Theory Assessment 2 Weeks 5-8 (RESP + CARDIO) Flashcards

1
Q

Lungs Role

A
  • ABSORB O2 for oxygenation of BLOOD
  • expel WASTE from cellular metabolism (CO2)
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2
Q

UPPER Respiratory System

A
  • OUTSIDE the thoracic cavity
  • gets AIR to LUNGS
  • nasopharynx, oropharynx, larynx
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3
Q

LOWER Respiratory System
- gas exchange?
- cilia where?

A
  • trachea, bronchi, bronchioles
  • GAS exchange occurs at end of BRONCHIOLES in alveolar sacs
  • cilia lining TRACHEA + BRONCHI to prevent FOREIGN particles from entering
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4
Q

2 Different BLOOD SUPPLIES

A
  • Pulmonary Circulation (AIR)
  • Bronchial Circulation ( BLOOD supplying lungs)
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5
Q

Pulmonary Circulation

A
  • LOW pressure
  • LOW resistance
  • O2 + CO2 diffuse through
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6
Q

Bronchial Circulation

A
  • HIGH pressure
  • for lung and circulatory tissues
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7
Q

LEFT Lung

A
  • SUP + INF lobes
  • Separated by OBLIQUE fissure
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8
Q

RIGHT Lung

A
  • SUP + INF + MID lobes
  • MID + INF separated by OBLIQUE fissure
  • SUP + MID separated by HORIZONTAL fissure
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9
Q

Mediastinum (7 parts)

A
  • CENTER of chest
  • heart, great vessels, trachea, esophagus, thymus, lymphatics, nerves
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10
Q

Hilium

A
  • holds ROOT of lungs
  • contains major PULMONARY vessels , bronchial ENDS, lymph nodes
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11
Q

Medulla

A
  • at BASE of brain
  • regulates RESPIRATION through level of CO2 in blood
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12
Q

Diaphragm + Intercostal Muscles

A
  • muscles of RESPIRATION
  • CONTRACT= expansion, breath IN
  • RELAX= less volume, breath OUT
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13
Q

Pleura + 2 TYPES

A
  • 2 layers of membrane ENCASING LUNGS
  • PARIETAL Pleura
  • VISCERAL Pleura
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14
Q

PARIETAL Pleura

A
  • LINES chest WALL in thoracic cavity
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15
Q

VISCERAL Pleura

A
  • INNER layer ADHERING to lung
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16
Q

Pleural Space

A
  • between pleural layers
  • lubrication fluid for EASE of MOVEMENT
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17
Q

NORMAL CXR Evaluation CRITERIA (7)

A
  1. NO Rotation
  2. Scapulae are OUT of lung fields
  3. Full INSPIRATION (about 20 ribs)
  4. SHARP outlines of heart and diaphragm
  5. Adequate DENSITY
  6. Visible lung MARKINGS
  7. APICES to COSTOPHRENIC angles included
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18
Q

Cystic Fibrosis

A
  • ” MUCOVISCIDOSIS”
  • HEREDITARY disease (chromo 7)
  • EXCESSIVE secretion of MUCUS from EXOCRINE glands
  • can BLOCK air pathways, traps PATHOGENS, cause lung COLLAPSE
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19
Q

Cystic Fibrosis
Radiographic Appearance

A
  • irregular THICKENING of LINEAR markings in lungs
  • MUCOID IMPACTION (accumulation of mucus)
  • HyperINFLATION
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20
Q

IRDS - Hyaline Membrane Disease

A

Idiopathic Respiratory Distress Syndrome (IRDS)
- common in NEWBORNS (premature)
- UNDERaeration, hypoxia
- LACK of surfactant = alveoli do NOT remain open

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21
Q

IRDS - Hyaline Membrane Disease
Radiographic Appearance

A
  • UNDERaeration
  • fine, GRANULAR appearance of pulmonary parenchyma
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22
Q

Croup

A
  • viral INFECTION in young CHILDREN
  • produces obstructive SWELLING of subglottic portion of TRACHEA
    Inspiratory STRIDOR (BARKING sound/cough)
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23
Q

Croup
Radiographic Appearance

A
  • AP S.T neck shows NARROWING of subglottic AIRWAY due to edematous swelling
  • hourglass/steeple shape
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24
Q

Epiglottitis

A
  • infection of epiglottis in CHILDREN
  • causes THICKENING of epiglottis/laryngeal tissue
  • drooling, stridor, dyspnea, tachypnea
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25
Epiglottitis Radiographic Appearance
- Lateral S.T neck shows rounded THICKENING of epiglottic shadow - can cause OBSTRUCTION
26
Pneumonia
infection/inflammation of the lungs -caused by BACTERIA or VIRUSES from aspiration - alveolar pneumonia, bronchopneumonia, interstitial pneumonia
27
ALVEOLAR Pneumonia
"AIR SPACE" pneumonia - bacterial (pneumococcus) - inflammatory EXUDATE (fluid) replaces air in alveoli
28
ALVEOLAR Pneumonia Radiographic Appearance
-WHITE RADIOPAQUE areas of exudate in lobes - "Air Bronchogram Sign" = dark lungs with white spots
29
Bronchopneumonia
- bacterial (staphylococcus) - INFLAMMATION starting in BRONCHIS/ bronchial mucosa and spreading to alveoli - airway obstruction=atelectasis
30
Bronchopneumonia Radiographic Appearance
- MULTIPLE small patches of CONSOLIDATION (disease filled sacs) - atelactasis - bronchogram ABSENT
31
Interstitial Pneumonia
- viral or mycoplasmal - INFLAMMATION in walls of ALVEOLI/ alveoli septa
32
Interstitial Pneumonia Radiographic Appearance
- LINEAR / RETICULAR (netlike) pattern of disease in lungs - HONEYCOMB lung (if severe) (cysts)
33
Aspiration Pneumonia
- caused by ASPIRATION (breathing IN material) - ESOPHAGEAL/GASTRIC contents
34
Aspiration Pneumonia Radiographic Appearance
- MULTIPLE alveolar DENSITIES widely spread/diffused - POST upper/lower lobes
35
Lung ABSCESS
area of PULMONARY PARENCHYMA containing PURULENT (puslike) material - becomes encapsulated in FIBROUS WALL - fever, cough, foul smelling sputum
36
Lung ABSCESS Radiographic Appearance
- SPHERICAL density with dense CENTER - hazy/poor defined periphery - AIR FLUID level if communicates with bronhial TREE
37
Tuberculosis (TB)
- BACTERIAL infection affecting LUNGS - SPREAD by COUGHING - may heal and leave SCAR / may become fatal and HUGE - treat with ANTIBIOTICS - UPPER LOBE of lung
38
Tuberculosis (TB) Radiographic Appearance PRIMARY
- well DEFINED, dense LESIONS in UPPER lobe - ENLARGED mediastinal LYMPH nodes - pleural effusion
39
Tuberculosis (TB) Radiographic Appearance SECONDARY
- upper lobes, apical, posterior segments - HAZY infiltrate radiating OUT from HILIUM
40
Miliary TB
- dissemination of disease through BLOODSTREAM - many FINE, DISCREET nodules (granulomas)
41
Tuberculoma
- sharply DEFINED NODULE containing TB bacilli - can develop into PRIM/SEC TB
42
Respiratory Syncytial Virus (RSV)
- affects mostly CHILDREN - attacks LOWER resp tract - causes bronchiolitis = interstitial pneumonia - wear PPE (contact + droplet)
43
Respiratory Syncytial Virus (RSV) Radiographic Appearance
- hyperINFLATION - diffuse markings -necrosis of respiratory lining
44
Severe Acute Respiratory Syndrome (SARS)
VIRAL respiratory infection caused by CORONAVIRUS - contact + droplet - fever, head/body aches, dry cough, resp distress
45
SARS Radiographic Appearance
- infiltrates -consolidation (white)
46
Chronic Obstructive Pulmonary Disease
- many OBSTRUCTIONS of airways - caused by SMOKING, POLLUTION, ASBESTOS - chronic bronchitis, emphysema, asthma, bronchiectasis
47
Bronchitis
INFLAMMATION of bronchi - walls THICKEN - excessive MUCUS - 1-2 weeks
48
Bronchitis Radiographic Appearance
- typically NORMAL images
49
CHRONIC Bronchitis
- RECURRING/LONGSTANDING bronchitis - excessive MUCUS+NARROWING of airways
50
CHRONIC Bronchitis Radiographic Appearance
- hyperINFLATION - FLATTENED diaphragm - "dirty chest" - "tram lines"
51
Emphysema
- shortness of breath - air TRAPPED in lungs - caused by pollution, smoking, bronchitis…
52
Emphysema Radiographic Appearance
- extremely LONG lungs - LOW FLATTENED diaphragm - VERTICAL heart - "dirty chest" -SEPTATIONS (CT)
53
Asthma
- common - NARROWING of airways due to ALLERGENS (EXT=dust, pollen, mold) (INT=excersise, heat, cold)
54
Asthma Radiographic Appearance
- normal images - may show "DIRTY chest"
55
Bronchiectasis
PERMANENT abnormal DILATION of bronchi due to destruction - hard to clear MUCUS - CHRONIC cough
56
Bronchiectasis Radiographic Appearance
- coarseness - blurring of markings - oval/circular SPACES (honeycomb)
57
Primary Lung Carcinoma
most COMMON lung cancer - arises from MUCOSA and the bronchial tree - mimics pneumonia
58
Primary Lung Carcinoma Radiographic Appearance
- small round masses - atelectasis (collapsed lung) - pneumonia distal to bronchus - UNIlateral hilium enlargement
59
Metastases
cancers from other parts in the body that may METASTASIZE into the lungs through the circulatory/lymphatic systems
60
Metastases Radiographic Appearance
- nodules throughout the lungs - LARGE round well defined masses (cannonball) - miliary (snowstorm)
61
Pulmonary Embolism
embolus (clot, air bubble, fat…) transported through the bloodstream to the lungs - LODGES in pulmonary artery circulation - can cause pulmonary infarct
62
Pulmonary Embolism Radiographic Appearance
- chest xray appears NORMAL - may show lucency - enlargement of the ipsilateral main pulmonary artery Infarcted: - Hamptons Hump (enlarged wedge shape) at lung base
63
Pulmonary Arteriovenous Fistula
abnormal vascular communication from pulmonary artery to pulmonary vein - DEC oxygenation - may develop cyanosis (bluish)
64
Pulmonary Arteriovenous Fistula Radiographic Appearance
round/ oval lobulated MASS in lower lobe area - angiography for diagnosis
65
Atelectasis
diminished air in lung associated with decreased lung volume - from bronchial OBSTRUCTION - air unable to enter parts of lungs= lung collapses
66
Atelectasis Radiographic Appearance
- localized INC of density streaks/ lobar collapse - lobar fissure displacement - ELEVATION of ipsilateral hemidiaphragm - DISPLACED heart
67
Acute Respiratory Distress Syndrome (ARDS) - Adult
- severe + unexpected - lungs breakdown - lungs fill with fluid - may be from non-thoracic trauma -may be from drug overdose
68
Acute Respiratory Distress Syndrome (ARDS) - Adult Radiographic Appearance
ill-defined alveolar consolidation scattered throughout lungs - heart size remains normal
69
Foreign Bodies
aspirated/ingested/penetrated - some radiopaque, some radiolucent - in LOWER lobes
70
Foreign Bodies Radiographic Appearance
- obstruction items - alveolar collapse if air is trapped - heart and mediastinum shift to AFFECTED side - ipsilateral hemidiaphragm rises
71
Empysema
air is ABNORMALLY present within BODY TISSUES - air trapped in lungs - less O2 in bloodstream - heart ENLARGES to compensate
72
Emphysema Radiographic Appearance
- extremely LONG lungs - flattened diaphragm - vertical heart - INC retrosternal airspace
73
Mediastinal Emphysema (Pneumomediastinum)
air within MEDIASTINUM (between lungs) - from alveolar rupture, chest trauma, perforation… -may cause subcutaneus emphysema
74
Mediastinal Emphysema (Pneumomediastinum) Radiographic Appearance
- air may OUTLINE aorta + pulmonary trunk - linear opacity lining the heart - collection of air behind the sternum - thymus may be ELEVATED in INFANTS
75
Subcutaneous Emphysema
- forced AIR into lung tissues of chest wall - hear/feel crepitation (crackling) in chest, arms, neck - caused by blunt injuries
76
Subcutaneous Emphysema Radiographic Appearance
- streaks of LUCENCY (air) outlining muscle bundles of chest wall
77
Pneumothorax
- air in PLEURAL space/cavity - compresses/collapses lung - heart + mediastinum may shift - sudden/severe chest pain
78
Pneumothorax Radiographic Appearance
- hyperlucent area = pulmonary markings become ABSENT - can see VISCERAL (pleural) line around lungs
79
Pleural Effusion
accumulation of FLUID in pleural space - OUTSIDE lungs - can cause infections, embolisms, heart failure - INC mAs
80
Pleural Effusion Radiographic Appearance
- BLUNTING of costophrenic angle - white radiopaque area at angles - may displace mediastinum - elevate hemidiaphragm
81
Emphyema
- presence of INFECTED liquid/pus in pleural space - from nearby infection, trauma, or thoracic surgery
82
Emphyema Radiographic Appearance
-loculated fluid lesion - air fluid level - discrete mass
83
Pulmonary Edema
- abnormal accumulation of FLUID in lung TISSUE -INSIDE lungs - caused by CONGESTIVE HEART FAILURE - INC mAs
84
Pulmonary Edema Radiographic Appearance
- "fuzziness" of pulmonary markings - bilateral shape with butterfly/bat-like shape - accentuation of vascular markings about the hilia
85
Pulmonary Infarct
- DEATH (necrosis) of a small area of lung caused by ischemia - due to PULMONARY EMBOLISM - pain in chest, back
86
Pulmonary Infarct Radiographic Appearance
Hamptons Hump (enlarged wedge) in LOWER lobe of lungs
87
Hemothorax
presence of BLOOD in the pleural space - from penetrating trauma, disease, iatrogenic causes
88
Hemothorax Radiographic Appearance
- appears as pleural effusion - blunted costophrenic angle with meniscal fluid shape
89
Sinusitis
INFLAMMATION of mucous membrane of the nasal sinuses - due to BLOCKED sinus drainage - excess mucus
90
Sinusitis Radiographic Appearance
mucosal THICKENING appearing as S.T density lining the sinus walls - mucus shows as WHITE area - horizontal beam to acquire air fluid levels
91
4 Chambers of the Heart
- right atrium - left atrium - right ventricle -left ventricle Ventricles are THICKER
92
4 Valves of the Heart
- Mitral (bicuspid) = between L atrium/ventricle - Tricuspid = between R atrium/ventricle - Pulmonary = between R ventricle/ pulmonary artery - Aortic = between L ventricle/ aorta
93
RIGHT side of Heart
DEoxygenated blood - > Lungs
94
LEFT side of Heart
oxygenated blood - > Body
95
Heart CONTRACTS
systole
96
Heart RELAXES
diastole
97
ORDER of blood through CARDIOVASCULAR SYSTEM (12)
1. RIGHT atrium 2. Tricuspid valve 3. RIGHT ventricle 4. Pulmonary Semilunar Valve 5. Pulmonary Artery 6. LUNG 7. Pulmonary Vein 8. LEFT atrium 9. Mitral (Bicuspid) valve 10. LEFT ventricle 11. Aortic Semilunar Valve 12. Aorta
98
Congenital Heart Disease
"MANY" heart defects - narrowing of aorta - shunts
99
Atrial Septal Defect/Patent Foramen Ovale
free communication between both ATRIA due to lack of foramen ovale closure after birth - most COMMON - shunt OVERLOADS right ventricle
100
Atrial Septal Defect/Patent Foramen Ovale Radiographic Appearance
ENLARGEMENT of RIGHT ventricle, atrium, pulmonary outlflow tract
101
Ventricular Septal Defect (VSD)
abnormal OPENING between ventricles shunt=diastolic overflow of LEFT ventricle+atrium
102
Ventricular Septal Defect (VSD) Radiographic Appearance
-LARGE pulmonary trunk - enlarged LEFT ventricle + atrium
103
Patent Ductus Arteriosus
vessel shunts blood from PULMONARY artery into systemic circulation - DOES NOT close after birth = EXCESS blood returned to LEFT atrium+ventricle
104
Patent Ductus Arteriosus Radiographic Appearance
-enlarged LEFT atrium + ventricle + pulmonary arteries -prominent aortic KNOB
105
Tetralogy of Fallot (TOF) 4 Abnormalities causing RIGHT to LEFT shunt
1. Ventricular Septal DEFECT 2. Pulmonary Stenosis (NARROWING) 3. MISPLACE aorta 4. RIGHT ventricular hypertrophy (THICKENED wall)
106
Tetralogy of Fallot SYMPTOMS
- clubbing of fingers/toes - cyanosis at birth - congestive heart failure
107
Tetralogy of Fallot Radiographic Appearance
heart looks like a BOOT
108
Coarctation of Aorta
CONSTRICTION of aorta beyond branching of blood vessels to head + arms - DEC blood flow to abdomen + legs = LOW BP in legs
109
Coarctation of Aorta Radiographic Appearance
- rib NOTCHING - 2 BULGES in aortic valve = "3 sign" - NARROWING of vessel
110
Cardiomegaly
- INC of heart size - congenital/ acquired - due to HYPERTENSION
111
Cardiomegaly Radiographic Appearance
-ENLARGED cardiac silhouette -identifies abnormalities + shape of heart
112
Coronary Artery Disease (CAD)
- NARROWING of coronary arteries - causes oxygen DEPRIVATION - can cause heart attack due to dead heart tissues
113
Coronary Artery Disease (CAD) Radiographic Appearance
- CALCIFICATION of coronary artery - constriction of artery (appears THIN)
114
Angina Pectoralis
- recurring severe CHEST PAIN - may be in neck, jaw, arm - chest tightness/ suffocation - may occur after EXCERSISE
115
Myocardial Infarction (Heart Attack)
-from ATHERESCLEROSIS of coronary arteries - deprives myocardium of blood - heart CANNOT PUMP
116
Myocardial Infarction Radiographic Appearance
- calcification of coronary artery - soft plaque -check heart size/movement
117
Congestive Heart Failure (CHF)
-heart unable to pump blood at a sufficient RATE/VOLUME to provide body with blood - due to hypertension
118
Congestive Heart Failure (CHF) Radiographic Appearance
- cardiac ENLARGEMENT -WIDENED upper mediastinum - pleural effusions - DILATED pulmonary veins
119
Hypertension
HIGH blood pressure - leading cause of strokes/kidney damage
120
Aneurysm
weakness in vessels = possibly RUPTURE = possible IMMEDIATE DEATH
121
Aneurysm Radiographic Appearance
-NOT seen unless CALCIUM is present -CT with CM enhances visibility
122
Berry Aneurysm (Saccular)
-sac like aneurysm on artery - CLIPPING surgery to remove (stops from rupturing/bleeding)
123
Traumatic Rupture of Aorta
- occurs from CHEST TRAUMA - near complete TEAR through of aorta
124
Traumatic Rupture of Aorta Radiographic Appearance
- hemorrhage into mediastinum = WIDEN - collection of BLOOD over LEFT lung APEX - loss of aortic knob shadow
125
Aortic Dissection
tear in INNNER WALL of aorta = blood flows between layers of wall = RUPTURE - may form aneurysm
126
Aortic Dissection Radiographic Appearance
WIDENING of AORTIC border - irregular/wavy
127
Arteriosclerosis
- arterial wall THICKENS - calcification of small arteries - fat, cholesterol, calcium
128
Atherosclerosis
further than ARTERIOSCLEROSIS - moves to obstruction of medium arteries -plaque formation - cause stroke
129
Atherosclerosis Radiographic Appearance
PLAQUES along vessel track
130
Peripheral Vascular Disease (PVD)
hardening, narrowing of vessels in legs and arms
131
Peripheral Vascular Disease (PVD)
- diffuse vascular narrowing - lumen defects
132
Thrombosis
- mass/clot adhering to blood vessel wall - can cause BLOCKAGE - can become embolus
133
Thrombosis Radiographic Appearance
- partial/full occlusion of vessel - blockage in vessel
134
Deep Venous Thrombosis (DVT)
- thrombus development in DEEP VEINS - lower extremities - legs red, swollen, painful - clot may dislodge to lungs!!
135
Deep Venous Thrombosis (DVT) Radiographic Appearance
-partial/full occlusion filling defects
136
Mitral Stenosis
NARROWING of MITRAL valve - result of valve thickening - affects LEFT ventricle and atrium
137
Mitral Stenosis Radiographic Appearance
- LEFT atrium ENLARGEMENT - double contour - widening of CARINA
138
Aortic Stenosis
- obstruction of blood floe EXITING the heart from LEFT VENTRICLE - INC workload of LV
139
Aortic Stenosis Radiographic Appearance
- ENLARGEMENT of LEFT ventricle - aortic valve CALCIFICATION - ASC aorta bulging
140
Pericardial Effusion
- accumulation of FLUIDS surrounding HEART - can cause cardiac tamponade
141
Pericardial Effusion Radiographic Appearance
- ENLARGEMENT of cardiac silhouette - water bottle sign
142
1. Arteriovenous Fistula 2. Arteriovenous Malformation
1. abnormal connection between ARTERY and VEIN 2. blood clots or bleeding in the BRAIN typically
143
1. Arteriovenous Fistula 2. Arteriovenous Malformation Radiographic Appearance
- filling defect - unusual vasculature
144
Arrythmias
abnormal IIREGULAR heart BEAT - tachy = too FAST - brady = too SLOW - electrical problem
145
Dextrocardia
- heart on OPPOSITE part of the body - other organs may be reversed