Lecture 12 (Respiratory System) Flashcards
Inspiration
Volume of thoracic cavity increases
Decreases internal gas pressure
Diaphragm flattens
Intercostal muscles contract and raise ribs
Deep inspiration (4)
Requires:
- Scalenes
- Sternocleidomastoid
- Pectoralis minor
- Erector spinae
Quiet expiration
Passive
Inspiratory muscles relax
Diaphragm moves superiorly
Volume of thoracic cavity decreases
Forces expiration
Active process
Produced by contraction of internal and external oblique and transverse abdominis
Pleurae
Double layered sac surrounding each lung
Parietal and visceral
Help divide the thoracic cavity, into ventral mediastinum and two lateral pleural compartments
Pleural cavity
Potential space between the visceral and parietal pleurae
Trachea
C-shaped cartilage ring keeps airways open
Enters left and right bronchus
Pneumothorax
Air in pleural cavity, resulting in lung collapse
Symptoms of pneumothorax
Dyspnea, anxiety, tachycardia, pleural pain, asymmetrical chest wall expansion, decreased breath sounds
Causes of pneumothorax
Ruptured BLEB (COPD), thoracentesis, trauma, secondary infections
Treatment of pneumothorax
Chest tube
Oxygen
Diagnosis of pneumothorax
Chest X-ray
ABG’s
Respiratory organs
Nose, nasal cavity, paranasal sinuses
Pharynx, larynx, trachea
Bronchi, smaller branches
Lungs, alveoli
Conducting zone
Respiratory passageways that convey air
Filter, humidify, and warm incoming air
Respiratory zone
Site of gas exchange in the lungs
Includes structure that have alveoli
Nose/nasal cavity
Moistens, warms and filters air
Resonating chamber for speech
Skin contains many sebaceous glands
Continues to nasap pharynx
External nares
Nostrils
Divided by nasal septum
Choanae
Posterior nasal apertures that open into nasopharynx
Nasopharynx
Houses olfactory receptors, near roof of nasal cavity
Only an air passage
Closes off when swallowing
Vulva reflects superiorly
Respiratory mucosa
Pseudostratified ciliated columnar epithelium
Goblet cells within epithelium
Underlying layer of lamina propria
Pharynx (3)
- Nasopharynx
- Oropharynx
- Laryngopharynx
Oropharynx
Faces, extends from soft palate to epiglottis
Stratified squamous epithelium
Fauces
Archlike entraceway to oropharynx
Laryngopharynx
Passageway for both food and air
Stratified squamous epithelium
Continues with esophagus and larynx
Nasal conchae/turbinates
Three
Project medially from lateral wall of the nasal cavity
Deflect particulate matter to mucus-coated surfaces
Filter heat and moisten incoming are
Reclaim moisture and heat during exhaling
Swell when sick
Secrete mucous
Paranasal sinuses
Air-filled spaces within frontal, maxillary, sphenoid, and ethmoid bones
Makes bones lighter
Adds resonance to voice
Sinuses open into nasal cavity
Sinusitis
Infection within paranasal sinuses
Small holes become blocked because of swollen mucus membrane
Becomes pus after long
Tonsils
Collections of lymphoid tissue
Contains opening to pharygotympanic tube
Pharyngeal tonsils
Adenoids
Located on posterior wall
Destroy entering pathogens
Tubal tonsils
Protect pharygotympanic tube from infection
Tonsils of oropharynx (2)
- Palatine tonsils
2. Lingual tonsils
Waldeyer’s ring (4)
- Pharyngeal tonsils
- Tubal tonsils
- Lingual tonsils
- Palatine tonsils
Palatine tonsils
In the lateral wall of the fauces
Lingual tonsils
Cover the posterior surface of the tongue
Larynx
Extends from 4-6 cervical vertebrae
Attaches to hyoid bone superiorly
Opens into laryngopharynx
Inferiorly continuous with trachea
Functions of larynx (3)
- Voice production
- Provides an open airway
- Acts as a sphincter to trachea
Laryngeal prominence
Adam’s apple
Cartilages of the larynx (9)
- Epiglottic
- Thyroid
- Cricoid
- Arytenoid (paired)
- Corniculate (paired)
- Cuneiform (paired)
Thyroid cartilage
Shield shaped
Forms laryngeal prominence
Epiglottis
Tips inferiorly during swallowing
Vocal ligaments of larynx (2)
- Vocal folds
2. Vestibular folds
Vocal folds
True vocal cords
Act in sounds production
Vestibular folds
False vocal cords
No role in sound production
Rima glottides
Medial opening between vocal folds
Trachealis
Located between open ends of C-shaped cartilage rings along length of posterior trachea
Carina
Marks where trachea divides into two primary bronchi
Sternal angle
Surface marking of carina
Apex of lung
Top
Base of lung
Concave inferior surface
Hilium
Indentation on mediastinal surface
Region where blood vessels, bronchi, and nerves enter and exit the lung
Cardiac notch
Indentation of left lung from heart
Left lung
Superior and inferior lobes divided by oblique fissure
Cardiac notch
Oblique fissure (left)
Divided superior and inferior lobes of heart
Right lung
Superior, middle and inferior lobes
Horizontal fissure
Divided superior and middle lobes of right lung
Oblique fissure (right)
Divides middle and inferior lobes of right lung
Root
Structures that enter and leave the lung at the hilum
Blood vessels, bronchi, and nerves
Bronchial tree
Extensively branching respiratory passageways
Primary bronchi
Main bronchi
Largest bronchi
Right main bronchi
Wider and shorter than the left
Secondary bronchi
Lobar bronchi
Branch into each lung segment
Bronchioles
No cartilage
Only smooth muscle
Little bronchi, less than 1mm in diameter
Terminal bronchioles
Less than 0.5mm in diameter
Lead to respiratory bronchioles
Bronchi vs. bronchioles
Bronchi have cartilage
Bronchial tree: changes in supportive connective tissue
C shaped rings replaced by cartilage plates
Bronchial tree: changes in epithelial tissue
Initially pseudostratified ciliated columnar, replaced by simple columnar, then simple cuboidal
Bronchial asthma
Type of allergic inflammation
Hypersensitivity to irritants in the air or stress
Contraction of bronchiole smooth muscle
Secretion of mucous into airways
Respiratory bronchioles
Gas exchange occurs where smooth muscle is absent
Branch from terminal bronchioles
Lead to alveolar ducts, then sacs
Alveolar ducts
Grouping of many alveolar sacs
Alveolar pores
Within alveolar sacs
Alveoli
~400 million
Tremendous surface area for gas exchange
Ringle layer of simple squamous epithelial cells
Respiratory membrane
Alveolar and capillary walls plus their basal lamina
Made of type I alveolar cells
Type II alveolar cells
Secrete surfactant which reduces surface tension within alveoli
Alveolar macrophages
Remove tiniest inhaled particles, migrate into bronchi
Ciliary action takes alveolar macrophages to pharynx