Chapter 12 Respiratory System In this chapter you will Name the organs of the respiratory system and describe their location and function. Recognize medical terms that pertain to respiration. Apply your new knowledge to understanding medical terms in their proper context. Organs of the Respiratory System Nasal Cavity Nose Laryngopharynx Larynx Mediastinum Parietal pleura Visceral pleura Lung Paranasal Sinuses Nasopharynx Pharyngeal tonsils Oropharynx Palatine tonsils Epiglottis Esophagus Trachea Bronchial tubes Bronchioles Diaphragm Organs of the Respiratory System Bronchioles Erythrocytes Capillary Alveoli Inhalation and Expiration Respiratory Flow Chart Chapter 12 Respiratory System Terminology p. 464 adenoidectomy adenoid/o: adenoids -ectomy Surgical removal of the adenoids – Adenoids: nasopharyngeal tonsils adenoid hypertrophy aden/o -oid hyper- -trophy Excessive development (enlargement) of the adenoids Alveolar alveol/o: alveolus, air sac -ar Pertaining to an alveolus – Small, sac like, gas exchanging area of the lung – http://www.youtube.com/watch?v=XTMYSGXh J4E Bronchospasm bronch/o: bronchial tube, bronchus -spasm: sudden contraction of muscles Sudden contraction of muscles in the bronchial tube – Seen most commonly in asthma – http://www.youtube.com/watch?v=lV1XgDL1E-c – http://www.youtube.com/watch?v=EdQVTSzUihU&NR=1 bronchiectasis bronchi/o: bronchial tube, bronchus -ectasis: stretching, dilation, expansion Dilation of bronchial tubes – Caused by weakening of the bronchial walls – http://www.youtube.com/watch?v=H5VrLBglXj Q bronchodilator bronch/o -dilation: widening, stretching, expanding -or: one who One who widens the bronchial tube – Medication bronchiolitis bronchiol/o: bronchiole, small bronchus -itis: inflammation Inflammation of bronchioles – Viral infection – RSV: respiratory syncytial virus hypercapnia Hyper: Excessive capn/o: carbon dioxide -ia: condition of Condition of excessive carbon dioxide (in the blood) PaC02 pneumoconiosis pneum/o: lung, air coni/o: dust -osis Abnormal condition of dust in the lungs – Asbestosis – http://www.youtube.com/watch?v=3vMrme wfBsc cyanosis cyan/o: Blue -osis: Abnormal Condition Abnormal condition of blue – Caused by hypoxemia epiglottitis epiglott/o: epiglottis -itis: inflammation Inflammation of the epiglottis – Haemophilus influenzae Type B – http://www.youtube.com/watch?v=eC0VD795i ag laryngeal laryng/o: larynx (voice box) -eal pertaining to Pertaining to the larynx Laryngitis – Occurs with a cold – Chronic condition in smokers laryngospasm laryng/o: larynx -spasm: Sudden contraction of the muscles of the larynx laryngitis laryng/o larynx -itis; inflammation Inflammation of the voice box http://www.youtube.com/watch?v=IDnfdtFlK18 lobectomy lob/o: lobe of the lung -ectomy: surgical removal Surgical removal of a lobe (of the lung) mediastinoscopy mediastin/o: mediastinum -scopy Visual examination of the mediastinum paranasal sinuses para-: near; beside; abnormal; apart from; along side of nas/o: nose -al Sinuses: air filled cavities Pertaining to air filled cavities near the nose nasogastric intubation nas/o gastr/o -ic intube -ation Process of inserting tube through the a nose into the stomach (NG Tube) orthopnea orth/o: straight, upright -pnea breathing Upright breathing – Breathing discomfort in any position but sitting up hypoxia hypoox/o -ia Condition of deficient oxygen – In the tissues expectoration ex-: out, away from pector/o: chest -ation: process of Process of away from chest – Expulsion of material (mucus or phlegm) pharyngeal pharyng/o: pharynx -eal pertaining to Pertaining to the throat dysphonia dys- bad,painful, difficult phon/o: voice -ia condition of Condition of difficult (abnormal) voice – Hoarseness or any voice impairment phrenic nerve phren/o: diaphragm -ic pertaining to Nerve nerve Nerve pertaining to the diaphragm pleurodynia pleur/o: pleura -dynia: pain Pain of the pleura – Associated with inflammation of intercostal muscles pleural effusion pleur/o pleural -al pertaining to -fusion: to pour To pour fluid into the pleural cavity – Fluid collects in the pleural space pneumothorax pneum/o air -thorax chest Air in the pleural space pneumonectomy pneumon/o lung -ectomy surgical removal Removal of a lung pulmonary pulmon/o: lung -ary pertaining to Pertaining to lungs rhinorrhea rhin/o: nose -rrhea: flow, discharge Discharge from the nose – Runny nose rhinoplasty rhin/o nose -plasty surgical repair Surgical repair of the nose – Nose job sinusitis sinus/o: sinus, cavity -itis inflammation Inflammation of sinuses spirometer spir/o: breathing -meter instrument to measure Instrument to measure breathing expiration ex- out spir/o breathing -ation process of Process of breathing out – Note that the S is omitted respiration re- again spir/o breathing -ation process of Process of breathing again – Breathing (inspiration and expiration) atelectasis a- without tel/o: complete -ectasis: stretching, dilation, expansion Without complete expansion of a lung – collapsed lung thoracotomy thorac/o: chest -tomy: incision Incision of the chest thoracic thorac/o chest -ic pertaining to Pertaining to the chest tonsillectomy tonsill/o: tonsils -ectomy: surgical removal Removal of tonsils – The nasopharyngeal tonsils are removed tracheotomy trache/o trachea -tomy incision Incision of the trachea tracheal stenosis trache/o trachea -al- pertaining to stenosis: tightening; stricture Pertaining to tightening (narrowing) of the trachea Suffixes – Page 468 empyema em- in py/o pus -ema: condition Condition of pus in (the chest) – A collection of pus – Most commonly occurs in the pleural cavity as pyothorax anosmia an-osmia: smell Without smell apnea a- without -pnea breathing Without breathing dyspnea dys- bad, difficult -pnea breathing Difficult breathing hyperpnea hyper- increased, excessive -pnea breathing Increased breathing – Increase in depth of breathing – What is the term for increased rate of breathing? tachypnea tachy- fast -pnea breathing Fast breathing hemoptysis hem/o blood -ptysis: spitting Spitting up blood asphyxia a- without -sphyxia: pulse Without pulse hemothorax hem/o blood -thorax: chest, pleural cavity Blood in the pleural cavity pyothorax py/o -thorax Pus in the chest – empyema of the chest Diagnostic and Pathologic Terms – page 469 auscultation percussion pleural rub rale (crackle) rhonchus sputum stridor wheeze Upper Respiratory Tract Disorders page 470 Croup Diptheria Epistaxis Pertussis Croup-p. 470 Acute respiratory syndrome in children and infants Characterized by: – Obstruction of the larynx – Barking cough – stridor Diptheria bacterial infection usually affecting the mucous membranes of your nose and throat. Diphtheria typically causes a sore throat, fever, swollen glands and weakness. But the hallmark sign is a sheet of thick, gray material covering the back of your throat. This material can block your windpipe so that you have to struggle for breath. Epistaxis Nose bleed Pertussis Whooping Cough; highly contagious bacterial infection of the pharynx, larynx, and trachea. DTaP and Tdap Vaccines Bronchial Disorders – page 470471 Asthma Bronchiectasis Chronic bronchitis Cystic Fibrosis Cystic Fibrosis Inherited disorder of the exocrine glands resulting in thick mucous secretions in the respiratory tract. Gene carrying the disease in known and persons carrying the gene may be identified. Lung Disorders – page 471-475 Atlectasis Emphysema Lung cancer Pneumoconiosis Pneumonia Pulmonary abcess Pulmonary edema Emphysema Hyperinflation of the air sacs with destruction of alveolar walls http://www.youtube.com/watch?v=aktIMB QSXMo Pneumonia Acute inflammation and infection of the alveoli which fill with pus or products of the inflammatory reaction Lung Disorders Pulmonary Embolism (PE) Pulmonary Fibrosis Sarcoidosis – chronic inflammation Tuberculosis (TB) Pulmonary Fibrosis Pleural Disorders – page 475 Mesothelioma – rare malignant tumor in pleura Pleural Effusion Pleurisy (pleuritis) Pneumothorax Mesothelioma Pleural Effusion Clinical Procedures – p 476-481 Chest x-ray Ventilation/Perfusion Scan (V/Q) Bronchoscopy Endotracheal Intubation PFTs Thoracentesis Clinical Procedures Thoracotomy Thoracoscopy Tracheostomy Tuberculin test (PPD) Tube Thoracostomy (Chest tube) QUICK QUIZ: 1. What is the tip or uppermost portion of the lung? A.base B.lobe C.apex D.nares Chest tube Abbreviations p. 482 COPD: Chronic Obstructive Pulmonary Disease CXR: Chest X-Ray PFT: Pulmonary Function Test TB: Tuberculosis OSA: Obstructive Sleep Apnea DOE: Dyspnea on Exertion URI: Upper Respiratory Infection