Agents of injury | Inflammation | More inflammation | inflammation III | Wound Healing |
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What are 2nd degree burns
Temperature trauma associated with destruction of the epidermis however, irreversible dermal damage is not evident.
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What are the cardinal signs of Inflammation
RUBOR – REDNESS DUE TO INCREASED VASCULARITY
CALOR – INCREASED HEAT DUE TO INCREASED BLOOD FLOW TUMOR – INCREASE IN SIZE – SWELLING (EDEMA) DUE TO LEAKAGE OF FLUID (TRANSUDATION) DUE TO LEAKAGE OF CELLS (EXUDATION) DOLOR – PAIN - PRESSURE OF INCREASED FLUID (EDEMA) ON NERVE ENDINGS AND/OR RELEASE OF CHEMICAL MEDIATORS (KININS) FUNCTIO LAESA – LOSS OF TISSUE FUNCTION |
What is an empyema
PURULENT EXUDATE IN A SEROUS SPACE
(MESOTHELIAL LINING) for example: PERICARDIUM PLEURAL SPACE PERITONEUM |
What are kinins
IN INFLAMMATION ________ BRING ABOUT: VASCULAR DILATION,
INCREASED VASCULAR PERMEABILITY, CHEMOTAXIS (CHEMICAL ATTRACTION), INCREASED EMIGRATION OF LEUKOCYTES. |
First Intention
FIBRIN FORMS A WEB BETWEEN THE TWO
EDGES. FIBROBLASTS BIND THE WOUND EDGES TOGETHER BY DEPOSITING COLLAGEN. THE SKIN SURFACE GROWS (REGENERATION) OVER. USUALLY THE 7TH DAY UNION IS COMPLETE |
What are idiosyncrasias
Chemistries from different people might react differently, in response to chemical agents
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What does the inflammatory response do
This RESPONSE DILUTES,
WALLS OFF AND/OR DESTROYS THE INJURIOUS AGENT AND/OR THE DYING CELLS. |
What are some clinical sign of inflammation? for example, acute inflammation in the liver would present as...?
SEROUS SPACES – EMPYEMA
LIVER – JAUNDICE KIDNEY – HEMATURIA LUNGS – HEMOPTYSIS STOMACH - HEMATEMESIS |
What are the 3 steps in the Leukocytic response?
MARGINATION
PAVEMENTING EMIGRATION |
Second intention
BLOOD AND EXUDATE FORMS A SCAB OR CRUST.
BENEATH THE CRUST THE INFLAMATORY PROCESS IS ACTIVE. GRANULATION TISSUE FORMS AND EPIDERMAL CELLS CONTINUE TO PROLIFERATE. THE END PRODUCT IS A SCAR. |
What are DNA viruses
Some examples are:
ADENOVIRUS-SINUS INFECTION HEPADNA VIRUS-HEPATITIS HERPESVIRUS-COLD SORES, ZOSTER PAPILLOMAVIRUS-WARTS |
What is cellulitis
INFLAMMATION IN THE CONNECTIVE TISSUE
WHERE NECROSIS IS NOT VERY EXTENSIVE. |
What is a granuloma
COLLECTION OF MACROPHAGES (HISTIOCYTES OR EPITHELIOID CELLS)
WHICH MAY BE SUROUNDED BY FIBROUS TISSUE. THEY MAY HEAL BY SCARRING, BECOME CALCIFIED OR DEMONSTRATE CENTRAL NECROSIS. |
What is margination
WHITE CELLS ADHERE TO THE
ENDOTHELIAL LINING OF VENULES. |
Scarring
CONNECTIVE TISSUE REPAIR
- GRANULATION TISSUE |
RADIATION SYSTEMIC EFFECTS
ERYTHEMA - REDNESS
EDEMA – FLUID INCREASE NECROSIS – CELL/TISSUE DEATH REPAIR – EPITHELIAL/CT TISSUE are systemic effects of what? |
Granulation tissue is characterized by what?
PROLIFERATING ENDOTHELIAL CELLS
PROLIFERATING FIBROBLASTS CHRONIC INFLAMMATORY CELLS MACROPHAGES LYMPHOCYTES |
What is a complement protein?
ENZYMATIC PROTEINS THAT INTERACT TO COMBINE WITH AN ANTIGEN/ANTIBODY COMPLEX.
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What is pavementing (rollling)
AS MUSCULES RELAX, VASCULAR SWELLING CAUSES DILATATION, THE ENDOTHELIAL CELLS ARE SPREADING APART.
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Desmoplasia
FIBROUS TISSUE RESPONDING
TO TUMOR |
CONTUSION
(BRUISE) FORCE OF IMPACT IS TRANSMITTED THROUGH THE SKIN
TO UNDERLYING ORGANS WITH ENOUGH INTENSITY TO DAMAGE |
What is transudate
STERILE FLUID CONTAINING FEW CELLS WITH A SPECIFIC GRAVITY
LESS THAN 1.015 AND A PROTEIN CONTENT LESS THAN 3 gm%. THE CONTENT IS CLEAR AND USUALLY RICH IN ANTIBODIES (AB). |
What is HAGEMAN FACTOR
LYSOSOMES OF DEAD OR DYING CELLS RELEASE
AN ACTIVATOR called _______________WHICH REACTS WITH AN INACTIVE PRECURSOR FROM THE BLOOD (KALLIKREINOGEN) WHICH RELEASES |
What is leukocyte emigration
THE LEUKOCYTES ENTER THE BASEMENT MEMBRANE AND PASS THROUGH THE VESSEL WALL BY
AMEBOID ACTIVITY. |
LASSITUDE
WEAKNESS/EXHAUSTION
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