Common Respiratory Disorders Lecture Objectives
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Questions and Answers

Which part of the respiratory system is responsible for gas exchange and diffusion?

  • Trachea
  • Bronchi
  • Nasopharynx
  • Alveoli (correct)
  • What is the function of angiotensin converting enzyme (ACE) in the respiratory system?

  • Regulation of pH of blood
  • Movement of air into and out of the body
  • Deactivation of bradykinin and prostaglandins
  • Conversion of angiotensin I to angiotensin II (correct)
  • Which condition is characterized by chronic inflammation of the airways and airflow obstruction?

  • Emphysema (correct)
  • Tuberculosis
  • Sarcoidosis
  • Pneumoconiosis
  • Which disease is associated with granulomatous lesions in multiple organs, including the lungs and eyes?

    <p>Tuberculosis</p> Signup and view all the answers

    What is the significance of common respiratory symptoms such as cough, hemoptysis, wheezing, and shortness of breath?

    <p>They signify underlying respiratory disorders</p> Signup and view all the answers

    How many alveoli are present in each lung approximately?

    <p>~250 million</p> Signup and view all the answers

    What is the main function of the upper airway in the respiratory system?

    <p>Ventilation</p> Signup and view all the answers

    Which diagnostic testing method is commonly used for evaluating respiratory disorders?

    <p>Pulmonary function tests (PFTs)</p> Signup and view all the answers

    What is the main function of the lower airway in the respiratory system?

    <p>Gas exchange / Diffusion</p> Signup and view all the answers

    What do intact, non-thickened alveolar walls contribute to in the respiratory system?

    <p>Efficient gas exchange/diffusion</p> Signup and view all the answers

    Which of the following is a major risk factor for severe COVID-19?

    <p>Chronic lung disease</p> Signup and view all the answers

    What is the primary mode of spread for tuberculosis?

    <p>Airborne transmission during close contact</p> Signup and view all the answers

    Which organ is targeted by COVID-19 due to the presence of ACE2 receptors?

    <p>Kidneys</p> Signup and view all the answers

    What is a potential severe manifestation of COVID-19 mentioned in the text?

    <p>Vasculitis</p> Signup and view all the answers

    Which condition is known to increase the risk of severe COVID-19?

    <p>(1 &amp; 2) Diabetes</p> Signup and view all the answers

    What are the major ocular manifestations reported for COVID-19?

    <p>(FBS) Foreign body sensation</p> Signup and view all the answers

    What is a common symptom associated with tuberculosis?

    <p>Weight loss (Consumption)</p> Signup and view all the answers

    What is a potential outcome of severe COVID-19?

    <p>Long-term reduced organ fxn</p> Signup and view all the answers

    What is the primary method for diagnosing tuberculosis?

    <p>Sputum culture</p> Signup and view all the answers

    Which condition interrupts the RAAS pathway and is associated with COVID-19?

    <p>Excess ANGII (pro-inflam)</p> Signup and view all the answers

    Which of the following is a general manifestation of respiratory diseases?

    <p>Vasodilation</p> Signup and view all the answers

    What are the signs and symptoms of respiratory diseases?

    <p>Cough and dyspnea</p> Signup and view all the answers

    Which condition can cause ventilation impairment?

    <p>Cystic fibrosis</p> Signup and view all the answers

    What are examples of upper respiratory tract infections?

    <p>Common cold and sinusitis</p> Signup and view all the answers

    What are the symptoms of chronic sinusitis?

    <p>&gt;12 weeks</p> Signup and view all the answers

    What can restrict lung expansion in restrictive lung diseases?

    <p>Pulmonary fibrosis</p> Signup and view all the answers

    What is a cause of interstitial pulmonary fibrosis?

    <p>Autoimmune diseases</p> Signup and view all the answers

    Which of the following can lead to restrictive lung disease?

    <p>Asbestos exposure</p> Signup and view all the answers

    What is sarcoidosis commonly affecting?

    <p>Lungs and lymph nodes</p> Signup and view all the answers

    Who has a higher prevalence of sarcoidosis?

    <p>Blacks</p> Signup and view all the answers

    Study Notes

    Respiratory Diseases and Disorders

    • The leading causes of death in the US in 2022 include heart disease, cancer, COVID-19, accidents/unintentional injuries, stroke, chronic lower respiratory diseases, Alzheimer’s disease, diabetes, chronic liver disease, and cirrhosis, and kidney disease.
    • Respiratory diseases can be categorized as affecting ventilation (e.g., asthma), diffusion (e.g., emphysema, COPD), or perfusion (e.g., pulmonary embolism).
    • General manifestations of respiratory diseases include inflammatory processes, vasodilation, increased capillary permeability, and exudate formation.
    • Signs and symptoms of respiratory diseases include cough, excess mucus production, hemoptysis, dyspnea, use of accessory muscles, chest pain, and barrel chest.
    • Ventilation impairment can be caused by foreign bodies, trauma, hemothorax, pneumothorax, mucous accumulation, smooth muscle spasm, cystic fibrosis, asthma, and airway edema.
    • Upper respiratory tract infections such as common cold, sinusitis, laryngitis, and bronchitis are highly contagious and can spread through respiratory droplets.
    • Sinusitis can be acute (4 weeks or less) or chronic (> 12 weeks) and may be recurrent, with symptoms including pain, headache, tenderness, and pressure over the affected area.
    • Complications of sinusitis include inflammatory edema, preseptal cellulitis, orbital cellulitis, orbital abscess, subperiosteal abscess, cavernous sinus thrombosis, and intracranial complications.
    • Restrictive lung diseases, characterized by limited lung expansion, reduced lung volume, and increased respiratory effort, can be caused by pulmonary fibrosis, neuromuscular diseases, obesity, kyphosis, and infection.
    • Interstitial pulmonary fibrosis, a type of restrictive lung disease, results in secondary hypertension and right heart failure, with causes including idiopathic, autoimmune diseases, drugs/toxins, infections, and occupational/environmental inhalants.
    • Pneumoconiosis, occupational lung diseases caused by exposure to dust such as asbestos, silica, and coal, can lead to restrictive lung disease, with treatment options including palliative measures, supplemental oxygen, smoking cessation, and bronchodilators.
    • Sarcoidosis is a chronic granulomatous disease that commonly affects the lungs, lymph nodes, skin, and eyes, with a higher prevalence in Blacks, women, and individuals in the 3rd-4th decade of life.

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    Description

    This lecture covers the epidemiology of common respiratory disorders, the differentiation between physiologic and pathologic changes associated with these disorders, and the recognition of major ocular effects of sinusitis, sarcoidosis, and tuberculosis.

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