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PATHO TEST 2

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Question
Answer
Acute inflammation   Rapid onset terminates quickly chemical mediators orchestrate response  
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Three stages of acute inflammation   Increased vascular permeability - WBC platelets get through to inflammation (histamine) Cellular Chemotaxis - movement Systemic response  
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White Blood Response   1st 6-24 hours - Neutrophils - Replaced by monocytes 24-48 hours - monoctyes to macrophages - macro predominate in persistant inflammation - macro carry our phagocytosis Viral infections - lymphocytes dominate  
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Systemic responses in acute inflammation   Fever lymphadenopathy anorexia sleepiness lethargy anemia weight loss chemical mediators - pyrogens, TNF-alpha, interleukins, drugs to reduce inflammation target these ^^  
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Fever   Pyrogens cause fever WBCs and microorganisms release signals causing prostaglandins to reset temperature anti-prost reduce fever Fever onset - shivering to increase temp Fever "breaks" - sweating to reduce temperature  
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Reyes syndrome   never give aspirin to children to reduce fever, cause swelling in brain  
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Outcomes of acute inflammation   Complete resolution Healing by connective tissue -regeneration of normal cells does not occur -excessive proliferation of connective tissue, fibrous scar tissue formed Chronic inflammation -resolution does not occur -extensive tissue damage occur  
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Chronic Inflammation   inflammation for weeks or months with no resolution or healing persistant infection - tuberculosis, syphilis, viruses hypersensitivity disorders - RA, SLE Exposure toxic agents - coal dust - anthracosis (black lung) Athersclerosis -chronic inflam. dis  
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Chronic differ from acute   Predominance of monocytes, lymphocytes, and macrophages Continual secretion of cytokines damage healthy tissues stimulating further inflammation Granuloma formation - macrophages aggregate and are transformed into epithelial like cells  
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C vs A   T and B lymphocytes amplify and perpetuate inflammatory signals - autoimmune disorders - EX: RA, Lupus  
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Created by: Mplaster
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