, cold, radiation), chemical (acids, alkalis, poisons), infection (bacteria, viruses, fungi, parasites), and immunological (antigen-antibody, cell-mediated).
  • Cells involved in acute and chronic inflammation include neutrophils (acute), lymphocytes (chronic), plasma (chronic), histiocytes (chronic), eosinophils (allergy, parasitic), mast cells (allergy), and giant cells (granuloma).
  • Cardinal signs of inflammation include heat, redness, swelling, pain, and loss of function.
  • Systemic effects of inflammation include fever, leukocytosis, malaise, nausea, anorexia, lymphoid hyperplasia, and raised CRP and ESR.
  • Events of inflammation involve vascular changes (vasodilation, increased permeability), cellular events (margination, rolling, adhesion, transmigration), chemotaxis, phagocytosis, and termination (resolution or progression to chronic inflammation).
  • Chemical mediators involved include cellular (histamine, serotonin, eicosanoids, nitric oxide, platelet activating factor) and plasma (complement, kinins, clotting factors, fibrinolytic).
  • Outcomes of acute inflammation may involve resolution, regression and healing, progression and spread, or progression to chronicity.
  • Types of acute suppurative inflammation include localized (abscess, furuncle, carbuncle) and diffuse (cellulitis).
  • Causes of localized suppurative inflammation is excess fibrin from staphylococcus while diffuse suppurative inflammation is caused by fibrinolysis, hyaluronidase and spreading factor from streptococcus haemolyticus.
  • Types of acute non-suppurative inflammation include catarrhal (excess mucus), serous (excess watery fluid), fibrinous (excess fibrin), hemorrhagic, necrotizing, and allergic.

Chronic Inflammation

  • Causes of chronic inflammation include persistent infection and prolonged exposure to an insult.
  • Types of chronic inflammation include non-specific and specific (granuloma).
  • Granuloma is a chronic, specific inflammation characterized by a nodular collection of epithelioid cells, lymphocytes, and giant cells.
  • Etiology of granuloma can be infective (TB, leprosy, syphilis, parasites, fungi) and non-infective (selicosis, foreign bodies).
  • Components of granuloma include epithelioid cells, langhans giant cells, lymphocytes, and fibroblasts.
  • Granuloma classification includes granuloma with caseation (tuberculosis), granuloma without caseation (sarcoidosis), suppurative granuloma (cat scratch), and foreign body granuloma.

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Description

This quiz explores the aims, differences between acute and chronic inflammation, and inflammatory exudates. It covers vascular changes, cellulitis, abscesses, and granulomatous inflammation.

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