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response of vascularized tissues that delivers leukocytes and molecules of host defense from the circulation to the sites of infection and cell damage in order to eliminate the offending agents

inflammation

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5Rs of Inflammatory Reaction

Recognition, Recruitment, Removal, Regulation, Repair

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____ of the noxious agent that is the initiating stimulus for inflammation.

Recognition

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The cells involved in inflammation (tissue-resident sentinel cells, phagocytes, and others) are equipped with receptors that recognize microbial products and substances released from damaged cells.

Recognition

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Leukocytes and plasma are in the tissues; Since blood perfuses every tissue, leukocytes and proteins such as complement can be delivered to any site of microbial invasion or tissue injury.

Recruitment

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the stimulus for inflammation is accomplished mainly by phagocytic cells, which ingest and destroy microbes and dead cells

Removal

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The response is important for terminating the reaction when it has accomplished its purpose.

Regulation

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consists of a series of events that heal damaged tissue.

Repair

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In this process the injured tissue is replaced through regeneration of surviving cells and filling of residual defects with connective tissue (scarring).

Repair

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What are the major participants in the inflammatory reaction in tissues?

Blood vessels and Leukocytes

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Protective inflammatory reactions to infections are often accompanied by local tissue damage and its associated signs and symptoms (e.g., pain and functional impairment)

Harmful consequences of inflammation

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Much of this discussion focuses on the inflammatory response to a localized infection or tissue damage.

Local and Systemic Inflammation

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can trigger the elaboration of inflammatory mediators and thus elicit inflammation.

Microbes, necrotic cells, & hypoxia

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The vascular and cellular reactions of inflammation are triggered by soluble factors that are produced by various cells or derived from plasma proteins and are generated or activated in response to the inflammatory stimulus.

Mediators of Inflammation

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a rapid, often self-limited, response to offending agents that are readily eliminated, such as many bacteria and fungi, and dead cells

Acute Inflammation

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characterized by the exudation of fluid and plasma proteins (edema) and the emigration of leukocytes, predominantly neutrophils

Acute Inflammation

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It is a response to agents that are difficult to eradicate, such as some bacteria (e.g., tubercle bacilli) and other pathogens (such as viruses and fungi), as well as self antigens and environmental antigens

Chronic Inflammation

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may follow acute inflammation or arise de novo.

Chronic

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are among the most common and medically important causes of inflammation.

Infections and Microbial toxins

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elicits inflammation regardless of the cause of cell death.

Tissue necrosis

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