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How do WBCs enter injured area?
WBCs express adhesive proteins, attaching to blood vessel
lining, squeeze between cells (diapedesis), and follow
inflammatory mediators to injured area
What is the first group of WBCs that enter injured site?
Neutrophils due to being smaller in size than monocytes
,How do you detect presence of inflammation?
Blood sample and look for increased WBCs
What causes WBC production?
Inflammatory mediators
What does the acute-phase response affect
Thermoregulation, CNS function, skeletal muscle metabolism,
and liver metabolism
What do macrophages release?
Cytokines
What do cytokines do
Produce fever, induces neutrophilic, WBC production, muscle
metabolism leading to amino acid release and muscle wasting,
breakdown of skeletal muscle, induce synthesis of acute-phase
proteins
,Cytokines cause what in the bone marrow during acute phase
response
neutrophilia, and leukocytosis
Cytokines affect the brain by
Producing fever, fatigue, malaise, decreased appetite, sleepy,
shivering
How does acute-phase response occur?
Mediated by chemical substances released by WBCs
What is the hepatic acute-phase response?
Liver makes fibrinogen and C-reactive proteins
What do fibrinogen and C-reactive proteins do?
Facilitate clotting, bind to pathogens (to moderate
inflammatory response), leading to increased erythrocyte
sedimentation rate and all raising inflammation (diagnostic
indicators)
, What happens when fibrinogen is produced and high?
RBCs form stacks, resulting in fast
sedimentation in test tube
What happens when acute inflammation becomes chronic?
Often contain a threat, can change structure of tissue, causing
functional problems. Instead of the destroyed tissue being
replaced by the same, collagen is produced, forming scarred
tissue.
How does chronic inflammation occur?
It occurs by macrophages accumulating in damaged area and
constant release of inflammatory mediators
What is the "walling-off" effect of inflammation?
Isolates inflamed tissue and prevents it from spreading and
destroying healthy tissue
What is atherosclerosis?
Plaque (atheroma) buildup in arterial walls