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Inflammation and Repair
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45
Pathology
Undergraduate 3
02/11/2014

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Term
Local response
Definition
Primitive response = phagocytosis,hypertrophy/hyperplasia
- inflammation - reaction of blood vessels
- Repair
Term
Systemic Response
Definition
What happens when a local response can't maintain a infection
-Whole body is affected
Term
Stimulus - injury
Definition
-Direct injury
- Damage-associated molecular pattern (DAMPs)
- Pathogen-associated molecular patterns (PAMPs)
Term
"itis"
Definition
inflammation
Term
pneumonia
Definition
inflammation of lungs
Term
rhinitis
Definition
stuffy nose
Term
tracheitis
Definition
tickly throat
Term
hepatitis
Definition
inflammation of the liver
Term
Dermatitis
Definition
inflammation of the skin
Term
Inflammation: Intital
Definition
-inflammation dominated by vascular changes, accompanied by neurtophilis
-minutes/days
-plasma, neutrophils
Term
Inflammation: Long term
Definition
- happens when initial doesn't fix the problem
-uses mature/fibrous tissue to form a scar
-weeks
-Fibrous tissue, macrophages, lymphocytes, plasma cells
Term
Acute inflammation
Definition
-red (hyperemia), swelling, heat (calor), pain(dolor), loss of function
Term
Inflammation Good
Definition
-Neutralize the stimulus/agent
-prepare for repair
-essential for healing of that area
-get plasma from the blood to increase healing process
Term
Inflammation Bad
Definition
life threatening to critical organs (lungs, brain)
-Cause damage by itself
Term
Components
Definition
Vascular phase
Cellular phase
Reparitive phase
Term
Vascular Phase (Plasma & Vascular phase)
Definition
Plasma, flows into tissue through gaps (leukotrienes)
Endothelial cells contract becoming smaller, gaps between them open up
Vasodilation opens capillaries increasing blood flow, circulation decreases due to increased permeability
-Stasis develops, leukocytes migrate out of vessel
Term
Cellular Phase (WBCs)
Definition
-leukocytes emigrate to tissues
-leukocyte activation,
-phagocytosis
-release of leukocyte products
Term
Chemotaxis
Definition
direct leukocytes to an area of injury, increase concentration of an enticing smell
Term
Reparitive Phase
Definition
Connective tissue cells and components
fibroblasts
Term
Therapy
Definition
Specific
Symptomatic
Cost Benefit Analysis
R.I.C.E
Term
Specific Therapy
Definition
remove the cause
e.x remove splinter from finger
Term
Therapy Symptomatic
Definition
makes you feel better until it heals itself
e.x pain killers
Term
Cost Benefit Analysis
Definition
Beneficial effect v.s Adverse reaction
Term
R.I.C.E therapy
Definition
rest, ice, compression, elevation
Term
Chemical Mediators
Definition
Targets for pharmaceuticals
originate from plasma or cells
Many act through receptors
Many cause release of other mediators
Most are short lived
Most may have harmful effects
Term
Vasoactive Mediators
Definition
vasodilation and increase permeability
Term
Histamine
Definition
dilates arterioles (vasodilation)
increase permeability of venules
-produced by mast cells
Term
Antihistamine
Definition
Block receptors
-Drying
-Sedation
Term
Decongestants
Definition
-Reduce blood flow
-vasoconstriction (increase air flow in nose)
-Steroids
-Non steroidal
Term
Vasoconstrictors
Definition
reduce side effects of inflammation by reducing blood flow
Term
Steroids
Definition
substances similar to what is produced by our own adrenal glands
-Very effective (very potent)
-reduce your ability to fight infection
Term
Non steroidal
Definition
original was aspirin (anti inflammatory drug)
-same effects as steroids without adverse side effects
Term
Cell membrane phospholipids
Definition
-Phospholipase A (breakdown cell membranes): Arachidonic Acid broke down in to Leukotrienes by lipoxygenase or Prostaglandins (important mediators of inflammation) by Cyclooxygenase
Term
COX1 (constitutive)
Definition
Maintains blood flow to kidney, stomach, and intestine
Term
Pain - Local analgesics
Definition
Cocaine, Procaine, Lidocaine
-menthol (local anesthetic)
- salicylic acid (part of the aspirin group)
Term
Pain - systemic analgesics
Definition
Narcotics: heroin, morphine, opium
Non-narcotics: tylenol, NSAIDS
Term
Pain - Other
Definition
Plasma
Medicinal Leeches
Term
Systemic Effect: Acute Phase Response
Definition
Fever, shivering, leucocytosis(dead tissue is removed), acute phase protein release
Term
Chemical Medicators
Definition
Cytokines
Chemokines
pro/anti-inflammatory cytokines
Term
Chronic Inflammation
Definition
After Initial Phase
Repeated bouts of inflammation
Insidious smouldering reaction
Term
Types of Inflammation
Definition
neutrophilic
Eosinophilic
Lymphocytic plasmacytic
Histiocytic and granulomatous
Term
Neutrophilic
Definition
bacterial inflammation
Term
Eosinophilic
Definition
allergic hypersensitivity
Term
Granulomatous Inflammation
Definition
bacteria, fungi, inorganic substances
-Dominated by marcophages w/lymphocytes
Term
Macrophages Activation
Definition
monocytes have single nucleus & no prominent granules, go into tissue and reside
-activated T cells produce lymphokines, influence monocytes to activate macrophages
-T cell recognize antigens and fight disease w/ macrophages
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