An Overview and The Upper Respiratory Tract Flashcards

1
Q

What is the role of the respiratory system?

A

Connected organs and structure that function to conduct clean, warm and moist air in close proximity with the circulatory system’s blood for gas exchange

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2
Q

What does the respiratory system need to be effective?

A
  • A surface for gas exchange
    - blood and air brought close together but separated
  • A path or air to flow to reach the gas exchange surface in optimal condition
  • Ability to draw breath in and out (repetitively)
  • Plus: sound production and olfaction (smell)
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3
Q

What are the main components of the respiratory system?

A
  • upper respiratory tract (URT) (nose to pharynx)
  • lower respiratory tract (LRT) (larynx to alveoli)
  • plus:
    • thoracic cavity
    • joints
    • respiratory muscles
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4
Q

What are the zones of the upper respiratory system?

A

Respiratory zone:
- Bronchioles to alveoli
- Sites for gas exchange

Conducting zone:
- nose to brachioles
- ensure air is warm, clean and moist

Conducting zone branches into two sections, the nasal cavity (olfaction - only air passes through here) and the oral cavity (food and air)

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5
Q

Describe the epithelia in the respiratory system

A

Tract lined with mucosa (mucous producing layer): epithelium attached via basement membrane to lamina propria (the underlying layer of connective tissue that holds the basement membrane down).

Epithelium changes along length of tract to reflect function.
- Most of the conducting region:
- Respiratory epithelium
- Where air and food travel:
- stratified squamous
- Site of gas exchange:
- simple squamous
- Olfaction:
- olfactory mucosa

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6
Q

Describe a brief overview of the histological structures

A

Most body organs are lined with mucosa:
- epithelia
- attached via a basement membrane
- to the lamina propria
- connective tissue
- may contain glands
Below this is usually a submucosal layer
- more connective tissue
- depending on the region, may contain many glands

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7
Q

Describe the respiratory epithelium

A

Actual name is Pseudostratified ciliated columnar epithelium (with goblet cells).
- found in the nasal cavity, part of pharynx, larynx, trachea and bronchi

  • Is produced by stem cells called basal cells as they need to be regenerated. They are also directly attached to the basement membrane.
    Goblet cells produce mucus
  • traps debris, moistens air
    Ciliated cells
  • patterned movement pushes mucus towards the pharynx
  • swallowed and digested by stomach acid
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8
Q

What are the components and functions of the URT?

A
  • nose and nasal cavity
  • paranasal sinuses (more of an accessory structure)
  • pharynx
    - nasopharynx
    - orophrynx
    • laryngopharynx

Functions:
Conducting passage
- prepares air for respiratory membrane (gas exchange)
- warm, clean, moist
- paranasal sinuses - resonating chambers for speech
- olfaction - sensory receptors for smell

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9
Q

Describe the nose

A
  • primary passageway for air
  • cartilages
    • soft, flexible
    • maintain patent (unobstructed) airway
  • nostrils
    • external nares
  • vestibule (passageway) lined with skin
    • has sebaceous and sweat glands, hair follicles
    • vibrissae (hairs) filter inhaled air

Note: patent means always open

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10
Q

Describe the bones of the nasal cavity

A
  • nasal septum in midline
    • anterior - cartilage
    • posterior - bone
  • internal nares open into nasal pharynx
  • roof of cavity formed by two types of bones
  • floor of cavity formed by hard and soft palates
  • conchae on lateral walls
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11
Q

Describe the conchae

A
  • three projections
    • superior, middle and inferior conchae (turbinates - called this because they spin air around so it can be cleansed)
  • covered by respiratory epithelium
  • swirl inspired air
  • particles stick to mucosa
  • more time for warming and humidifying or air, plus olfactory detection
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12
Q

Describe the nasal epithelium

A
  • Nasal cavity
    • mostly respiratory epithelium
    • plus, specialised area of olfactory epithelium
      • area on roof of nasal cavity, contains smell (olfactory) receptors

Note: nasal epithelium and respiratory epithelium are NOT the same

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13
Q

Describe nasal mucosa

A
  • Epithelium sits on lamina propria
  • Thin-walled vascular plexus
  • Helps warm incoming air
  • When air temp drops, plexus dilates = greater heat transfer
  • nose bleeds normally originate from damage here as capillaries are very close to the surface
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14
Q

Describe paranasal sinuses as well as their functions

A
  • Sinus = cavity within a bone (normally air filled)
  • paranasal = surrounding the nose
  • found within four types of bones
  • lined with respiratory mucosa
  • drain into pharynx

Functions:
- lighten skull (by balancing air pressure in head and outside)
- increased surface area to clean, warm and moisten air
- sound resonance
- infected mucus can block drainage = blocked sinuses

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15
Q

Describe the pharynx

A
  • commonly called the throat
  • muscular funnel-shaped tube shared by respirator and digestive system
  • three regions
    • nasopharynx (air passage ONLY)
    • oropharnynx
    • laryngopharynx
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16
Q

Describe the nasopharynx

A
  • air passage only
    • respiratory mucosa
  • posterior to the nasal cavity
  • from internal nares to soft palate
  • soft palate and uvula block the nasopharynx during swallowing to prevent food from entering the nasal cavity
  • auditory tubes drain here from the middle ear
  • pharyngeal tonsils (adenoids) on the posterior wall
17
Q

Describe the oropharynx

A
  • air and food can pass
    • stratified squamous epithelium = protection against abrasion
  • posterior to oral cavity
  • from soft palate to hyoid bone
  • palatine tonsils
  • lingual tonsils (allow us to speak)
18
Q

Describe the laryngopharynx

A
  • air and food can pass
    • stratified squamous epithelium
  • from hyoid bone to opening of larynx/beginning of esophagus
  • ends at the level where respiratory and digestive tracts diverge
  • food has ‘right or way’ during swallowing