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ba240 inflammation
GRCC BA240 Inflammation and healing
Question | Answer |
---|---|
exotoxins | produced/secreted by gram positive bacteria |
endotoxins | component of cell wall of gram (-) cells |
endospores | latent forms of some bacterial species with an outer coat that is resistant to heat and other environmental conditions |
prions | proteinaceous agents that are transmitted by the consumption of contaminated tissue. |
virulence | degree or measurement of pathogenicity (microbe that causes disease) of a microbe or pathogen |
bacteriostatic | drugs that inhibit bacterial reproduction, the body's own defense cells will destroy the organisms. |
dissemination (spreading)of the disease in the host the process of infection: | colonization, invasion, multiplication, spread |
Dissemination (clinical infectious disease) have different stages | incubation, prodromal, invasion, convalescence |
Dissemination of infectious disease: Incubation period | exposure to onset of sx |
Dissemination of infectious disease:prodromal stage | occurence of initial sx |
Dissemination of infectious disease: invasion period | colonization, immune/inflamatory response, sx related to pathogen |
Dissemination of infectious disease: convalescence | sx decline, recovery of health |
Counter-measures against infection | antimicrobials, immunizations, infection control |
antimicrobials | bactericidal/bacteriostatic antibiotics |
Human defense mechanisms are either | innate & acquired immunity |
How many levels of innate immunity? | First and second line of defense |
List some innate mechanism that are the first line of defense? | skin and MM, perspiration, saliva, tears, secretions, epithelial cells, normal bacterial flora. |
List some innate mechanism that are the second line of defense? | phagocytosis, inflammatory response, vascular response, 3 plasma proteins, opsonization. |
2nd line of defense: phagocytosis | neutrophils & macrophages randomly engulf and destroy bacteria, cell debris or foreign matter |
2nd line of defense: Inflammatory | this is as a rapid response, nonspecific & no memory cells. |
2nd line of defense: Vascular response | vasodilation leads to capillary permeability and WBC adhere to inner vessel walls & migrate through vessels. |
2nd line of defense: 3 plasma proteins | systems that provide biochemical barrier against pathogens (i.e. clotting, complement and kinin systems. |
How do plasma proteins work | they work with each other as well as with antimicrobial pepetids and cell components to prevent infection. |
opsonization | the process in which bacteria are altered and by oposins to become easily engulfed by phagocytosis. |
2nd line of defense: activation of complement | results in opsonization, cell lysis and leukocyte chemotaxis. |
Acquired immunity is what type of defense? | It is the third line of defense. |
Third line of defense is an acquired immunity is what type of system? | it is an innate system that signals cells of acquired/adaptive system producing a response that is VERY SPECIFIC towards an antigen, confers "memory" by T and Lymphocytes, antibodies & complement. |
Third line of defense: Immune system | Immune response |
Third line of defense: Cell mediated | activates macrophages, natural kill cells and T cells |
Third line of defense: Humoral | Secretes antibodies (b-cell) ; B- Cells transform to plasma which secrete antibodies. |
chemotaxis | smoke signal; chemicals send signals after injury that triggers immune response. (i.e. WBC released and phagocytize) |
When does injury or disease occur? | if all defenses are overcome |
Examples of barriers | digestive, respiratory, gi tracts, & skin form closed barriers between internal organs & environment |
What are some extrinsic causes of disease (comes from outside of body) | Cells, toxins, proteins...pretty much any mode via orifices as mode of entry. |
precapillary sphincter | restricts blood flow into capillary bed |
hydrostatic pressure & osmotic pressure influence what? | the movement of fluid, electrolytes, oxygen, and nutrients. |
What difference in number of dissolved substances in the tissues influence capillary exchange? | intersitial fluid and blood promote diffusion of substances across capillary membrane. |
What substances move out of capillary membrane? | electrolytes, glucose, oxygen & nutrients. |
What substances remain in the capillary? | albumin, globulin, fibrinogen |
mast cells contain which chemicals that is involved in the immune response | Histamine, chemotactic factors, leukotriens, prostaglandins |
Histamine is released from mast cells | causes vasodilation and increases capillary permeability. |
Chemotactic Factors released from mast cells | attract neutrophils to site |
Leukotrienes released from mast cells | responds later: vasodilation, Increase capillary, permeability, & chemotaxis....response is longer than histamine response. |
Antihistamine | inhibits mast cell from breaking open. |
Prostaglandins | Causes vasodilation, increases capillary permeability, pain, fever, and potentiates histamine effect. |
Platelet activating factor | platelet aggregation. |
cytokines | Increase plasma proteins, ESR, induce fever, chemotaxis (moves WBC) & leukocytes (increase WBC) |
Kinins | activates plasma protein which induces vasodilation, increases capillary permeability, pain and chemotaxis |
complement system | activates plasma protein cascade, vasodilation, increases cap permeability, chemotaxis, and Increase histamine release. |