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40 Cards in this Set

  • Front
  • Back
5 Spectra of inflammatory responses to infection.
1. Suppurative
2. Mononucleus/granulomatous
3. Cytopathic-proliferative
4. Necrotizing
5. Chronic to scarring
Characteristics of suppurative
1. Vascular permeability
2. Neutrophils
3. GPC/GNR = PUS PUS PUS
Examples of suppurative
1. Abscesses
2. Lobar pneumonia
Synonyms for suppurative
acute, purulent, pyogenic, neutrophilic
Definition of granuloma
Collection of macrophages (other inflammatory cells not required)
Typical granulomatous responses
Fungi, intracellular bacteria/parasites, helminths, spirochetes, or random foreign material.
Features of granulomas
Caseating necrosis, lymphoid infiltrates, inclusions
Histo evidence of a granulamatous infxn
Langhans multinucleated cell
Definition of a cytopathic-cytoproliferative inflammation
Cell rxns to virus mediated damage to host cells (inflammatory response not required)
Examples of a cytopathic-proliferative inflammation
1. Cellular inclusions
2. Multinucleation
3. Cell necrosis
4. Dysplasia
HIsto Example of an intranuclear inclusion
Ground glass inclusions in Herpes infections
Histo example of multinucleation
Esophageal herpes simplex infected squamous cell
Histo example of cell necrosis
Herpes liver infxn (cells appear black)
Histo appearance of HPV infected squamous mucosa
nuclear enlargement, koilocytic change. Nucleus appears in a weird bubble.
Severe HPV infxns induce. . .
squamous cell proliferation
Characteristics of necrotizing inflammation
Infectious agent produces toxins, the end result is severe damage and cell death.
Two types of necrotic lesions
1. Ischemic - blood loss
2. Liquefactive - cell is digested
Two examples of necrotizing inflammation
Clos perf. gangrene, Group A strep fasciitis
Characteristics of chronic inflammation
No more neutrophils, but mononuclear, lymphocytes, fibroblast proliferation
Culture of infectious agents
Specific, but out of clinical or histological context
Routine histopathology and 3 types.
Direct contextual view, less specific. Histochemical stains, immunoperoxidase rxns, nucleic acid probes
Staph aureus
pyogenic skin infxns, lesions (boils, carbuncles, impetigo, scalded skin syndrome)
Furuncle
Abscesses which rupture the overlying skin
Carbuncle
Deeper abscesses, inflammation runs laterally beneath skin and fascia, multiple adjacent skin sinuses
Paronychia
Abscesses at nail bed
Felon
Abscesses at palmar fingertip
Full list of staph aureus infections
TSST, focal skin infxn, wound infxn, impetigo, endocarditis, pulmonary infections, food poisoning
Streptococcus skin infections
1. Localized acute (carbuncle)
2. Invasive (cellulitis)
3. TSST
4. ARF and glomerulonephritis
Impetigo
Neutrophil inflammation of the epidermis
Erysipelas
inflammation of the dermis
Cellulitis
Acute inflammation of the soft tissue (adipose)
Fasciitis
Acute inflammation of deeper fascial plane
Diseases of clostridium perfringens
Anaerobic cellulitis, septicemia, myonecrosis
Key toxin of clostridium perfringens
Alpha toxin: degrades lecithinase destroying RBCs, platelets, skeletal muscle.
Sulfur granule
A clump of actinomyces organisms ringed by neutrophils
Non-spore-forming anaerobic infxns
Bacteroides, Prevotella, Fusobacterium, and Actinomyces
Common causes of non-spore-forming anaerobic infections
Intra-abdominal abscesses secondary to surgery, visceral perf, septic abortion, salpingitis
Histo appearance of a neutrophilic abscess
discoloration, foul odor, fibrous or fibrinous wall
Who gets opportunistic infections
1. HIV
2. Cancer
3. Transplant
4. SYSTEMIC STEROID TREATMENT
OI - CMV Histo
"Owl's eye" cells, focal necrosis, chronic inflammation -- endo and epi