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UPN'VETERAN'KT ‘SCHOOL OF MEDICINE COURSE STUDY GUIDE RESPIRATORY SYSTEM Topic 1 Growth and development of the respiratory system sue Toric LEARNING OBECTIVE Enbryalogy of the ressvaioy system “The learner vil be able (TLWWGA) to desarbe {Normal development of the respiratory system (ary, trachea, trench, ung) Abnormality in partitioning ofthe escphacus ana traces 7 Anatomy of Respiratory system Srudtue of the nose TTLWPA to describe te anatomy of = Nasal cay “The paranasal ruses Corchas Neatuces ‘Suuctre ofthe pharyra | Shudtue ofthe lave | Sructure ofthe wachea ane bronchus "TLV to describe te anatomy of “The palatine tosh Laryngcpharyns| Pharyngeal muses = The blood supply ofthe pharymx “The lne-vations ofthe pharynx © ympnate erainage ofthe pharynx "TLVTBA Tw desc te anatomy = The skeleton of the lary Joint of the ery Laryngeal ligaments end membrane = The muscles of rym = The blood supa o the arin © Inarvatons oF the try: Lymphatic crainage of the ary “TUBA tw describe te anatomy of “The structure of bactea ~The length of raches ~The relationship between traches, = esophagus and aocta “The blece supply, te Inervatlons and Siructre ofthe lungs Iseucture o he steura Siructre of the Brace wa. Lymph eranage of he aches “TLWBA w describe the anatomy of "The main difference betrean the right and the lt ngs ‘The obes and Nesues ofthe lungs ‘The surfaces of the hngs ©The bronchi, roots ane! broncho-puknonary segments The bronctal tree ‘The roots ofthe lungs ~The venous rainage ofthe ngs ‘Te nnenations othe ngs The hmphetcdrtrage of the una TLAWEA to cezerbe the anatomy ef: The plewoe and pleural cavity ‘The arterial supaly of the pleurae ‘Tre venous and iympratic crainage of the pleurae ©The nnervatins ofthe plera, “TLWEA w desenbe the anatomy of Skin ad fescia ofthe horace wall, Bones ofthe trace wal “The thorase cay ‘Tre thoracic muses “Tre iterostals space ‘The Iteteostals reves ‘Tre iteeostals erteries ‘The intercostais veins “The teal thor vzcete “The trorsoc daptragn 3. Histological structure of the respiratory systom 1 Hstlegy of those wal 2. Histology of organ tissue anc cells ofthe respiratory system TLWEA to empl the wale of the respratery Tact in terms of arangemert congestion, anc function of te componert layers and Gescrbe tre suche and fncbon of the ces In each layer “Tea to expan: {The histological structure of he alveolar septum, The fstolgcal sructire and fisction of ood ar barier and Keni its component Histology of peure ‘Te organ, tissues, and cls ype presert and the lerece betveen the vatous components ofthe respiratory system “TLWBA to explain the histological structure, function, and leation cf the pleura. “Blood pH regulation Factors that cause Blood pH ances ecranisms that requste Dood pH changes Function of body organs convoling soos p= food pt csorders and bosy adjusinet “TWO te ceserbe: ‘2. Several metazosm pathways that cause bond pHi changes. by. Severa exteral factors (Food, 9a, drags ete) tat couse bicod pH changes &Theeffecof pH changes on body metabclsm, TUBA to ceserbe: a. The tschycc mecharism, , Thebleed tater systom TUWGA to dese: 3. The funczon of lung n controling teed pH changes. 1. The fonction of dey in contctng blocs ph changes. “Twa to describes ‘The espatory ackoss The metsbol akspes “The exptator alkaloss The metsbol eli ‘The boxy adjistrents to overcome blood pi disorders 5 Physiology of respiratory system Buimonal ventilation . Lung velume and capotty Gaseous exchange Transport onygen-carbon dove - Mechanism of resptration “Te Learner wil be cle to demcrstate (TLWD) the ebiy to apa the venation princes by demonstating erica respiration n borer “TUWD the abit to anatye lung volume and capaty by calculating the recorded program TWD and understanding of gasecus exchange by ebinin the rcoess forthe exchange “Tw and understanding of qasecus oxygen-arbondioede anspor by expaning ‘he roe of wansoot “TW and understanding of breathing contr! by alscussing te control mechanism of respiration Respiratory adaptation to TLWD and understanding the effect of exerci onthe respatery function 7. Effect of aging on the TLWD and understanding the effet of acing onthe respttory function respiratory stem ‘6 Radiology of respiratory system | I. Racclogy oF nasal cavity TTLWBA to demondtate hnowledze radi postoning of nasal cay Lateral projection + Superinferiorprojetion + Caldnel’s projecton oA 2. TLWBA to demonstrate knowledoe radio anatomy of nasal coy: ~ Nasal bones Soft sue of ala nest = Septum nas cence 3. TLWOA to demonstrate knowledoe radio anatomy of paranasel sinuses: = Meallary sinuses Ethel Snuses = Frontal sinuses Sphencidal snises 4 TLWBA to demonstrate knowledce radio postoning of paranesal sinuses + Caidwal projection + Waters proecton Lateral projection WP by interareting pln chest radocrepy (C3) and describing CT & MRI (C1), 5. TLWBA to demonerate knouledge congenital clszases cf rasal cavity (Cheanal esa rsegepy by eperg pa edoygh (CS) nd eng 6. TLWBA to describe Iflarmstory ius disease & its complication rediog apically heute sists = Gone sinus 17> Racogy of phar 2. TAWA te demonstrate knowledge of poranasol siuses tumors by Fterpretng plain raciocragh (C3) and. ceserbing CT 8 MRL (CL: "Benign tumors (osteoma, paps, acenoms) = Wallgrant tuners (aranams, melanoma, hmphema) 1. TLWBA w Garmnstate knowledge ado anatomy of pharynx & parapraryigeal space by interpreting sot tissue cf neck AP 8 lateral rojction (C3) ane desorbing CT 8 HRI (CI) = Nasopharyne = Orophanr + Laryngeal ahary 2 TLWBA to demonstrate knoniedge cf nasopharynx & porapharyngeal space tumors ‘clagraphic: by interpreting plan raclograoy (C3) and describing CT, MRL and ‘angogrephy (C1) Benign tuner ard mehr tum” 3. Raciobgy of rye T.TIVIBA to deinstvate Frewlecge rio atom of ry by inte pretng pin redlegr@ph (C3) ard describing C78 MRI (Ci) Cartlages: thyrei, crc, eines = Gauty ofthe ery Revevachea ace 2. TLWBA to darnnstrate knowledge neoplasm ofthe larynx racoorepHicaly by Irterpeting sot ssl of peck (€3) and desing Cr MRE, ferngogram (C1) = Benign tumers| = Malignant tumors = Croup syndrome Radiogy of wade end bronchi T-TLWEA to demonstrate knowlege radio aratomy of Wachee & bronchus By intercreting pain crest rediography (C3) and describing CT (Ct) “"Srucure of trachea ~ Bronenilseaments 2. TLWBA to daronstrate knowledge ralograpic features ef chronic bronchitis by Incerpeting plain chest adograph (C3) ad deseo CT (C1) 3. TAWA to demonstrate knowledge raogrepic features of tracheal neoolasrn by lnteroreting pain crest radiograph (C3) and descrcng CT (C1): Benin neoplasm ‘a Valirentneoplesm TUBA to demonstrate knonladge racclogical appearence of COPD by interpreting bin chest radiograph (C3) and deserting CT MRI (C1) (Crcnie oroncies Emprysena Bronchictate asowne 5 Raseogy oftang TT TIVBA danonatrate Eowlige arucire ofthe Tangs vedograprcaly By interreting pin chest eciograph (C3) end descisng CTA MRI (Cl): Lobes & segments ofthe lung Imerobor fezures ua hit = yh nodes eanehial eee 2. TLWBA to dernstrate krewledige radogrepic features of ng congenial Alisease by interreting pein chest redhogranh (C3) and describing CT MR (C1) Pulmcnary agenesis hyposiasia CCongent!lober emphysema umonary sequestaton = Pumenary artery aplste = Cystc Aderomatnid malformation = Congenital pulmonary ost 3, TAWA to demonstrate kncwlesge raogreptic pattern of pneumonia caused by bacteral, veo, ickettsia by intepretng plein crest radiograph (C2) end desrising cra HRCA) 4 TLWEA w_ceseribe racclgkal ring of pulmonary tuberculosis Major racclogicalfhoings Radloiogy of ether featres & complications 5. TLWBA demonstrate knowledge hg tumor racingaphicaly by intermreting pin chest redioareph (C2) and deserting CTE MRL (C1) ‘Benign tumor Nalignant tor 1 Rasclogy of pleura, eared cavity 8 medastinum 7, Radilogy of era 1. TLWGA demonstrate Knowledge anatomy of peur, pleural cavity & meciastinary redlegraphically by “terpretng slain chest raciograph PA lateral projetion(C3) ~ deseribng CTR MRI (C1) 2. TLIEA demonstrate kaowlatiga of pleura effsion by Intaxpreting ph chest radiograph (C3), describing. Crk WRI (Ci) 3. TLWDA to describe interpret raticiogical appearances of mediastinal tuners by plein chestredigrach (©3), CT NEI (C1), 4, TLWBA to describe & mtorr rasololeal appearances of mediastinal tumors by plein chest redegrach (C3), CT & NI (C1) 2. Thyroid masses bo thymoma Necastinal phadenopaty ‘6 Thoracle Ate aneurysm €.Bronchogenc st FE Newogene tumor 9. Dephragmatic hema |. TLWVEA to Iterpet pin chest radiograph (C3), deserve Cra MRE (Cl 2. Shin & subcutaneous Uesue sruchares The bony structures of the trade cage The davies ‘The temum The ibs “Thorece spine The dasrragm 1 TLIVBA to Intereet pin chest radiograph (C3), CTR MRE (1) Benign chest wall tumor * walignant chest wal toner Raiogy oF congenital enor T. TLWBA demarstiie knowledge radiographic appearances of re Ewer repay tract congenital enomates by interpreting pein chest redigreph and describing (CFand oesophagoatenty (C1) Hyposlsia ofthe Lung {bar Empiysema * PAlmanary Sacuestration (ste Adenometous Malformation 2. TLWOA demonstrate knowledge redilegy aapearancesoftreches congenital anomalies (Tracheo-cecopragsal bla) oy intrprene plain rasta (C3) and descrang cesophagogropnyeter& CT (C1) 7. Rpply respiratory pathophysiology Machanism djsfincion of the respatery system Host cefence mechanime of the respratory system, esectsly cieer “TLWBA to describe and understanding of (L) the mechanical dstoncton of the respiratory system, work and energy cost of beating restrictive ae obstuctve respiratory dysfunctions, elastic properties ofthe respiratory system (restrictive ard structive disease), speci characteristic ofthe pulmonary circulation and fectar fetermining of efficiency of gas exchange in the unos ‘TLWEA to daceribe nest defence mecnaniame ofthe respiratory system Beginning Fn ‘the nose ts alveok (tor-mmune are immune defences) ‘TLWEA to exci the evtion of many cléven who have an Increased numberof respiratory system 3 Signs and symptoms of the respiratory system 1 Sreeana 2. cough 3. Dyspreu 4. steor 5. Hoarsenes, barking cough 6. Wheezing 7. oracles TLWGA to define the definiion of needing Due symtoms with BhYSial Sans, rmechaiem, are clferstal elognece ‘TLUEA to dane the definition of cough te symptoms wth physical signs, rmechenism, ard dferetialclagness TLWBA to define the defiton of éyspneu true symtoms with physica signs, mechanism, are fers cleeness TLWBA to define the dennition of stridor true symptoms with pry tons, mechanism ara eferetal diagness TLWEA to exelain mechanisms are deferential clagnasis “TLWIBA to define of wheezing, tue symptoms with physical signs, mecranism, and . rene Non spect * Slecafaropicans * Cantar genuioma * ameiesis + Specie *Tubereoss * sarcadest + Sots * Steroma = Wegene's stan Jomets| *Lesrse Mycosis ~ Bociiodarycoris + Canctase = Histoplesmosis “ naticemycosis ~ lags Explain (C2) = Gorplcatons Discuss (C2) = Therapy ‘TuWaA to demonstrate knonledge of (L) by: Recognizing (Ct) Defrtion Enidemisiogy ‘Symetoms and signs Patregeress - complications “Tuo and understanding of (1) by Selects (C2: Alley cagnostc Bin (C2) = Diagross ‘TuW damcnatate knowledge of () by Recognizes (C1) oe Therapy ‘TLWaA to demonstrate knowledge of (L) by Recogntang (Ct): Defistion Enideiolooy ‘Symetems and signs Pataganests _ complications “Tuwo and understanding of (by Selects (C2) 3. Traumas 4. Tracheotomy ‘relly dagrostic Boplain (2): Diegnosis ‘Tu demonstrate keontedge of (L) by Recognizes (C1): - Therapy TWA to deste: = Uist of ffection agent of larngtis and enilatits ~ Exclain patiogeness of infection ‘TuweA to darensvat krona of () by ecagnag (Cl) Detion “Tu and understanding of (by Desa 2) ‘Tusa to derensvate knowledge oF.) by Rectan (cl Symptons and sgne “Tuwo and understanding of (by Deseios (2 Fethogeneis Completions fnelory dagrostie fasfan (2 isonet uweato deensvate krovledge of (by Recognizes (1) on heoy TLWBA to derensrate knowledge of (L) bt Recosnizng (C1): Detirion ‘Tuo ane uncerstanang of () by Describe (2): Tectriques Complications 15 Diseases of trachea & bronchus. 5 Compas elena 6 carcroma o ryni 1. Acute and chron nfecion ofthe broncrus 2. Acute bronchitis . Gronle branes TLWAA to devenstrate Knowledge of (0) by Recognizing (C1: Detren ‘Tuo and understanding of (Loy Describing (C2) ‘Gus ‘TuwaA te dereonsvate knowndge ot () oy: Recognizes (Ch). ‘Symptoms and sens ‘Tuwo and understanding of) by Describes (2) ‘Complications relly dagrostic Explain (C2 Diagnesis Discs (2): Theraay “TLWaA describe Squamous Fapiloma and Carenoma of Larynk based on Hetpatholay b. TLWD ieontedge of (Ly cefring bronchis seute and chronic and sult scute tracheobranchte TLWD krowledge of acute bronchitis ard acute wachecbronchis by

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