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pathophys
pathophys
41
Biology
Graduate
10/12/2008

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Term
what is stasis?
Definition
increased viscosity
Term
Name two opsonins.
Definition
IgG and C3b
Term
what does c3a and c5a do together and separately?
Definition
both: increase permeability and dilation, c5a also initiates AA metabolism.
Term
what does thrombin do?
Definition
increase vascular permeability, wbc adherence, and fibroblasts.
Term
name the two AA metabolites.
Definition
lipoxygenase (leukotrienes) and COX (thromboxane and prostaglandin)
Term
what do the metabolites of AA in the cycloxygenase pathway do?
Definition
thromboxane: increase vasoconstriction and platelet aggregation

prostaglandin: increase vascular permeability and vasodilation.
Term
what is one cell that sequesters histamine?
Definition
basophils
Term
what do leukotriene c, d, and e4 do?
Definition
stimulate smooth muscle contraction, increase vascular permeability, involved in allergies.
Term
what promotes interleuken secretion?
Definition
endotoxins or physical injury
Term
what do interleukins do?
Definition
induce the synthesis of adhesion molecules, nitric oxide synthesis, aggregation of neutrophils, systemic acute phase rxn.
Term
what makes the adhesion molecules?
Definition
interleukens
Term
where does autocrine bind? paracrine? endocrine?
Definition
surface; neighbor; travels
Term
what makes nitric oxide?
Definition
endothelial cells and macrophages
Term
what is platelet activating factor made by?
Definition
everything
Term
what does PAF do?
Definition
increase permeability/vasodilation, platelet aggregation, AA metabolism, leukocyte adherence
Term
what do neutophils release?
Definition
paf, leukotrienes, prostaglandins, lysosomal enzymes.
Term
what do b lymphocytes secrete?
Definition
antibodies and Igs!
Term
what do macrophages release?
Definition
paf, leukotrienes, prostaglandins, cytokines, lysosomal enzymes
Term
what do macrophages release?
Definition
paf, leukotrienes, prostaglandins, cytokines, lysosomal enzymes
Term
what activates macrophages?
Definition
chemical mediators
Term
what is in eosinophils?
Definition
histamin
Term
what is in basophils?
Definition
histamine and heparin
Term
where is IgM found?
Definition
blood and lymph
Term
what is the first type of Ig produced in infection response?
Definition
IgM
Term
describe type I hypersensitivity.
Definition
allergy! IgE! binds to mast cells, histamine released.
Term
describe type II hypersensitivity.
Definition
cytotoxic. IgG and IgM bind to FIXED antigens. triggers MAC attack.
Term
example of type II hypersensitivity?
Definition
myasthenia gravis, graves disease
Term
describe type III hypersensitivity.
Definition
immune complex mediated. IgG and IgM bind to CIRCULATING antigens. makes huge meshwork and deposits in tissues.
Term
examples of type III hypersensitivity?
Definition
injection site redness, systemic=lupus, bvs=vascular disease, jt space=artritis.
Term
describe type IV hypersensitivity.
Definition
t-cell mediated/delayed type. DOESN'T REQUIRE ANTIBODY! response delayed 24-48 hours. need 2 exposures.
Term
granulomatous inflammation=?
Definition
giant cells and epitheliod cells.
Term
name the morphologic patterns of inflammation.
Definition
serous, fibrinous, suppurative, ulcerative.
Term
Name and describe the four steps of scar formation.
Definition
1. angiogenesis: migration and proliferation of endothelial cells. 2. fibroblast migration 3. ECM deposition. 4. CT remodelling.
Term
what is granulation?
Definition
beginning of scar. made of capillaries, fibroblasts, ec fluid, macrophages.
Term
function of granulation tissue?
Definition
fill in gaps, remove dead cells, aid in wound contraction, pre-scar.
Term
what is primary wound healing?
Definition
deep gash
Term
what is secondary wound healing?
Definition
longer inflammation, more granulation, pronounced scar.
Term
what are some complications of wound healing?
Definition
proud flesh, keloid formation, wound dehiscence, contracture
Term
what is proud flesh?
Definition
too much granulation
Term
what is wound dehiscence?
Definition
mechanical stress
Term
what happens in contracture?
Definition
excess wound contraction. myofibroblasts work too well.
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