Functions of the Respiratory System
- main function is breathing, inhalation and exhalation
- gas conditioning
- sound production
- olfaction
- defense
Upper Respiratory Tract
- nose
- paranasal sinuses
- pharynx
Lower Respiratory Tract
- larynx
- trachea
- bronchi and bronchioles
- lungs
External Nose
- framed by frontal, nasal, and maxillary bones
- very thin skin with lots of sebaceous glands
- nasal bones form “bridge” of nose, two pairs of cartilage frame rest of nose
Internal Nose
- nasal cavity divided by the nasal septum
- warms, filters and moistens incoming air
- olfaction and speech modification
Deviated Septum
- caused from blunt trauma or improper growth
- symptoms include: sinus infections, snoring, sneezing, nosebleeds and difficulty breathing
Paranasal Sinuses
- small openings in the frontal, ethmoid, sphenoid and maxillary bones for sinus cavities
- lighten the weight of the head
- humidifies and heats inhaled air
- speech modification
- protection of facial structures
Sinusitis
- caused by infections or allergies
- sinus tissues get inflamed, swollen and red
Pharynx
- connects the nasal cavity/mouth to the larynx/esophagus
- three regions: nasopharynx, oropharynx and laryngopharynx
Nasopharynx
- posterior to the nasal cavity, serving only as an air passageway
- contains the pharyngeal tonsils that can become inflamed and cause difficulty breathing
- pseudostratified columnar epithelium
Oropharynx
- posterior to the oral cavity, food and air pass through it
- stratified squamous epithelium
Laryngopharynx
- passageway for food and air
- stratified squamous epithelium
- directs food into esophagus
- air into trachea pharynx
- food gets preference
Larynx
- voice box with an intricate arrangement of nine cartilages (3 types)
Thyroid Cartilage
- larger in males
- prominence is Adam’s apple
Cricoid Cartilage
- only cartilage to form a complete ring around larynx
Arytenoid Cartilage
- anchor the vocal cords along with two other pairs of cartilage
Sound Protection
- vocal folds consist of vocal ligaments
- covered by mucous membrane
- when air is forced through space between vocal ligaments, vibrations of vocal folds resulting in the production of sound
Laryngitis
- vocal cords run between arytenoid and thyroid cartilages
- inflammation of the larynx
- vocal cords swell an interfere with their ability to vibrate
Trachea
- descends from larynx through neck into mediastinum, ends by dividing into primary bronchi
- contains 16-20 C-shaped rings of hyaline cartilage making it flexible enough to bend, and prevent it from collapsing
- inner membrane consists of ciliated epithelium that keeps the passageway free of dust
Tracheostomy
- when trachea is blocked (foreign object, injury, infection), tracheostomy may be required
- intubation (pushing a tube through pharynx and larynx) another option
Bronchiole Tree
- trachea bifurcates into primary bronchi at the carina, going into each lung
- bronchi enters the lung dividing into secondary bronchi, passing into each lung
- further divides into tertiary bronchi then bronchioles, less cartilage and more smooth muscle
Alveoli
- about 300 million to provide a large space for gas exchange
Type I Alveolar Cells
- simple squamous epithelial cells
- promotes rapid diffusion of gases
Type II Alveolar Cells
- cuboidal in shape
- produce pulmonary surfactant
- prevents collapse of alveoli
Asthma
- muscles around the bronchioles tighten
- lining of the bronchioles swell and get clogged with mucous
Visceral Pleura
- flattened sac surrounding the lungs
Parietal Pleura
- covers the thoracic wall
Pleural Cavity
- space between the visceral and parietal pleura
Pleurisy
- inflammation of the pleura caused by the rubbing together of the membranes leading to pain with breathing
Lungs
- made up of air tubes, space and stroma
Stroma
- framework of connective tissue with many elastic fibers and an extensive network of blood vessels
- pulmonary arteries branch with branches of the bronchial tree and form a network around individual alveoli
Emphysema
- lung disease involving damage to the alveoli
- large air cysts develop where normal lung tissue used to be
- air is trapped in the lungs due to lack of supportive tissue
Bronchitis
- inflammation of the air passages in the lungs
- symptoms include excessive bronchial mucus with a cough producing sputum
- chronic or acute
Chronic Obstructive Pulmonary Disease
- effects are irreversible
- about 80% of patients are smokers
- results in high blood levels of CO2 and low levels of O2
- often tired because accessory muscles required to breathe
Pneumonia
- inflammation of the lung typically caused by an infection
- serious lung condition where the lungs fill with fluid
- can be caused by bacteria, fungus, or a virus
- can be mild, severe, or fatal
Tuberculosis
- bacterial infection that causes more deaths than any other infectious disease
- caused by Myobacterium tuberculosis (bacillus)
- about 2 billion people infected worldwide
- when it becomes active, kills about 60% of people untreated (about 3 million deaths worldwide)
- if treated, about 90% of patients survive
- attacks the lungs but can also affect other body systems
Lung Cancer
- uncontrolled cell growth in lung tissue
- majority of lung cancers are carcinomas, derived from epithelial cells
- non-small cell lung carcinoma are sometimes treated with surgery (more common)
- small cell lung carcinoma responds better to chemotherapy and radiation (less common)
Cystic Fibrosis
- condition in which glands produce excessively sticky mucous that clogs the lungs, liver, pancreas and intestines, making it difficult to breathe and digest food
- hereditary disease caused by a recessive mutation