pathophysiology of lung diseases Flashcards
spirometry
most common of pulmonary function tests. Measures lung function, specifically the amount and/or speed of air that can be inhaled and exhaled.
lung diseases alveoli affected
COVID-19
pneumonia
lung diseases airways affected
chronic obstructive pulmonary disease
asthma
COVID-19 affect on the lungs.
causes damage in the alveoli resulting in hypoxia, hypoxaemia and oedema.
caused altered lung mechanics due to progressive oedema related to sustained pulmonary inflammation.
phenomena affect on the lungs
affects the alveoli and distal airways
4 stages of pneumonia- histopathology (1)
congestion- pulmonary capillaries dilated and serous fluid leaks out capillaries into the alveoli
4 stages of pneumonia- histopathology (2)
red blood cells and immune cells travel to the alveoli. More red blood cells, lungs can appear red. lungs also become dry, airless and firm resembling the liver.
4 stages of pneumonia- histopathology (3)
grey hepatization- an avascular stage- lack of blood vessels in the tissue of the lungs. during this stage, lungs take on greyish colour.
Neutrophils in alveolar spaces, trbcs disintegrate
4 stages of pneumonia- histopathology (4)
resolution
(COPD)
Causes progressive decline in lung function- poorly reversible airway obstruction incudes 2 main diseases; bronchitis 9narrowing of small airways) and emphysema
often caused by smoking.
Emphysema
- abnormal permanent enlargement of airspaces distal to terminal bronchioles
- centrilobular emphysema and panlobular and emphysema.
airway disease (bronchitis)
an infection of main airway of the lungs causing them to become irritated and inflamed.
main symptom is coughing, may bring up yellow-grey mucus.
smooth muscle hypertrophy and airway wall fibrosis
smooth muscle mass may or may not be increased in COPD
Airway.
chronic airway inflammation from cigarette smoke causes constriction and hypotrophy of even airway smooth muscle.
bronchitis signs and symptoms
signs: chronic cough and sputum, exertional dyspnoea, overweight, often cyanotic
symptoms: fatigue.
Emphysema signs and symptoms
signs: distended neck veins, weight loss, prolonged expiration
symptoms: distress
asthma signs and symptoms:
signs: wheezing, exertional dyspnoea
symptoms: distress, tightness in the chest.
asthma intrinsic causes
non- immune mechanisms for example cold air, temperature and exercise.
asthma extrinsic causes
response to inhaled antigen
type 1 hypersensitivity reaction where antigen binds to igE on surface of Mast cells.
Mast cells “degranulate” releasing histamine locally.
airway smooth muscle contracts
attraction of other leukocytes to the site.
mucosal inflammation/oedema.
cystic fibrosis
a multisystem disease
cause: mutations in the cystic fibrosis transmembrane conductance regulator (CFTR)
interstitial lung diseases examples
Bronchiolitis
alveolitis
vasculitis
Bronchiolitis
inflammation of small airways(bronchioles)
alveolitis
inflammation of the air sacs where oxygen and carbon dioxide exchange in the blood takes place.
vasculitis
inflammation that involves the small vessels (capillaries)