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Management of Patients with Chest and Lower Respiratory Tract Disorders

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Acute Lung Injury   an umbrella term for hypoxemic, respiratory failure; acute respiratory distress syndrome is a severe form of acute lung injury  
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Acute Respiratory Distress Syndrome (ARDS)   nonspecific pulmonary response to a variety of pulmonary and nonpulmonary insults to the lung; characterized by interstitial infiltrates, alveolar hemorrhage, atelectasis, decreased compliance, and refractory hypoxemia  
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Asbestosis   diffuse lung fibrosis resulting from exposure to asbestos fibers  
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Central Cyanosis   bluish discoloration of the skin or mucous membranes due to hemoglobin carrying reduced amounts of oxygen  
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Consolidation   lung tissue that has become more solid in nature due to collapse of alveoli or infectious process (pneumonia)  
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Cor Pulmonale   “heart of the lungs”; enlargement of the right ventricle from hypertrophy or dilation or as a secondary response to disorders that affect the lungs  
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Empyema   accumulation of purulent material in the pleural space  
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Fine-Needle Aspiration   insertion of a needle through the chest wall to obtain cells of a mass or tumor; usually performed under fluoroscopy or chest computed tomography guidance  
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Hempoptysis   the coughing up of blood from the lower respiratory tract  
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Hemothorax   partial or complete collapse of the lung due to blood accumulating in the pleural space; may occur after surgery or trauma  
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Induration   an abnormally hard lesion or reaction, as in a positive tuberculin skin test  
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Nosocomial   pertaining to or originating from a hospitalization; not present at the time of hospital admission  
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Open Lung Biopsy   biopsy of lung tissue performed through a limited thoracotomy incision  
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Orthopnea   shortness of breath when reclining or in the supine position  
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Pleural Efussion   abnormal accumulation of fluid in the pleural space  
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Plueral Friction Rub   localized grating or creaking sound caused by the rubbing together of inflamed parietal and visceral pleurae  
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Pleural Space   the area between the parietal and visceral pleurae; a potential space  
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Pneumothorax   partial or complete collapse of the lung due to positive pressure in the pleural space  
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Pulmonary Edema   increase in the amount of extravascular fluid in the lung  
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Purulent   consisting of, containing, or discharging pus  
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Restrictive Lung Disease   disease of the lung that causes a decrease in lung volumes  
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Tension Pneumothorax   pneumothorax characterized by increasing positive pressure in the pleural space with each breath; this is an emergency situation and the positive pressure needs to be decompressed or released immediately  
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Thoracentesis   insertion of a needle into the pleural space to remove fluid that has accumulated and decrease pressure on the lung tissue; may also be used diagnostically to identify potential causes of a pleural effusion  
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Transbronchial   through the bronchial wall, as in a transbronchial lung biopsy  
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Ventilation-Perfusion Ratio   the ratio between ventilation and perfusion in the lung; matching of ventilation to perfusion optimizes gas exchange  
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Atelectasis   collapse or airless condition (closure/blockage) of the alveoli caused by hypoventilation, obstruction to the airways, or compression  
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Signs and Symptoms of Atelectasis   increasing dyspnea, cough, and sputum production... in addition, tachycardia, tachypnea, pleural pain, and central cyanosis may be anticipated, patients characteristically have difficulty breathing in the supine position and are anxious  
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