Path 15: BREATHING Flashcards
Small spherical structures beyond terminal bronchioles
Acinus
Pulmonary hypoplasia caused by
Abnormalties that compress fetus
Pulmonary sequestration
Tissue not conected to airways that has abnormal aortic blood supply
Hemosiderin laden macrophages in lung tell you what
Prior episode of pulmonary congestion
Long standing pulmonargy congestion effects on lung
Abundant hemosiderin macrophages
Fibrosis and thickening of alveolar walls
Lungs become firm and brown
Bugs that cause ARDS
Viral pneumonias, mycoplasma, pneumocystitis jiroveci
ARDS intiated by injury to
Pneumocytes and pulmonary endothelium
Resolution of injury in ARDS impeded by
Epithelial necrosis which impairs ability of cells to resorp the edema
Histology of ARDS
-hyaline membranes lining alveolar walls
-edema
-scattered neutrophils and macrophages
-epithelial necrosis
FEV/FVC ratio in COPD
Less than 0.7
Chronic bronchitis signs
Cough w/ sputum
Chronic bronchitis pathologic changes
Mucous gland hyperplasia
Hypersecretion
Asthma pathologic changes
Smooth muscle hyperplasia
Excess mucus
Emphysema pathologic changes
Airspace enlargement of acinus w/ wall destruction
Most common form of emphysema
Centriacinar (centrilobular)
Centriacinar emphysema spares
Distal alvioli
Panacinar emphysema assoc w/
α1-antitripsyn deficiency
Panacinar emphysema affects _____
Acini are enlarged uniformly
Factors contributing to chronic bronchitis pathogenesis
-Mucus hypersecretion
-Acquired CFTR dysfunction
-Inflammation
-Infection
Farmer’s lung is caused by
Hypersentitivity to mold/hay
Patients with silicosis have increased risk of
TB
Most common causes of bronchiectatis (US, world)
US: Cystic Fibrosis
World: TB
Triggers of non atopic asthma
Infection
Drug induced asthma caused by
Aspirin
Increase in prostaglandin E2 leads to B4C4D4E4 rise
Atopic asthma caused by
Th2 IgE response to environment
Gene best linked to asthma
IL13 polymorphism
Asthma histology
Curschmann spirals
Charcot-leyden crystals in eosinphils
Airway remodeling
Bronchiectasis predisposing conditions
Congenital causes (HF, etc)
Severe pneumonia
Bronchial obstruction
Infections that lead to bronchiectasis are result of defect in _________
Airway clearing
Bugs for bronchiectasis
H. Flu (50%)
P. aeruginosa (10-30%)
Idiopathic pulmonary fibrosis pathology
Progessive interstitial pulmonary fibrosis and respiratory failure
4 major pneumocoses and settings
Coal: Coal
Silica: Sandblasting, construction, stone cutting, mining
Asbestos: Mining of asbestos, insulation
Berrylium: Aircraft manufacturing
Silicosis pathogenesis
Macrophages eat silica
Imflammasome activated to release IL1 and IL18
Silicosis on xray
Eggshell calcification
Asbestos histology
Asbestos bodies: brown beaded rods
Pleural plaques
Sarcoidosis buzzword
Non caseating granuloma
Large collections of macrophafes in airspaces of a smoker think
Desquamative interstitial pneumonia
Pulmonary alveolar proteinosis pathology
Defects in macrophage GM-CSF rsults in surfactant accumulation
Pulmonary alveolar proteinosis histo
Normal walls
Alveoli filled with dense protein lipid granular precipitate
Most frenquent surfctant gene
ABCA3
Pulmonary htn defined as
25mmhg at rest
Gene for pulm HTN
BMPR2
Patient with pulmonary hemmorhage and bad kidney think
Goodpasture syndrome
Most common community pneumonia
Strep pneumoniae
Croup aka
Laryngotroncheobronchitis
Hosp acquired pneumonia bugs
S aureus
Psuedomonas
Chronic pneumonia w/ granuloma in midwest and third world
Histoplasmosis capsulatum
Yeast pneumonia in SE USA
Blastomyces
Fungus pneumonia in SW USA
Cocciodiodes immitis
Most common lung cancer in never smokers
Adenocarcinoma
Lung tumor with diarrhea, flushin, cyanosis
Carcinoid syndrome
Milky white pleural effusion think
Chylothorax
Mesothelioma gene
CDKN2A