Term
nasal cavity embryonic origin |
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Definition
invaginations of first pharyngeal arch / stomodeum
mesenchyme of paraxial and lateral plates
neural crest |
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Term
oflactory epithelium embryonic origin |
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Definition
ectodermal epithelium in roof of nasal cavity
communicates via axons to olfactory bulbs of brain |
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Term
nasal septum embryonic origin |
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Definition
nasal sacs merge medially and ventrally |
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Term
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Definition
oro-nasal membrane separating oral cavity from nasal cavity (nasal sacs) ruptures
(choana connects nasal cavity and nasal pharynx in adult) |
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Term
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Definition
outgrowths in adjacent mesenchyme, eventually becomes bone |
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Term
Trachea and lung embryonic origin |
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Definition
small anterior bud from FOREGUT
median laryngotracheal groove
foregut bordered on each side by "gills" (pharyngeal arches / branchial arches)
endodermal cells lining the groove become epithelium and glands of larynx, trachea, bronchi, pulmonary epithelium |
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Term
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Definition
bud elongates and branches into 2 at the carina / tracheal bifurcation
mainstem bronchi formed
branching forms dichotomously (2 at a time)
number of branches depends on species
mesenchyme that goes w tubes forms vessels, nerves, muscle of lungs |
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Term
Stages of lung development |
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Definition
pseudoglandular (1st trimester)
canalicular (2nd trimester)
terminal sac (late 2nd and 3rd trimester)
alveolar period (continues into neonatal and later) |
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Term
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Definition
major conductive elements of lungs formed
no respiration possible |
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Term
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Definition
bronchial and bronchiolar become larger
lungs get vascularised
respiration becomes possible (chances of survivial slim) |
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Term
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Definition
terminal bronchioles, air sacs and capillaries develop
sacs lined w type 2 pneumocytes that produce surfactant
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Term
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Definition
counteracts surface tension and facilitates expansion of terminal sacs (reduces amount of pressure needed for in/exspiration)
prevents collapse (atalectasis)
regulates rate and size of alveolar expansion
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Term
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Definition
95% of alveoli develop and mature after birth
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Term
how amniotic fluid is cleared from lungs at birth |
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Definition
through mouth and nose by pressure at birth
capillary and lymphatic drainage |
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Term
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Definition
nares to tracheal bifurcation |
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Term
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Definition
tracheal bifurcation to alveoli |
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Term
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Definition
nares to terminal bronchioles |
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Term
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Definition
respiratory bronchioles to alveoli |
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Term
order of structures from outside in |
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Definition
trachea
bronchi
bronchioles
terminal bronchioles
respiratory bronchioles
alveolar ducts
terminal alveoli |
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Term
entrance and egress of gas |
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Definition
entrance: oral nasal cavity and trachea
egress: vascular bed
everything is pushed in one direction or the other |
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Term
epithelium in respiratory system progresses from ____ to ____ |
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Definition
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Term
stromal (connective tissue) support _____ with depth |
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Definition
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Term
vascular beds become more ____ relative to external environment with depth |
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Definition
superficial
one exception: nasal cavity |
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Term
3 parts of the nasal cavity |
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Definition
Vestibular
Respiratory
Olfactory |
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Term
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Definition
vestibules: 1st 1.5 cm following nares
lined w keratinized stratified squamous epithelium
hairs and sebaceous glands also present for filtering
supported by normal dermal tissue |
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Term
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Definition
epithelium is pseudostratified columnar and ciliated AKA respiratory epithelium, goblet cells present
conchae
lamina propria: mucous and serous glands in submucosa; veins form thin walled cavernous sinusoids |
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Term
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Definition
tissues on superior concha and dorsal nasal septum
olfactory epithelium
goblet cells not present
Bowman's glands (seromucous) moisturize epithelium |
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Term
olfactory epithelium cells |
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Definition
olfactory cells
sustentacular cells
basal cells
basal cells differentiate into olfactory and sustentacular |
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Term
functions of nasal cavity |
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Definition
filtration by seromucinous secretions and ciliated epithelial cells
temperature regulation and humidity control by vascular submucosa
50% of conductive airway resistance |
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Term
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Definition
bony protrusions that increase surface area of nasal cavity and create turbulence
in Respiratory portion of nasal cavity |
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Term
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Definition
lymphoid aggregates (tonsils) serve as defensive function
hyperplasia of tonsils can inhibit air flow
entrapment of bacteria can cause deep respiratory issues |
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Term
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Definition
stratified squamous epithelium
protective covering at interface of digestive and respiratory tracts
complex cartilage
fibrovascular stroma |
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Term
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Definition
respiratory epithelium (ciliated ps columnar)
basal cells
goblet cells
brush cells
endocrine cells
Clara cells (produce surfactant)
serous cells |
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Term
Tracheal epithelium regulations |
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Definition
neural endopeptidases degrade vasoactive and smooth muscle contractile neuropeptides
metabolize arachidonic acid pathway products to make eicosanoids with vascular and smooth muscle contraction activity |
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Term
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Definition
perichondrium of tracheal cartilages |
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Term
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Definition
lower aqueous layer where cilia beat |
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Term
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Definition
seromucinous secretions of goblet cells and submucosal glands
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Term
ciliated cells of the trachea |
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Definition
both cilia and microvilli move respiratory secretions toward the larynx/ pharynx to be swallowed |
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Term
what cells in the respiratory tract create mucus and serous fluid? |
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Definition
goblet cells and submucosal glands |
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Term
clearance from deep conductive bronchioles to the pharynx occurs within __ hours |
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Definition
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Term
why is mucus brought back to the pharynx to be swallowed? |
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Definition
increase the antigenic exposure of pharyngeal lymph aggregates (tonsils) |
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Term
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Definition
minimally deformable, incomplete C shaped hyaline cartilage rings
free dorsal ends: connected by bands of smooth (trachealis) muscle and connective tissue fiber
cartilages linked by longitudinal collagenous and elastic connective tissue fibers (annular ligaments) |
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Term
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Definition
main bronchi
lobar bronchi
segmental bronchi |
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Term
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Definition
similar to trachea histologically
differences:
surrounded by a layer of smooth muscle between the cartilage and epithelium
increased submucosal glands
discontinuous hyaline cartilage rings only allow minimal deformity
connective tissue more pronounced, separates bronchi from pulmonary parenchyma
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Term
first 4-7 divisions of the bronchial tree may account for up to __ % of airflow resistance in the lung |
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Definition
80%
any narrowing of bronchial diameter can have profound effects on airflow
think anaphylaxis |
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Term
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Definition
mix of ciliated and non ciliated cuboidal
most cell types in other conductive portion parts still present (goblet, clara, submucosal...)
thicker smooth muscle layer
lack of cartilage!
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Term
bronchial lumens reach __ mm in diameter when normally expanded |
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Definition
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Term
progessing from the bronchial toward the alveolar region the ciliated epithelium and smooth muscle ___ while non ciliated clara cells ___. |
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Definition
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Term
BALT are occasionally associated with ____ and ____ |
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Definition
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Term
airway diameter and patency |
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Definition
peribronchiolar connective tissue attaches to intra-alveolar septa arranged radially from the bronchiole
inspiration: brionchiolar diameter increases as alveoli expand (tethered alveolar septae are stretched)
expiration: tethering force and bronchiolar lumen diameter decreases (small bronchioles may completely collapse) |
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Term
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Definition
serous secretions trap particulate matter
secretions moved toward conductive bronchioles
caused by normal collapse of bronchioles in expiration |
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Term
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Definition
acini: gas exchange unit for a single terminal bronchiole
lobules: groups of acini served by common proximal conductive airways, demarcated by CT septa |
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Term
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Definition
terminally differentiated flattened cells
60% of cells, 95% of alveolar surface
tight junctions and desmosomes between epithelial cells
susceptible to injury (large surface area, minimal enzymes) |
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Term
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Definition
progenitor cells of Type 1
remaining 40% of epithelium
cuboidal or irregular shape
produce surfactant
make components of CT matrix
metabolize arachidonic acid pathway products
express MHC II molecules for antigen presentation |
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Term
what are the 2 most important factors for premature fetus survival? |
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Definition
lung vasculature and surfactant |
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Term
where in the respiratory tract are arachidonic acid metabolites processed? why is this important? |
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Definition
tracheal epithelium and type 2 pneumocytes
they make eicosanoids with vascular and smooth muscle contraction activity |
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Term
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Definition
made of thin walled highly vascular CT to support the epithelium |
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Term
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Definition
produce matrix
contribute to mechanical properties of the pulmonary parenchyma |
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Term
alveolar endothelial cells |
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Definition
LARGEST capillary bed in the BODY!
initial permeability barrier b/w bloodstream and pulmonary interstitium
key role in solute and gas transport, inflammatory cell adhesion, metabolism of pro inflammatory cytokines/ vasoactives |
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Term
injury to the lung causes a higher number of ___ pneumocytes |
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Definition
type 2
they become type 1 |
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Term
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Definition
2-5 micrometer thick sheet separating air space from vascular system
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Term
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Definition
(air)
pneumocytes
basement membrane
interstitial tissue (matrix, fibroblasts, capillaries)
basement membrane
endothelial cells
(blood) |
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Term
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Definition
primary defense mode of alveoli
70% of cells in lavage from normal lung
migrate freely over the alveolar epithelium
migrate to bronchioles or CT septa
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Term
alveolar macrophage types |
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Definition
alveolar, interstitial, pumonary intra-vascular |
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Term
phagocytosis of inhaled material occurs within __ hours of inhalation; clearance occurs within ___ |
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Definition
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Term
compared to the mucocilliary apparatus, phagocytosis of inhaled material by alveolar macrophage is _____ |
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Definition
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Term
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Definition
Type 1 pneumocytes transfer to interstitial space
can eb phagocytosed by interstitial macrophages or drain to peribronchial lymphoid nodules via local lymphatics (entrapped in dendritic cells)
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Term
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Definition
mesothelial cells and connective tissue membrane
continuous with lobar and interlobar septa
mesothelial cells: phagocytic activity, maintain lubrication of plerual cavity |
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Term
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Definition
well developed interlobar septa
thick pelura
few resp bronchioles
sheep, cattle, pigs |
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Term
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Definition
no secondary interlobar septatio,
thin pleura,
well developed resp bronchioles
dog, cat, primates |
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Term
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Definition
incomplete lobulation,
thick pleura
poorly developed resp bronchioles
horse, man |
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Term
In asthmatics, smooth muscle contraction decreases airway size along with inflammation/mucous. Which of the following is least likely to be affected during an asthma attack? bronchi, bronchiole or alveoli |
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Definition
alveoli - they have no smooth muscle |
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