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Introduction

• Difference of Destructive Explained
• Information on Office Start
• Mention of Fake Mark Sheets

Key Points

1. Four Main Things in Mind

   • Importance of Terminal Bronchiole
   • Location of Respiratory Bronchiole
   • Description of Respiratory Units

2. Emphysema Responsibility

   • Condition of Permanent Enlargement
   • Relationship with Chronic Bronchitis
   • Destruction begins without Fibrosis
   • Absence of Fibrosis

3. Classification

   • Division Based on Anatomical and Chemical Basis
   • Comparison of Centrilobular and Panlobular
   • Study of Digital Lobular

Pathogenesis and Histological Changes

• Study of Progression
• Understanding of Clinical Presentation
• Diagnosis and Treatment Plan

Specificity

1. Centrilobular

   • More Impact in the Proximal Portion
   • More Common with Smoking

2. Panlobular

   • Both Proximal and Distal Portions Affected
   • Mostly Low Position People Affected

3. Digital Lobular

   • More Impact in the Distal Portion
   • More Common after Diseases like New Mumps

4. Irregular Emphysema

   • Curiosity with Inflammatory Response
   • Potential Connection to Other Factors

Conclusion

• Major Difference between Centrilobular and Panlobular
• Need for Diagnosis and Treatment
• Prevalence and Understanding of Emphysema