\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{damn} \pdfinfo{ /Title (patho-unit3-inflammation-and-repair.pdf) /Creator (Cheatography) /Author (damn) /Subject (patho unit3 inflammation and repair Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{919E20} \definecolor{LightBackground}{HTML}{F8F8F1} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{patho unit3 inflammation and repair Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{damn} via \textcolor{DarkBackground}{\uline{cheatography.com/195477/cs/40963/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}damn \\ \uline{cheatography.com/damn} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 14th December, 2023.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{2} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Acute inflamation}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Vascular response}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{1. increase blood flow by vasodilation (histamine)+ vascular congestion} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{-\textgreater{} redness, heat} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{2. increase permeability of vessel by retraction and injury} \tn % Row Count 6 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{-\textgreater{} edema} \tn % Row Count 7 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{3. Lymph flow increase to drain extravascular fluid + secondary inflammation} \tn % Row Count 9 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Terminations}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. Mediator bursts rapidly due to short half lives e.g. neutrophil} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{2. Trigger stop signals} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- proinflammatory leukotriene to anti-inflammatory lipoxins} \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- release anti-inflammatory cytokines} \tn % Row Count 6 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Chemical mediators}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Cell-derived}} & {\bf{Plasma-derived}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} {\bf{1. Vasoactive amines}} & {\bf{1.Complement system}} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} - Histamine by mast cell & - Inflammation \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} - Serotonin by platelet aggregation & - Opsonisation \& Phagocytosis \tn % Row Count 7 (+ 2) % Row 4 \SetRowColor{LightBackground} \seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_} & - Cell lysis \tn % Row Count 9 (+ 2) % Row 5 \SetRowColor{white} {\bf{2. Arachidonic acid metabolites}} & \seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_} \tn % Row Count 11 (+ 2) % Row 6 \SetRowColor{LightBackground} Both by leukocyte in lipoxygenagse pathway & {\bf{2.Clotting system}} \tn % Row Count 14 (+ 3) % Row 7 \SetRowColor{white} {\bf{Leukotrienes}} & - Clotting system: induce thrombin formation \tn % Row Count 17 (+ 3) % Row 8 \SetRowColor{LightBackground} - LTC4,D4,E4: Vasoconstriction, increase vascular permeability & - Kinin system: vasoactive \tn % Row Count 21 (+ 4) % Row 9 \SetRowColor{white} - Inhibit by LT receptor antagonist & - Complement system \tn % Row Count 23 (+ 2) % Row 10 \SetRowColor{LightBackground} {\bf{Lipoxins}} & - Fibrinolytic system \tn % Row Count 25 (+ 2) % Row 11 \SetRowColor{white} - Suppress inflammation & \seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_} \tn % Row Count 27 (+ 2) % Row 12 \SetRowColor{LightBackground} {\bf{Prostacyclin}} & {\bf{3.Kinins}} \tn % Row Count 28 (+ 1) % Row 13 \SetRowColor{white} - PGI2, PDI2, PEI2: Vasodilation & - form bradykinin \tn % Row Count 30 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Chemical mediators (cont)}} \tn % Row 14 \SetRowColor{LightBackground} \seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_} & a. increase vascular permeability \tn % Row Count 2 (+ 2) % Row 15 \SetRowColor{white} {\bf{3.Cytokines\& chemokines}} & b. non-vascular smooth muscle contraction \tn % Row Count 5 (+ 3) % Row 16 \SetRowColor{LightBackground} {\bf{Cytokines}} & c. pain \tn % Row Count 6 (+ 1) % Row 17 \SetRowColor{white} - Tumor necrosis factor (TNF) \& interleukin-1 (IL-1) & 4. rapidly inactivated \tn % Row Count 9 (+ 3) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{a. Increase endothelial cell adhesion molecule expression} \tn % Row Count 11 (+ 2) % Row 19 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{b. Activation and aggregation of PMN} \tn % Row Count 12 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{c. Systemic acute-phase response:Fever} \tn % Row Count 13 (+ 1) % Row 21 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{Chemokines}}} \tn % Row Count 14 (+ 1) % Row 22 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{- Attract WBC} \tn % Row Count 15 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Chronic inflammation}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Causes}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{1. Prolonged inflammation} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{2. Prolonged toxic substance exposure} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{3. Autoimmune disease} \tn % Row Count 4 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Morphological change}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. Mononuclear cell infiltration (e.g. macrophage, lymphocyte, plasma cell)} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{2. Cell destruction by inflammatory cells} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{3. Repair attempts by fibrosis \& angiogenesis} \tn % Row Count 4 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Types of inflammation}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Granulomatus inflammation}} & {\bf{Defective inflammation}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} - Produce granuloma containing an difficult offending agent & -delayed wound healing \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} - squamous\textgreater{}epitheloid & {\bf{Excessive inflammation}} \tn % Row Count 7 (+ 2) % Row 3 \SetRowColor{white} - fuse\textgreater{} multinuclear giant cell & - Abnormal reaction of body e.g. allergy \tn % Row Count 9 (+ 2) % Row 4 \SetRowColor{LightBackground} & - Fibrosis \& tissue injuries \tn % Row Count 11 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Scar formation steps(Connective tissue deposition)}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. Angiogenesis} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{2. Granulation tissue formation} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{3. Connective tissue remodelling'} \tn % Row Count 3 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Cutaneous wound healing(1)}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Clean wound, only epithelial layer} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Inflammatory phase}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. Formation of blood clot} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Neutrophil appears after 24hrs} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Proteolytic enzyme to clean out debris and invading bacteria} \tn % Row Count 6 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Proliferative phase}}} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{1. Formation of granulation tissue}}} \tn % Row Count 8 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Induction of fibroblast and endothelial cell proliferation} \tn % Row Count 10 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Composed of newly formed thin capillaries \& loose ECM also} \tn % Row Count 12 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Peak at day5} \tn % Row Count 13 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- To cover the wound} \tn % Row Count 14 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{2. Angiogenesis}}} \tn % Row Count 15 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{i. {\bf{VEGF}} \textgreater{}Vasodilation\& I+permeability} \tn % Row Count 16 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{ii. Proteolytic degradation of parent vessel BM\textgreater{}\textgreater{} capillary sprout} \tn % Row Count 18 (+ 2) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{iii. Migration of endothelial cells toward angiogenetic stimulus} \tn % Row Count 20 (+ 2) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{iv. Proliferation of endothelial cell behind leading edge of migrating cells} \tn % Row Count 22 (+ 2) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{v.Maturation of end. cells into capillary tubes} \tn % Row Count 23 (+ 1) % Row 17 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{vi. Recruitment of periendothelial cells for mature vessel} \tn % Row Count 25 (+ 2) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{3.Cell proliferation and collagen deposition}}} \tn % Row Count 26 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Macrophage replace neutrophils after 48hrs (key cellular constituents\textgreater{} main resource for chemokines \& GF)} \tn % Row Count 29 (+ 3) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Migration and proliferation of fibroblast at injury site \textgreater{} secrete and deposit collagen} \tn % Row Count 31 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Cutaneous wound healing(1) (cont)}} \tn % Row 21 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Epithelial cells proliferate to centre of wound} \tn % Row Count 1 (+ 1) % Row 22 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Remodeling phase}}} \tn % Row Count 2 (+ 1) % Row 23 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{4. Scar formation}}} \tn % Row Count 3 (+ 1) % Row 24 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Granulation tissue\textgreater{}Scar} \tn % Row Count 4 (+ 1) % Row 25 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Composed of inactive spindle-shaped fibroblasts, dense collagen, fragments of elastic tissue, ECM} \tn % Row Count 6 (+ 2) % Row 26 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Pale, avascular} \tn % Row Count 7 (+ 1) % Row 27 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{5. Connective tissue remodeling}}} \tn % Row Count 8 (+ 1) % Row 28 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{-Balance between ECM synthesis \& degradation} \tn % Row Count 9 (+ 1) % Row 29 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Degradation of collagen \& MMPs \textgreater{} smaller \& softer scar} \tn % Row Count 11 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Defective}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{1.Defective scar formation}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Ulceration} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{2.Excessive sf}} (keloid)} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{3.Contracture}}} \tn % Row Count 4 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Cellular response}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{important leukocyte; neutrophil and macrophages} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{1. Adhesion to endothelium}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{a. Margination}}} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- stasis of blood \textgreater{}settle out the central flow and marginate along endothelium surface} \tn % Row Count 5 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{b. Rolling}}} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- complementary surface adhesion molecules sticks and release \textgreater{} rolling along} \tn % Row Count 8 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- mediated by selectins, regulated by cytokines} \tn % Row Count 9 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{c. Adhesion}}} \tn % Row Count 10 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- mediated by intergrins} \tn % Row Count 11 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{\seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_}} \tn % Row Count 12 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{2.Migration thru endo}}} \tn % Row Count 13 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{-secrete collagenase thru basement membrane} \tn % Row Count 14 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- migrate toward chemotactic gradient} \tn % Row Count 15 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{\seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_}} \tn % Row Count 16 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{3.Chemotaxi}}} \tn % Row Count 17 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{-neutrophil\textgreater{}monocyte\textgreater{}macrophage} \tn % Row Count 18 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{\seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_}} \tn % Row Count 19 (+ 1) % Row 17 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{4.Phagocytosis}}} \tn % Row Count 20 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{a. Recognition by receptors to sd signals} \tn % Row Count 21 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{b. Activation by cytosolic Ca2+ and enzymes} \tn % Row Count 22 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{c. Engulf \& Degradation} \tn % Row Count 23 (+ 1) % Row 21 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{d. anti-inflammatory effects and wound repair} \tn % Row Count 24 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{3.04 cm} x{4.96 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Morphologic patterns and systemic effects}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Morphologic patterns}} & {\bf{Cytokine-induced systemic reaction aka Acute-phase responses}} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} {\bf{1.Serous}} & 1.Fever by pyrogens \tn % Row Count 4 (+ 1) % Row 2 \SetRowColor{LightBackground} {\bf{2. Fibrinous }} & 2. Leukocytosis \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} - Increase cell fibrin & 3.Phase proteins \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} - risk of scar formation & - CRP, Fibrinogen,SAA \tn % Row Count 10 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{3.Purulent}}} \tn % Row Count 11 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{-Pus, leukocyte and debris} \tn % Row Count 12 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{4. Ulcer}}} \tn % Row Count 13 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{- Open lesion} \tn % Row Count 14 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Possible outcomes}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{1.Complete resolution}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{2. Fibrosis/scarring}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{3.Chronic inflammation}}} \tn % Row Count 3 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Cells and mediators}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Macrophage}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- dominant, from monocyte} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Activated by: }}} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{1. Classical pathway (microbicidal action)} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{2. Alternative pathway} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Functions}}} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. Phagocytosis and destruction} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{2. Initiate tissue repair \& scar formation and fibrosis involvement} \tn % Row Count 9 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{3. Secrete inflammation mediators (e.g. cytokines, clotting factors)} \tn % Row Count 11 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{4. Processing and presentation of Ag to immune system} \tn % Row Count 13 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Tissue repair -{}- Regeneration (Cell proliferation)}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Depend on:}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{1. Cell types (Ability to repair)} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{2. Degree of injury} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Proliferative potential}}} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. Labile (continuo)} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- e.g. epithelial cell, xxx tract} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{2. Stable} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- e.g. salivary gland} \tn % Row Count 8 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{3. Permanent} \tn % Row Count 9 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- e.g. neuron, myocardium} \tn % Row Count 10 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{} \tn % Row Count 10 (+ 0) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Regulation mechanism}}} \tn % Row Count 11 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{1. Growth factors }} (+population,size,mitosis,survival)} \tn % Row Count 13 (+ 2) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{-VEGF} \tn % Row Count 14 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{2. ECM}}} \tn % Row Count 15 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Cell-matrix interactions}}} \tn % Row Count 16 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{總之講緊growth同 differentiation要用at least 2 types of signal \seqsplit{一個就用soluble(growth} factor) \seqsplit{另一個就用insoluble(ECM)}} \tn % Row Count 19 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Secondary intention}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Cell loss more extensive} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Features}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{1. More intense inflammatory tissue} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{2. Abundant granulation tissue} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{3. ECM accumulation} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{4. Formation of large scar} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Destroyed appendage are permanently lost} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{5. Wound contraction}}} \tn % Row Count 8 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Reduce gap between dermal edge and wound area to close wound} \tn % Row Count 10 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Myofibroblast for mediator} \tn % Row Count 11 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{6. Fibrosis}}} \tn % Row Count 12 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Excessive collagen deposit} \tn % Row Count 13 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Pathologic process by persistent stimuli} \tn % Row Count 14 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{- Associated with loss of tissue} \tn % Row Count 15 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{- Long-lasting} \tn % Row Count 16 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Healing Factors}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Systemic}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{1. Overall nutrition e.g. VitC} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{2. Metabolic status \textgreater{} Vascular supply} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{3. Circulatory status} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{4. Hormones \textgreater{} Cortico :(} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{5. Age} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Local}}} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{1. Infection} \tn % Row Count 8 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{2. Movement} \tn % Row Count 9 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{3. Type, size, location} \tn % Row Count 10 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{4. Foreign bodies} \tn % Row Count 11 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}