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Pathology Exam II.2
Tissue Repair 9-24-07
17
Other
Not Applicable
09/24/2007

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Cards

Term
What is the best type of repair?
Definition
Resolution

is the best type of repair. It entails removal of tissue debris and inflammatory cells, drainage of fluid, and probably mild proliferation of the intact parenchymal cells (e.g., healing of lobar pneumonia).
Term
What do you call repair by fibrous tissue or scarring?
Definition
remodeling
Term
What do you call repair by the same type of cells as those destroyed? E.g. repair by proliferation of hepatocytes after liver cells injury
Definition
regeneration
Term
What growth factor is present in secretions and fluids?
Definition
EGF (Epidermal Growth Factor)
Term
What growth factor is present within platelet alpha granules, macrophages, endothelial cells, smooth muscle cells and some tumor cells?
Definition
PDGF (Platelet Derived Growth Factor)
Term
What growth factor helps repair by stimulating fibroblast chemotaxis, and production of collagen and fibronectin? It inhibits collage breakdown by inhibiting proteases.
Definition
Transitional Growth factor
Term
Which growth factor is confined to neural tissues?
Definition
(FGFs) Fibroblast Growth Factor
Term
Is an intact ECM (Extracellular matrix) required for tissue regeneration?
Definition
Yes, otherwise you get scar tissue
Term
Give three examples of labile cells.
Definition
1. Skin
2. Hematopoietic cells
3. Gastrointestinal mucosa
Term
Give three examples of stable cells.
Definition
1. Liver
2. Renal tubular cells
3. Glial cells in the CNS
Term
Give three examples of permanent cells.
Definition
1. Adult neurons
2. Renal glomeruli
3. Retinal epithelial cells
Term
What is the key characteristic of corneal neovascularization as opposed to other conditions?
Definition
The vessels must cross the limbus
Term
What are five systemic factors that effect wound repair?
Definition
1. Nutrition
2. Vitamin Deficiency
3. Age
4. Immune status
5. Other factors such as diabetes
Term
What are the local factors that effect wound repair?
Definition
1. necrosis
2. apposition
3. infection
4. blood supply
5. mobility
6. foreign body
Term
What are two things that inhibit collagen synthesis?
Definition
Vitamin C and protein deficiency and corticosteroids
Term
What can talcum powder on a wound do?
Definition
create a noninfective granuloma and delay healing
Term
What happens at the following stages of skin wound healing?

Immediate
24 hours
3-7 days
weeks
months
Definition
Immediate-blood clot fills the wound
24 hours-Inflammation, WBC moves to the site of injury

3-7 days-macrophage activity, granulation tissue, epithelial regeneration

weeks- fibrous vascular union with intact epithelium, mild inflammation

months-no inflammation, remodeling avascular thin scar, minimal contraction
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