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pathology * Recognition(identify) : emphysema * What you should know about it : - widened air spaces - Ruptured and thinned alveolar septa 1 * Recognition(identify): lobar pneumonia * What you should know about it : 1- Alveolar capillaries: Congested 2- Alveolar walls: Thickened 3-Alveolar spaces: -Lymphocytes -Macrophages -inflammatory cells 2 histology * Recognition(identify) : Alveoli * What you should know about it : 1-Type of epithelium : if Type I Pneumocytes Simple squamous If Type II Pneumocytes cuboidal 2-Types of cells : terminal bronchioles 1 * Cont Recognition(identify) : Alveoli 2-Types of cells : - Alveolar macrophages - Pneumocytes : Type I Pneumocytes (Simple squamous ) 1- exchange gases. Type II Pneumocytes (cuboidal) 1- secretion of surfactant. 2- divide to regenerate both type I & type II pneumocytes.. -Terminal -Divide bronchioles with clara cells to regenerate the bronchiolar epith 1 * Recognition(identify) : trachea * What you should know about it : 1-Type of epithelium : Pseudo-stratified ciliated columnar epithelium with goblet cells (Respiratory epithelium). 2-Types of cells : Hyaline cartilage 2 * cont Recognition(identify) : trachea * What you should know about it : 2-Types of cells : (1) Mucosa.(1) Epithelium: Pseudo-stratified ciliated columnar epithelium with goblet cells ( basal , brush cells ) (1) Lamina propria. loose fibro elastic c.t with ( mucus glands , serous glands , lymph nods ) (3) Elastic lamina: It is formed of elastic fibers. (2) Submucosa (1) Dense fibro elastic c.t with ( mucus glands , serous glands , lymph nods ) (3) Adventitia. (1) Fibroelastic C.T. (2) C-shaped rings of hyaline cartilage. (3) (bundle of smooth muscle fibers) 2 Anatomy Frontal air sinus Sphenoidal air sinus posterior nasal aperture ( Quana ) uvula Nasal septum Nostrils (anterior nares) Vocal cords Hyoid bone Thyroid cartilage Transverse fissure Oblique fissure Diaphragm Right lung Left lung Trachea Oblique fissure Ribs left tertiary bronchioles right and left main bronchi right and left secondary bronchi Alveoli carina Diaphragm Hyoid bone Thyrohyoid membrane Thyroid cartilage Vocal cords Epiglottic cartilage Cricothyroid membrane Cricoid cartilage Cricoid cartilage Thyroid cartilage Cricithyroid membrane trachea Tertiary bronchioles Primary bronchi Secondary bronchioles esophagus Descending aorta Esophageal Opening at T10 central tendon Esophagus right copula openings in the diaphragm : T 8 : IVC opening : T10 : Esophageal opening T12 : Aortic opening left copula Right crus Thoracic vertebrae lamina Heart shaped body And every thing other than the body is a neural arch Cont Thoracic vertebrae Transverse process Spine: Horizontal and directed downward pedicle Cont Thoracic vertebrae lamina Superior demifacet Inferior demifacet First rib clavicle Manubrium Second rib Sternum Body Costal cartilage Xiphoid process Upper 7 true ribs Lower 5 false ribs Ribs are classified as Typical from 3 to 9 Atypical 1, 2, 10, 11, 12 Anterior side External intercostal muscle Internal intercostal muscle posterior side Innermost intercostal Muscles Hyoid bone Epiglottic cartilage Thyrohyoid membrane Thyroid cartilage Corniculate cartilage Arytenoid cartilage Cricoid cartilage Bronchopulmonary Segments right lung Superior lobe / Apical , Anterior , Posterior meddle lobe / Medial , Lateral Inferior lobe / Apical basal , Medial basal Lateral basal , Anterior basal , Posterior basal Apical Anterior Lateral medial basal Medial Bronchopulmonary Segments left lung Superior lobe / Apicoposterior ,Anterior , Sup. lingular , Inf. lingular Inferior lobe / Apical basal , Lateral basal Anteromedial basal , Posterior basal Apical basal Physiology (4.3/4.8)*100=89% FEV1% = (FEV1/FVC) * 100 FVC = 5 هي القيمة التي يكون عندها المنحنى Plateau FEV1 = 4 هي حجم الهواء الذي خرج عند الثانية األولى FEV1% = (FEV1/FVC) * 100 = (4/5) *100 =80 % Normal Plateau FEV1% = (FEV1/FVC) * 100 FVC = 2 FEV1 = 1.8 Plateau 1.8 FEV1% = (FEV1/FVC) * 100 = (1.8/2) *100 =90 % أصال موFVC = 2 كيف عرفنا ؟ الن ال ! طبيعي مره قليل Restrictive FEV1% = (FEV1/FVC) * 100 FVC = 3.5 Plateau 1.9 3.5 FEV1 = 1.9 FEV1% = (FEV1/FVC) * 100 = (1.9/3.5) *100 =54 % obstructive Make sure to bring your calculator Always remember , worrying does not empty tomorrow of its troubles ! But , It empties today from its strength !. Deema , Malak , Nora