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Anatomy of the Respiratory System, Function of Respiratory Epithelium,…
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Bronchus
- Respiratory epithelial lining
- Smooth muscle beneath the epithelium
- Broken cartilage in walls
- Seromucous glands
Histology, starting from inside layer
- Respiratory epithelium (1)
- Smooth muscle deep to epithelium (2)
- Hyaline Cartilage plates (3)
Bronchiole, starts from about the 12th generation
- Lumen diameter <1mm
- No cartilage in walls
- Sparse glands and Goblet cells
- Low columnar epithelium
- Club cells in the epithelium
- Smooth muscle in the walls
- Kept open by elastic tissue
Histology, starting from inside layer
- Low columnar ciliated epithelium (1)
- Smooth muscle deep to epithelium (2)
- No cartilage
- Sparse goblet cells and submucous glands
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Left Lung
- 2 lobes (superior, inferior)
- Only has an oblique fissure
- Has a cardiac notch, to accommodate the heart.
- Lingula (tongue in latin)
Impressions
- Left subclavian artery that comes from the
- Arch of aorta, which also forms an impression
- Descending aorta
- Esophagus
- Left ventricle in front of the hilum
Right Lung
- 3 lobes (superior, middle, inferior)
- Has horizontal and oblique fissures
Impressions
- Right atrium, above this, the
- Superior vena cava, which is connected to the
- Azygos Vein that goes clockwise around the hilum
- Shallow impression of the trachea and
- Inferior vena cava
Lobes are subdivided into Bronchopulmonary Segments, and each of them has their own bronchus and artery.
The Alveolus
5 main cell types present :
- Capillary endothelial cells
- Type 1 pneumocytes (40% of cells), for gaseous diffusion
- Type II pneumocytes (60%), produces surfactant, which lowers surface tension in alveoli to prevent their collapse
- Interstitial cells: include fibroblasts and mast cells
- Alveolar macrophages - digest the debris
Clinical Steps
- Inspection
- Palpation
- Percussion, tap the thoracic wall to determine the borders of the heart
- Auscultation
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If Interpleural pressure is less than intra-alveolar pressure, lung collapses