Pathology: Acute and Chronic Inflammation Repair

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Questions and Answers

What is a characteristic of healing by primary intention?

  • Small scar formation (correct)
  • Longer time
  • Wound contraction
  • Excess granulation tissue

What type of scar is characterized by excess granulation tissue?

  • Ulcer scar
  • Contracture scar
  • Hypertrophic scar (correct)
  • Burns

What is an example of a tissue that can repair by regeneration?

  • Bone
  • Dermis
  • Epidermis (correct)
  • Central Nervous system

What type of cells are hematopoietic cells an example of?

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

What is the result of repair by regeneration?

<p>Replacement of damaged cells by new cells of the same kind (A)</p> Signup and view all the answers

What is a characteristic of defective healing?

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

What type of cells are nerve cells an example of?

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

What is a characteristic of healing by secondary intention?

<p>Excess granulation tissue (D)</p> Signup and view all the answers

What is the process of replacing damaged tissue with new healthy tissue called?

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

Which of the following cells can regenerate continuously?

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

What is the term for the replacement of damaged cells by connective tissue?

<p>Healing by connective tissue (D)</p> Signup and view all the answers

Which of the following factors can affect repair?

<p>Both A and B (C)</p> Signup and view all the answers

What is the term for the healing of a bone fracture through regeneration?

<p>Healing by regeneration (D)</p> Signup and view all the answers

Which of the following tissues is repaired by connective tissue formation?

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

What is the difference between 1ry and 2ry intention healing?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following systems heals through gliosis?

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

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Study Notes

Repair or Healing

  • Replacement of damaged tissue by new healthy tissue
  • Types of repair:
    • Regeneration: replacement of damaged cells by new cells of the same kind
    • Healing by connective tissue: replacement of damaged cells by connective tissue (fibrosis or gliosis)

Classification of Body Cells According to Power of Regeneration

  • Labile cells: continuously dividing cells
    • Examples: surface epithelium, haematopoietic cells, lymphoid cells
  • Stable cells: quiescent cells
    • Examples: parenchymatous cells, mesenchymal cells, nerve cells, muscle cells
  • Permanent cells: non-dividing cells
    • Examples: nerve cells, muscle cells

Factors Affecting Repair

  • Local factors: type of damaged cell, blood supply, infection, foreign body
  • Systemic factors: age, nutritional deficiency, glucocorticoids, diabetes mellitus

Tissues Repaired by Regeneration

  • Skin (epidermis)
  • Liver cells
  • Bone fracture
  • Peripheral nerve

Healing of Skin

  • Epidermis: healing by regeneration
  • Dermis: healing by connective tissue formation

Healing of Nervous System

  • Central nervous system: gliosis
  • Peripheral nervous system: regeneration

Primary and Secondary Intention Healing

  • Primary intention: shorter time, scanty granulation tissue, small scar formation, no wound contraction
  • Secondary intention: longer time, excess granulation tissue, large scar formation, wound contraction

Abnormal Healing

  • Excess healing: keloid, hypertrophic scar
  • Defective healing: ulcer, fistula, sinus
  • Contracture

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