HSS 3305 Chapter 15: Respiratory Diseases

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Eastern europe, south africa, asia, some cases in us. Chronic obstructive pulmonary disease combo of emphysema and chronic bronchitis. Chronic bronchitis chronic inflammation of terminal bronchioles, cough and purulent sputum: dyspnea = shortness of breath; cyanosis = blue tinge in skin and production of mucus membrane due to reduced hemoglobin in blood. Prevention and treatment lungs damaged by emphysema cannot be restored to normal: promote drainage of bronchial secretions, decrease frequency of superimposed pulmonary infections surgery doesn"t improve survival (initial benefit is short-term) Adult respiratory distress syndrome shock is major manifestation. Two categories shock due to decreased blood pressure and reduced blood flow to lungs. Severe injury (traumatic shock), systemic infection (septic shock), aspiration of acid gastric contents, inhalation of irritant or toxic gases, damage caused by sars. Pathophysiologic derangements damaged alveolar capillaries leak fluid & protein, impaired surfactant productn from damaged alveolar lining, formatn of intra-alveolar hyaline membrane: risk groups adults sustained direct or indirect lung damage.

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