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24 Cards in this Set

  • Front
  • Back

Innate defenses

nonspecific defenses


-physical


-chemical


-cellular


-inflammation


-fever


-molecular

Adaptive defenses

specific defenses

INNATE: Physical Barriers

skin & mucous membranes


-layers


-secrete mucus


-cilia


(washing action & reflexes-sneezing)

INNATE: Chemical Barriers

Skin- perspiration(salty)


- sebum (acidic)


Stomach- gastric acid


Body secretions- lysozyme

INNATE: Cellular Defenses

Blood

Blood composition

Fluid portion (60%)-plasma


Formed elements (40%)


-erythrocytes (RBCs)


-leukocytes (WBCs)


-platelets/thrombocytes (for clotting)



Leukocytes: neutrophils

aka: PMNs


phagocytic


active in initial infection- can enter tissue


-increase if bacterial

Leukocytes: eosinophils

somewhat phagocytic


-increase if parasites or allergy

Leukocytes: basophils

release histamine (role in allergies & inflammation)

Leukocytes: monocytes

mater in macrophages (phagocytic)

Leukocytes: lymphocytes

part of adaptive immunity: B & T cells


-increase if viral

Extracellular Killing

natural killer cells


-type of lymphocyte


-kills cells infected w/ virus


-excrete cytotoxic proteins

WBC differential count

neutrophils: 40-75%


lymphocytes: 20-45%


monocytes: 2-10%


eosinophils: 1-6%


basophils: 0-1%

Leprosy (Hansen's Disease)

100 cases in US last year (most immigrants from Asia, Africa, & Mexico


-2 dozen cases in US born patients each year


(armadillos)

Leprosy agent

mycobacterium leprae


-acid fast


-bacillus


-intracellular infection (macrophages)


-v. slow growing

Leprosy transmission

unsure- resp. droplets?


-not very contagious


-95% ppl naturally immune (genetic)

Leprosy 2 forms: tuberculoid

"anesthetic"


affects skin pigment


nerve damage


incubation: 2-5 yrs

Leprosy 2 forms: lepromatous

granulomas


due to host cellular defenses (macrophages)


incubation: 9-12 yrs



Leprosy diagnosis:

-skin scrapings (acid fast stain)


-won't grow in lab: obligate pathogen, lost genes for independent growth



leprosy treatment

long-term antibiotics (6-12 mo.)


-reduces granulomas but can't repair lost tissue


-free in endemic countries


* no vaccine

Leprosy WHO campaign

a massive international effort launched to eradicate leprosy- 16 million cured worldwide


-still 2-3 million permanently disabled


-WHO goal: no longer public health problem

Inflammation:

-occur w/ any tissue injury


"itis" -tonsillitis, etc


SYMPTOMS:


-heat


-redness


-swelling


-pain



inflammation cont.

damaged cells release variety of chemicals that trigger:


-vasodilation


-vascular permeability


-diapedesis (phagocytes into tissue: neutrophils:)


PUS= dead wBC's, microbes, tissue debris

inflammation benefits

1. destroy agent of injury


2. limit injury (clotting)


3. repair damaged tissue (scar)