Post on 10-Aug-2020
transcript
RESTRICTIVE vs obstructive1mg disease
GENERALPATHOLOGICATCHARACTERISTICS
lungexpansion isrestricted increasedairwayarstructionlnesistanceprimarilydvetodecreasedlingorchest increasedworkofbreathingwallcommianceormusatar dysfunction hyperventilationprimarilyaffectsdeepinspiration decreasedexpiratoryflowdifficultygettingair in difficultygettingairout
CLINICALMANIFESTATIONS
decreasedungvaunesloapacities hyperinflatedlungggfeatteneddiaphragmdyspnea dyspneaonexertiontuchypnea wheezingincreasedwork abreathing fatigue increasedwoncothreathing paradoxicalimpairedgasexchange chroniccough'gexpectorationa mucus
VOLUMES CAPACITIES 9SPIROMETRY
dlRV.TVERU deFEU ftp.V.TVIERV dFEVIdrvc.RU JTWC 9vc.pt DFWtitle 9FEVi FVC 9Th dFEVilFVC
1lEratio llieratio si.su
CAUSESu
PULMONARY EXTRAPULMONARY inflammationofairwayinterstitialpulmonary chestwalitrowmalsurgery airwaythickeningovertimefibrosis NMdisorders increasedmucuspneumonia pectuscarinatum constrictionofthebronchiolewallsTB scoliosis bronchospasmstumors ankylosingspondyrosisAtelectasis diaphragmaticparalysispleuraleffusion obesitypneumothoraxpulmonaryembolipulmonaryedemaacuterespiratorydistresssyndrome
PATHOLOGIESu
INTERSTITIAL PULMONARYMBR0818 CHRONICBRONCHITIS WPDaffectsalveolicapillaries aconnectivetissue productivecoughconditionthatlasts73monthsmaybeidiopathicviralgeneticorimmune foratleast2consecutiveyearssystemrelated courses responsetochronicirritationsmokingpathologychronicinflammationinjuries pollutionoccupationalexposuretissue normaltissueisnowfibrous sign8dgsymptomsproductivecoughexertionatthespacesinalveoliarethickening lossof dyspneabarrelshapedchestwheezesLEspaceinalveoli edemabluebloomers orpulmonateproneto
symptoms fatiguedyspneaonexertion pulmonaryinfections9symptomswithirritantstachypneacough cold1dampweatheretcsignsimpainedPET's4bloodgaseshypoxemia pathologyhypertrophyofmucusgroundsDXWithCTscanschestx rays lungbiopsy 9www8secretion mucosalceqematreatment bronchospasm4airtrapping ciliaunablemeds Ozgwwcorticosteroids antiinfeammatories toclearsecretions chronicinfectionsmechanicalventilation1mgtransplant EMPHYSEMA COPD
Physicaltherapywanttodecreasetheprogression enlargementqdestructionofalveolibreathingtechniques coursesdisruptionofelasticfibernetworkoflongeroopsmobilization 95 fromchronicbronchitissmoking orairwalkingprogramsw Oz pollutantsstrengthtraining sgofromgeneticdisorder x Iantitrypsininspiratorymuscletraining types definedbyanatomicallocation
centrilobularemphysema inflammationATELECTASIS cause8destructionintheterminalbronchioles
alveolarcollapsecauseslungtocollapse mostcommontypecausesairwayobstruction restrictiveconditions alveolarsacintactbutenlargedkind8 compressioncontractionresorption lapanlobularemphysemadestroysairspacestreatment AentirealveoliOOBmobilization bronchiolesmightbeokay1notasinflamedincentivespirometryoften paraseptalemphysemadestroysalveoliarmysplintedcoughing 1mgperipherybreathingtechniques cancausespontaneouspneumothorax
aroundalveoliNOTinsidePNEUMONIA sign8dasymptomsprogressive4exertional
inflammatoryprocessoflungparenchyma dyspnea cough variableproductivenesscausesbacteriavirusfungus aspiration barrel shapedchest hypertrophiedpathologyusuallylocalizedinasegment1lobe accessorymusclespurselippedbreathingalveolaredemaqcongestion hFEV h9Thpinkpuffers thin cacheticalveolarconsolidationfrominflammationdumvors Rsymptomsw acuterespiratoryinfectiondecreasedlungcompliance digitalclubbingposturesthatstabilizeUE's
signs4symptomsdyspnea coughpleuriticchestpainfeverhypoxemia ASTHMA
treatmentmeds incentivespirometry early airwayhyperreactivitytovariousexternal1mobilizationairwayclearance4breathing internalstimulitechniques recurrentepisodesofintermittentreversible
airwayobstruction
PNEUMOTHORAX inflammationonbronchiolewallsaccumulationofair1gasinpleuralspace signsqsymptoms recurrentcanleadtoatelectasis butatelectasisCAN'Tcause paroxysmalcoughingattackschesta pneumothorax tightnessdifficultybreathing4wheezing
causesdefectinvisceral1parietalpleura seetypes symptomtheebetweenattacksdFEU99Thcausestheaffected1mgtocollapse anota11asthmaareobstructivecanalsoberestrictivetypesprimaryspontaneousnounderlyingcause BRONCHIECTASIS
usuallyyoungtall thinmen permanentabnormaldilation4distortionofmesecondaryspontaneousduetocopDmensorbullae ormoremediumsizedbronchi1bronchiolesmostcommontype cause8 destructionofelasticqmuscularcomponents
traumaticduetocentrallineiatrogenic gm ofthebronchiolewallusuallybecauseofanothersnotknifewoundribfracture pathology
tensionairenterspleuralspacebutcan'tescape pathology necrotizinginfection abnormalmedicalemergency bronchialdilation4spasms destruction1
signs symptomsacutedyspneapleuriticpain fragmentationofthebronchialwallhypoxemiaabsentdiminishedbreathsounds 6brainsin Llowerlobehyperresonantbreathsoundstrachealdeviation signsqsymptomsproductivecoughpurulentsputum
treatment 02chesttubedrainageincentivespirometry hemoptygiscrackleswheezesdullnesstopercussion abreathsomas digitalclubbing
PULMONARYEDEMA dyspnea dFEYPRVhypoxemiahypercapniapulmonarycongestionthatrestrictsairfow acidosis pulmonaryHIN urpulmonate ratcourses LsidedheartfailureAPD'shighaltitudesicknesssigns9symptoms severedyspneaanxiety CYSTICABRON8tachypneacrackles coughinghypoxemia geneticdisorder dysfunctionofexocrineglands
treatmentdiureticsoxygenuprightpositioning autosomalrecessivedisordermultiorganinvolvement saltydisease
PULMONARYEMBOLUS pancreas steatorrheaemboluscausingocclusionofbloodflowthroughthe viner obstructivejaundicegallstonespulmonaryA GItract fecalimpaction intussusceptioncourses RsideoftheheartDrenonthrombotic reproductiveorgans difficultyw pregnancymaterial Vasdeferensobstruction
characteristics apulmonarybloodflowapulmonary mostcommonfilmgeneticdiseaseofCaucasiansvascularresistance pathologythicksecretionspwgairways
signs4symptomsrapidonsetdyspneapleuritic bacteriallunginfections smallairwaychestpainanxietyrestlessnessapprehension inflammation largerairways hyperplasiaMohypnea hypoxemiadePET's ofmucus secretingcells
diagnostictests youscan pulmonaryangiography signs9symptoms thicktenaciousmucusDdimermoodtestcmostcommon increasedsputumchroniccough increasedRR
treatments preventionofDVT'smeds surgery dawnscrackles wheezes digitalcurbinghyperinflationofanger 9RVdrFEY VIA
ACUTERESPIRATORYDISTRESSSYNDROME MismatchingPulmonaryHIN orpulmonateawwrapidonsetofrespiratoryfailure hypercapnia respiratoryacidosiscoursesacuteextensive1mginflammationtraumasepsisdrugoverdosebloodtransfusions pneumonia PIManagementforAllobstructivediseases
characteristicshypoxemiapulmonaryedema postwagedrainagedaACBTatelectasisasurfactant acompliance breathingcontroltraining
treatment IWmonitoringmechanicalventilation effectiveHuffIcoughimprovethoracicmobilityanexercisetolerancemedspositioning patienteducationselfmanagementrelaxation