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13 Cards in this Set

  • Front
  • Back
Inflammation definition
body's localized response to injury and infection
cells usually exit bloodstream through...
intercellular spaces in postcapillary venules
"hallmark" of inflammation
infiltration of tissue with any class of leukocyte
neutrophil vs. lymphocytes and monocytes (types of inflammation)
neutrophil = acute
lympho/monocytes = chronic
when can chronic inflammation occur?
either after acute inflammation or by itself, without prior acute inflammation. therefore chronic inflammation (and acute) is characterized by the types of cells it induces rather than kinetics.
major types of leukocytes and general function of each (3)
1) T and B lymphocytes- mediate antigen specific immunity
2) Neutrophils- phagocytose bacteria, dead cells and debris. part of innate (non-specific) immune system
3) Monocytes- also phagocytic, functionally similar to neutrophils
properties of acute inflammation (4)
1) takes place rapidly after stimulus (transient)
2) infiltration of tissue with neutrophils
3) phagocytose and kill bacteria (abscess) and remove necrotic tissue (clean up)
4) part of innate immune system meaning it is non-specific and does not use antigens to ID attackers
neutrophil (and monocyte) phagocytosis steps (4)
1) Recognition/attachment: microbes bind to surface receptors of neutrophil/monocyte
2) Engulfment: phagocyte membrane zips up around membrane
3) Ingestion: phagosome fuses with lysosome (phagolysosome)
4) Digestion: breakdown of microbe via hydrolytic enzymes and, in neutrophils, also ROI and NO (reactive oxygen intermediates)
histology of acute inflammation
holes in tissue (necrotic; hydrolytic enzymes got too excited)
liquefaction- abscess
acute inflammation = heavy concentration of neutrophils (black/blue dots)
neutrophil histology
multi-lobed nuclei
abscesses
can be difficult to treat and lethal if occurring in certain parts of the body
acute inflammation series of events (3)
1) increased blood flow to area
2) extravasation (movement from bloodstream to tissue) and deposition of fluid and plasma proteins that leak out of blood stream
3) emigration of neutrophils/monocytes through capillaries to surrounding tissues and site of inflammation
what causes edema in early acute inflammation?
increased blood flow to area = vasodilation
vasodilation increases hydrostatic pressure in microcirculation which results in fluid and plasma protein leaving capillaries and entering tissue
changes to physical vessel structure (endothelial cell retraction)