Podcast
Questions and Answers
What happens to the forced expiratory volume in the first second (FEV1) in obstructive lung disease?
What happens to the forced expiratory volume in the first second (FEV1) in obstructive lung disease?
- It decreases less than forced vital capacity (FVC).
- It increases significantly.
- It decreases more than forced vital capacity (FVC). (correct)
- It remains unchanged.
How does obstructive lung disease affect residual volume and total lung capacity?
How does obstructive lung disease affect residual volume and total lung capacity?
- Residual volume decreases while total lung capacity increases.
- Both increase from normal values. (correct)
- Both are unchanged from normal values.
- Both decrease from normal values.
Which is a key distinguishing feature of obstructive lung disease compared to restrictive lung disease?
Which is a key distinguishing feature of obstructive lung disease compared to restrictive lung disease?
- Decreased airway resistance.
- Increased forced expiratory flow rate.
- Decreased residual volume.
- Increased lung capacity. (correct)
What is the effect of obstruction on airflow during expiration in obstructive lung disease?
What is the effect of obstruction on airflow during expiration in obstructive lung disease?
What is the hallmark of obstructive lung disease regarding the FEV1/FVC ratio?
What is the hallmark of obstructive lung disease regarding the FEV1/FVC ratio?
Why is it that total lung capacity is increased in obstructive lung disease?
Why is it that total lung capacity is increased in obstructive lung disease?
What typically happens to the force vital capacity (FVC) in obstructive lung disease?
What typically happens to the force vital capacity (FVC) in obstructive lung disease?
What is the primary physiological reason for the increase in residual volume in obstructive lung disease?
What is the primary physiological reason for the increase in residual volume in obstructive lung disease?
What is the primary genetic inheritance pattern of Kartagener's syndrome?
What is the primary genetic inheritance pattern of Kartagener's syndrome?
Which protein is primarily involved in the abnormalities seen in Kartagener's syndrome?
Which protein is primarily involved in the abnormalities seen in Kartagener's syndrome?
What is a characteristic organ positioning observed in patients with Kartagener's syndrome?
What is a characteristic organ positioning observed in patients with Kartagener's syndrome?
In patients with allergic bronchopulmonary aspergillosis (ABPA), which immune marker is often elevated?
In patients with allergic bronchopulmonary aspergillosis (ABPA), which immune marker is often elevated?
Which condition is least likely to be associated with bronchiectasis?
Which condition is least likely to be associated with bronchiectasis?
What kind of fungal infection is associated with allergic bronchopulmonary aspergillosis?
What kind of fungal infection is associated with allergic bronchopulmonary aspergillosis?
What is a common respiratory symptom in children with Kartagener's syndrome?
What is a common respiratory symptom in children with Kartagener's syndrome?
What is an abnormal laboratory finding that may suggest ABPA in a patient with asthma?
What is an abnormal laboratory finding that may suggest ABPA in a patient with asthma?
Which of the following describes a structural issue in the cilia of patients with primary ciliary dyskinesia?
Which of the following describes a structural issue in the cilia of patients with primary ciliary dyskinesia?
Which term refers to the condition where internal organs are arranged in a mirror image of their normal positions?
Which term refers to the condition where internal organs are arranged in a mirror image of their normal positions?
What is the predominant location of emphysema damage in smokers?
What is the predominant location of emphysema damage in smokers?
What leads to air trapping in emphysema?
What leads to air trapping in emphysema?
In patients with antitrypsin deficiency, emphysema damage is primarily where?
In patients with antitrypsin deficiency, emphysema damage is primarily where?
What physiological change occurs in emphysema that contributes to hyperventilation?
What physiological change occurs in emphysema that contributes to hyperventilation?
Which physical presentation is classic for patients with emphysema?
Which physical presentation is classic for patients with emphysema?
What type of damage occurs in smokers’ lungs regarding emphysema classification?
What type of damage occurs in smokers’ lungs regarding emphysema classification?
The term 'acinus' in lung anatomy refers to which structure?
The term 'acinus' in lung anatomy refers to which structure?
Which condition is classified as a type of obstructive lung disease alongside emphysema?
Which condition is classified as a type of obstructive lung disease alongside emphysema?
Which disorder is characterized by a reversible response to bronchodilators?
Which disorder is characterized by a reversible response to bronchodilators?
What occurs to the functional residual capacity (FRC) in emphysema?
What occurs to the functional residual capacity (FRC) in emphysema?
What is the Reid Index used to measure?
What is the Reid Index used to measure?
What key finding is indicative of emphysema in lung tissue specimens?
What key finding is indicative of emphysema in lung tissue specimens?
What physiological consequence is NOT typically associated with chronic bronchitis?
What physiological consequence is NOT typically associated with chronic bronchitis?
What is the primary cause of airways closing due to mucus in chronic bronchitis?
What is the primary cause of airways closing due to mucus in chronic bronchitis?
What distinguishes 'pink puffers' from 'blue bloaters'?
What distinguishes 'pink puffers' from 'blue bloaters'?
In emphysema, what imbalance primarily leads to tissue destruction of alveoli?
In emphysema, what imbalance primarily leads to tissue destruction of alveoli?
Which factor primarily contributes to the increased energy expenditure in emphysema patients?
Which factor primarily contributes to the increased energy expenditure in emphysema patients?
In emphysema, which physiological process occurs when air is exhaled?
In emphysema, which physiological process occurs when air is exhaled?
What common symptom is associated with both chronic bronchitis and emphysema?
What common symptom is associated with both chronic bronchitis and emphysema?
What main mechanism leads to hypoxemia in chronic bronchitis?
What main mechanism leads to hypoxemia in chronic bronchitis?
What initial clinical symptom is often seen in emphysema patients?
What initial clinical symptom is often seen in emphysema patients?
How does chronic bronchitis affect ventilation in the lungs?
How does chronic bronchitis affect ventilation in the lungs?
Which disorder is primarily associated with smoking as a main risk factor?
Which disorder is primarily associated with smoking as a main risk factor?
What occurs in the lungs when there is not enough ventilation due to chronic bronchitis?
What occurs in the lungs when there is not enough ventilation due to chronic bronchitis?
What is the expected impact of administering 100% oxygen to a patient with chronic bronchitis who has significant shunting?
What is the expected impact of administering 100% oxygen to a patient with chronic bronchitis who has significant shunting?
Which is NOT a common sign observed in patients with chronic bronchitis?
Which is NOT a common sign observed in patients with chronic bronchitis?
Which disorder among the following is characterized by gradual tissue destruction and loss of alveolar integrity?
Which disorder among the following is characterized by gradual tissue destruction and loss of alveolar integrity?
What leads to the narrowing of airways in chronic bronchitis?
What leads to the narrowing of airways in chronic bronchitis?
What distinguishes patients with severe asthma from those with COPD?
What distinguishes patients with severe asthma from those with COPD?
In patients with alpha-1 antitrypsin deficiency, which lung condition is primarily associated?
In patients with alpha-1 antitrypsin deficiency, which lung condition is primarily associated?
Which symptom is characteristically associated with both chronic obstructive pulmonary disease (COPD) and severe asthma?
Which symptom is characteristically associated with both chronic obstructive pulmonary disease (COPD) and severe asthma?
What can lead to lung damage in alpha-1 antitrypsin deficiency?
What can lead to lung damage in alpha-1 antitrypsin deficiency?
Which of the following conditions is NOT commonly associated with asthma?
Which of the following conditions is NOT commonly associated with asthma?
Which language describes the primary difference between asthma and COPD in terms of bronchial response?
Which language describes the primary difference between asthma and COPD in terms of bronchial response?
Why should patients with alpha-1 antitrypsin deficiency avoid smoking?
Why should patients with alpha-1 antitrypsin deficiency avoid smoking?
What is the primary mechanism responsible for aspirin exacerbated respiratory disease?
What is the primary mechanism responsible for aspirin exacerbated respiratory disease?
In which age group is COPD commonly diagnosed compared to alpha-1 antitrypsin deficiency?
In which age group is COPD commonly diagnosed compared to alpha-1 antitrypsin deficiency?
What symptom may indicate a trigger for asthma exacerbations?
What symptom may indicate a trigger for asthma exacerbations?
Which class of medication is frequently used to treat aspirin exacerbated respiratory disease?
Which class of medication is frequently used to treat aspirin exacerbated respiratory disease?
Which type of emphysema results from smoking?
Which type of emphysema results from smoking?
What occurs when individuals with severe alpha-1 antitrypsin deficiency have antitrypsin build up in the liver?
What occurs when individuals with severe alpha-1 antitrypsin deficiency have antitrypsin build up in the liver?
What happens to the I/E ratio in patients with asthma?
What happens to the I/E ratio in patients with asthma?
Which of the following findings is associated with asthma and can be discovered in patients' sputum?
Which of the following findings is associated with asthma and can be discovered in patients' sputum?
What condition can develop in severe untreated asthma, potentially leading to death?
What condition can develop in severe untreated asthma, potentially leading to death?
During a methacholine challenge test, how is a positive result interpreted?
During a methacholine challenge test, how is a positive result interpreted?
What physiological effect predominates in bronchiectasis despite having dilated airways?
What physiological effect predominates in bronchiectasis despite having dilated airways?
Pulsus paradoxus can occasionally occur in asthma; what does this denote?
Pulsus paradoxus can occasionally occur in asthma; what does this denote?
What is a common symptom indicative of bronchiectasis?
What is a common symptom indicative of bronchiectasis?
Which entity is NOT a common cause of bronchiectasis?
Which entity is NOT a common cause of bronchiectasis?
What kind of challenge test can help clarify an ambiguous asthma diagnosis?
What kind of challenge test can help clarify an ambiguous asthma diagnosis?
Which of the following findings mainly suggests the presence of eosinophils in asthma patients?
Which of the following findings mainly suggests the presence of eosinophils in asthma patients?
What major complication is associated with chronic inflammation in bronchiectasis?
What major complication is associated with chronic inflammation in bronchiectasis?
Which of the following conditions is recognized as a rare cause of bronchiectasis?
Which of the following conditions is recognized as a rare cause of bronchiectasis?
In asthma patients, what contributes to mucus plugging?
In asthma patients, what contributes to mucus plugging?
What term describes the temporary dilation of airways due to chronic inflammation, which may occur in bronchiectasis?
What term describes the temporary dilation of airways due to chronic inflammation, which may occur in bronchiectasis?
In obstructive disease, there is air trapped inside the lungs because it can't get ______.
In obstructive disease, there is air trapped inside the lungs because it can't get ______.
The hallmark of obstructive disease is a reduced FEV1 to ______ ratio.
The hallmark of obstructive disease is a reduced FEV1 to ______ ratio.
With obstructive lung disease, both residual volume and total lung ______ increase.
With obstructive lung disease, both residual volume and total lung ______ increase.
Obstructive lung disease can be thought of as a balloon with an obstruction at the ______.
Obstructive lung disease can be thought of as a balloon with an obstruction at the ______.
In obstructive lung disease, the total lung capacity can be ______ despite difficulties with airflow.
In obstructive lung disease, the total lung capacity can be ______ despite difficulties with airflow.
The opposite of obstructive disease is ______, where lung volumes decrease due to restriction.
The opposite of obstructive disease is ______, where lung volumes decrease due to restriction.
The flow of air going out is ______ in obstructive lung disease due to airflow restriction.
The flow of air going out is ______ in obstructive lung disease due to airflow restriction.
In obstructive lung disease, there is a reduction in the forced expiratory volume in the first second (FEV1) due to ______.
In obstructive lung disease, there is a reduction in the forced expiratory volume in the first second (FEV1) due to ______.
Almost always, patients who have one of these disorders also have elements of the other, known as chronic obstructive pulmonary ______.
Almost always, patients who have one of these disorders also have elements of the other, known as chronic obstructive pulmonary ______.
In smokers, emphysema damage is predominantly in the ______ lobes.
In smokers, emphysema damage is predominantly in the ______ lobes.
Most patients with asthma do not have COPD, but if asthma is left untreated, it eventually becomes a chronic disorder and then it is called ______.
Most patients with asthma do not have COPD, but if asthma is left untreated, it eventually becomes a chronic disorder and then it is called ______.
Patients with antitrypsin deficiency often have emphysema largely in the ______ lobes.
Patients with antitrypsin deficiency often have emphysema largely in the ______ lobes.
In patients with alpha-1 anti-trypsin deficiency, there could be decreased or dysfunctional ______.
In patients with alpha-1 anti-trypsin deficiency, there could be decreased or dysfunctional ______.
Patients with alpha-1 anti-trypsin deficiency often experience panacinar ______.
Patients with alpha-1 anti-trypsin deficiency often experience panacinar ______.
In emphysema, destruction of the ______ leads to obstruction.
In emphysema, destruction of the ______ leads to obstruction.
The most important protease balanced by antitrypsin is ______, found in neutrophils and alveolar macrophages.
The most important protease balanced by antitrypsin is ______, found in neutrophils and alveolar macrophages.
The classic appearance of emphysema is often described as ______ chest.
The classic appearance of emphysema is often described as ______ chest.
Smokers often experience ______ damage in their lungs.
Smokers often experience ______ damage in their lungs.
A classic symptom of asthma is ______, which can occur in response to various triggers.
A classic symptom of asthma is ______, which can occur in response to various triggers.
Aspirin exacerbated respiratory disease is characterized by asthma symptoms triggered by taking ______.
Aspirin exacerbated respiratory disease is characterized by asthma symptoms triggered by taking ______.
Patients with antitrypsin deficiency typically exhibit ______ damage.
Patients with antitrypsin deficiency typically exhibit ______ damage.
In emphysema, ______ occurs leading to less area for gas exchange.
In emphysema, ______ occurs leading to less area for gas exchange.
Asthma is often associated with allergic conditions like allergic ______ or eczema.
Asthma is often associated with allergic conditions like allergic ______ or eczema.
The term 'acinus' in relation to the lungs refers to the ______ plus alveoli.
The term 'acinus' in relation to the lungs refers to the ______ plus alveoli.
Children with asthma often experience exacerbations after an upper respiratory ______.
Children with asthma often experience exacerbations after an upper respiratory ______.
Patients with antitrypsin deficiency may also suffer from liver ______ due to protein accumulation.
Patients with antitrypsin deficiency may also suffer from liver ______ due to protein accumulation.
Patients with chronic bronchitis are often referred to as ______ bloaters.
Patients with chronic bronchitis are often referred to as ______ bloaters.
In patients with severe asthma, symptoms are often ______, meaning they can return to normal after an episode.
In patients with severe asthma, symptoms are often ______, meaning they can return to normal after an episode.
Loss of ______ is a key factor in the development of barrel chest in emphysema.
Loss of ______ is a key factor in the development of barrel chest in emphysema.
The imbalance between neutrophil elastase and antitrypsin leads to ______ lung damage.
The imbalance between neutrophil elastase and antitrypsin leads to ______ lung damage.
In emphysema, the ______ is increased due to air trapping.
In emphysema, the ______ is increased due to air trapping.
Bronchoconstriction in asthma is often due to some type of ______ stimulus.
Bronchoconstriction in asthma is often due to some type of ______ stimulus.
A hallmark symptom of emphysema is ______.
A hallmark symptom of emphysema is ______.
The classical distinction between patients with chronic bronchitis and emphysema is referred to as ______ and pink puffers.
The classical distinction between patients with chronic bronchitis and emphysema is referred to as ______ and pink puffers.
For patients with aspirin-exacerbated disease, treatment with a leukotriene receptor ______ is often effective.
For patients with aspirin-exacerbated disease, treatment with a leukotriene receptor ______ is often effective.
Chronic obstructive pulmonary disease (COPD) includes conditions like chronic bronchitis and ______.
Chronic obstructive pulmonary disease (COPD) includes conditions like chronic bronchitis and ______.
The four disorders mentioned are chronic bronchitis, emphysema, asthma, and ______.
The four disorders mentioned are chronic bronchitis, emphysema, asthma, and ______.
Patients with asthma experience shortness of breath, wheezing, and ______.
Patients with asthma experience shortness of breath, wheezing, and ______.
The I/E ratio in asthma patients can decrease to as low as ______ or even one to five.
The I/E ratio in asthma patients can decrease to as low as ______ or even one to five.
Asthma is characterized by a ______ response to bronchodilators, unlike other disorders.
Asthma is characterized by a ______ response to bronchodilators, unlike other disorders.
The device used to measure the highest velocity of airflow in asthma patients is called a ______.
The device used to measure the highest velocity of airflow in asthma patients is called a ______.
Chronic bronchitis is defined by a chronic cough that produces sputum for at least three months over a period of ______.
Chronic bronchitis is defined by a chronic cough that produces sputum for at least three months over a period of ______.
Chronic bronchitis is strongly associated with ______.
Chronic bronchitis is strongly associated with ______.
Curschmann's spirals are often found inside mucus ______ in asthma patients.
Curschmann's spirals are often found inside mucus ______ in asthma patients.
A methacholine challenge tests for asthma by looking for a significant drop in ______.
A methacholine challenge tests for asthma by looking for a significant drop in ______.
The Reid Index measures the ratio of the thickness of mucus-secreting glands to the thickness of the entire ______.
The Reid Index measures the ratio of the thickness of mucus-secreting glands to the thickness of the entire ______.
In asthma, excessive mucus can lead to airway ______ and shunting.
In asthma, excessive mucus can lead to airway ______ and shunting.
In chronic bronchitis, excessive mucus can lead to ______, which impairs ventilation.
In chronic bronchitis, excessive mucus can lead to ______, which impairs ventilation.
Pulsus Paradoxus can occur in asthma, causing a drop in systolic blood ______ with inspiration.
Pulsus Paradoxus can occur in asthma, causing a drop in systolic blood ______ with inspiration.
Chronic bronchitis leads to poor ventilation, resulting in a rise of ______ levels in the blood.
Chronic bronchitis leads to poor ventilation, resulting in a rise of ______ levels in the blood.
Hypoxic vasoconstriction in chronic bronchitis can lead to ______ hypertension.
Hypoxic vasoconstriction in chronic bronchitis can lead to ______ hypertension.
Bronchiectasis is characterized by permanently dilated ______.
Bronchiectasis is characterized by permanently dilated ______.
Cyanosis in chronic bronchitis occurs as a result of ______.
Cyanosis in chronic bronchitis occurs as a result of ______.
Patients with bronchiectasis commonly experience recurrent pulmonary ______.
Patients with bronchiectasis commonly experience recurrent pulmonary ______.
Emphysema involves the destruction of tissue inside the ______.
Emphysema involves the destruction of tissue inside the ______.
Smoking is associated with bronchiectasis, but it is unclear if it directly causes ______.
Smoking is associated with bronchiectasis, but it is unclear if it directly causes ______.
The balance between proteases and ______ is crucial for maintaining healthy lung tissue.
The balance between proteases and ______ is crucial for maintaining healthy lung tissue.
Cystic fibrosis in children can lead to recurrent lung infections and possibly ______.
Cystic fibrosis in children can lead to recurrent lung infections and possibly ______.
Kartagener's syndrome is a rare cause of ______ that patients need to be aware of.
Kartagener's syndrome is a rare cause of ______ that patients need to be aware of.
The most common type of emphysema is seen in ______.
The most common type of emphysema is seen in ______.
Chronic inflammation in bronchiectasis can lead to secondary ______.
Chronic inflammation in bronchiectasis can lead to secondary ______.
In chronic bronchitis, administering 100% oxygen has limited effectiveness due to ______ physiology.
In chronic bronchitis, administering 100% oxygen has limited effectiveness due to ______ physiology.
Patients with chronic bronchitis often experience increased susceptibility to respiratory ______.
Patients with chronic bronchitis often experience increased susceptibility to respiratory ______.
The thickened bronchial walls in bronchiectasis primarily affect the ______ and medium airways.
The thickened bronchial walls in bronchiectasis primarily affect the ______ and medium airways.
Eosinophils and Charcot-Leyden crystals can be found in the sputum of asthma patients, alongside the ______ spirals.
Eosinophils and Charcot-Leyden crystals can be found in the sputum of asthma patients, alongside the ______ spirals.
Kartagener's syndrome is part of a group of conditions called primary ______ dyskinesia.
Kartagener's syndrome is part of a group of conditions called primary ______ dyskinesia.
In patients with Kartagener's syndrome, the crucial motor protein affected is called ______.
In patients with Kartagener's syndrome, the crucial motor protein affected is called ______.
Patients with Kartagener's syndrome often develop ______ from poor ciliary function in the sinuses.
Patients with Kartagener's syndrome often develop ______ from poor ciliary function in the sinuses.
A classic presentation of Kartagener's syndrome includes situs ______ where the organs are reversed in position.
A classic presentation of Kartagener's syndrome includes situs ______ where the organs are reversed in position.
Allergic bronchopulmonary aspergillosis (ABPA) is an allergic reaction to the fungus ______.
Allergic bronchopulmonary aspergillosis (ABPA) is an allergic reaction to the fungus ______.
In patients with ABPA, a common laboratory finding is increased levels of ______ in the blood.
In patients with ABPA, a common laboratory finding is increased levels of ______ in the blood.
Cilia comprise a series of circular structures known as ______.
Cilia comprise a series of circular structures known as ______.
Chronic bronchitis, emphysema, asthma, and ______ are the four causes of obstructive lung disease.
Chronic bronchitis, emphysema, asthma, and ______ are the four causes of obstructive lung disease.
A key characteristic of ciliary dyskinesia is that the cilia are unable to ______ or may be absent altogether.
A key characteristic of ciliary dyskinesia is that the cilia are unable to ______ or may be absent altogether.
In patients with ABPA, high levels of ______ are often observed during immunological assessments.
In patients with ABPA, high levels of ______ are often observed during immunological assessments.
Flashcards
Obstructive Lung Disease
Obstructive Lung Disease
Lung condition where air gets trapped and can't leave easily due to blocked airways.
Reduced FEV1/FVC Ratio
Reduced FEV1/FVC Ratio
In obstructive lung disease, the percentage of forced expiratory volume (FEV1) to forced vital capacity (FVC) is significantly lower than normal.
Air Trapping
Air Trapping
Air becomes trapped in the lungs during exhalation in obstructive lung disease because airways are blocked.
Increased Residual Volume
Increased Residual Volume
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Increased Total Lung Capacity
Increased Total Lung Capacity
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Reduced FEV1
Reduced FEV1
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Reduced FVC
Reduced FVC
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Obstructive vs. Restrictive
Obstructive vs. Restrictive
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Chronic Bronchitis Definition
Chronic Bronchitis Definition
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Chronic Bronchitis Cause
Chronic Bronchitis Cause
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Reid Index
Reid Index
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Mucus Plugging
Mucus Plugging
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Obstructive PFTs
Obstructive PFTs
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Bronchodilators
Bronchodilators
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Asthma Reversibility
Asthma Reversibility
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COPD
COPD
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Emphysema
Emphysema
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Proteases/Anti-proteases
Proteases/Anti-proteases
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Smoking and Emphysema
Smoking and Emphysema
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Shunting
Shunting
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Hypoxia
Hypoxia
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Pulmonary Hypertension
Pulmonary Hypertension
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Cor Pulmonale
Cor Pulmonale
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Emphysema Damage Location (Smokers)
Emphysema Damage Location (Smokers)
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Emphysema (Antitrypsin Deficiency)
Emphysema (Antitrypsin Deficiency)
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Emphysema Alveoli Destruction
Emphysema Alveoli Destruction
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Smokers Emphysema Macrophages
Smokers Emphysema Macrophages
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Emphysema Elastic Recoil Loss
Emphysema Elastic Recoil Loss
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Obstructive Lung Disease (Emphysema)
Obstructive Lung Disease (Emphysema)
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Emphysema Clinical Findings
Emphysema Clinical Findings
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Emphysema Hyperventilation
Emphysema Hyperventilation
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Emphysema Weight Loss
Emphysema Weight Loss
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Emphysema Barrel Chest
Emphysema Barrel Chest
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Acinus in Lungs
Acinus in Lungs
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Emphysema (Centrilobular)
Emphysema (Centrilobular)
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Emphysema (Panacinar)
Emphysema (Panacinar)
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COPD Definition
COPD Definition
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Blue Bloater vs Pink Puffer
Blue Bloater vs Pink Puffer
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Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease (COPD)
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Asthma
Asthma
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Alpha-1 Antitrypsin Deficiency
Alpha-1 Antitrypsin Deficiency
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Panacinar Emphysema
Panacinar Emphysema
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Centriacinar Emphysema
Centriacinar Emphysema
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Neutrophil Elastase
Neutrophil Elastase
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Liver Cirrhosis
Liver Cirrhosis
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Reversible Bronchoconstriction
Reversible Bronchoconstriction
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Aspirin-Exacerbated Respiratory Disease
Aspirin-Exacerbated Respiratory Disease
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Leukotrienes
Leukotrienes
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Montelukast (and Zafirlukast)
Montelukast (and Zafirlukast)
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Allergic Stimulus
Allergic Stimulus
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Trigger for Asthma
Trigger for Asthma
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Asthma I/E Ratio
Asthma I/E Ratio
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Reduced Peak Flow in Asthma
Reduced Peak Flow in Asthma
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Mucus Plugging in Asthma
Mucus Plugging in Asthma
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Status Asthmaticus
Status Asthmaticus
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Methacholine Challenge
Methacholine Challenge
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Curschmann's Spirals
Curschmann's Spirals
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Charcot-Leyden Crystals
Charcot-Leyden Crystals
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Non-Cardiac Pulsus Paradoxus
Non-Cardiac Pulsus Paradoxus
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Bronchiectasis
Bronchiectasis
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Bronchiectasis - Causes
Bronchiectasis - Causes
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Bronchiectasis Symptoms
Bronchiectasis Symptoms
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Bronchiectasis - Tumor Obstruction
Bronchiectasis - Tumor Obstruction
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Bronchiectasis - Smoking
Bronchiectasis - Smoking
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Bronchiectasis - Cystic Fibrosis
Bronchiectasis - Cystic Fibrosis
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Bronchiectasis - Rare Causes
Bronchiectasis - Rare Causes
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Primary Ciliary Dyskinesia
Primary Ciliary Dyskinesia
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Dynein
Dynein
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Kartagener's Syndrome
Kartagener's Syndrome
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Situs Inversus
Situs Inversus
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Allergic Bronchopulmonary Aspergillosis (ABPA)
Allergic Bronchopulmonary Aspergillosis (ABPA)
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Eosinophilia
Eosinophilia
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High IgE Levels
High IgE Levels
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Brownish Mucus Plugs
Brownish Mucus Plugs
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Hemoptysis
Hemoptysis
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FEV1/FVC Ratio
FEV1/FVC Ratio
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Residual Volume
Residual Volume
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Total Lung Capacity
Total Lung Capacity
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Causes of Obstructive Lung Disease
Causes of Obstructive Lung Disease
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What's the key to differentiating obstructive lung disorders?
What's the key to differentiating obstructive lung disorders?
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Chronic Bronchitis
Chronic Bronchitis
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Barrel Chest
Barrel Chest
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Emphysema Damage Location (Antitrypsin Deficiency)
Emphysema Damage Location (Antitrypsin Deficiency)
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Asthma Triggers
Asthma Triggers
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Causes of Bronchiectasis
Causes of Bronchiectasis
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Decreased I/E Ratio
Decreased I/E Ratio
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Reduced Peak Flow
Reduced Peak Flow
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Study Notes
Obstructive Lung Disease
- Obstructive lung diseases involve air trapping in the lungs due to impaired airflow.
- Key feature: reduced FEV1/FVC ratio (FEV1 falls more than FVC).
- Reduced forced expiratory volume (FEV1) and forced vital capacity (FVC).
- Increased residual volume and total lung capacity.
Causes of Obstructive Lung Disease
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Chronic Bronchitis:
- Chronic productive cough (3+ months/2+ years).
- Smoking strongly associated.
- Hypertrophy of mucus-secreting glands (Reid index > 0.4).
- Mucus plugging: blocks ventilation.
- Impaired mucociliary clearance increases infection risk.
- Physiologic consequences: increased CO2, decreased O2, hypoxic vasoconstriction, pulmonary hypertension, cor pulmonale.
- Symptoms: cough, wheezing, crackles, dyspnea, cyanosis.
- Shunting: blood bypasses functioning alveoli, resulting in hypoxemia.
- 100% O2 may not fully correct hypoxemia.
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Emphysema:
- Destruction of alveoli.
- Balance of proteases (destroyers) and antiproteases in the lung is disrupted.
- Common type: Smoker's emphysema. Smoking activates elastase that overwhelms antitrypsin. Damage predominantly in upper lobes.
- Rare type: Alpha-1 antitrypsin deficiency. Lack of antiproteases leads to lower lobe damage.
- Physiologic consequences: Loss of elastic recoil, collapse of small airways, air trapping, reduced gas exchange.
- Symptoms: dyspnea, cough (less sputum than bronchitis), hyperventilation (weight loss), cor pulmonale.
- Barrel chest: a hallmark symptom caused by air trapping.
- Acinus: the functional unit of the bronchus (part of the bronchial tree) and alveoli.
- Centriacinar: Damage to the bronchioles.
- Panacinar: Damage to the entire acinus.
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Asthma:
- Reversible bronchoconstriction.
- Allergic stimulus, hyperresponsive airways.
- Common in children, often with other allergies.
- Triggers: infections, allergens (animal dander, dust mites), stress, exercise, cold.
- Aspirin-exacerbated respiratory disease (rare subtype): asthma, sinusitis, polyps/ nasal obstruction; triggered by aspirin or NSAIDs, leukotriene overproduction.
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Bronchiectasis:
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Permanent dilation of airways due to chronic recurrent inflammation.
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Recurrent infections are common causes and consequences.
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Symptoms: cough, excessive sputum (foul-smelling), hemoptysis, cor pulmonale.
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Multiple etiologies: obstructions, smoking, cystic fibrosis, Kartagener's syndrome, and allergic bronchopulmonary aspergillosis (ABPA).
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ABPA: (Allergic bronchopulmonary aspergillosis).
- Allergic to fungus aspergillus fumigatus.
- Occurs in patients with asthma or cystic fibrosis.
- Symptoms: exacerbation of asthma/CF symptoms, eosinophilia (increased eosinophil count).
- Diagnosable with high IgE and testing for fungus.
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Alpha-1 Antitrypsin Deficiency
- Inherited disease with dysfunctional antitrypsin.
- Alveolar macrophages and neutrophils have elastase, which destroys elastin.
- Imparied antitrypsin = lower lung damage (different from smoker's emphysema).
- Liver cirrhosis in some subtypes: abnormal accumulation of antitrypsin leads to liver damage.
- Key distinguishing factor: younger patients with COPD compared to smokers.
Additional Concepts
- COPD (Chronic Obstructive Pulmonary Disease): The modern term for chronic bronchitis and/or emphysema.
- PFTs (Pulmonary Function Tests): A diagnostic tool to measure lung functions.
- Bronchodilator: Improves lung functions in some obstructive conditions like asthma.
- I/E ratio: The ratio of inspiration to expiration time, which is prolonged in asthma.
- Peak Flow meter: measures the highest airflow velocity.
- Methacholine challenge: A test to identify hyperreactive airways (asthma).
- Curschmann's spirals and Charcot–Leyden crystals: Specific findings in asthma sputum.
- Pulsus paradoxus: A decrease in systolic blood pressure during inspiration; a rare sign of asthma, COPD.
- Situs inversus: (Kartagener's syndrome) organs are reversed in position.
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