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Respiratory System Topic Outline: Structure Function Control of breathing Pathologies Structure of the Mucous secreting cells “Goblet Cells” Look closely at the cells of the alveolus. Surfactant water tension in the alveolus Water tension Compliance (easy to stretch) versus elastance Diseases & gas exchange: Emphysema Fibrotic Lung Pulmonary edema Asthma Pressure and Ventilation 1 2 Helps us understand how air gets in and out of the lungs. Important Functions of Respiratory System Oxygen (O2) and Carbon Dioxide (CO2) Transport and Exchange To the board! One more time! Breathing and Control of Respiration Why does air move in and out of our lungs? Lung volumes change with muscle contraction Multiple Muscles of the Thoracic cavity assist us in breathing. What happens if you puncture your lung? Lung Volumes Measurement The amount of air we breathe can be measured How much air we breathe depends on many factors… For example: Oxygen binding to Hb A well studied curve Oxygen Affinity Decreases for Hb as Body temperature increases pH decreases CO2 increases DPG increases Now look at the curves! Regulation of Ventilation The mid-brain gets messages from Aortic bodies Carotid bodies Both of these are Peripheral chemo-receptors Sensitive to O2, CO2 and pH Hypothetical Peripheral receptor Peripheral chemo-receptors talk to central neurons Central Pattern Generator (medulla oblongata) Dorsal Regulatory Group Inspiratory neurons Ventral Regulatory Group Active inspiratory neurons & Active Expiratory neurons The brain also has its own chemoreceptors also in the medulla. Summary of ventilation control Oh, no! Normal and Diseased Lung Emphysema Pneumonia Lung Cancer Lung cancer is responsible for the most cancer deaths in both men and women throughout the world. The American Cancer Society estimates that 173,770 new cases of lung cancer in the U.S. will be diagnosed and 160,440 deaths due to lung cancer will occur in 2004. Normal Lungs Lung Cancer Risk Factors High risk occupations Asbestos Air pollution Radon Gas Types of Lung Cancer Small Cell Lung Cancer Non-Small Cell Lung Cancer Adenocarcinomas Squamous cell carinomas Large cell carcinoma Treatment & Prevention Prevention is the key decreasing the number of lung cancer patients. Treatment may include: (not all types of lung cancer respond equally to treatment regimes) Radiation therapy Surgery Chemotherapy Treatment is often difficult and may not be successful.