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Disorders of the upper respiratory
tract
Infectious and inflammatory disorders
• Common cold and influenza
• Sinusitis
• Tonsillitis
• Pharyngitis, laryngitis and tracheitis
• Diphtheria
• Hay fever (allergic rhinitis)
Sinusitis
Tonsillitis
Pharyngitis, laryngitis and tracheitis
• Laryngotracheobronchitis - Croup in children is a rare
but serious complication of upper respiratory tract
infections.
• Acute epiglotitis – A Severe life threatening upper
respiratory tract infection. Rare because of
immunization.
• Diphtheria – A bacterial infection of the pharynx which
may extend to the nasopharynx and trachea, caused by
Corynebacterium diphtheriae.Rare because of
immunization.
Acute Epiglotitis
Obstructive lung disorders
• Bronchitis
– Acute bronchitis
– Chronic bronchitis
• Emphysema
– Pulmonary emphysema
• Panacinar emphysema
• Centrilobular emphysema
– Interstitial emphysema
Bronchitis
• Acute bronchitis - usually a secondary bacterial
infection of the bronchi, usually preceded by a
common cold or influenza.
• Chronic bronchitis – is defined clinically when an
individual has had a cough with sputum for 3 months
in 2 successive years.
– Most common cause -Cigarette smoking
– Following episodes of acute bronchitis often caused by
Haemophilus influenzae or Streptococcus pneumoniae
– chronic exposure to airborne irritants such as urban fog,
vehicular exhaust fumes or industrial pollutants
Chronic Bronchitis
• Increased size and
number of mucus glands
• Oedema and other
inflammatory changes
• Reduction in number and
function of ciliated cells
• Fibrosis of the airways
Emphysema
• Progressive destruction of supporting elastic tissue in the
lung.
• leads to irreversible distension of the respiratory
bronchioles, alveolar ducts and alveoli, reducing the
surface area for the
exchange of gases.
• Causes
– long-term inflammatory conditions or irritation of the
airways, e.g. in smokers or coal miners
– Alpha-1 antitrypsin deficiency
Emphysema
Chronic Obstructive Pulmonary
Disease (COPD)
Asthma
• Atopic (childhood onset, extrinsic) asthma
• Non-atopic (adult onset, intrinsic) asthma
• Bronchiectasis
• Cystic fibrosis
Restrictive disorders
• Pneumoconiosis
• Coal worker’s pneumoconiosis
• Silicosis
• Asbestosis
• Extrinsic allergic alveolitis
• Pulmonary toxins
Pneumoconiosis
Lung infections
• Pneumonia
– Lobar pneumonia
– Bronchopneumonia
• Lung abscess
• Tuberculosis (TB)
– Pulmonary tuberculosis
• Primary tuberculosis
• Secondary TB
– Non-pulmonary TB
• Miliary TB
• Lymph node TB
• Joint and bone TB
Pneumonia
Lung Abscess
Tuberculosis
Lung tumours
• Bronchial carcinoma
• Pleural mesothelioma
Lung collapse
• Obstruction of an airway (absorption collapse)
• Impaired surfactant function
• Pressure collapse
– Pneumothorax
• Spontaneous pneumothorax
• Traumatic pneumothorax
• Tension pneumothorax
– Haemothorax
– Pleural effusion
• Alveolar hypoventilation.
Normal Chest X Ray
Pulmonary TB
Lobar Pneumonia
Pleural Effusion
Lung collapse
Bronchiectasis
Consolidation
Lung Fibrosis
COPD
Pneumothorax
Tension Pneumothorax
Hilar enlargement
Bag and Mask
Airways
• Oro-pharyngeal(Gaudal) airway
• Naso-pharyngeal airway
• Laryngeal mask airway
• Endo-tracheal tube
Laryngoscope
Laryngeal Mask Airway
ET tube
Procedures
• Cricothyroid puncture
• Tracheostomy
• Intercostal tube
Cricothyroid puncture
Intercostal tube
Safe triangle
Thank You

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Diseases of respiratory tract