Anatomy books

Thursday, October 13, 2016

Respiratory system : brief and easy handout

Respiratory system
          It consists of paired lungs and a series of air passages that lead to and form the lungs.
Function
          Air conduction
          Air filtration
          Gas exchange
          In addition, air passing through the larynx produce speech
          The olfactory mucosa of nasal cavities carries sense of smell
The air passages of respiratory system consists of a conducting portion and a respiratory portion
Extrapulmonary region
          Nasal cavities
          Pharynx
          Larynx
          Trachea
          Bronchi
The intrapulmonary region
          Intrapulmonary bronchi
          Bronchioles
          Terminal bronchioles 
          Respiratory bronchioles
          Alveolar duct
          Alveoli
Olfactory epithelium
The olfactory chemoreceptors are located in the olfactory epithelium, a specialized area of the mucous membrane in the superior conchae, located in the roof of the nasal cavity.
It is a pseodostratified ciliated columnar epithelium composed of three types of cells
          Supporting cell
          Olfactory cell
          Basal cell
Lamina propria  is richly vascularized and possesses Bowman’s glands which produce a watery mucus
The respiratory epithelium

      Most of the conducting portion is lined with ciliated pseudostratified columnar epithelium that contain rich population of goblet cells and is known as respiratory epithelium
Typical respiratory epithelium consists of 5 cell types
Ciliated cells:  Tall columnar cells with cilia that project into the mucus covering the surface of epithelium
Goblet cells : That synthesize and secrete mucus
Brush cells: Bear short, blunt microvilli
 Small granule cells: That resemble basal cells but contain secretory granules
 Basal cells : Stem cells from which the other cell types arise
Trachea
is a short, flexible, air tube about 2.5 cm in diameter and about 10 cm long 
The wall of the trachea consists of four definable layers
Mucosa: Composed of a ciliated pseusostratified epithelium and an elastin, fiber-rich lamina propria
Submucosa : Contains denser conn. tissue than the lamina propria
Cartilaginous layer : Composed the C shaped hyaline cartilages. Fibroelastic tissue & smooth muscle , the trachealis muscle , bridge the gap between the free ends of the C shaped cartilages at the posterior border of the trachea 
Adventitia: Composed of conn. Tissue that binds the trachea to adjacent structures

Bronchus

Bronchus are two type extra pulmonary bronchus and intra pulmonary bronchus
a bronchus is lined by  the respiratory epithelium with goblet cells and columnar ciliated cells.
 lamina propria (connective tissue ) contains serous glands and smooth muscle (SM).
Extra pulmonary Bronchus is surrounded by a continuous plate of cartilage but intra pulmonary bronchus is surrounded by discontinuous cartilaginous plates
Outer most part of bronchus is covered by adventitia a collagen fibres rich connective tissue

Terminal bronchiole
Difference between bronchus and bronchioles are : bronchus is surrounded by cartilage and bronchiole is not surrounded by cartilage
      The smallest conducting bronchioles are referred to as terminal bronchioles
      They are lined with the simple cuboidal epi. Interspersed with clara cells
      No cartilage plates
      No glands
      No goblet cell
      Well developed and continuous  smooth muscle cells layer are  surrounded the thin lamina propria of terminal bronchiole
      Outer most part is surrounded by the adventitia 
Respiratory bronchioles
The difference between terminal and respiratory bronchiole are :
Terminal bronchiole contain continuous layer of smooth muscles cells and respiratory bronchiole contain discontinuous smooth muscle cells layer
      It is lined by simple cudoidal epithelium consisting of some ciliated cells and clara cells
      Clara cells have three functions:
  1. They produce one components of surfactant
  2. They act as a reserve cells
  3. They detoxify the noxious substances 
      Alveolar outpocketing are found in the wall of respi. bronchioles
      A thin, incomplete layer of smooth muscle surrounded the epithelium
      Each res. Bronchioles gives rise to an alveolar ducts into which open numerous alveoli.
Alveoli
      They are the site of gas exchange
      Each alveoli consists of a pocket, open at one side and surrounded by a rich network of pulmonary capillaries
      the wall between adjacent alveoli is called the alveolar septum. It is formed by two layers of alveolar epithelium with their basement membranes and capillaries. The alveolar septa contain small openings  called alvealar pores  which allow equalisation of pressure between  alveali  and provide a collateral air circulation 
Alveoli:
its epithelium is composed of type I & II alveolar cells & occasional brush cells
Type I alveolar cells/ type I pneumocytes are extremely thin squamous cells that line most (95%) of surface of the alveoli. But number of type II alveolar cells are more than the type I alveolar cells
They are not capable of cell division
         Type II pneumocytes or septal cells are secretory cells
         These are cuboidal cells
         The number of the cell is  more than the type I pneumocytes
         They retain capacity for cell division & can differentiate into type I pneumocyte
         They secrete surfactant
Surfactant: A surface-active material which reduces surface tension within the alveoli , preventing  alveolar collapse during expiration
 
         Secretion of surfactant by a type II cell. Surfactant is a protein-lipid complex synthesized in the rough endoplasmic reticulum and Golgi complex and stored in the lamellar bodies. It is continuously secreted by means of exocytosis (arrows)


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