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Respiratory System Key Roots: Pulmano Thoraco Pneumo Objectives To learn the principle organs of the respiratory system. To learn the medical terminology of the respiratory system Nose The Nose has 2 parts: 1. Nares (Nostrils) External part They filter, moisten, and warm the air Lined with mucous and cilia (little hairs) Highly vascular Epistaxis=Nosebleeds Nose 2. Nasal Cavity Comprised of the Nasal and Ethmoid bones superiorly and the Maxilla bone inferiorly and laterally. Superior aspect of nasal cavity is lined with special olfactory cells for smell The Olfactory Nerve (Cranial Nerve I) located on roof of nasal cavity to detect smell and send to brain. Sinuses linked to nasal cavity through openings called ostia. Nose 3 Conchae (Turbinates) extend off the lateral side of the nasal cavity They are the superior, middle, and inferior conchae. Owing to their large surface area, air passing through the nasal cavity is warmed or cooled to within 1 degree of body temperature. In addition, the air is humidified, and dust and other matter is removed by the cilia Throat Pharynx =Throat 5 inches long Used for respiration and echo chamber for sound 1. Nasopharynx Posterior to nasal cavity Eustachian (pharyngotympanic) Tube Goes from the nasopharynx to the middle ear Equalizes pressure Responsible for ear/sinus infections 2. Oropharynx Posterior to oral cavity Uvula Piece of soft tissue coming off the soft palate of the mouth. Assists in speaking 3. Laryngopharynx Section where pharynx ends and opens up to two tubes: Esophagus (food) Larynx (Air) Larynx Larynx=Voice Box It sits below the pharynx and serves as the gateway to the trachea (windpipe). Larynx contains the vocal cords, aka the glottis They vibrate when air is exhaled to produce vocals Larynx most made of 1. Thyroid Cartilage Adam’s Apple 2. Cricoid Cartilage These are thick pieces of cartilage which perpetually keeps the voice box open. Hyoid Bone used to keep the larynx in place Trachea (Windpipe) The trachea is below the larynx (voice box) Connects the throat to the lungs Tracheotomies Incision into trachea when something is lodged in throat preventing someone from breathing normally. The trachea is comprised of rings of cartilage to keep the airways always open Ligaments keep them in place Tracheotomy Bronchi Trachea divides into Rt and Left Bronchi (Bronchus sing.) Carina-is the area where the trachea ends and the bronchi begin. Right Bronchus is the main tube of the Right Lung, vice versa. Each bronchus then divides into smaller and smaller bronchi, and eventually into bronchioles “mini-bronchi”. This is called the Bronchial Tree Bronchoscopy- camera inserted into bronchi to look for disease. Basic Terminology Eupnea- normal respiration (12-18 breaths/min) Apnea- temporary cessation or lack of breathing Dyspnea- Shortness of breath/difficulty breathing Orthopnea- Dyspnea when lying supine or prone. Tachypnea- breathing too rapidly-“tachy” means rapid/fast Bradypnea- breathing too slowly- “brady” means slow Laryngitis- infection of larynx; voice loss Pharyngitis- infection of throat (commonly called Strep Throat) Hypoxia- low amount of oxygen in cells Hypoxemia- low amount of oxygen in blood Hemoptysis- coughing up blood Intubation-(to intubate-v) the process of forcefully opening up an airway that has closed, either due to a foreign body (food) or laryngospasms (neurological). Lungs Main organ for breathing Contain approx. 1,500 miles of airways and 300-500 million alveoli Pink in appearance Each lung has an apex (the top) and the base (the bottom) that sits on the diaphragm Hilum-Opening on the medial side of lungs where the Pulmonary Artery and Veins and bronchi enter the lungs. Vocabulary Malingerer (n) {to malinger (v)}- someone who fakes an illness to avoid school/work. Shyster (n)- one who manipulates someone with their words to con them out of money or possessions. Charlatan (n)- a fraud; someone who makes false claims that he/she is smarter or more talented than he/she really is. Mercurial (adj)- to be moody; quick changes in temperament Articulate (adj)- to express oneself in a clear and persuasive manner Ennui-(n) extreme boredom, normally due the dissatisfaction and dullness of daily life. Apoplectic (adj)- to be extremely anger; furious (ancient name for a Stroke= Apoplexy) To emote (v)- to express emotions. Right Lung (lateral view) Larger than Left Lung Contains 3 Lobes Superior Middle Inferior Each lobe has its own bronchi (tube) and blood supply What is this? Left Lung Smaller than Rt Lung To make room for the heart Made of 2 lobes Superior Inferior Alveoli At the end of the bronchioles are the Alveoli. These bubble-looking organs are the site of gas exchange. C02 is released when exhaling 02 is absorbed when inhaling The Alveoli are clumped together in sacs and covered in Pulmonary arterioles and venules. When you inhale, the oxygen migrates through the thin membrane and is “sucked” up by the RBCs in the pulmonary veins to be taken to the heart to be pumped out to body. 0xygen rich When you exhale, the Carbon Dioxide, brought to the alveoli by RBCs in the pulmonary arteries, transfers across the membrane and is breathed out. The Pleura Lungs are housed in the thoracic (chest) cavity Pleura is the mucous that covers the outermost layer of the lungs. This mucous prevents the lungs from rubbing against the inside of the chest cavity thus causing pain. The outer layer of the lung is called the Visceral Pleura. The inside membrane of the thoracic cavity is covered in Parietal Pleura The small space between the two is called the Pleural Space The Pleural Space is normally empty unless you have a disease. Diaphragm Diaphragm is the dome-shaped muscle beneath the lungs that is vital in respiration It is controlled by the Vagus Nerve (CN X) Separates the thoracic and abdominal cavities of the ventral cavity In inhalation, the diaphragm contracts and lowers itself into the abdomen, thus decreasing the pressure in the lungs, which “sucks” air into the lungs. In exhalation, the diaphragm relaxes and moves upward, which increases the pressure, and thus leads to exhalation. Diaphragm is controlled both voluntarily and involuntarily. The Intercostal muscles help expand the anterior ribs, rib cartilage and sternum to help with breathing. Pathology Pleurisy-Pleura fluid dries up causing lungs to grind against the thoracic cavity Pleural Effusion -Fluid accumulates in the pleural cavity Thoracentesis- procedure in which needle sucks out fluid Pneumothorax.-air enters the pleural cavity and collapses the lung Atelectasis= collapsing of lung Chest air tube inserted to remove air to equalize pressure Bronchitis-inflammation of the bronchi Pneumonia-Infection of the lung tissue (alveoli) Tuberculosis (TB or Consumption) Lung infection caused specifically by Myobacterium Tuberculoses bacteria. Emphysema-overinflation of alveoli makes it difficult to exhale CO2 and inhale oxygen COPD (Chronic Obstruction Pulmonary Disease) Combination disease of Chronic Bronchitis and Emphysema Pneumothorax Pleural Effusion Pneumonia Tuberculosis