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. Copyright © 2005 by Elsevier Inc. All rights reserved.

Copyright © 2005 by Elsevier Inc. All rights reserved

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.Copyright © 2005 by Elsevier Inc. All rights reserved.

Chapter 12The Respiratory System

Copyright © 2005 by Elsevier Inc. All rights reserved.

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Learning Objectives

Name the organs of the respiratory system and describe their location and function.

Identify various pathological conditions that affect the system.

Recognize medical terms that pertain to respiration.

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Learning Objectives (cont’d.)

Identify clinical procedures and abbreviations related to the system.

Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records.

Chapter 12Lesson 12.1

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Introduction

Respiration mechanical process of breathing exchange of air between lungs and

environment

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Introduction (cont’d.)

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

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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

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Inhalation and Expiration

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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

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Anatomy of Respiration

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Respiratory Structures

Conduct air Nose Nasal cavities

and paranasal sinuses

Pharynx Larynx Trachea

Exchange gases Bronchioles Alveoli Lung capillaries

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Respiratory Flow Chart

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Combining Forms

adenoid/oalveol/obronch/obronchi/o

bronchiol/ocapn/oconi/ocyan/o

epiglott/olaryng/o

lob/omediastin/o

nas/oorth/oox/o

pector/opharyng/o

phon/ophren/opleur/o

pneum/opneumon/opulmon/o

rhin/osinus/ospir/otel/o

thorac/otonsill/otrache/o

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Suffixes

-ema

-osmia

-pnea

-ptysis

-sphyxia

-thorax

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Chapter 12Lesson 12.2

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Diagnostic Terms

auscultation percussion pleural rub

rales (crackles) sputum stridor wheezes

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Pathological Terms

Upper Respiratory Disorders

croup diphtheria epistaxis pertussis

Bronchial Tube Disorders

asthma bronchiectasis bronchogenic

carcinoma chronic bronchitis cystic fibrosis

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Pathological Terms (cont’d.)

Lung Disorders atelectasis emphysema pneumoconiosis pneumonia pulmonary

abscess

pulmonary edema pulmonary

embolism (PE) pulmonary fibrosis sarcoidosis tuberculosis (TB)

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Pathological Terms, Lung Disorders (cont’d.)

Atelectasis Two forms Proximal

obstruction of distal airways

Accumulations of fluid, blood, or air in pleural cavity

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Pathological Terms (cont’d.)

Pleural Disorders mesothelioma pleural effusion pleurisy (pleuritis) pneumothorax

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Pathological Terms, Pleural Disorders (cont’d.)

Pneumothorax: Air gathers in the pleural cavity

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For Spelling and Meaning

anthracosis asbestosis bacilli chronic obstructive

pulmonary disease (COPD)

cor pulmonale exudate

hydrothorax palliative paroxysmal pulmonary

infarction purulent rhonchi silicosis

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Chapter 12Lesson 12.3

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Clinical Procedures

X-rays chest x-ray computed tomography (CT scan of the

chest) pulmonary angiography

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Clinical Procedures (cont’d.)

X-rays: radiographic imaging

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Clinical Procedures (cont’d.)

Magnetic resonance imaging (MRI): Magnetic waves create images

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Clinical Procedures (cont’d.)

Radioactive Test Ventilation-perfusion (V/Q) scan:

inhalation of radioactive gas for imaging, followed by injection of different radioactive material for imaging

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Clinical Procedures (cont’d.)

Bronchioscopy: endoscope to bronchial tubes for diagnosis, biopsy, or collection of specimens

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Clinical Procedures (cont’d.)

Endotracheal intubation: placement of tube from mouth to trachea to establish airway

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Clinical Procedures (cont’d.)

laryngoscopy lung biopsy mediastinoscopy pulmonary

function tests (PFTs)

thoracentesis

thoracotomy thorascopy tracheostomy tuberculin test tube

thoracostomy

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Clinical Procedures (cont’d.)

Thoracentesis: surgical puncture to remove fluid from pleural space

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Clinical Procedures (cont’d.)

Tracheostomy: creation of opening to trachea through the neck