Lcture1: INFLAMMATION By : Dr . Raafat AL- Awadhi Medical surgical nursing (l(
Definition : is a local reaction of vascularized living tissue to an injurious agent , provided that the stimulus is not so strong to cause immediate cell death ( necrosis to tissue ). Is protective response involving host cells , blood vessels , protein and other mediators . INFLAMMATION
Causes : Physical : heat , cold , radiation …. ect . Chemical : poisons , acids ,…… ect Infective agents : bacteria , virus , …. ect Immunological : antigen _antibody reaction Aim of inflammation : Elimination of causative agent. Dilution of toxins . Prepare tissue for repair .
INFLAMMATION
Physical causes-heat
Physical cause _cold
Physical cause_irradiation
Chemical cause
Infective cause _ fungi
Infective cause _ virus
Nomenclature Is Inflammation is designed by adding the suffix itis to the organ affected . EXAMPLES: Appendix Appendic itis Tonsil Tonsill itis Bronchus Bronch itis
Nomenclature _ with some EXCEPTIONS as : _ pleurisy _ pneumonia
Types of inflammation : Acute inflammation. Chronic inflammation. Sub acute inflammation.
Acute inflammation It has sudden onset AND short duration ( hours to few days ). Maximum 2 weeks . -It is the immediate and early response. Characterized by PNL Polymorph nuclear leukocytosis .
Morphological pattern of acute inflammation
Morphological pattern of acute inflammation
Chronic inflammation - It has gradual onset AND long duration (days to years ). - Characterized by Lymphocytes , plasma cell, macrophages .
Sub-acute inflammation MIXED BETWEEN Acute AND Chronic inflammation
Systemic Manifestation of Acute inflammation Fever. Insom m ia. 3-Myalgia. 4 - Arthr l gia. 5-Fatigue. 6-Decrease Appetite(Anorexia) 7-Increase WBC. 8-Increase ESR. 9-Increase CRP.
Complication of Inflammation 1 -Alceration : Loss Of Epithelial Covering ــــ Scar. 2- Sinus : blind tract Fistula : Opened Tract Between Two Epithelial surface infection keloid