(M) Lec 4: Respiratory System Flashcards
Main function of this system is intake of oxygen by blood and to eliminate carbon dioxide
Respiratory system
2 portions of respiratory system
1) Conducting portion
2) Respiratory portion
Last part of the conducting portion
Terminal bronchioles
Where do the respiratory portion start?
Respiratory bronchioles
Familiarize the structures of the conducting portion
o Nose (includes the nasal cavity)
o Pharynx
o Larynx
o Trachea
o Bronchi (right and left bronchi)
o Bronchioles
o Terminal bronchioles
Familiarize the structures of the respiratory portion
o Respiratory bronchioles
o Alveolar ducts
o Alveolar sacs
o Alveoli
Portion of the RS where actual exchange of gasses takes place
Respiratory portion
What’s the complete lining epithelium of respiratory epithelium?
Pseudostratified columnar ciliated
epithelium with goblet cells
What are the five types of cells found in the respiratory epithelium?
1) Ciliated columnar cells
2) Mucus goblet cells
3) Brush cells
4) Basal cells
5) Small granule cells
Respiratory epithelium cells
Most abundant cell type; for ciliary beating
Ciliated columnar cells
T or F: Ciliated columnar cells has few mitochondria
False (a lot)
Respiratory epithelium cells
o Second most abundant cells that we can see in this type of epithelium
o Apical portion of these cells contain polysaccharide rich mucous droplet
Mucus goblet cells
These are the first 2 types of cells that make up the respiratory epithelium
Ciliated columnar and mucus goblet cells
Respiratory epithelium cells
o Columnar cells with numerous microvilli
o Contains microvilli instead of cilia
- Immature cells
- Act as Sensory/receptor cells
Brush cells
Respiratory epithelium cells
o Small rounded cells that lie on the basal lamina but do not extend to the luminal surface of the epithelium
o Progenitor cells
Basal cells
Respiratory epithelium cells
Diffuse Neuroendocrine system
Also known as Kulchitsky cells
Small granule cells
This is the most dilated anterior portion of the nose
Vestibule
LE and LP of vestibule
➢ LE (lining epithelium): stratified squamous non-cornified epithelium
➢ LP (lamina propria): dense connective tissue
Refers to the thick hairs that you can see in the vestibule
Vibrissae
Contains some sebaceous glands, sweat glands, and hair follicles
Vestibule
The nose/nasal cavity is composed of which parts?
Vestibule, respiratory region, and olfactory region
LP of Respiratory Region
serous and mucous tubuloalveolar glands
➢ The lining epithelium is lying on a Thick basement membrane
➢ Cavernous plexuses
➢ Adherent to the perichondrium of the cartilage beneath
Respiratory region
➢ Olfactory mucosa (olfactory epithelium)
➢ Roof of nasal fossa
➢ Receptor organ for smell
Olfactory region
LE and LP of olfactory region
LE: PSCCE without GC
LP: Bowman’s glands
Three types of cells found in the olfactory region of nasal cavity
olfactory cells, basal cells, and supporting cells
Musculo-membranous tube
Pharynx
Three parts of pharynx
o Nasopharynx
o Oropharynx
o Laryngopharynx
– Respiratory epithelium
– LP: elastic tissue
– Pharyngeal glands are of mixed secretion
– Aggregations of the lymphatic nodules: pharyngeal tonsils in the
posterior wall
Nasopharynx
Pharynx:
Has:
➢ Stratified squamous non-cornified epithelium
➢ Mucous glands
Laryngopharynx
LE of oro and laryngopharynx
Stratified squamous non-cornified epithelium
This structure consists of:
➢ Mucosa
➢ Submucosa
➢ Series of irregularly shaped cartilages
➢ Intrinsic skeletal muscles
Larynx
The mucosa of the larynx is made up of how many pairs of folds between the ventricles?
2
Part of the larynx
o Upper part
o Lined with Respiratory epithelium overlying numerous seromucous glands and occasional lymphoid nodules
o LP: loose connective tissue with elastic fibers, lymphocytes and lymphatic nodules
o Laryngeal glands of mixed secretion
False vocal cords (vestibular folds)
Part of the larynx
– Lower part
– Stratified squamous non-cornified epithelium
– LP: almost indistinct and contains a vocal ligament (elastic)
– Vocalis muscle (skeletal)
True vocal cords (vocal folds)
What are the paired cartilages in the larynx?
– Arytenoid
– Corniculate
– Cuneiform
What are the unpaired cartilages in the larynx?
– Thyroid
– Cricoid
– Epiglottis
This is a thin-walled tube which bifurcates into 2 primary bronchi
Trachea
Mucosa of trachea
Respi epithelium
LP of trachea
LCT with elastic fibers, lymphocytes and occasional lymphatic nodules
Its submucosa has numerous tracheal glands of the mixed type
Trachea
This surrounds the cartilages in trachea
Perichondrium
Which type of muscle is the trachealis muscle?
Smooth
How many C-shaped hyaline cartilages there are in trachea?
16 - 20
Specific subtype of tunica adventitia found in the trachea?
Loose connective tissue
The bronchus enters the lungs with which other structures?
Arteries, Veins, & Lymphatic
Vessels (LVs)
LE of bronchi
Respiratory epithelium
How many primary bronchi are there?
2
The secondary, tertiary and smaller bronchi are what generally termed as?
Intrapulmonary bronchi
What are the layers of a bronchi?
Mucosa
Submucosa
Fibrocatilagenous coat
Adventitia
Layer of bronchi where bronchial glands, BVs, and LTs are found
Submucosa
Layer of bronchi where irregular hyaline cartilages; broken plates of cartilages
Fibrocatilagenous coat
Layer of bronchi where LCT, BV’s, N’s, LV’s are found
Adventitia
T or F: Bronchioles have glands, nodules, and cartilages
False
DIameter of bronchioles
1 mm or less
Its submucosa and adventitia are:
– No longer sharply demarcated
– Fused appearing as a continuous layer of areolar connective tissue containing BV’s, LV’s, N’s
Bronchioles
Diameter of terminal bronchioles
0.5 mm or less
LE of terminal bronchioles
simple cuboidal, ciliated cells and club cells
– No cartilages and glands
– Has a smooth muscle layer continuous
with less mucosal folds
Terminal bronchioles
These cells secrete surfactant-like materials (not surfactant) which are needed to produce surfactants
Club cells
Club cells are formerly known as?
Clara cells
T or F: The difference of terminal and respiratory bronchioles is that terminal bronchioles have alveoli
False (respi bronchioles have alveoli)
LE of respiratory bronchioles
simple cuboidal, ciliated cells, and club cells with scattered alveoli
– Fewer smooth muscle fibers with elastic connective tissue
– Club cells or Exocrine bronchiolar cells
Respiratory bronchioles
These are:
– Non-ciliated cuboidal cells
– Secretory
– Non-ciliated bronchiolar epithelial cells
– Surfactant-like secretions
– Smooth muscles and elastic fibers are well developed
Club cells or Exocrine bronchiolar cells
This is the communication between duct and sac
Atrium
LE of alveolar duct and alveolar sac
Simple squamous
➢ Thin-walled
➢ Discontinuous walls gives off branches
➢ LE: simple squamous
Alveolar ducts
➢ Thin-walled outpocketings
➢ Clusters of two or more alveoli
➢ LE: simple squamous
Alveolar sacs
Considered the most important
component of the lungs
Pulmonary alveoli
– Thin walled outpocketings
– Line the alveolar sacs, alveolar ducts and respiratory bronchioles
– Actual gas exchange
Pulmonary alveoli
LE of alveoli
Simple squamous
Two type of alveolar cells
Type I (Pneumocyte type I) and Type II alveolar cells (Pneumocyte type II)
Type of cell which mostly lines the alveoli
Type I
– Squamous or flattened cells
– Form the vast majority of the alveolar surfaces
– Have junctional attachments laterally with each other or with type II alveolar cells
Type I
Alveolar Cell:
Cell that secrete surfactant
Type II alveolar cells
– Cuboidal cells
– Secretes surfactant which lowers the surface tension
– Cells contain secretory granules at its supranuclear portion
Type II alveolar cells
T or F: There is a gas exchange in the nose
Trick question ‘di ko rin alam sagot
T or F: Type I alveolar cells are cuboidal
False
Other name for Type II alveolar cells
Septal cells or Pneumocyte II
This is described by presence of alveolar septum where gases must pass in exchange between the air and
blood
Blood-Air Barrier
3 layers of blood air barrier
- Alveolar epithelium
- Fused basement membranes
- Capillary endothelium
Other name for alveolar macrophages
Dust cells
– Free phagocytic cells
– Contain particles of dust
Alveolar macrophages
– In heart congestion, they become filled with hemosiderin pigments
– Heart failure cells
Alveolar macrophages
Granules resulting from the phagocytosis and degeneration of blood pigments
Heart failure cells (alveolar macrophages)
The alveolar epithelium and capillary endothelium makes up the?
Fused basement membrane