Lecture 21 - Pulmonary Histology Flashcards

1
Q

What are the components of the respiratory mucosa?

L21 S6

A

Pseudostratified ciliated columnar epithelium

Lamina propria:
-thin layer of loose connective tissue

Submucosa:
-dense irregular connective tissue

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2
Q

What are the histological characteristics of the nose?

L21 S7

A

Nares:

  • stratified squamous epithelium
  • contains sebaceous glands, sudoriferous glands, and hair follicles

Mucosa:
-begins at nasal septum

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3
Q

What are the histological characteristics of the olfactory epithelium?

L21 S9

A

Located in nasal cavity roof

  • pseudostratified columnar without goblet cells
  • no basement membrane
  • sustentacular (support) cells
  • basal cells (stem cells which give rise to olfactory cells

Olfactory cells:

  • bipolar neurons
  • cilia containing G-protein linked odor receptors

Olfactory cells of Bowman:
-secrete odorants-binding proteins

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4
Q

What are the histological feature of the nasopharynx?

L21 S12

A

Mucosa:

  • respiratory epithelium
  • lamina propria with FECT, mucous glands, serous/mixed glands, and lymphoid tissue

Submucosa:

  • loose CT
  • MALT (lymphoid associated lymphoid tissue

Waldeyer’s ring:
-lymphoid tissue ring around nasopharynx (adenoids and tonsils)

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5
Q

What are the histological fracture of the larynx?

L21 S13-15

A

Epiglottis:

  • stratified squamous epithelium (lingual surface)
  • pesudostratified ciliated epithelium (pharyngeal surface)

False vocal cords:
-pseudostratified ciliated epithelium with seromucous glands

True vocal cords:
-stratified squamous epithelium without seromucous glands

Cartilaginous structures:

  • hyaline (thyroid, cricoid, and areytenoid)
  • elastic (corniculates, cuneiform, tips of arytenoids, epiglottis
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6
Q

What are the histological features of the trachea?

L21 S16

A

Mucosa:

  • respiratory epithelium, thick basement membrane
  • lamina propria with FECT and lymphoid tissue

Submucosa:
-seromucous glands

Adventita:

  • 16-20 cartilages connected by FECT
  • mixed glands and capillaries
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7
Q

What are the histological features of the bronchi?

L21 S23

A

Mucosa:

  • respiratory epithelium with thick basement membrane
  • mucosal folds due to smooth muscle
  • prominent elastic fibers

Submucosa:

  • loose CT and lymphatic tissue
  • mixed glands and mucous glands

Adventitia:
-hyaline cartilage plates with dense FECT

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8
Q

What are the histological characteristics of bronchioles?

L21 S25

A
  • transition from ciliated columnar to ciliated cuboidal
  • loss of cartilage
  • loss of glands
  • increase in smooth muscle
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9
Q

What are the histological characteristics of the respiratory bronchioles?

L21 S26

A
  • low columnar to low cuboidal
  • loss of cilia
  • loss of goblet cells
  • walls of smooth muscle and FECT
  • some alveolar outpocketings
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10
Q

What are the histological features of alveolar ducts?

L21 S28

A
  • squamous epithelium

- walls of smooth muscle and FECT

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11
Q

What are the histological characteristics of alveoli?

L21 S29

A

Type I alveolar cells (pneumocytes):

  • cover large surface area
  • less numerous

Type II alveolar cells (pneumocytes):

  • cuboidal or rounded in shape
  • serve as stem cells

Dust cells:
-macrophage

Pores of Kohn:
-openings between alveoli

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12
Q

What is the function of surfactant and where is it located?

L21 S34

A
  • reduces surface tension of the alveolar surface
  • contains dipalmitoyl phosphatidylcholine (lecithin)
  • secreted by Clara cells and type II alveolar cells
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13
Q

What are Clara cells?

L21 S37

A
  • found in bronchioles
  • number increases further down the bronchioles
  • bulging apical surface
  • secretes lipoprotein
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14
Q

What are dust cells?

L21 S39

A

-macrophages which phagocytize pollutant, bacteria, and surfactant

In CHF broken down hemoglobin is phagocytized by dust cells which are then referred to as heart failure cells

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15
Q

What are the components of the blood-air barrier?
What is permitted to pass through?

L21 S41

A

Components:

  • thin capillary endothelium
  • thin epithelium of pneumocytes
  • basal lamina of both cell types

Permits gas exchange only, no fluids or cells

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