Introduction

   

Acute Inflammation:

Acute inflammation is the immediate and early response to tissue injury. It involves alterations to blood flow, increased vascular permeability and leucocyte emigration. These result in heat, redness and swelling of the region. Pain is the result of the release of substances such as prostaglandins.

Vascular changes involve the following processes:

  • Brief vasoconstriction - only for a few seconds

  • Vasodilation - increased blood transport to the area and elevated temperature

  • Increased permeability - allows protein rich fluid (exudate) to enter tissues.This helps to dilute toxins and bacteria, and increases the delivery of complement proteins to the region.

  • Stasis of blood flow - this maintains fluid accumulation in the region and permits margination and emigration of neutrophils through the vessel walls.

Neutrophils are the acute phase leucocytes and dominate the first 2 days of most inflammatory reactions prior to the accumulation of large numbers of macrophages.

Inflamed colonic mucosa – foal. Redness is a hallmark of inflammation.

It is important to distinguish pre-mortem rupture of gut from post-mortem rupture. In this case, there is pre-mortem rupture of the stomach in this horse.

Cases

Review Questions

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