Diseases Of The Respiratory System Flashcard

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upper respiratory tract consists of...
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nose, nasal cavity and sinuses above it, pharynx, epiglottis
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lower respiratory tract consists of...
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trachea, bronchi, bronchioles, alveoli sacs, alveoli, alveolar ducts
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upper respiratory tract defenses
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nasal hair, ciliary escalatory, mucus, coughing/sneezing, secretory IgA
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lower respiratory tract defenses
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mucus, alveolar macrophages, secretory IgA
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conducting division
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nose, nasal cavity, pharynx, trachea, bronchi

provides rigid tubes for air to reach the lungs
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respiratory division
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bronchioles, alveolar ducts, alveoli

sites of gas exchange; where respiration takes place
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accessory organs
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diaphragm, intercostal muscles, sternum, ribs
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acute coryza
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common cold; approx. 200 viruses; inflammation of the upper respiratory tract

complications: sinusitis, swollen glands, tonsillitis, ear infections, secondary infections, hacking cough, sneezing, watery discharge, itchy/scratchy throat
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Rhinoviruses and the common cold
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10-40%; early fall, spring, summer; 110 distinct types; seldom produce serious illnesses
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Coronaviruses and the common cold
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20%; winter and early spring; large % of adult colds; only 3-4 out of 30+ infect humans
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Respiratory syncytial virus (RSV)
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10-15%; more severe respiratory illnesses
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Sinusitis
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inflammation and/or infection of the sinuses; may be acute and last for a few weeks or chronic lasting for weeks-months

complications: severe headaches, pain in the upper jaw and teeth, swelling of the eyelids, possible fever and rhinitis
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Pharyngitis
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caused by bacteria or viruses but bacteria is the worst; fewer than 20% require antibiotic therapy; determined through lab cultures what type of species has infected you

complications: rapid onset of throat pain worsened by swallowing, fever, inflammation, colored exudate, headache, initial absence of cough
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Pharyngitis caused by Strep
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Streptococcus pyogenes; may produce fibrinolysis to lyse blood clots and streptolysins that are toxic to tissue cells, and red and white blood cells; a rise in IgM antibody indicates caused by strep; can lead to rheumatic fever and glomerulonephritis
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scarlet fever
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group A streptococci that produces an erythrogenic toxin (due to lyrogenized bacteriophage; same thing that causes strep throat); treated by antibiotics

complications: rash, fever, sore throat, swollen glands
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Diphtheria
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caused by Corynebacterium diphtheriae; toxin produced by lysogenized bacteriophage; can lead to myocarditis and low platelet counts; treated by antitoxin and antibiotics; we receive vaccination

complications: sore throat, fever, enlarged lymph nodes, painful skin lesions, membrane growth near tonsils
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tonsillitis
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viral or bacterial infections; tonsils part of immune system

complications: inflammation, fever, headache, difficulty swallowing, swollen glands in neck, ear pain, sore throat
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epiglottitis
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caused by Heophilus influenzae and strains of Strep and Staph; could result in ER trip; more common in kids

complications: swelling of all tissues surrounding glottis and narrows airway
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laryngitis
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caused by viral infection and sometimes physical stress on larynx; not very serious; stay hydrated

complications: inflammation of vocal cords in larynx, hoarse/gravely voice, sore throat with possible fever, difficulty swallowing
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tracheitis
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viral infection; usually no treatment required; can become severe if swelling causes panic

complications: inflammation of trachea, sore and burning sensation as air enters lungs, trachea feels raw with frequent coughing, sensation of swelling in windpipe
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bronchial tree
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as conducting tubes become smaller, the amount of smooth muscle increases
large cartilaginous rings
primary, secondary, tertiary, down to smaller than a hair
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bronchioles
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complete layer of circular smooth (rings) in stead of cartilage
lack cartilage support and mucus-producing cells
23 orders of branching
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whooping cough (Pertussis)
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Bordetella pertussis; highly infectious with low mortality rate; symptom relief and sometimes antibiotics; children immunized; can be very long-term

complications: cold-like symptoms (catarrhal stage), sever coughing (paroxysmal stage), whooping noise during breathing btwn bursts of coughing until child may vomit (convalescence stage), mucous in airways
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Tuberculosis
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bacteria; ? currently infected and 1 person infected every second; 8 million people a year; 1.87 million people die; acid-fast bacterium Mycobacterium tuberculosis; a + test does not mean you have it; droplet infection; bacteria multiply and spread when macrophages lyse; treatment is drug cocktail; 12 month course of antibiotics
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complications from Tuberculosis
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complications: prolonged coughing maybe with blood, fever, night sweats, unexplained weight loss, lesion (if not healed correctly can be very harmful bc releases bacteria into circulatory system), splitting headache
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pneumonia
Streptococcus pneumoniae (pneumococcal)
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virulence due to capsule; most common pneumonia; mortality rate <1%

complications: fever, chest pain, difficulty breathing, sputum rust-colored from blood
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pneumonia
Klebsiella pneumoniae
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virulence due to capsule; caused by different types of organisms; common in throat and mouth; similar to Strep. pneumonia; mortality rate in untreated cases is 85%

complications: produces lung abscesses and permanent damage
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pneumonia
Mycoplasma Pneumonia (mycoplasmal pneumonia)
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do not produce cell walls; more difficult to diagnose; more common in upper respiratory tract; very low mortality rate; not person to person transmission

complications: low fever, cough, headache
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pneumonia
Legionella pneumophila (Legionnaires Disease)
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transmitted by water (air conditioning and fountains); can be fatal; needs to be diagnosed and treated quicker than other types

complications: sudden onset w/ high fever, cough, chest pain
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Viral pneumonia
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complication of influenza or even chickenpox; not very common; most common in infants; considered viral if bacterium cannot be isolated from pneumonia patients
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Influenza
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caused by variety of viruses; 1-2 week recovery; different types differentiated by H and N antigens on virus surface; He help virus attach to cell, N help to separate

complications: chills, fever, dry cough, sore throat, stuffy nose, headache, general muscular aches
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influenza type A
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most common and serious
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influenza type B
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can cause epidemics, but milder than type A
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influenza type C
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never causes epidemics, mild
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Histoplasmosis - Histoplasma capsulatum
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fungal disease of lower respiratory system; resembles tuberculosis; passes for minor respiratory infection; found along ohio and mississippi rivers; airborne spores (bird and bat droppings provide nutrients for growth of fungus)

complications: lesions on organs, signs and symptoms of tuberculosis
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Coccidiodomycosis - Coccidioides immitis
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endemic to dry, alkaline soils of southwest; less than 100 deaths; aerosol spread; forms spherules containing spores in tissues

complications: tuberculosis signs/symptoms
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Pneumocystis pneumonia - Pneumocystis carinii
Pneumocystic jiroveci
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fungus or protozoan; present in lungs of most healthy mammals; causes disease in immunosuppressed people (especially AIDS patients)

complications: shortness of breath, fever, nonproductive cough; more serious cases include blood in sputum, great difficulty breathing, chest pain
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asthma
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allergy; swollen bronchioles

complications: labored breathing, wheezing, chest tightness, inflammation, bronchospasm, airways thickened with inflammatory exudates
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bronchitis
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inflammation of the bronchi; acute or chronic
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Bronchiolitis
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inflammation of the bronchioles; airway becomes obstructed from swelling of bronchiole walls
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cystic fibrosis
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constant build up of mucous in the lungs;
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emphysema
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destruction of alveolar tissue; from smoking or inhalation of toxic substances; air sacs i lungs progressively enlarge and can't empty completely before you exhale again; trapped air results in flattening of diaphragm and make you feel short of breath; weakened and collapsed air sacs with excess mucus
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Chronic Obstructive Pulmonary Disease (COPD)
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exemplified by chronic bronchitis and obstructive emphysema; develop respiratory failure; history of smoking, labored breathing that only gets worse, coughing and frequent pulmonary infections
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Lung Cancer
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? of cancer deaths in US; over 90% of patients are smokers
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Tobacco (Nicotinianum tobacum)
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4k different chemicals; nicotine very addictive and deadly poisonous; tar has ammonia, arsenic, cyanid, catechols, formaldehyde; basically carbon monoxide poisoning
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