Podcast
Questions and Answers
Which factor is NOT considered to affect the outcome of acute inflammation?
Which factor is NOT considered to affect the outcome of acute inflammation?
- Host responsiveness
- Duration of symptoms (correct)
- The nature of injury
- Intensity of injury
When does complete resolution of acute inflammation typically occur?
When does complete resolution of acute inflammation typically occur?
- When there is extensive tissue destruction
- When there is abundant fibrin exudation
- When tissue regeneration is not possible
- When the injury is limited or short-lived (correct)
What is the process called when inflammatory exudates are resolved by fibrosis?
What is the process called when inflammatory exudates are resolved by fibrosis?
- Reintegration
- Integration
- Reconstruction
- Organization (correct)
What type of tissues typically heal via connective tissue replacement or fibrosis?
What type of tissues typically heal via connective tissue replacement or fibrosis?
Which outcome of acute inflammation is likely when the parenchymal cells can regenerate?
Which outcome of acute inflammation is likely when the parenchymal cells can regenerate?
What are foreign body granulomas primarily incited by?
What are foreign body granulomas primarily incited by?
Which of the following diseases is not listed as an infectious cause of granulomatous inflammation?
Which of the following diseases is not listed as an infectious cause of granulomatous inflammation?
Which type of granuloma is characterized by central caseous necrosis?
Which type of granuloma is characterized by central caseous necrosis?
What is the primary role of IFN-γ in immune granuloma formation?
What is the primary role of IFN-γ in immune granuloma formation?
What is a common systemic effect associated with inflammation known as?
What is a common systemic effect associated with inflammation known as?
Which cytokine is primarily responsible for stimulating the production of fever-inducing prostaglandins in the hypothalamus?
Which cytokine is primarily responsible for stimulating the production of fever-inducing prostaglandins in the hypothalamus?
What is the effect of aspirin in the context of an acute phase response?
What is the effect of aspirin in the context of an acute phase response?
What primarily leads to the transition from acute to chronic inflammation?
What primarily leads to the transition from acute to chronic inflammation?
Which of the following is NOT a characteristic of chronic inflammation?
Which of the following is NOT a characteristic of chronic inflammation?
What is a common cause of chronic inflammation related to autoimmunity?
What is a common cause of chronic inflammation related to autoimmunity?
Which morphological feature is indicative of granulomatous inflammation?
Which morphological feature is indicative of granulomatous inflammation?
Which of the following factors is a potential source of chronic inflammation?
Which of the following factors is a potential source of chronic inflammation?
What best describes chronic non-specific inflammation?
What best describes chronic non-specific inflammation?
In chronic inflammation, angiogenesis refers to:
In chronic inflammation, angiogenesis refers to:
Which of the following describes the role of macrophages in chronic inflammation?
Which of the following describes the role of macrophages in chronic inflammation?
Flashcards
Complete Resolution of Acute Inflammation
Complete Resolution of Acute Inflammation
Complete restoration of the site of acute inflammation to normal, involving the removal of cellular debris and microbes by macrophages, and resorption of edema fluid by lymphatics.
Healing by Connective Tissue Replacement (Fibrosis)
Healing by Connective Tissue Replacement (Fibrosis)
The outcome of acute inflammation when there is substantial tissue destruction, tissues incapable of regeneration or abundant fibrin exudation.
Organization of Inflammatory Exudates
Organization of Inflammatory Exudates
The process of resolution of inflammatory exudates by fibrosis, where connective tissue grows into the area of damage or exudate, converting it into a mass of fibrous tissue.
Non-specific Chronic Inflammation
Non-specific Chronic Inflammation
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Granulomatous Inflammation
Granulomatous Inflammation
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Chronic Inflammation
Chronic Inflammation
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Chronic Non-specific Inflammation
Chronic Non-specific Inflammation
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Progression to Chronic Inflammation
Progression to Chronic Inflammation
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Chronic Inflammation due to Persistent Stimuli
Chronic Inflammation due to Persistent Stimuli
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Chronic Inflammation due to Persistent Infection
Chronic Inflammation due to Persistent Infection
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Chronic Inflammation due to Hypersensitivity
Chronic Inflammation due to Hypersensitivity
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Chronic Inflammation due to Toxic Exposures
Chronic Inflammation due to Toxic Exposures
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What is an immune granuloma?
What is an immune granuloma?
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What are foreign body granulomas?
What are foreign body granulomas?
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Define granulomatous inflammation.
Define granulomatous inflammation.
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What is the acute phase response?
What is the acute phase response?
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How does the body manifest an acute phase response?
How does the body manifest an acute phase response?
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What are pyrogens?
What are pyrogens?
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What are acute-phase proteins?
What are acute-phase proteins?
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Study Notes
Outcomes of Acute Inflammation
- Acute inflammation outcomes can be complete resolution, healing by connective tissue replacement, or progression to chronic inflammation
- Acute inflammation outcome depends on injury nature, intensity, tissue involved and host response
- Complete resolution occurs when injury is limited, tissue destruction is minimal and damaged cells can regenerate. This happens through removal of cellular debris, microbes, and edema fluid by macrophages and lymphatic drainage.
- Healing by connective tissue replacement (fibrosis) happens when substantial tissue destruction occurs, or tissues unable to regenerate are injured (e.g., burns, serious infections)
- Progression to chronic inflammation results from persistent injurious agents or interference with normal healing processes
- Factors affecting outcome are injury nature, severity, tissue involved and host response
Outcomes of Chronic Inflammation
- Chronic inflammation is a prolonged process characterized by inflammation, tissue destruction and healing simultaneously.
- It can stem from persistent infection or an inciting stimulus or repeated acute inflammation attacks
- Persistent infection by intracellular microbes, hypersensitivity diseases and prolonged exposure to toxic substances are among the causes of chronic inflammation
Granulomatous Inflammation
- Granulomatous inflammation is a unique type of chronic inflammation, involving a focal accumulation of activated macrophages (granulomas)
- Macrophages enlarge and flatten in this type, often surrounded by a collar of lymphocytes
- It can be caused by infectious agents (tuberculosis, leprosy) or inflammatory agents (temporal arteritis) or inorganic materials (silica)
- Often includes multinucleated giant cells and possible central necrosis, particularly of infectious origin
Systemic Effects of Inflammation
- Systemic changes from inflammation (acute phase response or systemic inflammatory response syndrome (SIRS)) are characterized by the body's response to cytokines produced by bacterial products, or other inflammatory stimuli.
- Fever, resulting from pyrogens that raise the hypothalamus' temperature set point, is a clinical manifestation.
- Acute phase proteins (e.g., CRP, fibrinogen, SAA) have increased production, binding to microbial walls, and acting as opsonins
- Increased inflammatory response can also lead to leukocytosis (excess white blood cells), increased erythrocyte sedimentation rate (ESR), and other symptoms.
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