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upper respiratory tract
nose
mouth
pharynx
larynx
nose & mouth
air enters body, oral & nasal cavity
pharynx
passgeway
largynx
voice box, passageway
lower respiratory tract
trachea
bronchi
bronchioles
alveoli
trachea
windpipe, connects larynx to bronchi, passageway
bronchi
2 main branches entering each lung, major air passage to lungs
bronchiole
minor branches from bronchi
alveoli
air sacs of lung for gas exchange
acute otitis media (ear infection)
auditory tube drains fluid from middle ear into pharynx to maintain ear pressure, pathogens trapped in middle ear if tube blocked, young children more prone (narrow/horizontal tube)
infection in upper respiratory tract
causes inflammation in nose/throat, excess mucus production
tonsilitis
laryngitis
sinusitis
tonsilitis
inflamed tonsils, pathogens infect tonsil, swollen/red/sore tonsils, symptom of strep throat, ex: Streptococcus pyogenes bacteria
Streptococcus pyogenes
bacteria causing tonsilitis
laryngitis
pathogens infect larynx, inflammation of vocal cords, temporary voice loss, ex: rhinovirus & influenza virus
viruses causing laryngitis & sinusitis
rhinovirus & influenza virus
sinusitis
inflamed sinuses, pathogens infect sinus lining (inflammation/swelling), mucus drainage blocked, cause pressure & sinus headaches, ex: rhinovirus & influenza virus
upper respiratory tract protection mechanisms
mucosal protection
saliva
lysozyme
immunoglobulin A (IgA)
mucosal protection
mucosal lining of mouth & pharynx remains moist (via saliva), remove pathogens before attaching to tissues, push pathogens towards digestive tract & destroyed in stomach, upper respiratory tract
saliva
contains lysozyme & IgA, upper respiratory tract
lysozyme
antimicrobial enzyme, breaks down peptidoglycan bacterial cell walls, destroys bacteria/prevents infections, innate immunity, upper respiratory tract
immunoglobulin A (IgA)
antibody binding to pathogens, prevents pathogens from attaching to/entering mucosal cells, adaptive immunity, upper respiratory tract
diseases in lower respiratory tract
bronchitis
pneumonia
bronchitis
inflamed/mucus filled bronchi, pathogens infect bronchi linings triggering inflammation & increased mucus production, swollen airways/excess mucus prevents air movement in/out lungs, coughing/chest discomfort, ex: influenza virus
virus causing bronchitis
influenza virus
pneumonia
fluid filled alveoli, pathogens infect alveoli, inflammation causes fluid/immune cells accumulating inside alveoli & prevent gas exchange, coughing/fever/shortness of breath/crackling sounds/decreased O2 levels, ex: Streptococcus pneumoniae bacteria & influenza virus
pathogens causing pneumonia
Streptococcus pneumoniae bacteria
influenza virus
lower respiratory tract protection mechanisms
mucous production
mucociliary escalator
cough reflex
macrophages
mucous production
trap pathogens in airways, lower respiratory tract
mucociliary escalator
cilia lining in trachea/bronchial tubes push pathogens in mucus up toward pharynx via breathing, innate immunity, lower respiratory tract
cough reflex
mucus traps pathogens (influenza virus)/dust/particles to be coughed & expelled out, lower respiratory tract
macrophages
fixed in alveoli for phagocytosis, lower respiratory tract
respiratory disease transmission route
droplet transmission, short distances, coughing/sneezing/talking/singing
respiratory disease prevention
wear masks (asymptomatic carriers), bigger particles fall quicker/smaller particles airborne longer, influenza/common cold viral diseases
influenza virus
negative strand RNA, enveloped virus, droplet transmission via respiratory particles, <2 days incubation, wash hands/wear masks/vaccinate to prevent, consistently high rates of hospitalization & deaths yearly (mutates)
influenza virus entry
hemagglutinin
hemagglutinin
influenza virus surface glycoprotein for entry, recognizes/binds to sialic acid residue covering host cell receptors, begins endocytosis
influenza virus exit
neuraminidase
neuraminidase
influenza virus surface enzyme for exit, cleaves sialic acid residue from host cell glycoproteins, release newly formed influenza virus to infect other cells
influenza virus diagnosis
rapid tests
control: confirms correctness of test
formation of line = positive
test: your sample
influenza virus treatment
tamiflu
tamiflu
binds to active sites of viral neuraminidase, influenza virus remains attached to sialic acid & destroyed by phagocytic cells, prevents viral capsid release from host cells
vaccine effectiveness
refers to how vaccine performs in general population after release of vaccine, reduces cases among vaccinated people, depends on environment/ages, doesnt protect all strains of influenza (mutates every year)
type A influenza
2 strains, more common strain, replicates faster, causes more severe symptoms
antigenic drift
minor changes in hemagglutinin/neuraminidase occur, makes influenza hard to control each year
vaccine efficacy
determine how well vaccine is at reducing risk of developing infection under controlled clinical trial conditions before releasing vaccine, healthy individuals at certain age