Respiratory Pathologies

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Review of Mosby’s Pathology for Massage Therapists, 2nd edition, by Salvo and Anderson. Within the course of Dr. Johnson.

The respiratory system functions are exchange of gases, regulation of blood pH, providing sense of smell, filtration of incoming air, production of sounds, and elimination of water and heat. Pulmonary ventilation is the movement of air into and out of the lungs by way of muscle contraction and relaxation, and the elastic recoil of the alveoli. The diaphragm is the primary muscle involved with inspiration. Common cold, sinusitis, pharyngitis, larnygitis, influenza, and infectious mononucleosis are the upper respiratory tract infections discussed in this chapter. Massage is contraindicated during acute and active stages of these infections. Overviews of low respiratory tract infections of pleurisy, pneumonia, and tuberculosis are discussed. There are two types of pleurisy: wet and dry. Wet pleurisy refers to an increase in intrapleural fluids, while dry pleurisy refers to decrese in intrapleural fluids. The most common infectious disease causing death in the US in pnenumonia. Tuberculosis is a bacterial lung infection transmitted by inhalation of infected droplets. Massage should be postponed until 4 weeks after the start of treatment. The two main stages of disease are primary and secondary. Most people with primary TB are asymptomatic or the patient may experience generalized symptoms. Secondary TB can present with cough with blood sputum, high fever, night sweats, general anxiety, and shortness of breath. Chronic obstructive pulmonary diseases are characterized by obstructed airflow that worsens with exertion. The chapter overviews asthma, bronchitis, emphysema, pneumonconiosis, bronchiectasis, cystic fibrosis, and obstructive sleep apnea. Pulmonary edema and embolism are the vascular disorders discussed. Acute respiratory distress syndrome can result in multiple organ failure and death making it a medical emergency. The chapter concludes with a brief overview of hay fever.

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