-
This consists of inspired air then forceful expiration to remove irritant
Cough
-
This type of pneumonia is caused by multiple bacteria
bronchoneumonia
-
This type of pneumonia produces yellow-green sputum
bronchneumonia
-
Cause of legionnaire's disease
gram (-) bacteria
-
Cystic fibrosis is caused by
chromosomal defect
-
how does blood transport 70% of CO2?
bicarbonate ions
-
Name 2 ways O2 travels in blood
Dissolved O2 and oxyhemoglobin (99%)
-
Bacterial infection produces what kind of sputum?
Yellow-green, cloudy, thick
-
Pneumococcal pneumonia produces what kind of sputum?
rusty,dark
-
Thick, sticky, bloody sputum = what kind if infection?
TB or cystic fibrosis
-
Hemoptysis results in what kind of sputum?
bright red bloody, frothy--pulmonary adema--
-
Define "eupena"
normal breathing rate
-
how many inspirations per minute is the normal rate
10-18/minute
-
What are deep rapid inspirations called?
kussmal respirations
-
What are high pitched, crowing respirations called?
Stridor
-
Name and define 3 Respiratory disease breath sounds
- Rales-light, bubbly, cracking
- Rhonchu-deep, harsh (thick mucus)
- Absence of breath-non-aeration, collapsed lung
-
Define dyspnea
SOB, sujective discomfort
-
define orthopnea
positional SOB(dyspnea)
-
Defien cyanosis
blueish tinge to ski due to lask of O2
-
Define hypoxia
inadequate O2 in CELLS
-
deien hypoxemia
inadequate O2 in BLOOD
-
Most common cause of rhinitis-
rhinovirus
-
Pneumococci, streptococci, and haemophilius influenza cause what?
sinusitis
-
symptoms of sinusitis include-
nasal congestion, fever, sore throat, severe pain in facial bone
-
Lobar pneumonia (pneumonococcal) is caused by
streptococcus pneumoniae
-
what arae the 2 stages of lobar pneumonia?
- 1st stage- developmen of congestion
- 2nd stage-consolidation
-
lobar pneumonia signs/symptoms
sudden onset, fever, chills, fatigue, pleuric pain w/splinting, rales heard over affected lobe, prodctive cough, typical rusty sputum
-
may arise as nosocomial infection in institutions affecting persons with other lung diseases
Legionnaire's disease
-
cause a defect in exocrine glands that produce abnormally thick secretion
cystic fibrosis
-
cystic fibrosis is caused by-
defective gene located on 7th chromosome
-
blockage of ileum w/mucus at birth, salty skin, digestive dysfunction, chronic cough, frequent resp infections are signs/symptoms of-
cystic fibrosis
-
acute episodes, triggered by hypersensitivity reaction to inhaled antigens, family history of allergies
extrinsic asthma (may end after adololescence)
-
adult onset, hyper-responsive tissues in airways targeted
intrinsic asthma (may people have both)
-
drug resistant strains, 10% of infected develop active disease, many cases latent/undiagnosed
tuberculosis
-
no purulent exudate, aerobuc, slow growing bacillus w/resistant cell wall, primarily in lings but other organs can be infected
tuberculosis
-
infection occurs wen mocrobes invade the lungs causing local inflammatory response (peripheral upper lobes), bacilli cause hypersensitivity response, granuloma formation form tubercle
PRIMARY TB
-
lesions walled off by fibrous tissue hat has calcified-
Ghon-complexes
-
bacteria remain viavle but dormant, patient exposed and infected but active disease is not present and remains asymptomatic
primary TB
-
active infection insues, necrosis leads to cavitation, lg areas of lung tissue destroyed, hemoptysis are all pathophisiology of-
Secondary TB
-
transmission from inhalation of oral droplets, infection determined by Mantoux test
Secondary TB
-
Three forms of COPD-
Emphysema, asthma, chronic bronchitits
-
characterized by destruction of alveolar walls and septae=lg permanently filled air spaces
emphysema
-
may be classified by location-distal alveoli (panacinar) or bronchiolar (centrilobular)
emphysema
-
air pollutants, genetic factor, and smoking contribute to etiology
emphysema
-
dyspnea, clubbed fingers, and barrel chest are signs and symptoms
emphysema
-
common signs of digestive disorders
anorexia, nausea, vomiting
-
frequent,loose watery stool, classified by volume, consistancy, smell and blood
diarrhea
-
"fatty diarrhea" bulky, greasy, loose stols with fou odor
steatorrhea
-
red blood on surface of stool
frank blood
-
small hidden amounts of blood in stool(detected by testing)
occult blood
-
dark colored, tarry stool, bacteria causes dark color
melena
-
occurs most commonly in proximal duodenum, sinlge round cavaties w/ smooth margins
peptic ulcer
-
complications include hemorrhage, perforation, obstruction, epigastric burning
peptic ulcer
-
formation of masses od solid material tha formin bile aka gallstones
cholelitiasis
-
refers to inflammation of gallbladder and cystic duct
cholecysitis
-
inflammation related to infection of bile ducts
cholangitis
-
pertains to obstruction of the common bile duct by gallstones
choledocholithiasis
-
consist of cholesterol, bile pigments (billirubin) and calcium salts----white(crystalline-consist of cholesterol) or black (consist of billirubin)
gall stones
-
inflammation of liver due to local infection, systemic infection, chemical/drug toxicity, or idiopathic
hepatitis
-
oral-fecal transmission(water and shell fish) outbreaks in day care centers, incubation 2-6 weeks, acute infection, vaccine available
hepatitis A
-
Caused by DNA virus with 3 antigens, carrier state is common, incubationof 2 months, transmitted ny blood and body fluids, vaccine available (formerly known as serum hepatitis)
hepatitis B
-
caused by single strand RNA virus, transmitted by blood and blood transfusions, carrier and chronic, no vaccine (formerly called non-A-non-B)
hepatitis C
-
caused by RNA virus and requires HBV fr replicaion, 2-10 week incubation
hepatitis D
-
caused by RNA virus (HEV), oral-fecal spread
hepatitis E
-
name the three stages of hepatitis
- 1. preicteric (prodromal)
- 2. Icteric (jaundice)
- 3. posticteric (recovery)
-
gamma globulin given early can lessen course, gradual liver destruction leading to cirrhosis and cancer may occur
hepatitis
-
caused by hepatoxins, exposure may be sudden or long term, signs similar to viral infection
non-viral(Toxic) hepatitis
-
list four general categories of cirrhosis
alcoholic liver disease, biliary cirrhosis, postnecrotic cirrhosis, metabloic storage disorders
-
alcoholic liver disease is also known as
portal cirrhosis
-
list 3 stages of alcoolic cirrhosis
- 1st-fatty liver(asymptomatic and reversible)fatty cells accumulate
- 2nd-alcoholic hepatitis(irreversible)fibrous tissue forms
- 3rd-(end-stage cirrhosis) fibrotic tissue replaces normal tissue
-
2 key apthophysiologic effects of cirrhosis are-
loss of liver cell function, and interference with blood and bile flow by fibrous tissue
-
fluid accumulation causing abdominal distension and pressure known as:
ascites
-
reduction of bile secreted, back up to liver, blockageof blood flow(hemolysis), impaired digestion and absorption are what effects of cirrhosis?
obstructive effects
-
decreased removal f bilirubin and decreased production of bile, impaired idgestion and absorption, decreased production of plasma proteins, decreased removal of toxic substances
functional effects of cirrhosis
-
crohn's disease, lcerative colitis are:
- chronic inflammatory bowel diseases
- ETIOLOGY UNKNOWN
-
crohn's disease is also known as:
regional ileitis
-
herniation or outpouching of mucosa in colon
dierticulum
-
asymptomatic disease where multiple diverticula are present
diverticulosis
-
inflammation of the diverticula, common in western societies, in older adults
diverticulitis
|
|