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METASTASIS
- Change in location of a disease from one organ or part of the body to
- another. Often used to describe a cancer that has migrated to other
- parts of the body.
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CHRONIC BRONCHITIS
Chronic inflammatory condition affecting the bronchi that is associated with excess mucous production that results from overgrowth of the mucous glands in the airways.
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CRICOTHYROID MEMBRANE
Membrane between the cricoid and thyroid cartilages of the larynx.
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HERING-BREUER REFLEX
The nervous system mechanism that terminates inhalation and prevents lung overexpansion.
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CAPE CYANOSIS
Deep cyanosis of the face and neck and across the chest and back; associated with little or no blood flow; it is particularly ominous.
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SNORING
Noise made on inhalation when the upper airway is partially obstructed by the tongue.
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HEMOPTYSIS
Coughing up blood.
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RHONCHUS/RHONCHI
A coarse, low-pitched breath sound heard in patients who have chronic mucus in the airways (plural: rhonchi).
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PNEUMONITIS
Inflammation of the lung. Implies lung inflammation from an irritant such as a chemical, dust, or radiation, or from aspiration. When lung inflammation is caused by an infectious agent, it would typically be called pneumonia.
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CROUP
Common disease of childhood characterized by spasm of the larynx and resulting upper airway obstruction.
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OROPHARYNX
The area behind the base of the tongue between the soft palate and the upper portion of the epiglottis.
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FOWLERS
A sitting position with the head elevated to 90° (sitting straight upright).
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CILIA
Hairlike microtubule projections on the surface of a cell that can move materials over the cell surface.
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HYPOVENTILATE
To not move adequate volumes of gas; underventilate.
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DEAD SPACE
The portion of the tidal volume that does not reach the alveoli and thus does not participate in gas exchange.
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ARYTENOID CARTILAGES
One of the paired, pitcher-shaped cartilages at the back of the larynx, at the upper border of the cricoid cartilage.
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ANGIOEDEMA
An allergic reaction that may cause profound swelling of the tongue and lips.
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BRONCHOSPASM
Severe constriction of the bronchial tree.
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ALVEOLI
Sac-like units at the end of the bronchioles where gas exchange takes place (singular: alveolus).
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ORTHOPNEA
Severe dyspnea experienced when recumbent and relieved by sitting or standing up.
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RALES
Old terminology for abnormal breath sounds that have a fine, crackling quality; now called crackles.
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PAROXYSMAL NOCTURNAL DYSPNEA
Severe shortness of breath occurring at night after several hours of recumbency, during which fluid pools in the lungs.
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SPACER
A device that collects medication as it is released from the canister of a metered-dose inhaler, allowing more to be delivered to the lungs and less to be lost to the environment.
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GLOTTIS
Opening between the vocal cords.
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GULLAIN-BARRYNDROME
A disease of unknown etiology that causes paralysis that progresses from the feet to the head (ascending paralysis). If the paralysis reaches the diaphragm, the patient may require respiratory support.
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CARINA
Point at which the trachea bifurcates into the right and left mainstem bronchi.
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PALATINE TONSILS
One of three sets of lymphatic organs that comprise the tonsils; located in the back of the throat, on each side of the posterior opening of the oral cavity; help protect the body from bacteria introduced into the mouth and nose.
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PSEUDOMEMBRANE
A false membrane formed by a dead tissue layer. Seen in the posterior pharynx of patients with diphtheria.
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BOTULISM
Poisoning from eating food containing botulinum toxin.
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TUBERCULOSIS
A chronic bacterial disease caused by Mycobacterium tuberculosis that usually affects the lungs but can also affect other organs such as the brain or kidneys.
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SURFACTANT
A liquid protein substance that coats the alveoli in the lungs.
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PULSUS PARADOXUS
Weakening or loss of a palpable pulse during inhalation, characteristic of cardiac tamponade and severe asthma.
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CRACKLES
Abnormal breath sounds that have a fine, crackling quality; previously called rales.
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SMOOTH MUSCLE
Nonstriated involuntary muscle found in vessel walls, glands, and the gastrointestinal tract.
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CARPOPEDAL SPASM
Contorted position of the hand in which the fingers flex in a clawlike attitude and the thumb curls toward the palm.
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PURULENT
Full of pus; having the character of pus.
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JUGULAR VENOUS DISTENTION
The visible bulging of the jugular veins when the patient is in semi-Fowlers or full Fowlers position. This is indicative of inadequate blood movement through the heart and/or lungs.
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DIURESIS
Secretion of large amounts of urine by the kidney.
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HEMOGLOBIN
Oxygen-carrying pigment of the red blood cells. When hemoglobin has absorbed oxygen in the lungs, it is bright red and is called oxyhemoglobin. After hemoglobin has given up its oxygen in the tissues, it is purple and is called reduced hemoglobin.
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ADVENTITIOUS
A type of breath sound that occurs in addition to the normal breath sounds; examples are crackles and wheezes.
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TACTILE FREMITUS
Vibrations in the chest as the patient breathes.
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REACTIVE AIRWAY DISEASE
A term used to describe any condition that causes hyperreactive bronchioles and bronchospasm.
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KUSSMAUL RESPIRATION
A respiratory pattern characteristic of the person with diabetes who is in ketoacidosis, with marked hyperpnea and tachypnea.
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HYPOXIC DRIVE
A situation in which a persons stimulus to breathe comes from a fall in Pao2 rather than the normal stimulus, a rise in Paco2.
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STATUS ASTHMATICUS
A severe, prolonged asthma attack that cannot be broken with epinephrine.
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TIDAL VOLUME
The amount of air inhaled or exhaled during one breath.
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POLYPHONIC
The sound of multiple notes during wheezing, caused by the vibrations of many bronchi.
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ATELECTASIS
Collapse of the alveolar air spaces of the lungs.
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CRICOID CARTILAGE
Ringlike cartilage forming the lower and back part of the larynx.
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RETRACTION
Drawing in the intercostal muscles and the muscles above the clavicles in respiratory distress.
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POLYCYTHEMIA
The production of more red blood cells over time, making the blood thick; a characteristic of people who have chronic lung disease and chronic hypoxia.
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ABSCESS
A collection of pus in a sac, formed by necrotic tissues and an accumulation of white blood cells.
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TURBINATES
A set of bony convolutions formed by the conchae in the nasopharynx that help to maintain smooth airflow.
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PLEURAL EFFUSION
Excessive accumulation of fluid in the pleural space.
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COR PULMONALE
Heart disease that develops secondary to a chronic lung disease, usually affecting primarily the right side of the heart.
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EDEMA
A condition in which excess fluid accumulates in tissues, manifested by swelling.
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PIRIFORM FOSSA
Hollow pockets on the lateral sides of the glottic opening.
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SHUNT
Situation in which a portion of the output of the right side of the heart reaches the left side of the heart without being oxygenated in the lungs; may be caused by atelectasis, pulmonary edema, or a variety of other conditions. In hemodialysis, an anastomosis between a peripheral artery and vein.
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EMPHYSEMA
Infiltration of any tissue by air or gas; a chronic obstructive pulmonary disease characterized by distention of the alveoli and destructive changes in the lung parenchyma.
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BETA-2 AGONISTS
Pharmacologic agents that stimulate the beta-2 receptor sites found in smooth muscle; include common bronchodilators like albuterol and levalbuterol.
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LARYNX
The organ of voice production.
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GOBLET CELLS
Cells that produce a protective mucous lining.
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STRIDOR
Harsh, high-pitched sound associated with severe upper airway obstruction, such as that caused by laryngeal edema.
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SELLICK MANEUVER
Pressure applied over the cricoid to seal off the esophagus and prevent reflux of gastric contents.
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PARENCHYMA
The substance of a gland or solid organ.
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TRACHEOTOMY
Surgically opening the trachea to create an airway.
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END-TIDAL CARBON DIOXIDE
The numeric percentage of carbon dioxide contained in the last few milliliters of the patients exhaled air.
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GREENFIELD FILTER
A mesh filter placed in the inferior vena cava to catch blood clots in patients who are at high risk of pulmonary embolus.
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