Pathophysiology involved in the manifestations of acute inflammation
Mr. Jones dropped a 75-lb bag of concrete on his right foot. What is the pathophysiology involved in the manifestations of acute inflammation, which include swelling, pain, heat, and redness?
Sample Solution
The pathophysiology of acute inflammation is a complex process that involves a variety of cells and signaling molecules. The following is a brief overview of the process:
- Tissue injury: When tissue is injured, cells release damage-associated molecular patterns (DAMPs). DAMPs bind to pattern recognition receptors on immune cells, such as macrophages and mast cells. This activates the immune cells and triggers the inflammatory response.
- Vasodilation: Vasodilation is the widening of blood vessels. This allows more blood to flow to the injured area, which delivers oxygen and nutrients to the healing cells and removes waste products.
Full Answer Section
- Increased vascular permeability: Increased vascular permeability is the leakage of fluid and proteins from blood vessels into surrounding tissues. This causes swelling and pain.
- Neutrophil infiltration: Neutrophils are a type of white blood cell that are the first to arrive at the site of an injury. They phagocytose (engulf and destroy) bacteria and other foreign particles.
- Cytokine production: Cytokines are signaling molecules that are released by immune cells. They play a role in recruiting other immune cells to the site of injury and in promoting the healing process.
- Swelling: Swelling is caused by increased vascular permeability and by the accumulation of fluid and cells in the injured area.
- Pain: Pain is caused by the release of inflammatory mediators, such as bradykinin and histamine. These mediators stimulate pain receptors in the injured area.
- Heat: Heat is caused by increased blood flow to the injured area.
- Redness: Redness is caused by increased blood flow to the injured area and by the release of histamine, which dilates blood vessels.
- When the bag of concrete fell on Mr. Jones's foot, it caused tissue damage.
- The damaged cells released DAMPs, which activated the immune cells in his foot.
- The activated immune cells released inflammatory mediators, such as bradykinin and histamine. These mediators caused vasodilation, increased vascular permeability, and the recruitment of neutrophils to the site of injury.
- The neutrophils phagocytosed bacteria and other foreign particles.
- The immune cells also produced cytokines, which promoted the healing process.
- Rest: Resting the injured area reduces inflammation and swelling.
- Ice: Applying ice to the injured area can help to reduce pain and inflammation.
- Compression: Wrapping the injured area in a compression bandage can help to reduce swelling.
- Elevation: Elevating the injured area above the level of the heart can help to reduce swelling.
- Over-the-counter pain relievers: Over-the-counter pain relievers, such as ibuprofen and acetaminophen, can help to reduce pain and inflammation.
- Prescription medication: In some cases, prescription medication, such as corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs), may be necessary to reduce inflammation and pain.
- Wearing proper footwear: Wearing proper footwear can help to prevent injuries to the feet.
- Avoiding repetitive motions: Repetitive motions can lead to injuries to the muscles, tendons, and bones.
- Maintaining a healthy weight: Maintaining a healthy weight can help to reduce the stress on the joints and muscles.
- Eating a healthy diet: Eating a healthy diet can help to reduce the risk of developing chronic diseases that can lead to inflammation, such as arthritis and heart disease.
- Exercising regularly: Regular exercise can help to strengthen the muscles and bones and improve circulation.