Lung disease pathology - respiratory Flashcards
asthma
increased irritability of the bronchial tree
paroxysmal airway narrowing
reversible )
atopic asthma
triggered by environmental agents e.g. dist
type I hypersensitivity reaction
family history of asthma, hay fever et
how does atopic asthma wokr
mast cell allergen binds to specific Ab on mast cell cross links the Ab mast cell degraulates releases inflammatory mediatos causes oedema swelling of th bronchi
treating atopic asthma
avoidance of allergen/antigen reduce amount of allergen around reduce mast cells (steroids) stabilisation of mast cell membranes reversal of chemical mediators (salbutamol
chronic obstructive airways disease
chronic bronchitis
emphysema
chronic bronchitis
cough and sputum for 3 months in 2 consecutive yeas
due to smoking and air pollution
pathology of chronic bronchitis
muscle hypersecretion
chronic infalmamtion
sqaumous metaplasia
dyspalsia
emphysema
enlargement of the airspaces distal to the terminal bronchioles with destruction of elastin in walls
Loss of alveoli and lung tissue
lung cancer steps
columnar cells undergo metaplasia squamous - genetic changes causes.. dysplastc invasive cancer
lung cancer types
small cell
non small cell
causes of lung cancer
cigararrete smoking
asbestos
radon exposure
small cell carcinoma
more malignant
poor prognosis
usually spread to other parts of the body once diagnoses
non small cell cardinma
splits into 2
Adeno:
occurs is periphery of lungs, not smoking related
squamous - mainly smoking related