Types of Inflammation Overview
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Questions and Answers

Which characteristic differentiates chronic inflammation from acute inflammation?

  • Has a longer duration (correct)
  • Is associated with less tissue damage
  • Occurs suddenly after an injury
  • Involves primarily neutrophils
  • What main type of cell is predominantly involved in chronic inflammation?

  • Eosinophils
  • Lymphocytes (correct)
  • Neutrophils
  • Mast cells
  • What is a common outcome of prolonged chronic inflammation regarding tissue appearance?

  • Reduced healing capacity
  • Necrotic tissue
  • Fibrotic appearance (correct)
  • Increased vascularity
  • What is a type of wound characterized by skin being broken and exposing underlying tissues?

    <p>Open wound</p> Signup and view all the answers

    What happens when the host defense cannot clear the insult in chronic inflammation?

    <p>A granuloma may form</p> Signup and view all the answers

    Which of the following factors does NOT influence tissue healing?

    <p>Patient's age</p> Signup and view all the answers

    Which of these factors contributes to chronic inflammation?

    <p>Repeated infections</p> Signup and view all the answers

    During which stage of wound healing does the inflammation response primarily occur?

    <p>Inflammatory</p> Signup and view all the answers

    What is one potential systemic impact of chronic inflammation?

    <p>Decreased immune efficiency</p> Signup and view all the answers

    What is the role of angiogenesis in chronic inflammation?

    <p>To provide blood supply to the inflamed area</p> Signup and view all the answers

    Which type of wound is classified as unintentional?

    <p>Laceration</p> Signup and view all the answers

    How does the duration of inflammation influence tissue damage?

    <p>It increases likelihood of tissue damage</p> Signup and view all the answers

    Which medical therapy is commonly associated with increased risk of wound development?

    <p>Steroids</p> Signup and view all the answers

    Which statement best contrasts acute and chronic inflammation?

    <p>Chronic inflammation occurs after a delay, acute inflammation is immediate</p> Signup and view all the answers

    What is NOT a complication associated with wound healing?

    <p>Loss of appetite</p> Signup and view all the answers

    What is a possible challenge faced by clinicians treating patients with chronic inflammation?

    <p>Increased likelihood of comorbid conditions</p> Signup and view all the answers

    Which type of wound healing involves the wound edges being brought together?

    <p>Primary intention</p> Signup and view all the answers

    What term describes a wound that is clean but may become contaminated?

    <p>Clean wound</p> Signup and view all the answers

    Which of the following is a risk factor for developing a wound?

    <p>Poor circulation</p> Signup and view all the answers

    Which type of wound is characterized by bruising without broken skin?

    <p>Contusion</p> Signup and view all the answers

    What is the first step in the healing process of a wound during primary intention?

    <p>Epithelial cell proliferation</p> Signup and view all the answers

    Which phase of wound healing begins when collagen production equals degradation?

    <p>Maturation</p> Signup and view all the answers

    During secondary healing, what characterizes the inflammatory phase?

    <p>Presence of necrotic tissue</p> Signup and view all the answers

    What is the role of fibroblasts in the proliferative phase of secondary healing?

    <p>They transform into myofibroblasts.</p> Signup and view all the answers

    In secondary healing, how is collagen typically laid down?

    <p>Horizontally</p> Signup and view all the answers

    Which of the following is a characteristic of tertiary healing?

    <p>Delayed closure after debridement</p> Signup and view all the answers

    What factor does NOT affect wound healing?

    <p>Genetics</p> Signup and view all the answers

    What is the purpose of angiogenesis during the proliferative phase?

    <p>To supply blood to healing tissue</p> Signup and view all the answers

    Which of the following statements best describes how scar tissue appears after the maturation stage?

    <p>Scar tissue may appear uneven</p> Signup and view all the answers

    During which phase do increased blood vessels begin to be removed in wound healing?

    <p>Maturation phase</p> Signup and view all the answers

    Which of the following is NOT a complication of wound healing?

    <p>Hemorrhoids</p> Signup and view all the answers

    What is the term for a surgical wound that has reopened?

    <p>Dehiscence</p> Signup and view all the answers

    Which complication of wound healing involves an abnormal tissue growth at the repair site?

    <p>Keloid scar</p> Signup and view all the answers

    Which complication is characterized by an abnormal passageway between organs due to wound healing?

    <p>Fistula</p> Signup and view all the answers

    Which of the following complications could potentially result from poor wound care?

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

    In the context of wound healing, which condition refers to excessive bleeding?

    <p>Hemorrhage</p> Signup and view all the answers

    Which complication of wound healing may require surgical intervention to correct?

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

    What can increase the risk of developing a keloid scar following a wound?

    <p>Genetic predisposition</p> Signup and view all the answers

    Which of the following factors is commonly associated with infection in wound healing?

    <p>Poor hygiene</p> Signup and view all the answers

    What might be a consequence of excessive dehiscence in a surgical patient?

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

    Study Notes

    Types of Inflammation

    • Inflammation is a natural bodily response to injury or infection.
    • Inflammation can be acute or chronic.
    • Acute inflammation is a short-term response involving mainly neutrophils as the primary inflammatory cells.
    • Chronic inflammation is a long-term response involving mainly lymphocytes as the primary inflammatory cells.

    Chronic Inflammation

    • It is a delayed response that lasts longer.
    • It results in more tissue damage than acute inflammation.
    • The body is unable to clear the insult so a granuloma may form as a protective process.
    • Granulomas are collections of macrophages that form in response to chronic inflammation.
    • Granulomas have their own blood supply allowing them to survive.

    Comparison of Acute & Chronic Inflammation

    • Acute inflammation is a short-term response, while chronic inflammation lasts longer.
    • Neutrophils are the main cells involved in acute inflammation, while lymphocytes are the main cells involved in chronic inflammation.
    • Acute inflammation is characterized by redness, heat, swelling, and pain, while chronic inflammation often has less obvious symptoms.

    Wound Healing

    • Wound healing is a complex process involving different stages and factors.
    • There are many causes for wounds, both intentional and unintentional.
    • Wounds can be classified into different types based on their characteristics, including open or closed, clean or contaminated.
    • Age, gender, nutrition, and systemic diseases can all influence wound healing.

    Stages of Wound Healing

    • Wound healing can occur by primary, secondary, or tertiary intention.
    • Primary intention (first intention) refers to the healing of a clean, closed wound, such as a surgical incision.
    • Secondary intention (second intention) refers to the healing of an open wound, such as a deep burn.
    • Tertiary intention healing involves intentionally delaying the closure of a wound.

    Primary Healing

    • Primary intention healing involves three stages: inflammation, proliferation, and maturation.
    • The inflammatory stage involves the formation of a blood clot, migration of phagocytes, and fibroblasts.
    • The proliferation stage sees epithelial cell proliferation, angiogenesis (formation of new blood vessels), granulation tissue formation, and contraction.
    • The maturation stage involves collagen degradation and remodeling, leading to a stronger scar.

    Secondary Healing

    • The stages of secondary intention healing are similar to those of primary intention, but more intense.
    • There is more necrotic tissue present, leading to sloughing.
    • Secondary intention healing involves a more abundant blood supply to reduce or prevent infection.

    Comparing Primary & Secondary Intention

    • Primary intention healing involves the healing of a closed wound, while secondary intention healing involves the healing of an open wound.
    • Primary intention healing results in a smaller scar, while secondary intention healing results in a larger scar.

    Tertiary Healing

    • Tertiary intention healing involves intentional delay of wound closure.
    • It is often used for wounds that are contaminated or infected.
    • Wound closure is delayed until the infection is controlled.

    Factors Affecting Wound Healing

    • Wound healing can be affected by both local and systemic factors.
    • Local factors include the presence of foreign bodies or infection.
    • Systemic factors include age, gender, smoking, nutrition, and diseases.

    Complications of Wound Healing

    • Complications of wound healing can include hemorrhage, infection, dehiscence (wound opening), fistula (abnormal passage), and keloid scar.
    • These complications can be caused by various factors, including inadequate closure, infection, and poor blood supply.

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    Description

    This quiz covers the essential differences between acute and chronic inflammation, focusing on their characteristics and consequences. You'll explore the role of neutrophils and lymphocytes in these responses, as well as the formation of granulomas. Test your understanding of how inflammation impacts the body.

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