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17 Cards in this Set

  • Front
  • Back
Clara Cells
found in bronchioles

non-ciliated columnar with secretory granules

secrete part of surfactant, degrade toxins, act as reserve cells
Goblet Cells
found from trachea to terminal bronchioles

secrete mucus
Pseudocolumar Cells
ciliated cells found from nose to respiratory bronchioles
When are lungs mature?
L:S ratio > 2.0
Where does aspirant go?
when standing, posterobasal segment of R. lower lobe

when supine, superior segment of R. lower lobe
Relation of artery to bronchus?
RALS

on the right, pulmonary artery is anterior to bronchus

on left, pulmonary artery is superior to bronchus
At what levels do structures pass through diaphragm?
T8=IVC

T10=oesophagus

T12=aorta, thoracic duct, azygous
Causes of neonatal RDS?
prematurity

maternal DM with high insulin (insulin decreases surfactant synthesis)

C-section (denies baby of the of stress/cortisol which increases surfactant synthesis)
Causes of Right Shift in O2-HgB curve?
CADET face right

CO2
Acid/altitude
DPG
Exercise
Temperature
CO poisoning
left shit in O2-HgB curve, decreases O2 binding capacity
Innervation of lungs (sensory)
parietal pleura = phrenic (c3,c4,c5) refers to neck/shoulders and by intercostals

visceral pleura = vagus
when do you hear fremitus?
lobar pneumonia
Paraneoplastic syndromes associated with lung cancer?
squamous cell = PTHrP

small cell = ACTH, ADH, Eaton Lambert
Locations of Lung Cancers
central = squamous, small S's

peripheral = adenocarcinoma
Relation of Lung Cancer with smoking
all related, but adenocarcinoma the least related

S's
What's the difference between small and non-small cell carcinomas?
for small cells, surgery is useless
Horner's Symptoms
ptosis (droopy eyelid)

miosis (pupil constriction)

anhidrosis (lack of sweat)