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respiratory pt 5

patho exam 2

QuestionAnswer
pneumothorax presence of air between visceral and parietal pleura, compressing lung tissue
When can a pneumothorax occur? spontaneously or secondary to barotraumas, chest trauma, or disease
pneumothorax causes trauma, complications related to medical procedures, chronic diseases, traumatic pneumothorax
pneumothorax clinical manifestations if less than 15% of lung volume is involved asymptomatic
pneumothorax clinical manifestations if 40% of lung volume is involved dyspnea, tachypnea, tachycardia, ipsilateral chest pain, anxiety, no breath sounds- hyper resonant on percussion
pneumothorax diagnosis based on presenting symptoms, physical examination, chest x-ray, computed tomography scan
pneumothorax treatment chest tube inserted into intrapleural space
pleural effusion collection of excess fluid in pleural space
What can causes excess fluid in pleural space? increased production or decreased drainage of pleural fluid
What happens when fluid builds up in pleural space? lungs don't fully expand
pleural effusion risk factors thoracic and abdominal surgeries, inflammatory processes in lung, atelectasis, blockage of lymphatic drainage, decreased plasma proteins
pleural effusion causes excess fluid is drained by the lymphatic system, left ventricular failure, cirrhosis, atelectasis
What happens when the lymphatic system is blocked? pleural fluid accumulates
small pleural effusion clinical manifestations asymptomatic
large pleural effusion clinical manifestations shortness of breath, dyspnea, tachypnea
pleural effusion diagnosis chest x-ray, CT scan
What do restrictive lung disorders of pulmonary compliance commonly affect? interstitium and interavleolar space
restrictive lung disorders of pulmonary compliance comprise diverse group of more than 200 nonmalignant noninfectious inflammatory conditions
restrictive lung disorders of pulmonary compliance causes pharmacologic agents, pollutants and toxins, animal feces and bird droppings, occupational exposure, medical conditions
most common lung disease of unknown origin idiopathic pulmonary fibrosis
how does idiopathic pulmonary fibrosis develop? progressive, lethal
How can idiopathic pulmonary fibrosis be categorized? as idiopathic interstitial pneumonias
What does idiopathic pulmonary fibrosis result from? an aberrant repair of alveolar epithelial type II cells after repetitive injuries
Cause of idiopathic pulmonary fibrosis may be genetic
early stages of idiopathic pulmonary fibrosis areas of normal lung, areas with fibroblast foci; areas with some inflammatory infiltrate; fibrosis decreases lung compliance, increases work of breathing, and increases diffusion distance
idiopathic pulmonary fibrosis progression of disease fibrotic areas "honeycombed", irreversible
idiopathic pulmonary fibrosis clinical manifestations insidious onset, dyspnea on exertion and/or a cough, deterioration secondary to infection, rapid, shallow respirations, hypoxemia, cyanosis
idiopathic pulmonary fibrosis treatment oxygen therapy, lung transplant
pulmonary hypertension high blood pressure in the pulmonary arteries, causing the right side of the heart to work harder; can be caused by narrowed or blocked blood vessels
What is pulmonary hypertension a major symptom of? other lung diseases like COPD
pulmonary hypertension cause unknown cause in most cases and may be related to genetic facotrs
pulmonary hypertension diagnosis echocardiography, MRI
pulmonary hypertension treatment vasodilators, endothelin receptor antagonists, anticoagulants
pulmonary embolism a sudden blockage in a lung artery, usually caused by a blood clot that has traveled from elsewhere in the body
pulmonary embolism clinical manifestations dyspnea, chest pain, cough, rapid heart rate (tachycardia), dizziness or lightheadedness, anxiety or fear
pulmonary embolism diagnosis CT, MRI, ventilation perfusion scans
pulmonary embolism treatment anticoagulant, thrombolysis, surgery
What systems does SARS-CoV-2 (COVID-19) affect? the respiratory system primarily, but other organ systems can be impacted
SARS-CoV-2 (COVID-19) transmission through droplet and respiratory spread but may also include indirect contact with contaminated objects
Who are most likely to get infected from SARS-CoV-2 (COVID-19)? people closer than 6 feet from the infected person
What kind of virus is SARS-CoV-2 (COVID-19)? very highly mutated retrovirus
What does SARS-CoV-2 (COVID-19) cause in the respiratory system? ruptured capillaries with protein exudates, obstructed airways, cytokine storm, blocks ACE2 receptor, non neutralizing antibodies could cause ADE, defective alveolus gaseous exchange
What happens when SARS-CoV-2 (COVID-19) blocks the ACE2 receptor? blocks conversion of angiotensin I to angiotensin II which affects blood pressure
what does SARS-CoV-2 (COVID-19) infection lead to? pyroptosis of lung epithelial cells
What does the N protein of SARS-CoV-2 (COVID-19) activate? complement leading to a cytokine storm
how long do COVID -19 disease symptoms last? can be mild to severe and develop 2-14 days after exposure
COVID 19 disease symptoms fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, loss of taste or smell, sore throat, GI symptoms (nausea, vomiting, diarrhea), congestion or runny nose
When to seek emergency medical attention COVID-19 trouble breathing, persistent pain or pressure in chest, new confusion, inability to wake or stay awake, pale, gray, or blue colored skin, lips, or nail beds, depending on skin tone
similarities in how flu and COVID-19 are spread tiny droplets from coughing, sneezing, and/or talking, touching a surface or object that has the virus and then touching your mouth, nose, or eyes
Difference in symptoms between flu and covid? flu: not everyone has a fever, symptoms appear in 1-4 days covid: loss of smell/taste, covid toes, can take longer for someone to show symptoms (up to 5 days; range 2-14)
difference between how covid 19 and the flu are spread and duration of illness? flu: can last 7-10 days and contagious from 1 day prior to 7 days after testing positive covid: duration varies, more contagious, contagious from 2 days prior to 10 days after testing positive
differences in complications of flu and covid flu: ear infections, sinus infections, pneumonia covid: blood clots, complication with major organs, Post COVID symptoms
What are the complications worse in, the flu or covid? covid
Who is at high risk for complication COVID? individuals with chronic illnesses, obesity, immunosuppression
What does sever illness mean for a person with COVID 19? they may need hospitalization, intensive care, a ventilator to help them breathe or they may even die
Higher risk COVID 19 groups older adults, people with certain medical conditions, pregnant and recently pregnant people
Created by: camrynfoster
 

 



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