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The Language Of Medicine Dr. Michael Gillespie CHAPTER 12 RESPIRATORY SYSTEM 2 CHAPTER GOALS Name the organs of the respiratory system and describe their location and function. Identify various pathological conditions that affect the system. Learn medical terms that pertain to respiration. 3 CHAPTER GOALS Describe important clinical procedures related to the respiratory system, and recognize relevant abbreviations. Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records. 4 INTRODUCTION External respiration: Exchange of air in lung capillaries oxygen inhaled into the air sacs of the lungs immediately passes into capillaries carbon dioxide passes from capillaries into air sacs, to be exhaled 5 INTRODUCTION (CONT’D) Internal respiration: Exchange of gases in the cells occurs simultaneously between cells and capillaries oxygen passes out of the bloodstream into the tissues carbon dioxide passes out of tissues back into the bloodstream to travel to the lungs 6 RESPIRATORY ANATOMY Mediastinum: Middle of chest where trachea divides into two branches Bronchi: Each leads to a separate lung Lungs: Lobes are not mirror images Hilum: Blood vessels, nerves, lymphatic tissue, and bronchial tubes enter and exit 7 ANATOMY OF RESPIRATION 8 ANATOMY OF RESPIRATION 9 RESPIRATORY STRUCTURES Conduct air Nose Nasal cavities and paranasal sinuses Pharynx Larynx Trachea Exchange gases Bronchioles Alveoli Lung capillaries 10 RESPIRATORY FLOW CHART 11 RESPIRATORY FLOW CHART 12 VOCABULARY adenoids alveolus (alveoli) apex of the lung base of the lung brochioles bronchus (bronchi) carbon dioxide 13 VOCABULARY cilia diaphragm epiglottis expiration glottis hilum inspiration larynx 14 VOCABULARY lobe mediastinum nares oxygen palatine tonsil paranasal sinus parietal pleura 15 VOCABULARY pharynx pleura pleural cavity pulmonary parenchyma respiration trachea visceral pleura 16 QUICK QUIZ: 1. What is the tip or uppermost portion of the lung? A. base B. lobe C. apex D. nares 17 COMBINING FORMS AND TERMINOLOGY Combining Form adenoid/o alveol/o bronch/o bronchi/o bronchiol/o capn/o Meaning adenoids alveolus, air sac bronchial tube bronchus bronchiole, small bronchus carbon dioxide 18 COMBINING FORMS AND TERMINOLOGY Combining Form coni/o cyan/o epiglott/o laryng/o lob/o mediastin/o Meaning dust blue epiglottis larynx, voice box lobe of the lung mediastinum 19 COMBINING FORMS AND TERMINOLOGY Combining Form nas/o orth/o ox/o pector/o pharyng/o phon/o Meaning nose straight, upright oxygen chest pharynx, throat voice 20 COMBINING FORMS AND TERMINOLOGY Combining Form phren/o pleur/o pneum/o pneumon/o pulmon/o rhin/o Meaning diaphragm pleura air, lung lung lung nose 21 COMBINING FORMS AND TERMINOLOGY Combining Form sinus/o spir/o tel/o thorac/o tonsill/o trache/o Meaning sinus cavity breathing complete chest tonsils trachea, windpipe 22 COMBINING FORMS, SUFFIXES, AND TERMINOLOGY SUFFIXES Suffix Meaning -ema -osmia -pnea -ptysis -sphyxia -thorax condition smell breathing spitting pulse pleural cavity, chest 23 DIAGNOSTIC TERMS auscultation percussion pleural rub rale (crackle) rhonchus sputum stridor wheeze 24 PATHOLOGY Upper Respiratory Disorders croup diphtheria epistaxis pertussis 25 PATHOLOGY Bronchial Tube Disorders asthma bronchiectasis chronic bronchitis cystic fibrosis 26 PATHOLOGY Lung Disorders atelectasis emphysema lung cancer pneumoconiosis pneumonia pulmonary abscess pulmonary edema pulmonary embolism (PE) pulmonary fibrosis sarcoidosis tuberculosis (TB) 27 PATHOLOGY LUNG DISORDERS Atelectasis Two forms Proximal obstruction of distal airways Accumulations of fluid, blood, or air in pleural cavity 28 PATHOLOGY Pleural Disorders mesothelioma pleural effusion pleurisy (pleuritis) pneumothorax 29 PATHOLOGY PLEURAL DISORDERS Pneumothorax: Air gathers in the pleural cavity 30 STUDY SECTION anthracosis asbestosis bacilli chronic obstructive pulmonary disease (COPD) cor pulmonale exudate hydrothorax infiltrate palliative paroxysmal pulmonary infarction purulent silicosis 31 CLINICAL PROCEDURES X-rays chest x-ray (CXR) computed tomography (CT) scan of the chest pulmonary angiography 32 CLINICAL PROCEDURES X-rays: Radiographic imaging 33 CLINICAL PROCEDURES Magnetic resonance imaging (MRI): Magnetic waves create images 34 CLINICAL PROCEDURES Radioactive Tests Positron emission tomography (PET) scan of the lung: Ventilation-perfusion (V/Q) scan: inhalation of radioactive gas for imaging, followed by injection of different radioactive material for imaging 35 CLINICAL PROCEDURES Bronchioscopy: Fiberoptic or rigid endoscope inserted into the bronchial tubes for diagnosis, biopsy, or collection of specimens 36 CLINICAL PROCEDURES Endotracheal intubation: placement of tube from mouth to trachea to establish airway 37 CLINICAL PROCEDURES laryngoscopy lung biopsy mediastinoscopy pulmonary function tests (PFTs) thoracotomy thorascopy tracheostomy tuberculin test tube thoracostomy 38 CLINICAL PROCEDURES Thoracentesis: surgical puncture to remove fluid from pleural space 39 CLINICAL PROCEDURES Tracheostomy: Surgical creation of opening into the trachea through the neck 40 REVIEW SHEET COMBINING FORMS Combining Form adenoid/o alveol/o bronch/o bronchi/o bronchiol/o capn/o Meaning ____________ ____________ ____________ ____________ ____________ ____________ 41 REVIEW SHEET COMBINING FORMS Combining Form Meaning adenoid/o alveol/o bronch/o bronchi/o bronchiol/o capn/o adenoids alveolus; air sac; small sac bronchial tube bronchial tube bronchiole carbon dioxide 42 REVIEW SHEET COMBINING FORMS Combining Form Meaning coni/o cyan/o epiglott/o laryng/o lob/o mediastin/o ___________ ___________ ___________ ___________ ___________ ___________ 43 REVIEW SHEET COMBINING FORMS Combining Form Meaning coni/o cyan/o epiglott/o laryng/o lob/o mediastin/o dust blue epiglottis larynx (voice box) lobe mediastinum 44 REVIEW SHEET COMBINING FORMS Combining Form Meaning nas/o orth/o ox/o pector/o pharyng/o phon/o __________ __________ __________ __________ __________ __________ 45 REVIEW SHEET COMBINING FORMS Combining Form Meaning nas/o orth/o ox/o pector/o pharyng/o phon/o nose straight oxygen chest throat (pharynx) voice; sound 46 REVIEW SHEET COMBINING FORMS Combining Form Meaning phren/o pleur/o pneum/o pneumon/o pulmon/o rhin/o ___________ ___________ ___________ ___________ ___________ ___________ 47 REVIEW SHEET COMBINING FORMS Combining Form Meaning phren/o pleur/o pneum/o pneumon/o pulmon/o rhin/o diaphragm; mind pleura lung; air; gas lung; air; gas lung nose 48 REVIEW SHEET COMBINING FORMS Combining Form Meaning sinus/o spir/o tel/o thorac/o tonsill/o trache/o ___________ ___________ ___________ ___________ ___________ ___________ 49 REVIEW SHEET COMBINING FORMS Combining Form Meaning sinus/o spir/o tel/o thorac/o tonsill/o trache/o sinus to breathe complete chest tonsil trachea (windpipe) 50 REVIEW SHEER SUFFIXES Suffix Meaning -ema -osmia -pnea -ptysis -sphyxia -thorax ___________ ___________ ___________ ___________ ___________ ___________ 51 REVIEW SHEET SUFFIXES Suffix Meaning -ema -osmia -pnea -ptysis -sphyxia -thorax condition smell breathing spitting pulse chest; pleural cavity 52