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The Eight Phases of Inflammation. The Eight Phases of Inflammation. Injury Utrastructural Changes Metabolic (Hypoxic) Changes Activation of Chemical Mediators Hemodynamic Changes Permeability Changes Leukocyte Migration Phagocytosis. Phases of Inflammation.
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The Eight Phases of Inflammation • Injury • Utrastructural Changes • Metabolic (Hypoxic) Changes • Activation of Chemical Mediators • Hemodynamic Changes • Permeability Changes • Leukocyte Migration • Phagocytosis
Phases of Inflammation • Injury - any event that impairs tissue structure • Trauma (most sports injuries) • macrotrauma (impact, contact) • microtrauma (overuse, friction)
Phases of Inflammation • Ultrastructural Changes • disruption of the cell membrane • contents of cell spill into extracellular spaces • caused by • trauma • hypoxia
Phases of Inflammation • Metabolic (Hypoxic) Changes • cells become deprived of oxygen (secondary hypoxic injury) • sodium pump fails • sodium increases in cell • cell membrane disruption • contents spill out
Phases of Inflammation • Activation of Chemical Mediators • Chemical mediators (histamine, bradykinin) spill out of the cell • Chemical mediators • notify body that cells have been damaged • mobilize the body=s resources to handle the situation • modify and regulate the rest of the inflammatory response
Phases of Inflammation • Hemodynamic Changes • arteries dilate enhancing blood flow • inactive capillaries and venules open • total blood flow increases, rate of flow decreases • leukocytes fall out of stream line and adhere to vessel wall
Phases of Inflammation • Permeability Changes • sizable gaps develop in the vessel walls. • leukocytes escape to injury site
Phases of Inflammation • Leukocyte Migration • leukocytes migrate in concentration-limited fashion • more chemical mediators, more leukocytes • 2 types of leukocytes • neutrophils • travel fast, arrive first • temporary first line of defense • live 7 hours • macrophages • second line of defense • live for months
Phases of Inflammation • Phagocytosis • process of digesting cellular debris into pieces small enough to be removed by the lymph vessels.