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Respiratory Lecture 3
Pathophysiology ch 5 infectious respiratory diseases and pulmonary disorders caused Cardiovascular disorders
36
Nursing
Undergraduate 3
03/25/2012

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Term
Pharyngitis
Definition

Inflammation of mucus membranes of pharynx

both viral and bacterial

Term
Causes of Pharyngitis
Definition

bacteria

virus

trauma

smoking

alcohol

Term
manifestations of pharyngitis
Definition

sore throat

dry throat

dysphagia

fever

may develop into epiglottitis

Term
Bacterial Pharyngitis
Definition
  • high fever
  • enlarged red tonsils with exudate and lymph node involvement
  • abrupt onset
  • rheumatic fever/ rheumatic heart disease and acute glomerulonephritis 3-5wks later
Term
Viral Pharyngitis
Definition
  • Low grade fever
  • less redness, less exudate, with lymph node involvement variable
  • gradual onset (2-3 days contagious, duration 3-10 days)
  • CBC normal, negative throat cultures
Term
Epiglottitis
Definition
life threatening condition of the epiglottis
Term
causes of epiglottitis
Definition
haemophilus influenza type b (Hib) and throat trauma
Term
Manifestations of Epiglottitis
Definition

inspiratory stridor

respiratory distress

fever

sore throat

difficulty swallowing, drooling with mouth open

central cyanosis

anxiety

pallor

Term
Laryngitis
Definition
inflammation of the larynx
Term
Causes of Laryngitis
Definition

infection

overuse

exposure

GERD

intubation

Term
Laryngotracheobronchitis
Definition

"Croup"

Common viral infection in children, usually parainfluenza viruses and adenoviruses

larynx and surrounding area swell, leading to airway narrowing, obstruction, and respiratory failure

Term
Manifestations of Laryngotracheobronchitis
Definition

Seal-like barking cough

inspiratory stridor

hoarseness

dyspnea

nasal congestion

anxiety

cyanosis

Term
Acute Bronchitis
Definition
Inflammation of the Tracheobronchial tree or large bronchi
Term
Causes of Acute bronchitis
Definition

viruses

bacteria

irritant inhalation

allergic reactions

Term
When is bronchitis considered chronic bronchitis?
Definition

smoking = primary indicator for chronic bronchitis

2 years of >3mo of symptoms

chronic bronchitis isn't bacterial or viral

Term
Bronchiolitis
Definition

common viral infection of the bronchioles, usually respiratory syncytial virus (RSV)

more freq in children <1yr and during winter months

can lead to atelectasis and respiratory failure

Term
Influenza (Flu)
Definition

viral infection that may affect the upper and lower respiratory track

highly adaptive virus

...it's the flu

Term
Pneumonia
Definition
an infection/inflamm process of the lower respiratory tract caused by numerous infectious agents and or non-infectious agents
Term
Lobar pneumonia
Definition
confined to a single lobe
Term
Bronchopneumonia
Definition

most frequent type

a patchy pneumonia throughout several lobes

Term
Interstitial Pneumonia or Atypical Pneumonia
Definition

Occurs in the areas between the alveoli

routinely caused by viruses or by uncommon bacteria

Term
Nosocomial Pneumonia
Definition

developes more than 48 hours after a hospital admission

  • Pseudomonas aeruginiosa
  • staphylcoccus aureus
  • immunocompromised susceptible to other "opportunistic" infections not often seen in general population
Term
Community Acquired Pneumonia
Definition

Streptococcus Pneumoniae

Hib in children

contracted from venting, spas, airway ducts

Term
Legionnaires' Disease
Definition

Pneumonia caused by Legionella pneumophila

thrives in warm, moist environments, particularly air conditioning systems and spas

not contagious, spread through aerosoled droplets

higher risk in the immune compromised

can be life threatening

Term
Tuberculosis
Definition
  • infection caused by the Mycobacterium tuberculosis bacillus
  • contagious through airborne droplets-- person to person contact
  • never viral
Term
TB active disease
Definition
  • impaired immune system-- cannot seal off bacilli
  • live bacilli escape into the bronchi and are liquified
  • disease remains active and spreads via blood and lymphatics
Term
Reactivation of Dormant/latent TB
Definition
  • poor nutritional status
  • insulin-dependent DM
  • LT corticosteroid therapy
  • HIV/AIDs, anti-rejection drugs or other debilitating diseases
Term
Manifestations of TB
Definition

night sweats

anorexia/unexplained weight loss

productive cough

hemoptysis

fever, chills, fatigue

Term
Pulmonary Embolism
Definition

occlusion of a portion of the pulmonary vascular bed by an embolus

90% are clots from the lower extremity

Term
Massive Occlusion PE
Definition
embolus occludes a major portion of the pulmonary circulation (main pulmonary artery)
Term
PE: embolus with infarction
Definition
an embolus that is large enough to cause infarction (death) of a portion of the lung
Term
PE: embolus without infarction
Definition
an embolus that is not severe enough to cause permanent lung injury
Term
Pulmonary Hypertension
Definition
mean pulmonary artery pressure 5-10mm Hg above normal or above 20mm Hg
Term
Primary Pulmonary HTN
Definition
rare
Term
Secondary Pulmonary HTN
Definition

caused by diseases of the respiratory system which cause hypoxemia and are characterized by:

pulmonary arteriolar vasoconstriction

arterial remodeling

results in Cor Pulmonale

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