rad-patho/semis

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72 Terms

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cystic fibrosis

  • it is a generalized disorder resulting from genetic defect transmitted as an autosomal recessive gene that affects the function of exocrine glands.

  • signs and symptoms includes a chronic cough and wheezing.

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pulmonary damage

it is initiated by gradually increasing secretions from hypertrophy of bronchial glands, leading to obstruction of the bronchial system.

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atelectasis

it is collapse of the lung tissue.

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cyanosis

it can occur as cystic fibrosis (CF) progresses, particularly in the later stages of the disease when lung function becomes significantly impaired.

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  • conventional sinus radiography

  • CT

it is the study of paranasal sinuses that demonstrate it’s persistent opacification.

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respiratory failure

it is resulting from deterioration of the lungs that eventually leads leads to death.

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RDS

  • occurs frequently in premature, white, male infants.

  • it is a disease that affects infants and is a disorder of premature infants or those born at less than 37-week gestation.

  • the signs and symptoms include rapid and labored breathing within the first 24 hrs after delivery with atelectasis and respiratory failure.

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pneumonia

it is the most frequent type of lung infection, resulting in an inflammation of the lung, and compromise pulmonary function.

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legionella pneumophila

it is the most common causes of typical pneumonia.

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mycoplasma pneumoniae

it is the most common causes of atypical pneumonias in adolescents and adults.

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fungal pneumonias

it may results from pneumocystis, especially in in individuals with compromised immune system.

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lobar pneumonia

  • it results from inflammation of the entire lobe. a bacterial pneumonia.

  • Bacteria is often present in healthy throats. Chest radiography demonstrates collection of fluid in one or more lobes, Produces characteristics of air-bronchogram sign.

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segment pneumonia

it results from inflammation of the segment of lung.

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bronchopneumonia

  • This type of pneumonia is caused by a bacterial (staphylococcal) infection that originates in the airway and spreads out to the alveoli. primarily affecting the bronchi (the larger airways) and the alveoli.

  • Radiographically, this appears as small patches of consolidation within the lungs. Air-bronchogram is absent.

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interstitial pneumonia

it is a type of pneumonia resulting from inflammation of interstitial lung tissue.

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alveolar filtration

results when the alveolar air spaces are filled with fluid or cells.

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polysaccharide pneumococcal vaccine

this vaccine is used as a preventive vaccine to help reduce the risk of pneumococcal disease in individuals who are at higher risk of contracting it.

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legionnaires’ disease

  • it is the name given to a severe bacterial pneumonia, it became known after causing deaths of four attending an American legion convention Philadelphia in 1976.

  • this disease tends to affect middle aged men.

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mycoplasma pneumonia

  • this kind of pneumonia or disease is caused by mycoplasma.

  • it’s characteristic has bacteria and viruses.

  • it is common among older children and young adults.

  • this disease appears as fine reticular pattern in a segmental distribution, followed by patchy areas of air spaces consolidation.

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aspiration (chemical) pneumonia

  • this disease is caused by acid vomitus aspirated into the lower respiratory tract, resulting chemical pneumonitis.

  • it may follow anesthesia, alcoholic intoxication, or stroke.

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viral (interstitial) pneumonia

  • it is caused by various viruses, influenza virus A and B.

  • this disease is caused by an infected person shedding the virus, transmitted to nonimmune individual.

  • signs & symptoms: dry cough and fever.

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bronchiectasis

  • this basic pathogenesis is either congenital or an acquired weakness.

  • it is a permanent, abnormal dilation of one or more large bronchi.

  • resulting in destruction of the elastic and muscular components of the bronchi wall.

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pulmonary tuberculosis

  • it is an infection caused by inhalation of mycobacterium tuberculosis.

  • it generally affects lungs.

  • Spreads mainly by droplets in air Eventually result in necrosis, fibrous scarring, and calcifications. 

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mantoux test

  • It is a positive response to intradermal injection of purified protein derivative.

  • it is the primary means of diagnosing latent TB.

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miliary tuberculosis

  • this kind of tuberculosis occurs when large numbers of bacteria are picked up and carried via the bloodstream throughout the body.

  • it’s characteristic resembles to millet seeds, which are small, white grains.

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chronic obstructive pulmonary disease (COPD)

  • it is a group of disorders that cause chronic airway obstruction.

  • this disease is irreversible and results in limited airflow.

  • it is ranked as the fourth most common cause of death in the united states.

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chronic obstructive bronchitis

  • this disease arises from long-term, heavy cigarette smoking or exposure to high level air pollution.

  • the primary symptoms: persistent cough and expectoration.

  • chest radiography may demonstrate hyperinflation of the lungs.

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emphysema

  • it is a condition in which the lung’s alveoli become distended from loss of elasticity interference with expiration.

  • characterized by an increase in the air spaces in terminal bronchioles, with destruction of the alveoli.

  • primary symptoms: dyspnea.

  • chest radiography: may show normal result in early stage.

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asthma

  • it is a chronic inflammation of the bronchial system resulting in airway obstruction and bronchial hyperresponsiveness.

  • 22 million in the US has this pathologic condition.

  • risk factors: allergens, air pollution, smoking.

  • signs & symptoms; intermittent attacks of coughing, wheezing, dyspnea, and chest tightness.

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fungi

this are plants without chlorophyll and are widely found in nature.

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Opportunistic fungi`

it is a severe fungal infections, and are more likely to disseminate, causing severe illness in patients.

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histoplasmosis

  • it is a systemic fungal infection caused by dimorphic fungus.

  • this fungus thrives in the soil, especially soil that is fueled by bird or bat excreta.

  • this fungal infection enters the body through respiratory system.

  • symptoms: fever, cough.

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pleurisy (pleuritis)

  • it is an inflammation of pleura.

  • it is often indicative of a serious condition such as pneumonia, pulmonary embolism, TB, or malignant disease.

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pleural effusion/hydrothorax

  • it is resulting when excess fluid collects in the pleural cavity.

  • it is a frequent manifestation of serious thoracic disease

  • it is not regarded as disease entity but rather as a sign of underlying condition.

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sinusitis

it is an inflammation or swelling of the tissue lining the sinuses, which are the air-filled spaces within the bones around the nose and eyes.

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bronchial carcinoid tumors

  • this tumor are usually considered benign but are included as classification of “lung cancer”.

  • they tend to invade local tissues, sometimes metastasize to regional lymph node.

  • generally affecting adults in their mid-40s.

  • radiographic appearance: shows opacity, bronchial narrowing, obstruction.

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  • non-small cell lung cancer (NSCLC)

  • small cell lung cancer (SCLC)

lung cancer is divided into two main categories what are those?

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  • squamous cell carcinoma

  • adenocarcinoma

  • undifferentiated large cell carcinoma

  • undifferentiated small cell carcinoma

what are the four main histologic types of bronchogenic cancer?

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Bronchogenic carcinoma

  • this is a primary lung cancer that arises from respiratory epithelium.

  • it is divided into SCLC and NSCLC.

  • this type of lung cancer has poor prognosis with 5-years survival rate of 12-14%.

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pulmonary metastasis

  • it is secondary lung cancer much more common than primary cancer.

  • the common types of this cancer: breast cancer, prostate cancer, colon cancer.

  • It primarily occurs via the lymphatic system or the circulatory system, alignancy spreads to the lungs.

  • radiographic appearance: the metastatic lesion appear as single or multiple rounded opacities.

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Pelvic inflammatory disease (PID)

  • it is a bacterial infection of female reproductive system which is the fallopian tubes.

  • it may results from an unsterile abortion or introduction of a pathogen from other sources.

  • this inflammation is bilateral.

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mastitis

  • it is inflammation of the breast, often caused by staphylococcus aureus.

  • infection occurs because of cracks or fissures in the nipple.

  • sign & symptoms: pain, redness, swelling of the affected breast, and high temperature.

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Mycoplasma pneumonia

  • is an pneumonia caused by mycoplasmas, the smallest group of living organisms.

  • Radiographically, this disease appears as a fine reticular pattern in a segmental distribution, followed by patchy areas of air space consolidation. In severe cases, the radiographic appearance may mimic TB.

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Staphylococcal pneumonia

  • Occurs sporadically except during epidemics of influenza, when secondary infection with staphylococci is common.

  • A pneumatocele (a thin-walled, air-containing cyst) is the characteristic radiographic lesion and is more typically seen in children, may be fatal in infants.

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Chronic obstructive bronchitis

Arises from long-term, heavy cigarette smoking or prolonged exposure to high levels of industrial air pollution.

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Pneumoconioses

This is an occupational disease where dust or particulate matter is inhaled. This causes the formation of pulmonary fibrosis.

  • Types: Silicosis is caused by inhaling silicon dioxide (sand).

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pulmonary edema

  • occurs when air within the lungs is replaced with fluid, leads to a decrease in gas exchange and may cause respiratory failure.

  • It often occurs secondary to congestive heart failure (CHF) or renal failure.

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Ventilation

involves the movement of air in and out of the lungs.

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Diffusion

relates to the gas exchange between the lungs and the circulatory system.

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nasal cavity, pharynx, and larynx.

enumerate the upper respiratory tract.

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trachea, bronchi, bronchioles, alveoli, and lungs

enumerate the lower respiratory tract.

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parietal pleura

what is the covering the lines in the thoracic cavity?

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visceral pleura

it is the protective layer that directly covers the lung tissue.

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maxillary and ethmoid sinuses

this sinuses are the only sinuses that are present at birth.

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frontal sinuses

this sinus develops shortly after birth and are fully developed by the age of 10 years.

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sphenoid sinuses

this sinuses begins to develop around the age of 2 or 3 years and is fully developed by late adolescence.

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computed tomography angiography (CTA)

current standard of care when a pulmonary embolus is suspected, Indicated in the clinical staging of small cell lung carcinomas and in the detection of metastatic disease of the chest.

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Croup

  • Primarily a viral infection of young children that produces inflammatory obstructive swelling localized to the subglottic portion of the trachea. 

  • Radiographic Appearance: Frontal radiographs of the lower neck show a characteristic smooth fusiform, tapered. narrowing (hourglass shape) of the subglottic airway caused by edema “Steeple Sign”.

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Epiglottitis

  • Acute infection of the epiglottis commonly caused by Haemophilus influenza in children.

  • radiographic appearance shows “Wine Bottle sign”.

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Positron Emission Tomography

 captures information regarding metabolic activity.

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Fluorodeoxyglucose

useful in distinguishing benign and malignant lesions.

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croup

viral infection of young children that produces inflammatory obstructive swelling localized to the subglottic portion of the trachea. 

radiographic characteristic shows “steeple sign”.

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Epiglottitis

Acute infection of the epiglottis commonly caused by Haemophilus influenza in children.

radiographic appearance shows “Wine Bottle sign”.

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Anthrax

Caused by sporelike microbes – bacillus anthracis, Inhalation of the microbe can induce production of toxins that cause cellular edema and disruption of normal cell function. Early signs are similar with that of influenza.

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