Ch. 10: Disorders of Respiratory Tract Flashcards
Diff b/w Right main bronchus and left main bronchus
Right is more vertical bc there’s a heart on the left side (so most things go to the right)
diff be/w bronchus and bronchiole
bronchus has cartilage (can’t contract well so bronchiole does more of that)
Type II pneumocyte makes
surfactant
which pneumocyte more numerous and deals with gas exchange?
Type I
measures lung volumes and flow rate
spirometry
the amount of air expelled from maximal expiration after maximal inspiration
forced vital capacity (FVC)
forced expiratory volume in one second
FEV1
spirometry ratio
FEV1/FVC
FEV1/FVC ration obstructive disease
low (FEV1 decreases and FVC increases)
FEV1/FVC ration restrictive disease
near normal (both decrease)
upper respiratory tract disease: viral etiology (rhinovirus)
infectious rhinitis (common cold, upper resp infection)
upper respiratory tract disease: very common, 20% of US pop (type I immune reaction, immediated hypersensitivity)
allergic rhinitis (hay fever)
upper respiratory tract disease: secondary to recurrent rhinitis, not neoplastic
nasal polyps
upper respiratory tract disease: sinus mucus accumulation
sinus mecoele
upper respiratory tract disease: usually bacterioal, fungal is especially dangerous (diabetics or immunocompromised)
sinusitis, acute and chronic
acute= neutrophils, chronic= plasma
upper respiratory tract disease: benign neoplasms, may recur after excision, especially inverted papillomas (HPV etiology)
sinonasal papillomas
upper respiratory tract disease: viral and bacerial (ex. step throat)
pharyngitis and tonsillitis
upper respiratory tract disease: often secondary to URI
laryngitis
upper respiratory tract disease: voice stress, smoking, hoarseness and pain, “linebacker coaches”
vocal cord nodule (singer’s node)
upper respiratory tract disease: benign, HPC, often recur after excision
laryngeal papillomas
upper respiratory tract disease: risk factors are SMOKING and ALCOHOL ABUSE (in concert) ***
carcinoma of the larynx
collapse of the lungs
atelectasis
atelectasis leads to
poor or absent gas exchange and risk of infection
3 types of atelectasis
1) resoprtion
2) compression
3) contraction
atelectasis: due to bronchial obstruction
resporption
atelectasis: due to external compression, pleural or sub-diaphragmatic(fluid, air- ex. pneumothorax, blood)
compression
atelectasis: due to scarring (ex. TB)
contraction