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Respiratory System
Responsible for exchange of O2 and CO2
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Carbon Dioxide
Tasteless, colorless, odorless gas produced by body cells during the metabolic process
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cartilage
Tough, elastic connective tissue that is more rigid than ligaments but less dense than bone (tip of nose & outer ridge of ear)
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Cilia (singular Cilium)
Any hair like structure
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Diffuse
Moving or spreading out of a substance at random, rather than by chemical reaction or application of external forces
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Homeostasis
State in which the regulatory mechanisms of the body maintain a constant internal environment
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Mucous Membrane
Moist tissue layer lining hollow organs and cavities of the body that open to the environment; also called mucosa
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Oxygen (O2)
Tasteless, odorless, colorless gas essential for human respiration
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pH
Symbol that indicates the degree of acidity or alkalinity of a substance
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pH <7
Increasing acidic pH
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pH >7
Increasing alkalinity
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Septum
Wall dividing two cavities, such as the nasal septum, which separates the two nostrils
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Serous Membrane
Thin layer of tissue that covers internal body cavities, the cells of which secrete a fluid that keeps the membrane moist; also called serosa
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Upper Respiratory Tract (9)
- nasal cavity
- nasopharynx
- oropharynx
- laryngopharynx
- adenoids
- palatine tonsils
- larynx
- epiglottis
- trachea
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Lower Respiratory Tract (10)
- bronchi (singular bronchus)
- right lung/ left lung
- bronchioles
- alveoli (singular alveous)
- pulmonary capillaries
- mediastinum
- visceral pleura
- parietal pleura
- diaphragm
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Inspiration
inhalation of air into lungs
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Expiration
exhalation of air out of lungs
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Olfactory Neurons
receptors for the sense of smell
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Pharyngeal tonsils
adenoids
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Bronchi (singular bronchus)
two branches connected to the trachea; each going to a separate lung
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Alveoli (singular alveolus)
tiny air sacs at the end of the bronchioles; they expand and contract with the inflow and outflow of air
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Mediastinum
the space between the right and left lungs
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These are located in the Mediastinum
- Heart
- Aorta
- Esophagus
- Bronchi
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Pleura
a serous membrane covering the lobes of the lungs and folds over to line the walls of the thoracic cavity
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Visceral Pleura
the serous membrane that covers the lungs
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Parietal Pleura
the serous membrane that covers the walls of the thoracic cavity
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Pleural Cavity
the space betweent he visceral pleura and parietal pleura
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Diaphram
assists in changing the volume of the thoracic cavity to produce the needed pressure differential for ventilation
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Ventilation
breathing; helps regulate the pH of the blood by exchanging O2 and CO2 to maintain homeostasis
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4 processes of Respiration
- pulmonary ventilation
- external respiration
- transport of respiratory gases
- internal respiration
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Pulmonology
medical specialty concerned with disorders of the respiratory system
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Pulmonologist
physician who treats respiratory disorders
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Common signs & symptoms of many respiratory disorders
- cough (dry or productive)
- chest pain
- altered breathing patterns
- shortness of breath (SOB)
- cyanosis
- fever
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dyspnea
difficult breathing
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bronchospasms
spasms in the bronchial passages
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paroxysmal
sudden and violent spasms in the bronchial passages
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productive cough
coughing episodes that produce large amounts of mucus
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mucolytics
agents that loosen and break down mucus
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bronchodilators
medications that expand the bronchi by relaxing their smooth muscles
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status asthmaticus
usual measures do not reverse the brochospasms
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Chronic Bronchitis
inflammation of the bronchi caused mainly by smoking and air pollution, but viruses and bacteria may also cause it
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Bronchitis symptoms
- swelling of the mucosa
- heavy productive cough
- commonly accom. by chest pain
- exercise intolerance
- wheezing
- SOB
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Expectorants
bronchodilators and medications that aid in the removal of mucus and help to widen the air passages
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Emphysema
decreased elasticity of the alveoli; they expand but are unable to contract to their original size.
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Pharynx consists of
- Nasopharynx
- Oropharynx
- Laryngopharynx
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Nasopharynx consists of
- adenoids (pharyngeal tonsils)
- palatine tonsils (tonsils)
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Influenza
an acute infectious respiratory viral disease
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Pandemic
- a worldwide epidemic
- type A influenza
- occur about every 2-3 years
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Virulent
highly infectious
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Type B Influenza
Geographical rather than worldwide
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Type C Influenza
A mild flu; not associated with an epidemic
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Flu symptoms
- fever, chills
- headache, myalgia
- loss of appetite
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Pleural Effusion
any abnormal fluid in the pleural cavity, the space between the visceral and parietal pleura
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Auscultation
the listening of sounds made by organs of the body using a s tethoscope
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Percussion
the gentle tapping of the chest with the fingers and listening to the resultant sounds to determine the position, size or consistency of the underlying structures
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Transudate
a noninflammatory fluid that resembles serum but with slightly less protein
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Exudate
Usually high in protein and often contains blood and immune cells
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Types of pleural effusions
- Serum (hydrothorax)
- Pus (empyema or pyothorax)
- Blood (hemothorax)
- Air (pneumothorax) (not considered a pleural effusion)
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Tuberculosis (TB)
a communicable disease spread by droplets of respiratory secretions (droplet nuclei) from an infected individual when he/she coughs, laughs or sneezes
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Pneumonia
Any inflammatory disease of the lungs that may be caused by bacteria, viruses or fungi
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Aspiration pneumonia
Pneumonia caused by inhaling food or liquid
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Lobar pneumonia
pneumonia affecting only one lobe of the lungs
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Hemoptysis
spitting of blood
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Cystic Fibrosis
A hereditary disorder of the exocrine glands that cause the body to secrete extremely thick (viscous) mucus
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Systemic Infection
Major infections that affect the entire body
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Symptoms of HMD or IRDS
- Cyanosis of the extremities (blueness)
- Nares (flaring of the nostrils)
- Tachypnea (rapid breathing)
- Intercostal retraction
- A characteristic grunt audible during exhilation
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Acidosis
Excessive acidity of body fluids
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Anosmia
Absence of the sense of smell
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Apnea
Temporary loss of breathing
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Asphyxia
Condition caused by insufficient intake of oxygen
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Atelectasis
Collapsed or airless state of the lung, which may be acute or chronic and affect all or part of a lung
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cheyne-Stokes respiration
Repeated breathing pattern characterized by fluctuation in the depth of respiration, first deeply, then shallow, then not at all
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Compliance
Ease with thich lung tissue can be stretched
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Coryza
Head cold; upper respiratory infection (URI)
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Crackle
Abnormal respiratory sound heard on auscultation, caused by exudates, spasms, hyperplasia or when air enters moisture-filled alveoli; also called rale
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Croup
Common childhood condition involving inflammation of the larynx, trachea, bronchial passages and sometime lungs
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Deviated Nasal Septum
Displacement of cartilage dividing the nostrils
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Epiglottitis
Severe, life-threatening infection of the epiglottis and supraglottic structures that occurs most commonly in children between 2 and 12 years of age
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Signs of epiglottis
- fever
- dysphagia
- inspiratory stridor
- severe respiratory distress
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Epistaxis
Nosebleed; nasal hemorrhage
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Finger Clubbing
Enlargement of the terminal phalanges of the fingers and toes, commonly associated with pulmonary disease
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Hypoxemia
Deficiency of oxygen in the blood
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Hypoxia
Deficiency of oxygen in tissues
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Pertussis
Acute infectious disease characterized by a cough that has a "whoop"
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Pleurisy
Inflammation of the pleural membrane characterized by a stabbing pain that is intensified by coughing or deep breathing; also called pleuritis
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Pneumoconiosis
Disease caused by inhaling dust particles, including coal dust (anthracosis), stone dust (chalicosis), iron dust (siderosis) and asbetos particles (asbestosis)
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Pulmonary edema
Accumulation of extravascular fluid in lung tissues and alveoli, caused most commonly by heart failure
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Pulmonary embolus
Blockage in an artery of the lungs caused by a mass of undissolved matter (such as a blood clot, tissue, air bubbles and bacteria)
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Rhonchus
Abnormal breath sound heard on auscultation
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Stridor
High-pitched, harsh, adventitious breath sound caused by a spasm or swelling of the larynx or an obstruction in the upper airway.
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Sudden Infant Death Syndrome (SIDS)
Completely unexpected and unexplained death of an apparently normal, healthy infant, usually less than 12 months of age; also called crib death
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Wheeze
Whistling or sighing sound heard on auscultation that results from narrowing of the lumen of the respiratory passageway
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Wheezing is a sign of:
- Asthma
- Croup
- Hay fever
- Obstructive emphysema
- Other obstructive respiratory conditions
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Mantoux test
Intradermal test of determine tuberculin sensitivity based on a positive reaction where the area around the test site becomes red and swollen
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Oximetry
Noninvasive method of monitoring the percentage of hemoglobin (Hb) saturated with oxygen; also called pulse oximetry
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Polysomnography
Test of sleep cycles and stages using continuous recordings of brain waves (EEGs), electrical activity of muscles, eye movement (electro-oculogram), respiratory rate, blood pressure, blood oxygen saturation, heart rhythm and sometimes direct observation of the person during sleep using a video camera
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Pulmonary Function Tests
Multiple tests used to evaluate the ability of the lungs to take in and expel air as well as perform gas exhange across the alveolocapillary membrane
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Spirometry
Measurement of ventilatory ability by assessing lung capacity and flow, including the time necessary for exhaling the total volume of inhaled air
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Bronchoscopy
Visual examination of the bronchi using an endoscope (flexible fiberoptic or rigid) inserted through the mouth and trachea for direct viewing of structures or for projection on a monitor
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Laryngoscopy
Visual examination of the larynx to detect tumors, foreign bodies, nerve or structural injury or other abnormalities
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Mediastinoscopy
Visual examination of the mediastinal structures including the heart, trachea, esophagus, bronchus, thymus, and lymph nodes
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Arterial blood gas (ABG)
Test that measures partial pressure of oxygen (Po2), carbon dioxide (Pco2), pH (acidity or alkalinity), and bicarbonate level of an arterial blood sample.
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Sputum Culture
Microbial test used to identify disease-causing organisms of the lower respiratory tract, especially those that cause pneumonias
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Sweat Test
Measurement of the amount of salt (sodium chloride) in sweat
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Throat Culture
Test used to identify pathogens, especially group A streptococci
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Radiographic
Process of producing images using an x-ray passed t hrough the body or area and captured on a film
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Thoracic (Chest)
Images of the chest taken from anteroposterior (AP) projections, posteroanterior (PA) projection, lateral projection or a combination of these projections
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Chest Radiography is used to diagnose:
- Rib fractures
- Lung diseases, including atelectatis, masses, pneumonia, and emphysema
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Scan
Imaging procedure that gathers information about a specific organ or structure of the body. In some cases, small amounts of injected radionuclide (tracer) are used to enhance images
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Lung Scan
Nuclear scanning test primarily used to detect pulmonary emboli
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Aerosol Therapy
Lung treatment using various techniques to deliver medication in mist form directly to the lungs or air passageways. Techniques include nebulizers, metered-dose inhalers (MDI's), and dry powder inhalers (DPI's)
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Lavage
Irrigating or washing out of an organ, stomach, bladder, bowel or body cavity with a stream of water or other fluid
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Antral Lavage
Irrigation of the antrum (maxillary sinus) in chronic or nonresponsive sinusitis
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Postural Drainage
Positioning a patient so that gravity aids in the drainage of secretions from the bronchi and lobes of the lungs
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Pleurectomy
Excision of part of the pleura, usually parietal
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Pneumectomy
Excision of a lung
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Rhinoplasty
Reconstructive surgery of the nose to correct deformities or for cosmetic puposes
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Septoplasty
Surgical repair of a deviated nasal septum usually performed when the septum is encroaching on the breathing passages or nasal structures
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Thoracentesis
Surgical puncture and drainage of the pleural cavity; also called pleurocentesis or thoracocentesis
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Tracheostomy
Surgical procedure in which an opening is made in the neck and into the trachea into which a breathing tube may be inserted
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