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    The Patient and His Illness A. Pathophysiology (Book Based)

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    Edmar Francis Sabile
    This document discusses the pathophysiology of pleural effusion and pulmonary infection. It outlines several chronic conditions that can lead to increased fluid movement from capillaries to the pleural space, causing fluid accumulation and resulting in pleural effusion. It also describes how pulmonary infections start with microorganisms entering the respiratory tract and damaging the airways and lung parenchyma, causing symptoms like fever, difficulty breathing, and coughing. Factors like race, age, family history, and diet can predispose individuals or precipitate these pulmonary conditions.

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    The Patient and His Illness A. Pathophysiology (Book Based)

    Uploaded by

    Edmar Francis Sabile
    174 views5 pages
    This document discusses the pathophysiology of pleural effusion and pulmonary infection. It outlines several chronic conditions that can lead to increased fluid movement from capillaries to the pleural space, causing fluid accumulation and resulting in pleural effusion. It also describes how pulmonary infections start with microorganisms entering the respiratory tract and damaging the airways and lung parenchyma, causing symptoms like fever, difficulty breathing, and coughing. Factors like race, age, family history, and diet can predispose individuals or precipitate these pulmonary conditions.

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    This document discusses the pathophysiology of pleural effusion and pulmonary infection. It outlines several chronic conditions that can lead to increased fluid movement from capillaries to the pleural space, causing fluid accumulation and resulting in pleural effusion. It also describes how pulmonary infections start with microorganisms entering the respiratory tract and damaging the airways and lung parenchyma, causing symptoms like fever, difficulty breathing, and coughing. Factors like race, age, family history, and diet can predispose individuals or precipitate these pulmonary conditions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    174 views5 pages

    The Patient and His Illness A. Pathophysiology (Book Based)

    Uploaded by

    Edmar Francis Sabile
    This document discusses the pathophysiology of pleural effusion and pulmonary infection. It outlines several chronic conditions that can lead to increased fluid movement from capillaries to the pleural space, causing fluid accumulation and resulting in pleural effusion. It also describes how pulmonary infections start with microorganisms entering the respiratory tract and damaging the airways and lung parenchyma, causing symptoms like fever, difficulty breathing, and coughing. Factors like race, age, family history, and diet can predispose individuals or precipitate these pulmonary conditions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    THE PATIENT AND HIS ILLNESS

    A. Pathophysiology (book based)

    Chronic Chronic Chronic Pulmonary Pulmonary Pulmonary


    Heart Renal Liver Trauma Embolism Infection
    Failure Disease Disease

    Inflammation Malignancy Fever


    Increased Hypoalbuminemia
    Systemic Vasodilation of Antipyretics
    Hydrostatic Decreased oncotic capillaries
    Pressure pressure in the Lymphatic
    capillaries obstruction

    Increased Impaired
    Increased fluid capillary lympahtic
    Movement from the permeability function
    Capillaries to the
    Pleural space Decreased pleural
    Fluid absorption

    Fluid accumulation in
    The pleural space

    Force of gravity

    Movement of fluid
    At the base of the lungs
    Thoracentesis Thoracentesis
    To be used to To be used for
    Diagnose and analyze treatment and
    The fluid aspiration of fluid
    Chest X-ray Thoracostomy
    (APL view) to be used for
    Treatment and
    Draining of fluid
    Dullness on Absent or minimal
    Percussion of breath sounds
    The affected
    Area

    Displacement of lung tissue


    Pleuritic Direct pressure Mediastinal shift Indirect pressure on the
    Pain on the lung contralateral lung
    Tissue Dysnea

    Reduction in
    Lung expansion Decreased lung compliance

    Decreased perfusion Decreased ventilation


    On affected side on the affected side

    Decreased blood Decreased oxygen


    Circulation supply

    Jugular Cyanosis Oxygen therapy for decreased


    Distention oxygen supply
    Pathophysiology (patient centered)
    Predisposing factors: Precipitating factors:
    Race: Asian Foods that are
    Age: 62 years old low in salt and low in
    Familial history: Arthritis, CAD and DM fat
    Sex: Male

    Virulent Microorganisms

    Microorganisms enters the nose (nasal [passages)

    Passes through the larynx, pharynx and trachea

    Microorganisms enters and affects both airway and lung parenchyma

    Airway Damage Lung invasion

    Infiltration of bronchi flattening of epithelial cells


    Infectious organisms lodges Macrophages and leukocytes

    Stimulation of bronchioles Necrosis of bronchi tissue

    Mucus and phlegm production


    Alveolar collapse narrowing of air passage

    Increase pyrogen in the body Difficulty of breathing Coughing productive


    /Nonproductive

    Fever

    Necrosis of pulmonary tissue

    Overwhelming sepsis

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