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Definition Pertussis (Whooping Cough) is an acute disease of the respiratory tract. Found in children younger than 5 years, especially in children age 2-3 years. Cause Pertussis is caused by gram-negative Bordetella Pertussis. Clinical Overview These symptoms occur 1-2 weeks after contact with the infected person and preceded by an incubation period of 7-14 days. Typically, the disease lasts for 6 weeks or more. That is why the disease is called cough hundred days. On his way, pertussis includes several stages, namely: Kataralis which marked the onset of a mild cough, especially at night, accompanied by mild fever and runny nose. This stage lasts 1-2 weeks. In the catarrhal stage indistinguishable from that caused by a viral respiratory infection Second is the spasmodic stage lasts 2-4 weeks. Symptoms, cough more often, people with sweat, and blood vessels in the face of wide-neck. Long coughing attack usually ends with a distinctive high-pitched sound (whooping caugh) and accompanied ...

Cough Reflex Cough reflex consists of five main components, ie, cough receptors, afferent nerve fibers, central cough, nervous system and efferent effectors. A cough begins with a stimulus on cough receptor. These receptors are non-myelinated nerve fibers in the form of finely located both inside and outside the thoracic cavity. Located within the thoracic cavity, among others, contained in the larynx, trachea, bronchi and the pleura. Will decrease the number of receptors on the branches of a small bronchus, and a large number of receptors found in the larynx, trachea, carina and bronchus branching region. The receptors are also found even in the ear canal, stomach, hilum, paranasalis sinus, pericardial and diaphragm. The most important afferents exist in the branch of the vagus, which excitatory flow of the larynx, trachea, bronchus, pleura, stomach, and also stimulate the ear through the Arnold branch of n. Vagus. Trigeminal nerve stimulation of the sinus paranasalis channeling, c...

Cough Cough is a symptom of the most common disease in which the prevalence was found in about 15% in children and 20% in adults. One out of ten patients who visited the doctor's office each year has a chief complaint of cough. Coughing can cause bad feelings, sleep disorders, affecting daily activities and reduce quality of life. Cough is a complex physiological reflex that protects the lung from mechanical trauma, chemical and temperature. Coughing is also a natural defense mechanism of lung airway to keep it clean and open to the street: Prevent the entry of foreign objects into the respiratory tract. Remove foreign objects or abnormal secretions from the respiratory tract. Coughing becomes physiologically when perceived as a nuisance. Such a cough is often a sign of a disease within or outside the lungs and sometimes are the early symptoms of a disease. Cough may be very significant on the transmission of disease through the air (air-borne infection). Cough is one of the sympto...

Definitions Edema , in general, means swelling. This typically occurs when fluid from the inside of blood vessels leak out of blood vessels into surrounding tissues, causing swelling. This can occur because of too much pressure in blood vessels or there is not enough proteins in the blood stream to hold the liquid in the plasma (part of blood that does not contain any blood cells). Pulmonary Edema is the term used when edema occurs in the lungs. The area immediately outside of the small blood vessels in the lung occupied by air pockets are very small, called alveoli. This is where oxygen from the air through which blood is taken by, and carbon dioxide in the blood released into the alveoli to exhaled out. Normal alveoli have very thin walls that allow air exchange, and liquids are usually kept away from the walls of the alveoli-dindig unless it loses its integrity. Pulmonary edema is an accumulation of fluid in the lungs due to sudden increase in intravascular pressure. Pulmonary ed...

Respiratory failure is the inability of the respiratory system to maintain normal blood oxygenation (PaO 2 ), elimination of carbon dioxide (PaCO 2 ) and pH Adequate ventilation problem caused by diffusion or perfusion. Respiratory failure is inadequate gas exchange to hypoxia, hypercapnia (increased arterial carbon dioxide concentration), and acidosis. Respiratory failure occurs when the exchange of O 2 to CO 2 in the lungs can not maintain the rate of O 2 consumption and CO 2 formation in the body's cells causing pO 2 <> 2> 45 mmHg (hypercapnia) (Smeltzer, C Susane, 2001) Causes / Etiology 1. The central nervous system depression Resulting in respiratory failure due to inadequate ventilation. Respiratory centers that control breathing, located below the brain stem (pons and medulla) so slow and shallow breathing. 2. Primary neurological disorder May hamper respiratory function. Impulses arising in the respiratory center spreads through the nerves that extend from ...

Pulmonary embolism is the obstruction of one or more pulmonary artery by a thrombus originating from somewhere. (Brunner and Suddarth) Pulmonary embolism (PE) is a blockage of the main artery of the lung or one of its branches by a substance That has Travelled from elsewhere in the body through the bloodstream (embolism). (Wikipedia) Causes Most cases of pulmonary embolism according to Brunner and Suddarth caused by 1. Blood clot 2. Air bubble 3. Fat 4. Tumor cells Pulmonary Embolism (PE) Overview Causes Clinical Manifestations Pathophysiology Diagnostic Examination Investigations Complication Medical Management Clinical Manifestations The symptoms of pulmonary embolism depends on the size of the thrombus and the area of ​​the pulmonary artery is clogged by a thrombus. The symptoms may be nonspecific. Chest pain is the most common symptom and usually has a sudden onset and is pleuritic. Subternal sometimes can and can mimic angina pectoris or myocardial infarction. Dyspnea is the sec...

Atelectasis is a common acute restrictive disease occurs, include the collapse of lung tissue or lung functional unit. Atelectasis is a common problem post-surgery clients. Atelectasis is incomplete lung expansion at birth (neonatorum atelectasis) or collapse before fully developed alveoli, which are usually found in adults that is atelectasis acquired. Atelectasis is shriveling, some or all of the lung caused by blockage of the airways (bronchi and bronchioles) or by very shallow breathing. Pulmonary Atelectasis is a state or part of the lung who have developed resistance to perfect that developing lung aeration or completely filled with air. As a basic picture of atelectasis is radiologically in the lung volume reduction both lobaris, segmental or whole lung, with the consequent lack of aeration, thus giving more gloomy shadow (high density) with the withdrawal of the mediastinum towards the atelectasis, whereas the diaphragm is pulled up and broke ribs narrowed. Types of Atelecta...

Acute respiratory distress syndrome(ARDS) Overview Etiology Risk Factors Pathophysiology Clinical Manifestations Diagnostic Examination Therapeutic Management Complication Medical Management Acute respiratory distress syndrome (ARDS) or also known as Respiratory Distress Syndrome (RDS) is an immature development of the respiratory system or an inadequate amount of surfactant in the lung. RDS is said to be hyaline membrane disease (HMD). Respiratory Distress Syndrome (RDS) is the immature development of the respiratory system or an inadequate amount of surfactant in the lung. RDS is said to be hyaline membrane disease (HMD). ARDS formerly most commonly signified adult respiratory distress syndrome to differentiate it from infant respiratory distress syndrome in premature infants. However, as this type of pulmonary edema also occurs in children, ARDS has gradually shifted to mean acute rather than adult. The differences with the typical infant syndrome remain(Wikipedia) Etiology Associa...