*USE ONLY WHAT IS ATTACHED TO ANSWER THE FOLLOWING*
1. Divide, label and give the meaning of the following terms: Tachypnea, hypoxemia, dysphonia , pneumoconiosis.
2. Emphysema, Pneumonia, Mesothelioma and COPD are four pathological conditions of the respiratory system.Define each one and briefly explain signs, symptoms, diagnosis and treatment.
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Chapter 12
The Respiratory System
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
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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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Learning Objectives (cont’d.)
- Describe important clinical procedures related to the respiratory system and recognize relevant abbreviations.
- Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records.
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*
Chapter 12
Lesson 12.1
Copyright © 2005 by Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Introduction
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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*
- What percent of oxygen does inhaled air contain? (about 21 %)
- What percent of oxygen does exhaled air contain? (about 16 %)
- What is the medical term for air sacs?
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
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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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Respiratory Anatomy
- Mediastinum: middle of chest where trachea divides into two branches
- Bronchi: each leads to a separate lung
- Lungs: not mirror images, have lobes
- Hilum: blood vessels, nerves, lymphatic tissue, and bronchial tubes enter and exit
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- What is the singular form of bronchi? (bronchus)
- Which lung is larger? (right)
- How many lobes does each lung have? (right: three, left: two)
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Anatomy of Respiration
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Engage the class to identify the organs of the respiratory system.
- Trace the path of a breath of air.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Anatomy of Respiration
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Engage the class to identify the organs of the respiratory system.
- Trace the path of a breath of air.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Respiratory Structures
Conduct air
- Nose
- Nasal cavities and paranasal sinuses
- Pharynx
- Larynx
- Trachea
Exchange gases
- Bronchioles
- Alveoli
- Lung capillaries
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Respiratory Flow Chart
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Trace the flow and then conduct the class activity in the lesson plan by dividing the class into two groups and assigning each a gas. (see LP 12.1)
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Respiratory Flow Chart
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Trace the flow and then conduct the class activity in the lesson plan by dividing the class into two groups and assigning each a gas. (see LP 12.1)
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
VOCABULARY
- adenoids
- alveolus (alveoli)
- apex of the lung
- base of the lung
- brochioles
- bronchus (bronchi)
- carbon dioxide
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Reference pages 260-262 for definitions of vocabulary terms
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
VOCABULARY
- cilia
- diaphragm
- epiglottis
- expiration
- glottis
- hilum
- inspiration
- larynx
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Reference pages 260-262 for definitions of vocabulary terms
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
VOCABULARY
- lobe
- mediastinum
- nares
- oxygen
- palatine tonsil
- paranasal sinus
- parietal pleura
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Reference pages 260-262 for definitions of vocabulary terms
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
VOCABULARY
- pharynx
- pleura
- pleural cavity
- pulmonary parenchyma
- respiration
- trachea
- visceral pleura
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Reference pages 260-262 for definitions of vocabulary terms
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
QUICK QUIZ:
1. What is the tip or uppermost portion of the lung?
base
lobe
apex
nares
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
CORRECT Answer is C, apex
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
AND TERMINOLOGY
- adenoid/o adenoids
- alveol/o alveolus, air sac
- bronch/o bronchial tube
- bronchi/o bronchus
- bronchiol/o bronchiole, small bronchus
- capn/o carbon dioxide
Combining Form Meaning
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
AND TERMINOLOGY
- coni/o dust
- cyan/o blue
- epiglott/o epiglottis
- laryng/o larynx, voice box
- lob/o lobe of the lung
- mediastin/o mediastinum
Combining Form Meaning
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
AND TERMINOLOGY
- nas/o nose
- orth/o straight, upright
- ox/o oxygen
- pector/o chest
- pharyng/o pharynx, throat
- phon/o voice
Combining Form Meaning
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
AND TERMINOLOGY
- phren/o diaphragm
- pleur/o pleura
- pneum/o air, lung
- pneumon/o lung
- pulmon/o lung
- rhin/o nose
Combining Form Meaning
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
AND TERMINOLOGY
- sinus/o sinus cavity
- spir/o breathing
- tel/o complete
- thorac/o chest
- tonsill/o tonsils
- trache/o trachea, windpipe
Combining Form Meaning
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS, SUFFIXES, AND TERMINOLOGY
SUFFIXES
-ema condition
-osmia smell
-pnea breathing
-ptysis spitting
-sphyxia pulse
-thorax pleural cavity, chest
Suffix Meaning
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Chapter 12
Lesson 12.2
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Diagnostic Terms
- auscultation
- percussion
- pleural rub
- rale (crackle)
- rhonchus
- sputum
- stridor
- wheeze
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Many of these terms are ways to help identify respiratory abnormalities that can be heard.
- Discuss the fact that auscultation, though not high tech, is still a very effective way to uncover disease.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Pathologic Terms
Upper Respiratory
Disorders
- croup
- diphtheria
- epistaxis
- pertussis
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*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders. Which are most often caused by smoking?
- Epistaxis is also known as rhinorrhagia, but epistaxis is the more commonly used term for nosebleed.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Pathologic Terms
Bronchial Tube
Disorders
- asthma
- bronchiectasis
- chronic bronchitis
- cystic fibrosis
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*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders. Which are most often caused by smoking?
- Epistaxis is also known as rhinorrhagia, but epistaxis is the more commonly used term for nosebleed.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Pathologic Terms (cont’d.)
Lung Disorders
- atelectasis
- emphysema
- lung cancer
- pneumoconiosis
- pneumonia
- pulmonary abscess
- pulmonary edema
- pulmonary embolism (PE)
- pulmonary fibrosis
- sarcoidosis
- tuberculosis (TB)
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders.
- What are the types of pneumoconiosis?
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Pathologic Terms, Lung Disorders (cont’d.)
Atelectasis
Two forms
Proximal obstruction of distal airways
Accumulations of fluid, blood, or air in pleural cavity
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Distinguish between atelectasis and pneumothorax.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Pathologic Terms
- Pleural Disorders
- mesothelioma
- pleural effusion
- pleurisy (pleuritis)
- pneumothorax
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*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders.
- Use slides to discuss definitions, context, spelling, and derivations.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Pathologic Terms,
Pleural Disorders
Pneumothorax: Air gathers in the pleural cavity
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*
- Explain collapsed lung.
- What conditions may cause a lung to collapse?
- What are some examples of trauma- and disease-induced collapsed lung?
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STUDY SECTION
- anthracosis
- asbestosis
- bacilli
- chronic obstructive pulmonary disease (COPD)
- cor pulmonale
- exudate
- hydrothorax
- palliative
- paroxysmal
- pulmonary infarction
- purulent
- silicosis
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*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms or genetic disorders.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Chapter 12
Lesson 12.3
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures
- X-rays
- chest x-ray (CXR)
- computed tomography (CT) scan of the chest
- pulmonary angiography
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
- Briefly discuss the technology of each type of x-ray.
- For what kinds of information (hard tissues, soft tissue, etc.) and which conditions is each type best-suited?
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures (cont’d.)
X-rays: radiographic imaging
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*
- Use this slide to discuss point of view, right and left, dorsal and ventral, and landmarks.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures (cont’d.)
Magnetic resonance imaging (MRI): Magnetic waves create images
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures (cont’d.)
- Radioactive Tests
- Positron emission tomography (PET) scan of the lung:
- Ventilation-perfusion (V/Q) scan: inhalation of radioactive gas for imaging, followed by injection of different radioactive material for imaging
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures (cont’d.)
Bronchioscopy: Fiberoptic or rigid endoscope inserted into the bronchial tubes for diagnosis, biopsy, or collection of specimens
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*
- Why would a physician recommend this invasive diagnostic procedure?
- What are the pros and cons?
- What can the physician expect to learn?
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Clinical Procedures (cont’d.)
Endotracheal intubation: placement of tube from mouth to trachea to establish airway
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*
- Watch an episode of ER and count how many times they do this procedure in the ER.
- Why do many people coming into the emergency room need this procedure?
- Why is this done for surgical patients?
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures (cont’d.)
- laryngoscopy
- lung biopsy
- mediastinoscopy
- pulmonary function tests (PFTs)
- thoracotomy
- thorascopy
- tracheostomy
- tuberculin test
- tube thoracostomy
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*
- Why do many of these procedures start with “thor”?
- What is the difference between laryngoscopy, mediastinoscopy, and thorascopy?
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Clinical Procedures (cont’d.)
Thoracentesis: surgical puncture to
remove fluid from pleural space
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Clinical Procedures (cont’d.)
Tracheostomy: Surgical creation of opening into the trachea through
the neck
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*
- Under what conditions would a physician perform this invasive procedure?
- Explain advantages and disadvantages.
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
REVIEW SHEET
COMBINING FORMS
adenoid/o ____________
alveol/o ____________
bronch/o ____________
bronchi/o ____________
bronchiol/o ____________
capn/o ____________
CF Meaning
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
REVIEW SHEET
COMBINING FORMS
- adenoid/o adenoids
- alveol/o alveolus; air sac; small sac
- bronch/o bronchial tube
- bronchi/o bronchial tube
- bronchiol/o bronchiole
- capn/o carbon dioxide
Suffix Meaning
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*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
coni/o ___________
cyan/o ___________
epiglott/o ___________
laryng/o ___________
lob/o ___________
mediastin/o ___________
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
- coni/o dust
- cyan/o blue
- epiglott/o epiglottis
- laryng/o larynx (voice box)
- lob/o lobe
- mediastin/o mediastinum
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
nas/o __________
orth/o __________
ox/o __________
pector/o __________
pharyng/o __________
phon/o __________
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
- nas/o nose
- orth/o straight
- ox/o oxygen
- pector/o chest
- pharyng/o throat (pharynx)
- phon/o voice; sound
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
phren/o ___________
pleur/o ___________
pneum/o ___________
pneumon/o ___________
pulmon/o ___________
rhin/o ___________
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
- phren/o diaphragm; mind
- pleur/o pleura
- pneum/o lung; air; gas
- pneumon/o lung; air; gas
- pulmon/o lung
- rhin/o nose
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
sinus/o ___________
spir/o ___________
tel/o ___________
thorac/o ___________
tonsill/o ___________
trache/o ___________
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
COMBINING FORMS
- sinus/o sinus
- spir/o to breathe
- tel/o complete
- thorac/o chest
- tonsill/o tonsil
- trache/o trachea (windpipe)
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
SUFFIXES
-ema ___________
-osmia ___________
-pnea ___________
-ptysis ___________
-sphyxia ___________
-thorax ___________
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
SUFFIXES
- -ema condition
- -osmia smell
- -pnea breathing
- -ptysis spitting
- -sphyxia pulse
- -thorax chest; pleural cavity
Suffix Meaning
REVIEW SHEET
Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
*
*
*
*
*
*
- What percent of oxygen does inhaled air contain? (about 21 %)
- What percent of oxygen does exhaled air contain? (about 16 %)
- What is the medical term for air sacs?
*
*
- What is the singular form of bronchi? (bronchus)
- Which lung is larger? (right)
- How many lobes does each lung have? (right: three, left: two)
*
- Engage the class to identify the organs of the respiratory system.
- Trace the path of a breath of air.
*
- Engage the class to identify the organs of the respiratory system.
- Trace the path of a breath of air.
*
*
- Trace the flow and then conduct the class activity in the lesson plan by dividing the class into two groups and assigning each a gas. (see LP 12.1)
*
- Trace the flow and then conduct the class activity in the lesson plan by dividing the class into two groups and assigning each a gas. (see LP 12.1)
*
Reference pages 260-262 for definitions of vocabulary terms
*
Reference pages 260-262 for definitions of vocabulary terms
*
Reference pages 260-262 for definitions of vocabulary terms
*
Reference pages 260-262 for definitions of vocabulary terms
*
CORRECT Answer is C, apex
*
*
*
*
*
*
*
*
- Many of these terms are ways to help identify respiratory abnormalities that can be heard.
- Discuss the fact that auscultation, though not high tech, is still a very effective way to uncover disease.
*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders. Which are most often caused by smoking?
- Epistaxis is also known as rhinorrhagia, but epistaxis is the more commonly used term for nosebleed.
*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders. Which are most often caused by smoking?
- Epistaxis is also known as rhinorrhagia, but epistaxis is the more commonly used term for nosebleed.
*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders.
- What are the types of pneumoconiosis?
*
- Distinguish between atelectasis and pneumothorax.
*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms, or genetic disorders.
- Use slides to discuss definitions, context, spelling, and derivations.
*
- Explain collapsed lung.
- What conditions may cause a lung to collapse?
- What are some examples of trauma- and disease-induced collapsed lung?
*
- Distinguish between disorders arising from infectious agents, trauma, neoplasms or genetic disorders.
*
*
- Briefly discuss the technology of each type of x-ray.
- For what kinds of information (hard tissues, soft tissue, etc.) and which conditions is each type best-suited?
*
- Use this slide to discuss point of view, right and left, dorsal and ventral, and landmarks.
*
*
*
- Why would a physician recommend this invasive diagnostic procedure?
- What are the pros and cons?
- What can the physician expect to learn?
*
- Watch an episode of ER and count how many times they do this procedure in the ER.
- Why do many people coming into the emergency room need this procedure?
- Why is this done for surgical patients?
*
- Why do many of these procedures start with “thor”?
- What is the difference between laryngoscopy, mediastinoscopy, and thorascopy?
*
*
- Under what conditions would a physician perform this invasive procedure?
- Explain advantages and disadvantages.
*
*
*
*
*
*
*
*
*
*
*
*
Trudy, a home health respiratory therapist, especially enjoys her older patients, and her Tuesday morning patient is one of her favorites. Jonas Hershel, a 79-year-old former respiratory therapist himself, has been hospitalized over the weekend for extreme difficulty with breathing from emphysema. Jonas’ physical examination has noted crackles, clubbing, and DOE. Blood gases reveal hypoxemia and hypercapnia. Jonas’ emphysema has now progressed to COPD.
After being stabilized, Jonas has been released to his home with home health care visits. Trudy has treated Jonas in the hospital and is now his home health care professional. Tracking Jonas’ breathing capacity using spirometry is part of her duties. However, today Jonas is too tired to sit up; therefore Trudy performs the spirometry while Jonas is reclining.
1. Give another name for crackles and define it.
2. What does spirometry measure?
3. Define emphysema. What is destroyed in emphysema?
4. What do the terms hypoxemia and hypercapnia stand for?
5. What do the abbreviations DOE and COPD stand for? Define and explain.