Fouty: other obstructive lung diseases Flashcards
irreversible dilation of acinus
emphysema
irreversible dilation of bronchial tree (larger bronchi)
bronchiectasis
abnormal dilation of proximal bronchi
bronchiectasis
loss of cilia
increased mucus
bronchiectasis
triad:
chronic cough
excessive sputum production
recurrent infections
bronchiectasis
how to diagnose bronchiectasis
CT scan
secretion pooling
bronchiectasis (cystic)
tram-tracking bronchial dilation
bronchiectasis (cylindrical)
infection
foreign body
immunologic deficiencies
cystic fibrosis
congenital deficiencies
causes of bronchiectasis
lack of cartilage leads to floppy airway; leads to pooling of secretions
congenital deficiency leading to bronchiectasis
most common cause of bronchiectasis
infection (idiopathic)
examples of diffuse bronchiectasis (impaired mucous clearing)
CF
Kartagener’s
immunologic deficiency
proximal/upper lobes bronchiectasis examples
TB
aspergillosis infection
focal/lower lobes bronchiectasis examples
viral/bacterial
foreign body
bronchiectasis in LLL
2 most common infectious causes of bronchiectasis
Pseudomonas aeruginosa
haemophilus influenzae
large dilated airways will cause collapse and trapped mucus when coughing (due to + pleural pressure)
bronchiectasis
Destruction of _____ in Proximal Bronchi Can Cause Truncated Expiratory Loop On Flow Volume Curve
cartilage
FEV1 <_____% Can Trigger A Transplant Evaluation In Patients With Cystic Fibrosis
<40%
mucuous clearance
Ab’s for infections
bronchodilators
steroids
Rx bronchiectasis
affects small bronchioles proximal to acinus
bronchiolitis obliterans
Mucus buildup in bronchioles will cause obstruction and impact alveolus
bronchiolitis obliterans
inflammation of bronchioles
proliferation narrows bronchioles and causes lumen narrowing and trapped gas
bronchiolitis obliterans
main cause of bronchiolitis obliterans in kids
respiratory infection
main cause of bronchiolitis obliterans in adults
inhalation of chemicals
loss of cartilage and smooth muscle proliferation causes lumen narrowing and collapsing of airways with expiration
bronchiolitis obliterans
L and R
L: normal bronchiole
R: post-transplant bronchiolitis obliterans
diacetyl in microwave popcorn butter can cause what
bronchiolitis obliterans
mosaic pattern of air trapping on expiratory CT
bronchiolitis obliterans
bronchiolitis obliterans
leading cause of death in lung transplant patients
bronchiolitis obliterans
airflow obstruction
obstruction due to mucous secretion and smooth muscle and mucous gland hypertrophy
chronic bronchitis
obstruction due to loss of elastic fibers (acinus) so easily collapsible
emphysema
obstruction due to airway edema and increased bronchial smooth muscle tone
asthma
obstruction due to airway mucous and loss of rigid airway allowing collapse of airways
bronchiectasis
obstruction due to bronchiolar fibrosis causing lumen narrowing
bronchiolitis obliterans
extra-thoracic obstruction (ex. epiglottitis—stridor)
fixed obstruction due to circumferential lesion in trachea
can cause what
fixed obstruction