Anatomy and Disorders of the Respiratory Tract

May 6, 2024

Lecture Notes on the Respiratory Tract

Summary

In this lecture by Dr. Mike, we explored the anatomy of the respiratory tract by tracing the pathway of air from inspiration in the external environment to the lungs. We distinguished between the upper and lower respiratory tracts, reviewed their respective components, and discussed their clinical significance, particularly concerning respiratory tract infections.

Major Anatomical Structures of the Respiratory Tract

Upper Respiratory Tract

  • Nasal Cavity: Entry point for inspired air.
    • Contains turbinates which are important for:
      • Filtering particulates through mucus.
      • Warming and humidifying the air for beneficial gas exchange.
  • Pharynx: Has three parts:
    1. Nasopharynx: Connected to the nasal cavity.
    2. Oropharynx: Connected to the oral cavity.
    3. Laryngopharynx: Leads to the larynx.
  • Larynx (Voice Box):
    • Contains vocal cords.
    • Characterized by the laryngeal prominence (Adam's apple).
    • Provides a pivotal role in speech and houses a secondary airway route below the prominence.

Lower Respiratory Tract

  • Trachea:
    • Supported by cartilage to prevent collapse during air passage.
    • Splits into two main stem bronchi through a bifurcation.
  • Bronchi:
    • Right bronchus is wider and more vertical (common site for inhaled objects to lodge).
  • Bronchioles:
    • Less cartilage, more muscle, allowing them to dilate or constrict (important in asthma which affects bronchioles).
  • Alveoli:
    • Site of gas exchange, with surface area roughly the size of a tennis court.
    • Oxygen enters the bloodstream, and carbon dioxide is expelled.

Clinical Significance

  • Upper Respiratory Tract Infections: Involve the nasal cavity, pharynx, and larynx.
  • Lower Respiratory Tract Infections: Affect the trachea, bronchi, bronchioles, and alveoli.
  • Asthma: A disease primarily impacting the bronchioles, involves muscle constriction leading to narrowed airways.

Additional Points

  • The lungs have different lobe arrangements:
    • Right lung: Three lobes (superior, middle, inferior).
    • Left lung: Two lobes (superior, inferior) due to the cardiac notch accommodating the heart.

This lecture provides a clear overview of the respiratory tract's anatomical features and their functional and clinical relevance, including specifics on the airflow path and various disorders related to different sections of the respiratory system.