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A more severe respiratory infection (including cough, hyperthermia, and chills) caused by some type of Influenza virus
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Much more alarming than catarrh is epistaxis (ep-is-TAX-is) or nose-bleed Epistaxis is usually the result of ruptured capillaries in the nasal mucosa
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(myew-KOH-sah), the nose s lining mucous membrane But the really frightening stuff includes hemoptysis (he-MAHP-tih-sis) This is literally a spitting up (-ptysis) of blood (hem) Such a horrible clinical symptom may be caused by cancer of the lung! What if I just have a sore throat, Hippocrates What do we call that Well, Dear Reader, sore throat or painful (-algia) throat (pharyng) is correctly called / [Word dissection practice: Try to write the correct medical term in the preceding blank, inserting a slash mark between its root and suf x] Such pharyng/algia (fair-in-GAL-jee-ah) usually re ects a case of pharyngitis ( fair-in-JEYE-tis) an in ammation of the throat
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WHAT COMES AFTER THE TRACHEA THE LOWER RESPIRATORY TRACT!
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The lower respiratory tract (bottom half of Figure 92) is the inferior portion of the respiratory system Speci cally, it is the highly branched, treelike portion lying below the trachea Hence, it is sometimes called the respiratory tree :
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= THE RESPIRATORY TREE : LOWER RESPIRATORY R & L PRIMARY BRONCHI + SMALLER BRONCHI + BRONCHIOLES + ALVEOLAR TRACT DUCTS + PULMONARY ALVEOLI
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At its bottom end, the trachea forks into the right and left primary bronchi Each primary bronchus (BRAHNK-us) is a rst-order (primary) windpipe branch (bronch) Like the trachea, each primary bronchus has rigid walls and a noncollapsible lumen This permits a steady and continuous ow of air into and out of the lungs After entering the medial (middle or inner) border of a lung, each primary bronchus successively forks into a series of smaller and smaller hollow branches Indeed, Figure 92 makes the visual metaphor of an inverted (upside down) olive tree The trunk of this respiratory tree, of course, is the trachea Its two major forked branches are the right and left primary bronchi Once inside a lung, each primary bronchus splits into a series of smaller bronchi These, in turn, eventually subdivide into a series of bronchioles (BRAHNK-ee-ohls) little (-oles) bronchi Once their lumens narrow down to less than half a millimeter in diameter, the bronchioles are called the terminal ( pertaining to the end ) bronchioles Finally, as the lower boxed picture in Figure 92 shows, several respiratory bronchioles branch off the tip of each terminal bronchiole The respiratory bronchioles hook into a group of pulmonary alveoli (al-VEE-oh-lie) Each
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Respiratory Disorders
Fig 92 The larynx, trachea, and lower respiratory tract (respiratory tree )
pulmonary alveolus (al-VEE-oh-lus) is literally a little cavity (alveol) within the lung (pulmon) Doesn t each alveolus look somewhat like a hollow grape or olive attached to a hollow stem Each lung is a spongy, highly vascular (blood vessel rich) organ that contains about 150 million alveoli! Wow! That s very impressive, Noble Hippocrates! And considering both of our lungs, that s 300 million pulmonary alveoli doing their own thing within our chest! But, just what is the thing that they re doing
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PULMONARY CAPILLARY
ALVEOLUS
Fig 93 Respiration (gas exchange) between the air in an alveolus and the blood in a
pulmonary capillary
Well, my Curious Friend, what all those millions of pulmonary alveoli are doing is called respiration! That is, they are key body structures that permit gas exchange between the respiratory system and the bloodstream (Consult Figure 93) The alveoli are thin-walled, so they allow the easy diffusion of oxygen (O2 ) molecules from their interior into the blood of adjacent pulmonary capillaries This oxygenates the blood, turning it a bright cherry-red And carbon dioxide (CO2 ) molecules in the bloodstream easily diffuse in the opposite direction across the walls of the pulmonary capillaries and into the nearby alveoli Once the CO2 molecules diffuse into the pulmonary alveoli, they are eventually exhaled from the oral or nasal cavity by the process of expiration In summary, remember that the only part of the entire respiratory system that actually participates in respiration are the 300 million pulmonary alveoli! All the rest of the system is involved in one main function: ventilation!
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