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EMPHYSEMA




BY: STACY ZIAULHAQ
LUNG ANATOMY & PHYSIOLOGY
The function of the lungs is to Oxygenate our blood by
removing Carbon Dioxide and replacing it with Oxygen.
What is Emphysema
Emphysema (em-fi-SE-ma) is a type of Chronic Obstructive
Pulmonary Disease.
   COPD for short.
   COPD is generally a combination of Emphysema and Chronic
    Bronchitis both with varying degrees.
   It is a progressive disease of the lungs.
   The alveoli (air sacs) are irreversibly damaged causing
    breathing to become difficult.
   There is no cure




http://www.muschealth.com/video/Default.aspx?videoId=10192
&cId=38&type=rel
LUNG COMPARISONS
SIDE-BY-SIDE COMPARISON
What Are The Causes
MOST COMMON
   Smoking (#1 cause)
   Prolonged exposure to second hand smoke
   Chemical fumes
   Dust
   Air pollution
IN RARE CASES
   Deficiency of the Alpha-1 Antitrypsin
   A protein made by the liver that protects the lungs.
   That is inherited




     MM: normal level
     MS: 80% of normal
     MZ: 60% of normal
     SZ: 40% of normal
     ZZ: 10% of normal level
WHO IS AT RISK

   Emphysema effects both men and women.
   Usually does not appear until the sixties.
        But the disease can appear as early as forty depending on certain
         factors.
   Any ethnic group can develop emphysema.
        One exception is the inherited form that mainly effects European
         Caucasians.
SYMPTOMS OF EMPHYSEMA
   Coughing with or without phlegm
(sometimes referred to as “smokers cough”)
   Dyspnea (shortness of breath)
   Trouble catching one’s breath
   Fatigue
   Wheezing
   Barrel- like distended chest
   Lethargy or difficulty concentrating
   Difficulty sleeping
DIAGNOSIS
   Chest X – ray
   Blood test
          Arterial Blood Gas (ABG)
   Lung Function Test also called Pulmonary Function Test or PFT
    (most common)




Copyright © 2012, A.D.A.M., Inc.
Treatment
   STOP smoking (if you smoke)
   Bronchodilators (inhalers)
        Ex. Atrovent, Spiriva, Serevent, Foradil, and Albuterol
   Anti-inflammatory medication
        Ex. Singulair and Roflimulast
   Antibiotics
   Oxygen therapy
   Pulmonary rehabilitation
        Conserve energy, improve stamina, and reduce breathlessness
   Surgery
Other things include
   Avoid being around smoke and other irritants
   Avoiding the cold
SOME FACTS ON COPD
   Close to 13 million American adults have been diagnosed with
    COPD.
   Many others have the disease and not know it.
   51% say it limits their ability to work (lost productivity).
   The cost of COPD on the nation was approximately 49.9
    billion dollars in 2010 (American Lung Association, February
    2011).
   Chronic Lower Respiratory Disease is the third cause of death
    in the United States in 2011 with 143,382 deaths
Worldwide Mortality Rate
                                0.80% 0.70%   0.70%        0.60%
                        1.40%
                                                        0.60%
                                  0.70%
                      1.40%
              1.50%                                                         United States
    1.50%
                                                                            Japan
         1.80%
                                                                            Brazil
   1.90%
                                                                            Mexico

         2%                                                                 Germany
                                                                            Netherlands
   2.90%
                                                                            South Africa
                                                                   36.60%
 2.90%                                                                      Hungary
                                                                            Romania
                                                                            Canada
4.80%
                                                                            Thailand
                                                                            Australia
                                                                            Austria
  5.80%
                                                                            Spain
                                                                            Kyrgyzstan
                                                                            Argentina
                                                                            Sweden
               10.40%
                                                                            Colombia
                                                                            Poland
                                               16.40%
                                                                            Venezuela
A NOTE ON THE POSITIVE SIDE


Research is strong and on going in the fight of Emphysema.
   How to measure airspace enlargement accurately
   How to define aging of the lung
   There are studies showing promise that changing ones diet to
    include olive oil, fish, and grapes, peanuts, and berries (sources
    of resveratrol) may limit the lung damage caused by smoking.
REFERENCES
Alpha-1 Canadian Registry Website:
http://www.alpha1canadianregistry.com/alpha1/info/faq.html
Anatomy of the Lung Picture. Retrieved from 3d Science Pics Website:
http://3dsciencepics.com/wp-content/uploads/lung_anatomy2.jpg
Aetna, INC.(November 21, 2011) Emphysema Retrieved from
http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10600.html
 (August 2011) Trends in COPD (Chronic Bronchitis and Emphysema): Morbidity and
Mortality Retrieved from American Lung Association Website: www.lung.org/finding-
cures/our.../trend.../copd-trend-report.pdf
Emphysema Animation Video Retrieved from Website:
http://www.muschealth.com/video/default.aspx?videoId=10192
Emphysema by country", World Health Organisation Statistical Information System.
Retrieved fromhttp://www.NationMaster.com/graph/mor_emp-mortality-emphysema
Emphysema Lung Picture (December 10, 2010). Emphysema Causes and Treatment.
Retrieved from Website: http://ic.steadyhealth.com/emphysema_causes_and_treatment.html
Hoyert, Donna L PhD, Xu, Jiaquan M.D. (October 10, 2012) Deaths: Preliminary Data for
2011 Retrieved from Department of Health and Human Services Website:
www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_06.pdf
Pereira, E. B., Viana, C., Taunay, T. E., Sales, P. U., Lima, J. O., & Holanda, M. A. (2011).
Improvement of Cognitive Function After a Three-Month Pulmonary Rehabilitation Program
for COPD Patients. Lung, 189(4), 279-285. doi:10.1007/s00408-011-9303-6
Spirometry (7/9/2012) Reviewed by: David Zieve, MD, MHA, Medical
Director, A.D.A.M., Inc., and Denis Hadjiliadis, MD, Assistant Professor of
Medicine, Division of Pulmonary, Allergy and Critical Care, University of
Pennsylvania, Philadelphia, PA.
Taraseviciene-Stewart, Laimute, & Voelkel, Norbert F. (2008) Molecular Pathogenesis of
Emphysema. Journal of Clinical Investigation, 118 (2) 394 – 402. doi: 10. 1172/JCI31811

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BIO168 Emphysema Presentation

  • 2. LUNG ANATOMY & PHYSIOLOGY The function of the lungs is to Oxygenate our blood by removing Carbon Dioxide and replacing it with Oxygen.
  • 3. What is Emphysema Emphysema (em-fi-SE-ma) is a type of Chronic Obstructive Pulmonary Disease.  COPD for short.  COPD is generally a combination of Emphysema and Chronic Bronchitis both with varying degrees.  It is a progressive disease of the lungs.  The alveoli (air sacs) are irreversibly damaged causing breathing to become difficult.  There is no cure http://www.muschealth.com/video/Default.aspx?videoId=10192 &cId=38&type=rel
  • 6. What Are The Causes MOST COMMON  Smoking (#1 cause)  Prolonged exposure to second hand smoke  Chemical fumes  Dust  Air pollution
  • 7.
  • 8. IN RARE CASES  Deficiency of the Alpha-1 Antitrypsin  A protein made by the liver that protects the lungs.  That is inherited MM: normal level MS: 80% of normal MZ: 60% of normal SZ: 40% of normal ZZ: 10% of normal level
  • 9. WHO IS AT RISK  Emphysema effects both men and women.  Usually does not appear until the sixties.  But the disease can appear as early as forty depending on certain factors.  Any ethnic group can develop emphysema.  One exception is the inherited form that mainly effects European Caucasians.
  • 10. SYMPTOMS OF EMPHYSEMA  Coughing with or without phlegm (sometimes referred to as “smokers cough”)  Dyspnea (shortness of breath)  Trouble catching one’s breath  Fatigue  Wheezing  Barrel- like distended chest  Lethargy or difficulty concentrating  Difficulty sleeping
  • 11. DIAGNOSIS  Chest X – ray  Blood test  Arterial Blood Gas (ABG)  Lung Function Test also called Pulmonary Function Test or PFT (most common) Copyright © 2012, A.D.A.M., Inc.
  • 12. Treatment  STOP smoking (if you smoke)  Bronchodilators (inhalers)  Ex. Atrovent, Spiriva, Serevent, Foradil, and Albuterol  Anti-inflammatory medication  Ex. Singulair and Roflimulast  Antibiotics  Oxygen therapy  Pulmonary rehabilitation  Conserve energy, improve stamina, and reduce breathlessness  Surgery Other things include  Avoid being around smoke and other irritants  Avoiding the cold
  • 13. SOME FACTS ON COPD  Close to 13 million American adults have been diagnosed with COPD.  Many others have the disease and not know it.  51% say it limits their ability to work (lost productivity).  The cost of COPD on the nation was approximately 49.9 billion dollars in 2010 (American Lung Association, February 2011).  Chronic Lower Respiratory Disease is the third cause of death in the United States in 2011 with 143,382 deaths
  • 14. Worldwide Mortality Rate 0.80% 0.70% 0.70% 0.60% 1.40% 0.60% 0.70% 1.40% 1.50% United States 1.50% Japan 1.80% Brazil 1.90% Mexico 2% Germany Netherlands 2.90% South Africa 36.60% 2.90% Hungary Romania Canada 4.80% Thailand Australia Austria 5.80% Spain Kyrgyzstan Argentina Sweden 10.40% Colombia Poland 16.40% Venezuela
  • 15. A NOTE ON THE POSITIVE SIDE Research is strong and on going in the fight of Emphysema.  How to measure airspace enlargement accurately  How to define aging of the lung  There are studies showing promise that changing ones diet to include olive oil, fish, and grapes, peanuts, and berries (sources of resveratrol) may limit the lung damage caused by smoking.
  • 16. REFERENCES Alpha-1 Canadian Registry Website: http://www.alpha1canadianregistry.com/alpha1/info/faq.html Anatomy of the Lung Picture. Retrieved from 3d Science Pics Website: http://3dsciencepics.com/wp-content/uploads/lung_anatomy2.jpg Aetna, INC.(November 21, 2011) Emphysema Retrieved from http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10600.html (August 2011) Trends in COPD (Chronic Bronchitis and Emphysema): Morbidity and Mortality Retrieved from American Lung Association Website: www.lung.org/finding- cures/our.../trend.../copd-trend-report.pdf Emphysema Animation Video Retrieved from Website: http://www.muschealth.com/video/default.aspx?videoId=10192 Emphysema by country", World Health Organisation Statistical Information System. Retrieved fromhttp://www.NationMaster.com/graph/mor_emp-mortality-emphysema Emphysema Lung Picture (December 10, 2010). Emphysema Causes and Treatment. Retrieved from Website: http://ic.steadyhealth.com/emphysema_causes_and_treatment.html Hoyert, Donna L PhD, Xu, Jiaquan M.D. (October 10, 2012) Deaths: Preliminary Data for 2011 Retrieved from Department of Health and Human Services Website: www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_06.pdf Pereira, E. B., Viana, C., Taunay, T. E., Sales, P. U., Lima, J. O., & Holanda, M. A. (2011). Improvement of Cognitive Function After a Three-Month Pulmonary Rehabilitation Program for COPD Patients. Lung, 189(4), 279-285. doi:10.1007/s00408-011-9303-6 Spirometry (7/9/2012) Reviewed by: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Taraseviciene-Stewart, Laimute, & Voelkel, Norbert F. (2008) Molecular Pathogenesis of Emphysema. Journal of Clinical Investigation, 118 (2) 394 – 402. doi: 10. 1172/JCI31811