Pathology: Inflammation Concepts

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Questions and Answers

What is the purpose of inflammation?

  • To initiate repair in the tissue (correct)
  • To halt the process of healing
  • To avoid any immune response
  • To cause damage to the living tissue

What is the main component of inflammatory exudate responsible for causing swelling?

  • Edema fluid (correct)
  • Immune cells
  • Chemical mediators
  • Blood vessels

What is the reason behind the redness observed during inflammation?

  • Histamine release (correct)
  • Hemoconcentration
  • Fluid part of inflammatory exudate
  • Vasoconstriction

Which process involves leukocytes moving out of blood vessels into the tissues?

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

What causes pain during inflammation?

<p>Irritation of nerve endings by toxins and chemical mediators (C)</p> Signup and view all the answers

What does inflammation aim to do in response to injury or pathogens?

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

What is the main function of opsonization in the immune response?

<p>Enhances phagocytosis by neutrophils and macrophages (C)</p> Signup and view all the answers

Which of the following is NOT a step in the phagocytosis process?

<p>Activation of complement system (A)</p> Signup and view all the answers

Which cell type is responsible for producing collagen in tissue repair during chronic inflammation?

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

In chronic inflammation, what type of cells are typically present?

<p>Macrophages, lymphocytes, and plasma cells (C)</p> Signup and view all the answers

What characteristic differentiates acute inflammation from chronic inflammation?

<p>Rapid onset for acute vs. gradual onset for chronic (A)</p> Signup and view all the answers

Which factor is NOT involved in aiding phagocytosis according to the text?

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

What is the function of neutrophils in inflammation?

<p>Phagocytosis and killing of microbes (A)</p> Signup and view all the answers

Which process involves leukocytes passing through gaps between intact endothelium?

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

What is the main role of fibrinogen in the inflammatory response?

<p>Localization of infection and facilitating leukocyte movement (A)</p> Signup and view all the answers

How do antibodies contribute to the immune response?

<p>Block antigen receptors (D)</p> Signup and view all the answers

What stimulates the activation of complement proteins in the immune system?

<p>Antigen-antibody complexes or bacteria (C)</p> Signup and view all the answers

Which proteins are responsible for stimulating histamine release and leukocyte chemotaxis?

<p>C3a-C5a (A)</p> Signup and view all the answers

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Study Notes

Inflammation

  • Inflammation is a protective immune-vascular response against injury or damage.
  • It involves five components: definition, causes, mechanisms (pathogenesis), morphologic changes (gross and microscopic), and complications.
  • Causes of inflammation: irritants, pathogens, antigen-antibody reactions, and damaged (necrotic) cells.

Components of Inflammation

  • Cause: the initial trigger of inflammation
  • Immune cells: involved in the response to inflammation
  • Blood vessels: play a key role in the inflammatory process
  • Chemical mediators: facilitate the inflammatory response

Purpose of Inflammation

  • Elimination of the cause (e.g., removal of pathogens)
  • Clearance of necrotic cells
  • Initiation of repair processes

Characteristics of Inflammation

  • Redness (due to vasodilation)
  • Swelling (due to inflammatory fluid exudate, or edema fluid)
  • Pain (due to irritation of nerve endings by toxins and chemical mediators or compression by exudate)
  • Loss of function

Vascular Phenomenon

  • Transient vasoconstriction
  • Vasodilation
  • Slowing of circulation (stasis)
  • Escape of plasma
  • Direct action of toxins or trauma on blood vessels
  • Histamine release

Leukocyte Extravasation

  • Margination
  • Rolling
  • Activation
  • Adhesion
  • Transmigration (through intact vessels)

Functions of Neutrophils

  • Phagocytosis and killing of microbes using ROS and lysosomes
  • Dilution of toxins
  • Localization of infection by forming a network of fibrin threads

Functions of Complement

  • Cell lysis
  • Inflammation
  • Opsonization
  • Activation of cell killing membrane attack complex

Acute and Chronic Inflammation

  • Acute inflammation:
    • Onset: rapid
    • Duration: few days
    • Cardinal signs: toxemia
    • Microscopically: neutrophils, edema fluid, blood vessels
  • Chronic inflammation:
    • Onset: gradual
    • Duration: months or years
    • Cardinal signs: absent
    • Microscopically: macrophages, lymphocytes, plasma cells, giant cells, and fibroblasts

Leukocytosis

  • Increase in the number of WBCs (leukocytosis)
  • Neutrophilia: increase in suppurative inflammation
  • Eosinophilia: increase in parasitic inflammation and allergy
  • Lymphocytosis: increase in chronic and viral inflammation
  • Fibroblast increase in chronic inflammation and tissue repair

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