Académique Documents
Professionnel Documents
Culture Documents
Nose
Nares/nostrils – opening of the nose
Nasal septum – separates the right and left sections of
the nose
Vibrissae – hair follicles that filters the inspired air
Oral Cavity
An alternative portal of entry for air into the respiratory tract.
Main function: to move food from the mouth into the esophagus in the
process of swallowing.
Vestibule – the outer portion of the oral cavity that consists of the lips,
gums and teeth.
Hard and soft palate
Tonsils – play a role in immune defense and protection from foreign
matter.
Uvula – fleshy appendage that hangs down from the soft palate.
Pharynx
Nasopharynx
Oropharynx
Laryngopharynx
Serves as a conduit to the lower airways
Lower Airway and Lungs
Inspiratory Muscles
Diaphragm– the major muscle in the act of breathing
Able to facilitate lung expansion by moving downward during
inspiration.
External intercostal muscles – located between the ribs
Able to further enlarge the thorax during inspiration by creating an
upward and outward motion of the lower ribs.
Scalene and sternocleidomastoid muscles
Used during labored breathing to raise the first two ribs
and sternum in an effort to increase the size of the
thoracic cavity.
Respiration
-provides the body with a means of gas exchange
a. Ventilation
b. Perfusion
c. Diffusion
Ventilation
-movement of air between the atmosphere and
respiratory portion of the lungs
Control of breathing:
1. Central Receptors
*medulla oblongata
*pons
2. Chemoreceptors
3. Lung Receptors
Lung Receptors
a. Stretch receptors
-respond to changes in pressure in the walls of
the airways.
-location: smooth muscle layers
Inflation reflex
Hering-Breuer reflex – serves to regulate the
depth of breathing by limiting lung inflation.
b. Irritant receptors
Stimulation leads to airway constriction
Location: airway epithelial cells
c. Juxtacapillary or J receptors
Hemoglobin
-serves as a transport vehicle for oxygen.
-it binds oxygen in the pulmonary capillaries and
release it in the tissue capillaries.
- 1gm of hemoglobin= 1.34ml of oxygen
file:///var/www/apps/scribd/scribd/tmp/Pictures/gasxchnge4.png
*The blood carries oxygen and carbon dioxide in a dissolve state and combination with
hemoglobin.
file:///var/www/apps/scribd/scribd/tmp/Pictures/gasxchnge3.jpg
S/S:
a. headache
b. generalized malaise
c. fever
d. exhaustion
Sinusitis
-inflammation of paranasal sinuses
-classified as: file:///var/www/apps/scribd/scribd/tmp/Pictures/sinusitis.jpg
S/S:
a. facial pain
b. headache
c. purulent nasal discharges
d. fever
e. decrease sense of smell
Influenza
-viral (influenza A and B) infection that can affect both the
upper and lower respiratory tracts.
-incubation period: 1-4days; 2 days being the average
-period of communicability: 1st day to 5th day of illness
S/S:
a. abrupt onset of fever and chills
b. malaise and muscle aching
c.headache
d. profuse,watery nasal discharges
e. non productive cough
f. sore throat
Pneumonia
-inflammation of parenchymal structure of the lung, such
as the alveoli and bronchioles
-can be atypical (viral) and typical (bacterial)
-classified as: CAP and HAP
file:///var/www/apps/scribd/scribd/tmp/Pictures/pnemonia.jpg
S/S:
a. chills
b. fever
c. severe malaise
d. purulent sputum
e. elevated WBC
f. patchy or lobar infiltrates
Tuberculosis
-infectious disease caused by the M. Tuberculosis
a. M. Tuberculosis hominis (human
tuberculosis)
b. M. Tuberculosis Bovis (bovine tuberculosis)
-acquired by drinking milk from infected
cows.
file:///var/www/apps/scribd/scribd/tmp/Pictures/tb2.jpg
file:///var/www/apps/scribd/scribd/tmp/Pictures/tb1.jpg
S/S:
a. low grade fever
b. night sweats
c. dyspnea/orthopnea
d. easy fatigability
e. f. weight loss file:///var/www/apps/scribd/scribd/tmp/Pictures/tb3.jpg
a. Spontaneous Pneumothorax
-occurs when an air-filled bleb
or blister in the lung surface
b. Traumatic Pneumothorax
c. Tension Pneumothorax
a. chest pain
b. increase RR
c. dyspnea
d. increase HR
e. asymmetry of the chest
f. hyprresonant sound
g. hypoxemia
Atelectasis
-refers to the incomplete expansion of the lung or portion
of a lung.
Manifestations:
a. tachypnea
b. tachycardia
c. dyspnea
d. cyanosis
e. hypoxemia
f. diminished chest expansion
Obstructive airway
Disorders
Bronchial Asthma
-Causes: smoking
Antitrypsin deficiency
2. chronic Bronchitis (blue bloaters)
S/S:
a. dyspnea
b. increased ventilatory effort
c. barrel chest
d. pursed lip breathing noted
e. weight loss
Blue Bloaters
file:///var/www/apps/scribd/scribd/tmp/Pictures/BlueBloater.jpg
S/S:
a. hypoxemia
b. cyanosis
c. shortness of breath
d. prolonged expiratory respiration
e. pulmonary hypertension
f. cor pulmonale
g. clubbing of fingers
3. Bronchiectasis
-abnormal dilation of the large bronchial associated with
infection and destruction of the bronchial walls.
4. Cystic Fibrosis
goodluck=)
GASTROINTESTINAL
and HEPATOBILIARY
SYSTEM
file:///var/www/apps/scribd/scribd/tmp/Pictures/GIT.jpg
file:///var/www/apps/scribd/scribd/tmp/Pictures/git2.jpg
Four parts of digestive system:
Swallowing Reflexes:
1. Oral Phase
-bolus is collected at the back of the mouth so that the
can lift upward until it touches the posterior wall of the
pharynx
2. Pharyngeal Phase
-soft palate is pulled upward
3. Esophageal Stage
-food enters the esophagus and stretches its walls.
Motility
The motility of the Git propels food products and fluids along
its length, from mouth to anus, in a manner that facilitates
digestion and absorption.
A. Gastric Motility
Motility of the stomach results in the churning and grinding
of solid foods and regulates the emptying of the gastric
contents, or chyme, into the duodenum.
Colonic Motility
Movements in the colon are of two types:
a. haustrations
*fecal mass are exposed to the intestinal surface
b. propulsive mass movements
*fecal contents moving forward as a unit
Defecation
=Functions of Saliva:
a. protection and lubrication
b. antimicrobial action (lysozyme)
c. aids in digestion of dietary starches (ptyalin and
amylase)
Gastric Secretions
Fat Absorption
Steatorrhea-fatty stools
Protein Absorption
d. GIT bleeding
Bleeding from the GIT can be evidenced by blood that
appears in the vomitus or the feces.
@
Esophageal Diverticulum
Diverticulum- an outpouching of the esophageal wall
caused by weakness of the muscularis layer.
@
@
Disorders
of the
Stomach
Gastritis
-refers to the inflammation of the gastric mucosa.
-Classified as:
a. acute Gastritis
-refers to transient inflammation of the gastric mucosa
b. Chronic Gastritis
@
Ulcer Disease
A. Peptic Ulcer
-a term used to describe a group of ulcerative disorders that
occur in areas of the upper GIT that are exposed to acid-
pepsin secretions.
@
Ulcerative Colitis
@
Infectious Colitis
-Caused by:
a. Clostridium difficile
Diverticulosis
@
Appendicitis
Causes:
Bacterial invasion
Chemical irritation
S/S:
a. translocation of extracellular fluid into the peritoneal
cavity
b. nausea and vomiting
c. pain and tenderness
d. shallow breathing
e. rigid and boardlike abdomen
Have a nice day ahead=)
God bless...