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What is the major role of the respiratory system?
The oxygenation of blood and the removal of the body's waste products in the form of carbon dioxide
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What are the two congenital/hereditary diseases?
- cystic fibrosis
- Hyaline membrane disease
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_________ is a hereditary disease characterized by the secretion of excessively viscous mucus. Most commonly found in children
Cystic fibrosis
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__________ demonstrates as thickening of bronchioles and mucus filled alveoli.
Cystic fibrosis
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_____________ One of the most common causes of respiratory stress in a new born. Due to shortage of surfactant that helps lungs maintain surface tension
Hylaline membrane disease.
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Appears as a fine granular appearance of the pulmonary parenchyma
Hyaline membrane disease
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An inflammation of the lung that can be caused by various organisms, most commonly bacteria and viruses.
Pneumonia
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Appears as small patches of consolidation may be seen as pacification's that are scattered throughout the lungs. This is little to no involvement of the airways
Pneumonia
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Most commonly produced by viral and mycoplasmal infections. The inflammatory process involves predominantly the walls and lining of the alveoli and the supporting structures of the lung
Interstitial (viral) pneumonia
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What was an early treatment of TB?
Plombage- collapsing of a lung to let it rest. Caused a variety of complications
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Caused by a rod shaped bacterium with a protective waxy coat. Spreads mainly by droplets in the air
Tuberculosis
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Granular appearance. See enlarged lymph nodes. Pleural effusion is a response.
Tuberculosis
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_____________ includes several conditions in which obstruction of the airways leads to an ineffective exchange of respiratory gases and makes breathing difficult
COPD
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_____________ is characterized by excessive tracheobronchial mucus production leading to the obstruction of small airways
Chronic bronchitis
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___________ refers to the distention of distal air spaces as a result of the destruction of alveolar walls and the obstruction of small airways.
Emphysema
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The most common radiographic abnormality in ____________ is a generalized increase in bronchovascular markings (dirty chest) especially in the lower lungs
Chronic bronchitis
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The major radiographic signs of _______ are related to overinflation, alterations in the pulmonary vasculature, and bullae formation. Diaphragm tends to be barrel chested
emphysema
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____________ is a result of prolonged occupational exposure to certain irritating particulars and can cause severe pulmonary disease. Leads to chronic inflammation which leads to fibrous changes (scar tissue) and dysplasia. Can lead to cancers
pneumoconiosis
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_________ may develop in improperly protected workers engaged in manufacturing asbestos products,
Asbestosis
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The radiographic sign of __________ involves the pleura. Pleural thickening appear as linear plaques of opacification which are often along the lower chest wall and diaphragm.
asbestosis
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Accumulation of fluid in pleural space which begins to collapse the lung describes
pleural effusion
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To see air fluid levels in suspected pleural effusion you would do a decub looking at the side _______
down
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The earliest radiographic finding of __________ visualizes blunting of the costrophrenic angles
Pleural effusion
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What is the best imaging for sinusitis?
CT
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____________ refers to a condition in which there is diminished are within the lung associated with reduced lung volume. Most commonly results from bronchial obstructions
Atelectasis
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What is an important iatrogenic cause of atelectasis?
Improper placement of an endotracheal tube below the level of the tracheal bifurcation. Tends to enter the right bronchus and block the left causing partial or complete collapse of left lung.
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How can you determine if lung cancer is primary or metastatic?
Biopsy
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____________ lung cancer begins in lung (solitary nodule or multiple)
Primary
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The duodenum has what kind of folds?
Rigid and transerve
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The jejunum has has a ________ appearance
feathery
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What does the large bowel do?
Removes water and collects and concentrates waste
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___________ produces insulin in the Ilsets if Langerhaans. The body needs insulin to utilize glucose
The pancreas
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What is a common indication for an upper GI and cannot be seen on a static x-ray
GERD
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GERD is best visualized using _____________. They consist of superficial ulcerations or erosions that appear as streaks or dots of barium.
Double contrast studies.
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____________ describes any symptomatic condition or structural changes caused by reflux of the stomach contents into the esophagus.
Gastrointestinal Reflux Disease (GERD)
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_______________ is a condition related to severe reflux esophagitis in which the normal squamous lining of the lower esophagus is destroyed and replaced by columnar epithelium similar to that of the stomach.
Barrett's esophagus
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Barrett's esophagus is commonly associated with
hiatal hernia
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Fibrous healing in Barrett's esophagus often leads to
a smooth tapered stricture
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___________ tends to be highly invasive; growing into surrounding tissues and is diagnosed very late
Esophageal cancer
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A double contrast barium swallow shows a plaque like lesion, occasionally with central ulceration, that involves one wall of the esophagus describes
esophageal cancer
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____________ are dilated veins in the wall of the esophagus that are most commonly the result of increased pressure in the portal venous system
Esophageal varices
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_____________ appears as a wavy border, thickening of folds, which appear as round or filling defects resembling the beads of a rosary
Esophageal varices
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What is the most common abnormality detected on upper GI exams?
Hiatal hernia
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When the stomach has push through the diaphragm and into the chest cavity this is known as
hiatal hernia
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___________may be visualized on static chest x-ray but diagnosis must be confirmed with a barium study
A hiatal hernia
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Inflammation of the stomach is termed
gastritis
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_____________ is a group of inflammatory processes involving the stomach and occurs most frequently on the lesser curvature.
Peptic ulcer disease
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What are the major complications of peptic ulcer disease?
Hemorrhage, gastric outlet obstruction and perforation. If chronic can lead to cancer
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An upper GI that displays a wagon wheel appearance is showing a
peptic ulcer
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Stomach cancer presents radiographically as a
filling defect or disruption of gastric folds if caught early on.
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