Pulmonary Flashcards
(29 cards)
Hemoptysis
Coughing up blood
Dyspnea
Difficulty breathing
Shortness of breath
Atelectasis
Collapse of lung volume
Pneumothorax
Air in the pleural space or cavity leads to collapse of the lung
Emphysema
Suppurations in pleural cavity
Pleural effusion
Fluid in the pleural space
Pulmonary edema
Accumulation of fluid in the lungs first in the interstitial tissues then ultimately filling up the distal air spaces
Pulmonary edema
Increased intravascular pressure Hypoproetinemia (low protein) Vascular damage (infections autoimmune diseases)
Pulmonary Thromboemboli
Usually from the deep veins of the legs or pelvic veins
Saddle embolus
Very large emboli lodge at the bifurcation of pulmonary artery’s and can cause sudden death
Obstructive pulmonary diseases is a group of disease
That result in airflow limitation or obstruction
-overlap is common
COPD
Emphysema/chronic bronchitis
Emphysema is the permanent
Enlargement of the distal small air spaces due to destruction of alveolar septal walls
Emphysema clinically
Suspend
Cough
Prolonged exhalation —pink puffers
Emphysema is an imbalance between
Protease and anti-protease enzymes
Emphysema: Centriacinar
Involves the central portion of the acini usually affects upper lobes
-most often related to smoking
Emphysema: Panacinar
Involves the entire acinar unit from the respiratory bronchioles to terminal alveoli usually affects lower lobes
-patients with a1-AT deficiency
Chronic bronchitis is defined as
Cough+ sputum for 3 consecutive months
Blue bloaters
Chronic bronchitis
Hypoexmia, cyanosis
In chronic bronchitis there is an increased
Mucus gland layer, chronic inflammation, fibrosis, and narrowing of the airways
Bronchiectasis
Chronic infection with permanent major airway dilation secondary to obstruction infection or both
Bronchiectasis pathology
Dilated distal bronchi and bronchioles
Chronic infection with inflammation and purulence
Asthma is increased
Irritability and prominence of smooth muscle in bronchi and bronchioles
What is noticeable about asthma
Reversible episodes