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Pathophysiology

Chapter 2 Inflammation and healing

AB
phagocytosisprocess by which neutrophils and macrophages randomly engulf and destroy bacteria, cell debris, or foreign matter
leukocytewhite blood cell
macrophages"vulture cells"; cell that can surround, inest, and destroy microorganisms, etc,
interferonsgroup of antiviral glycoproteins produced by viral-infected cells/nonspecific agents that protect unifected cells against viruses
hydrostatic pressuremovement of fluid, electrolytes, oxygen, and nutrients out of the capillary at the
osmotic pressuremovement of fluid, carbon dioxide, and wastes into the blood
first line of defensenonspecific defense mechanism when the mechanical barrier like skin or mucous membrane blocks entry of bacteria or harmful substances into the tissues
second line of defensenonspecific processes like phagocytosis and inflammation
third line of defensespecific defense mechanism in the body; immune system
inflammationresponse to tissue damage, indicated by redness, swelling, warmth, and pain and perhaps loss of function
chemical mediatorschemical released in the body during an inflammatory response or immune response like histamine, serotonin, prostaglandins, and leukotrienes
cytokinescommunicators in the tissue fluids, sending messages to lymphocytes and macrophages, the immune sytem, or the hypothalamus to induce fever
vasodilationrelaxation of smooth muscle causing an increase in the diameter of arterioles
hyperemiaincreased blood flow in an area, resulting in a warm, red area
permeabilityallowing substances to pass through
chemotaxismovement of cells toward or away form an area of the body in response to chemical signals; phagocytes move to an area of tissue injury
diapedesispassage of leukocytes through intact capillary walls to a site of inflammation
exudatecollection of interstitial fluid formed in the inflamed area
serouswatery exudate; fluid with small amounts of protein and WBC ie allergic reactions or burns
fibrinousthick and sticky w/ high cell and fibrin count; increases risk fo scar tissue
purulentthick, yellow-green in color and contain more leukocytes, cell debris, and microorganisms; indicates bacterial infection and reffered to as "pus"
abscesslocalized pocket of purulent exudate or pus in a solid tussue
malaisefeeling unwell
anorexialoss of apetite
pyrexialow grade or mild fever
pyrogensfever-producing substances
leukocytosisincreased WBS in the blood, especially neutrophils
differential countproportion of each type of WBC altered, depending on the cause
plasma proteinsincreased fibrinogen and prothrombin
C-reactive protein(CRP)a protein not normally in the blood, but appears with acute inflammation and necrosis within 24-48 hrs
erythrocyte sedimentation rate(ESR)rate at which RBCs settle out of a blood specimen(containing anticoagulant); an elevation in ESR is a characteristic of inflammation
fibrinogenplasma protein tha is formed into solid fibrin stands during the clotting process
isoenzymescell enzymes, specific to certain organs, that differ slightly in structure, but have similar functions
ulcersopen, crater-like lesion on the skin or mucous membranes
perforationhole through the wall of a tube or hollow structure
fibroblastsconnective tissue cells
granulomasmall mass of cells with a necrotic center and covered by CT associated w/ chronic inflammation or infection
glucorticoidssynthetic, steroidal chemicals that are related to the naturally occurring glucocorticoids, hormones produced by the adrenal cortex gland in the body
intra-articularinto joint
resolutionprocess that occurs when there is minimal tissue damage; damaged cells recover and the tissue returns to normals in short period of time
regenerationhealing process that occurs in damaged tissue in which cells are capable of mitosis
replacementtakes place when there is extensive tissue damage or the cells are incapable of mitosis; wound must be filled in and covered by some form of tissue
healing by first intentionprocess involved when the wound is clean, free of foreign material and necrotic tissue, nd the edges of it are held close together, creating minimal gap between the edges; ie surgical incisions
healing by second intentionsituation in which there is a large break in the tissue and consequently more inflammation, a longer healing period, and formation of more scar tissue
granulation tissuenewly developed fragile tissue, consisting of fibroblasts and blood vessels, formed during healing
collagenprotein that is the basic componenet of scar tissue and provides strength for the new repair
cytokinesgrowth factors produced by macrophages and fibroblasts to sttract more fibroblasts, which act as mitogens to stimulate epithelial cell proliferation nd migration
angiogenesisdevelopment of new blood vessels
tissue engineeringthe search for new methods of replacing damaged tissue where regeneration is not possible
contractureshortening of a muscle or scar tissue causing immobility and deformity of a joint or a structure
stenosisnarrowing
adhesionsbands of scar tissue joining two surfaces that are normally separated


San Fernando Valley Academy

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