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RESPIRATORY
  SYSTEM
FUNCTIONS
   AIR CONDUCTION
   AIR FILTRATION
   GASEOUS EXCHANGE
   SENSE OF SMELL
   PHONATION
   ENDOCRINE
CONDUCTING PART
   HYALINE CARTILAGE
   MUCOSA
   EPITHELIUM
    PSEUDOST. CILIATED COL./ St. Sq.
    Ciliated columnar, goblet, brush, Granule,
    basal
    Metaplasia, Smokers, Kartegner syndrome
   LAMINA PROPRIA
CONDUCTING PART   RESPIRATORY PART

   NASAL CAVITIES       RESPIRATORY
   NASO &                BRONCHIOLES
    OROPHARYNX           ALVEOLAR DUCTS
   LARYNX               ALVEOLAR SACS
   TRACHEA              ALVEOLI
   BRONCHI
   BRONCHIOLES
NASAL CAVITIES
   Two halves median nasal septum
   Nares & Choanae
   Roof, Floor, Medial & lateral wall
   Lateral wall, Choncha
   Mucosa
   Vestibule
   Respiratory segment
   Olfactory segment
VESTIBULE
   Anterior dilated part
   ST. Sq. E. with HAIR & SEBACOUS glands
    (traps larger particles)
   Post part– pseudostratified-- glands absent
   Filtration
RESPIRATORY SEGMENT
   LARGEST PART
   MEDIAL & LATERAL WALLS
   CONCHA
   MUCOSA (warms moistens & filters)
   EPITHELIUM PSEUDO STRATIFIED CILIATED
    COLUMNAR WITH GOBLET CELLS
   LAMINA PROPRIA (vascular network capillary
    loops- engorged- swelling of mucosa , mucous glands
    with demilunes)

OLFACTORY SEGMENT
   ROOF
   YELLOWISH BROWN
   EPITHELIUM
    Bipolar APICAL & BASAL POLES
    APICAL dendritic olfactory vesicle & cilia
    BASAL axonal
    Supporting cells MECHANICAL & METABOLIC SUPORT
    Basal cells
    Brush cells
    Glands
   LAMINA PROPRIA
    Blood & lymph vessels, non myelinated & myelinated nerves & olfactory
    glands bowmans gland
TRACHEA
TRACHEA
   SHORT FLEXIBLE TUBE
   LOWER BORDER OF CRICOID TO
    STERNAL ANGLE
   2.5cm / 10cm
   AIR PASSAGE & CONDITIONING OF AIR
MICROSCOPIC ANATOMY
   MUCOSA
   SUBMUCOSA
   CARTILAGENOUS LAYER
   ADVENTITIA
MUCOSA
   EPITHELIUM ----RESPIRATORY
    CILIATED COLUMNAR
    GOBLET CELLS
    BRUSH CELLS
    BASAL CELLS
    GRANULE CELLS
    MAST CELLS & LYMPHOCYTES
   BASEMENT MEMBRANE
       THICKCh. cough. Cigerette smoking
   LAMINA PROPRIA--- LOOSE C.T. CELLULAR
    LYMPHOID TISSUE, ELASTIC FIBERS, ELASTIC
    MEMBRANE
SUB MUCOSA
   LOOSE CONNECTIVE TISSUE
   SUBMUCOSAL GLANDS
       TUBULOALVEOLAR
       MIXED
       POST. PART
   LARGER BLOOD VESSELS &
    LYMPHATIC
   DIFFUSED & NODULAR LYMPHOID
    TISSUE
CARTILAGE
   HYALINE NON ARTCULAR CARTILAGE
   PERICHONDRIUM
    FIBROUS
    CELLULAR LAYER ( chondrgenic cells)
   MATRIX
    GROUND SUBSTANCE, territorial & interterritorial
    > SO4
    FIBER collagen type II, IX, X, XI
   CELLS CHONDROBLAST CHONDROCYTES
    LACUNAE
TRACHEAL CARTILAGE
   C SHAPED HYALINE CARTILAGES
   TRACHEALIS
ADVENTITIA
   LOOSE CONNECTIVE TISSUE
   BLOOD VESSELS, LYMPHATICS,
    NERVES & ADIPOSE TISUE
CONDUCTING PART
   PRINCIPAL BRONCHI
    RIGHT & LEFT
   LOBAR OR SECONDRY BRONCHI
    3 RIGHT, 2 LEFT
   SEGMENTAL OR TERTIARY BRONCHI
    BRONCHPULMONARY SEGMENT
   BRONCHIOLES--- TERMINAL BRONCHIOLES
    PULMONARY LOBULES
RESPIRATORY PART
   RESPIRATORY BRONCHIOLES
   ALVEOLAR DUCTS
   ALVEOLAR SACS
   ALVEOLI
BRONCHI
 EXTRA PULMONARY BRONCHI STRUCTURE SIMILAR
  TO TRACHEA
 INTRAPULMONARY BRONCHI 5 LAYERS
 < DIAMETER
  MUCOSA
      EPITHELIUM < height of cells, < thickness of basement membrane
      LAMINA PROPRIA reduced rich in elastic fibers
    MUSCULARIS
    SUBMUCOSA
    CARTILAGE PLATES
    ADVENTITIA
BRONCHIOLES
   Conducting part
   < 5mm, no cartilage or glands pulmonary lobule
   Epithelium simple ciliated columnar < goblet cells,
   Thick layer of smooth muscle
    Submucosa no glands
   No cartilage
   Terminal bronchioles pulmonary acinus, simple
    cuboidal epithelium, clara cells
CLARA CELLS
   NONCILIATED CELLS WITH A
    ROUNDED UPPER PART CONTAINING
    SECRETORY GRANULES
   SURFACE ACTIVE AGENT –luminal
    adhesion
   CCI6 ---pulmonary marker
RESPIRATORY BRONCIOLES
   TRANSITIONAL ZONE
   CUBOIDAL EPITHELIUM
    INITIALLY ciliated, granule & brush
    LATER CLARA CELLS
   SCATTERED ALVEOLI
ALVEOLAR DUCTS
LINEAR DUCTS LINED BY ALVEOLI,
  SMOOTH MUSCLE DISSAPPEAR
   ONLY ELASTIC & RETICULAR
            FIBERS
ALVEOLAR SACS

   CLUSTER OF ALVEOLI
SHARING A COMMON OPENING
PULMONARY ALVEOLI
   Thin epithelium resting on a basal lamina
   Type I 95% SIMPLE Sq. occluding junctions
   TYPE II 5% CUBOIDAL SURFACTANT
   ALVEOLAR MACROPHAGES
    TAR BODIES, HEART FAILURE CELLS
INTER ALVEOLAR SEPTUM
   LINNING CELLS OF ADJACENT
    ALVEOLI & INTERVENING
    STRUCTURES
   EPI, B.L.—C.T.—B.L., EPI
   COLLAGEN & ELASTIC FIBERS
   FIXED & FREE CELLS
   CAPILLARIES
PULMONARY CAPILLARIES
   THIN ENDOTHELIAL CELLS CAVEOLE
   CLEAR & THROMBI
   METABOLISM OF CHYLOMICRONS
   ANGIOTENSIN I—II
   THROMBOPLASTIN, PROSTAGLANDIN
   INACTIVATE SEROTININ
ALVEOLAR PORES

    PORES OF KOHN,
    10– 15 micrometer,
  OBST. LUNG DISEASE
ALVEOLAR MEMBRANE
   GASSEOUS EXCANGE
   THICK & THIN PART
   EPI.– B/L.   C.T.   B/L. ENDOTHELIUM
BLOOD SUPPLY
   PULMONARY ARTERY--- CAPILLARIES--
    VEINS
   BRONCHIOLAR ARTERIES---VEINS

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Trachea by Dr. Nabila KMSMC Sialkot

  • 1.
  • 3. FUNCTIONS  AIR CONDUCTION  AIR FILTRATION  GASEOUS EXCHANGE  SENSE OF SMELL  PHONATION  ENDOCRINE
  • 4. CONDUCTING PART  HYALINE CARTILAGE  MUCOSA  EPITHELIUM PSEUDOST. CILIATED COL./ St. Sq. Ciliated columnar, goblet, brush, Granule, basal Metaplasia, Smokers, Kartegner syndrome  LAMINA PROPRIA
  • 5. CONDUCTING PART RESPIRATORY PART  NASAL CAVITIES  RESPIRATORY  NASO & BRONCHIOLES OROPHARYNX  ALVEOLAR DUCTS  LARYNX  ALVEOLAR SACS  TRACHEA  ALVEOLI  BRONCHI  BRONCHIOLES
  • 6. NASAL CAVITIES  Two halves median nasal septum  Nares & Choanae  Roof, Floor, Medial & lateral wall  Lateral wall, Choncha  Mucosa  Vestibule  Respiratory segment  Olfactory segment
  • 7.
  • 8. VESTIBULE  Anterior dilated part  ST. Sq. E. with HAIR & SEBACOUS glands (traps larger particles)  Post part– pseudostratified-- glands absent  Filtration
  • 9. RESPIRATORY SEGMENT  LARGEST PART  MEDIAL & LATERAL WALLS  CONCHA  MUCOSA (warms moistens & filters)  EPITHELIUM PSEUDO STRATIFIED CILIATED COLUMNAR WITH GOBLET CELLS  LAMINA PROPRIA (vascular network capillary loops- engorged- swelling of mucosa , mucous glands with demilunes) 
  • 10. OLFACTORY SEGMENT  ROOF  YELLOWISH BROWN  EPITHELIUM Bipolar APICAL & BASAL POLES APICAL dendritic olfactory vesicle & cilia BASAL axonal Supporting cells MECHANICAL & METABOLIC SUPORT Basal cells Brush cells Glands  LAMINA PROPRIA Blood & lymph vessels, non myelinated & myelinated nerves & olfactory glands bowmans gland
  • 11.
  • 13.
  • 14. TRACHEA  SHORT FLEXIBLE TUBE  LOWER BORDER OF CRICOID TO STERNAL ANGLE  2.5cm / 10cm  AIR PASSAGE & CONDITIONING OF AIR
  • 15. MICROSCOPIC ANATOMY  MUCOSA  SUBMUCOSA  CARTILAGENOUS LAYER  ADVENTITIA
  • 16. MUCOSA  EPITHELIUM ----RESPIRATORY CILIATED COLUMNAR GOBLET CELLS BRUSH CELLS BASAL CELLS GRANULE CELLS MAST CELLS & LYMPHOCYTES  BASEMENT MEMBRANE  THICKCh. cough. Cigerette smoking  LAMINA PROPRIA--- LOOSE C.T. CELLULAR LYMPHOID TISSUE, ELASTIC FIBERS, ELASTIC MEMBRANE
  • 17. SUB MUCOSA  LOOSE CONNECTIVE TISSUE  SUBMUCOSAL GLANDS  TUBULOALVEOLAR  MIXED  POST. PART  LARGER BLOOD VESSELS & LYMPHATIC  DIFFUSED & NODULAR LYMPHOID TISSUE
  • 18. CARTILAGE  HYALINE NON ARTCULAR CARTILAGE  PERICHONDRIUM FIBROUS CELLULAR LAYER ( chondrgenic cells)  MATRIX GROUND SUBSTANCE, territorial & interterritorial > SO4 FIBER collagen type II, IX, X, XI  CELLS CHONDROBLAST CHONDROCYTES LACUNAE
  • 19. TRACHEAL CARTILAGE  C SHAPED HYALINE CARTILAGES  TRACHEALIS
  • 20. ADVENTITIA  LOOSE CONNECTIVE TISSUE  BLOOD VESSELS, LYMPHATICS, NERVES & ADIPOSE TISUE
  • 21. CONDUCTING PART  PRINCIPAL BRONCHI RIGHT & LEFT  LOBAR OR SECONDRY BRONCHI 3 RIGHT, 2 LEFT  SEGMENTAL OR TERTIARY BRONCHI BRONCHPULMONARY SEGMENT  BRONCHIOLES--- TERMINAL BRONCHIOLES PULMONARY LOBULES
  • 22.
  • 23. RESPIRATORY PART  RESPIRATORY BRONCHIOLES  ALVEOLAR DUCTS  ALVEOLAR SACS  ALVEOLI
  • 24. BRONCHI  EXTRA PULMONARY BRONCHI STRUCTURE SIMILAR TO TRACHEA  INTRAPULMONARY BRONCHI 5 LAYERS < DIAMETER MUCOSA EPITHELIUM < height of cells, < thickness of basement membrane LAMINA PROPRIA reduced rich in elastic fibers MUSCULARIS SUBMUCOSA CARTILAGE PLATES ADVENTITIA
  • 25.
  • 26. BRONCHIOLES  Conducting part  < 5mm, no cartilage or glands pulmonary lobule  Epithelium simple ciliated columnar < goblet cells,  Thick layer of smooth muscle  Submucosa no glands  No cartilage  Terminal bronchioles pulmonary acinus, simple cuboidal epithelium, clara cells
  • 27. CLARA CELLS  NONCILIATED CELLS WITH A ROUNDED UPPER PART CONTAINING SECRETORY GRANULES  SURFACE ACTIVE AGENT –luminal adhesion  CCI6 ---pulmonary marker
  • 28. RESPIRATORY BRONCIOLES  TRANSITIONAL ZONE  CUBOIDAL EPITHELIUM INITIALLY ciliated, granule & brush LATER CLARA CELLS  SCATTERED ALVEOLI
  • 29.
  • 30. ALVEOLAR DUCTS LINEAR DUCTS LINED BY ALVEOLI, SMOOTH MUSCLE DISSAPPEAR ONLY ELASTIC & RETICULAR FIBERS
  • 31. ALVEOLAR SACS CLUSTER OF ALVEOLI SHARING A COMMON OPENING
  • 32. PULMONARY ALVEOLI  Thin epithelium resting on a basal lamina  Type I 95% SIMPLE Sq. occluding junctions  TYPE II 5% CUBOIDAL SURFACTANT  ALVEOLAR MACROPHAGES TAR BODIES, HEART FAILURE CELLS
  • 33.
  • 34.
  • 35. INTER ALVEOLAR SEPTUM  LINNING CELLS OF ADJACENT ALVEOLI & INTERVENING STRUCTURES  EPI, B.L.—C.T.—B.L., EPI  COLLAGEN & ELASTIC FIBERS  FIXED & FREE CELLS  CAPILLARIES
  • 36. PULMONARY CAPILLARIES  THIN ENDOTHELIAL CELLS CAVEOLE  CLEAR & THROMBI  METABOLISM OF CHYLOMICRONS  ANGIOTENSIN I—II  THROMBOPLASTIN, PROSTAGLANDIN  INACTIVATE SEROTININ
  • 37. ALVEOLAR PORES PORES OF KOHN, 10– 15 micrometer, OBST. LUNG DISEASE
  • 38. ALVEOLAR MEMBRANE  GASSEOUS EXCANGE  THICK & THIN PART  EPI.– B/L. C.T. B/L. ENDOTHELIUM
  • 39.
  • 40. BLOOD SUPPLY  PULMONARY ARTERY--- CAPILLARIES-- VEINS  BRONCHIOLAR ARTERIES---VEINS