Adsdsdwqeqqasdasdafasfzxczxczxczc: Pathophysiology

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adsdsdwqeqqasdasdafasfzxczxczxczc

Microorganism
PATHOPHYSIOLOGY

Hematogenous spread Direct inhalation Aspiration from URTI Contiguous extension


(ex. Tricuspid endocarditis) from an infected
pleura or mediastinum

Defense mechanism
Goblet cells produce
mucus containing Mucociliary clearance Cough reflex Gag reflex
lysozome and IgA

Eliminates via Macrophage


mucociliary elevators Alveolar macrophage
kills the bacteria

Alveolar macrophage +
Cough
Complement antibodies +
surfactand prodtein A and D

Host inflammatory response

IL 8 and granulocyte Release of inflammatory


Fever
colony-stimulating factor mediators

Alveolar capillary leak


Stimulate neutrophil release Rales/Crackles
(GRAY hepatization)
Exudate in Alveoli
Infiltrates on
Chest X-ray
Erythrocyte in
Peripheral leukocytosis and intraalveolar exudates Hemoptysis
inc. purulent secretions (RED hepatization)

Dec. lung compliance


Dyspnea
VQ mismatch Inc. respiratory drive Tachypnea

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