Resp Pathology Flashcards

1
Q

Eupnea

Dyspnea

Apnea

A
  • Eupnea- normal breathing
  • Dyspnea- difficult breathing
  • Apnea- cessation of breathing
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2
Q

Obstructive Lung disease

A
  • Hard to get air out
  • Airway related disease
  • Limitation of airflow, increased resistance
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3
Q

Restrictive lung disease

A
  • Hard to get air in
  • Reduced expansion of parenchyma, decreased lung capacity
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4
Q

Obstructive lung disease examples

A

Emphysema, chronic bronchitis, bronchiectasis

Asthma

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5
Q

Restrictive lung disease examples

A

ARDS, pneumoconoises, interstitial fibrosis, sarcoidosis

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6
Q

Atlectasis

A
  • Collapse or incomplete expamsion of lung
  • Types
    • Contraction: scarring
    • Resorption: Obstruction of airway
    • Compressive: pleural edema or pneumothorax (loss of cohesive forces)
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7
Q

Acute Ling Injury

Diffuse Alveolar damage

A
  • Injury to pneumocytes and endothelial cells
  • Oxygen-derived free radicals
  • Activated neutrophils and macrophages
  • loss of surfactant
  • Etiology
    • Infections, Gas inhalation, liquid inhalation
    • drugs chemicals radiation
    • hypotension, sepsis, trauma
  • Patho
    • Exudative stage–> proliferative organizing stage
      *
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8
Q

Bronchial Asthma

A
  • Chronic inflammation of airways resulting in contraction of bronchial miscle and smooth muscle proliferation
  • Extrinsic (allergies atopic)
    • Allergens
  • Intrinsic (Non-atopic)
    • Initiated by irritant
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9
Q

Asthma (Atopic) Clinical manifestations

A
  • Vascular edema and permeability
  • Recruitment of pro0nflammatory cells
  • Increased mucus production
  • Irreversible airway remodeling(thicj muscle wall in vessels)
  • Eosinophils release mediators, epithelial death,
  • Collagen deposition
  • Goblet cell hyperplasia
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10
Q

Asthma (Non atopic)

A
  • Viral infections
  • Elicit inflammatory response mediated by eosinophils and IgE
  • Drug and occupational induced possible as well
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11
Q

Chronic Obstructive Pulmonary Disease

A
  • 2 components- irreversible airflow
    • Emphysema
      • Destruction of acinus alveoli
    • Chronic bronchitis and chronic bronchiolitis
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12
Q

Emphysema

A
  • Destruction of alveolar tissue
    • Larger but fewer
  • Reduced surface area for gas exchange
  • Collapse of bronchioles
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13
Q

Chronic Bronchitis

A
  • Pathology
    • Airways inflammation
    • Goblet cell hyperplasia
    • Squamous hyperplasia
    • Injury to cilia
    • Smoking, pollutants
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14
Q

Bronchiectasis

Diseases associated with

A

DILATION of bronchi

Diseases associated:

Obstruction

Cystic fibrosis

Immotile cilia syndrome

Necrotizing pneumonia

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15
Q

Idiopathic Pulmonary Fibrosis**

A

Diffuse interstitial fibrosis of unknown cause

Hypoxia and cyanosis

3 yrs or less expectancy

Cor pulmonale

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16
Q

Pneumoconioses

A
  • Inhalation of metals(Carbon, silicosis, abestos)
  • Injury determined by length of exposure, physiochemical, and host factors
    *
17
Q

Pulonary Edema

A
  • Non-cardiogenic
    • severe infection
    • upper airway obstruction
    • Inhaling water, toxic gases
    • blood transfusions
    • Trauma
      *
18
Q

Pulmonary Embolism

A
  • Most arise in veins from the legs
    • large=death
    • small and mediaum= infarctions
19
Q

Pneumonia pathology and pathogenesis

A
  • Pathology
    • alveolar
      • patchy, Bronchopneumonia
      • Lobar, complete lobe (only S pneumonia)
    • Interstitial
  • Pathogenesis
    • Inhalation of water, infected secretions, hematogenous spread
20
Q

Classification of Lung Carcinomas and frequencies

A
  • Adenocarcinoma 35%
  • Squamous cell carcinoma 30%
  • Small cell carcinoma 25%
  • Large Cell carcinoma 10%
21
Q

Adenocarcinoma

whos affected, survival

A

Smoking increases risk x 3

More common in females

Survival, 15-20%

Peripheral

22
Q

Small cell carcinoma

A

95% of smokers

Males more than women

Survival 1-5%

23
Q

Large cell carcinoma

A
  • Peripheral lesion
  • 15-20% survival
24
Q

Bronchoalveolar Carcinoma

A

Smoking related

Equal amongst females and males

survival 25-40%

Single or multiple tumors, miliary tumor, pneumonic form

25
Q

Mesothelioma

A

Malignant tumor os mesothelial cells

Highly malignant, short survival

Most patients had abestos exposure

Smoking is not related