Chapter 12 Lesson 12 3 Ventilationperfusion VQ scan

Chapter 12 Lesson 12. 3 Ventilation-perfusion (V/Q) scan Bronchioscopy Endotracheal intubation Thoracentesis Tracheostomy Journal question: Question: Jackson, age 65, comes to the doctor’s office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor use, and what specific signs would the doctor look for to pinpoint the cause? Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1

Chapter Goals Identify clinical procedures and abbreviations related to the system. Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records. Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 2

Clinical Procedures X-rays chest x-ray (CXR) Ø computed tomography (CT) scan of the chest Ø pulmonary angiography Ø Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 3

Clinical Procedures (cont’d) X-rays: Radiographic imaging Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 4

Clinical Procedures (cont’d) Magnetic resonance imaging (MRI): Magnetic waves create images Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 5

Clinical Procedures (cont’d) Radioactive Tests Positron emission tomography (PET) scan of the lung: Ø Ventilation-perfusion (V/Q) scan: inhalation of radioactive gas for imaging, followed by injection of different radioactive material for imaging Ø Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 6

Clinical Procedures (cont’d) Bronchioscopy: Fiberoptic or rigid endoscope inserted into the bronchial tubes for diagnosis, biopsy, or collection of specimens Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 7

Clinical Procedures (cont’d) Endotracheal intubation: placement of tube from mouth to trachea to establish airway Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 8

Clinical Procedures (cont’d) laryngoscopy lung biopsy mediastinoscopy pulmonary function tests (PFTs) thoracotomy thorascopy tracheostomy tuberculin test tube thoracostomy Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 9

Clinical Procedures (cont’d) Thoracentesis: surgical puncture to remove fluid from pleural space Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 10

Clinical Procedures (cont’d) Tracheostomy: Surgical creation of opening into the trachea through the neck Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 11

Review Sheet (cont’d) COMBINING FORMS Combining Form adenoid/o alveol/o bronchi/o bronchiol/o capn/o Meaning adenoids alveolus; air sac; small sac bronchial tube bronchiole carbon dioxide Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 12

Review Sheet (cont’d) COMBINING FORMS Combining Form coni/o cyan/o epiglott/o laryng/o lob/o mediastin/o Meaning dust blue epiglottis larynx (voice box) lobe mediastinum Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 13

Review Sheet (cont’d) COMBINING FORMS Combining Form nas/o orth/o ox/o pector/o pharyng/o phon/o Meaning nose straight oxygen chest throat (pharynx) voice; sound Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 14

Review Sheet (cont’d) COMBINING FORMS Combining Form phren/o pleur/o pneumon/o pulmon/o rhin/o Meaning diaphragm; mind pleura lung; air; gas lung nose Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 15

Review Sheet (cont’d) COMBINING FORMS Combining Form sinus/o spir/o tel/o thorac/o tonsill/o trache/o Meaning sinus to breathe complete chest tonsil trachea (windpipe) Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 16

Review Sheet (cont’d) SUFFIXES Suffix Meaning -ema -osmia -pnea -ptysis -sphyxia -thorax condition smell breathing spitting pulse chest; pleural cavity Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 17