Term
SIGNS AND SYMPTOMS OF RESPIRATORY DISEASE |
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Definition
COUGH DYSPNEA CYANOSIS ABNORMAL BREATH SOUNDS CLUBBING |
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Term
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Definition
REFLEX RESPONSE TO: -FOREIGN SUBSTANCE IN AIRWAY -MUCUS OR FLUIDS IN AIRWAY -IRRITATED AIRWAY ATTEMPT TO CLEAR AIRWAY |
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Term
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Definition
COUGH RAISES FLUID (SEPTUM) TO PHARYNX WHERE IT IS SWALLOWED OR REMOVED BY SPITTING (EXPECTORATION) |
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Definition
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Definition
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Definition
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Term
COUGH: NONPRODUCTIVE COUGH |
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Definition
DOES NOT PRODUCE SPUTUM ALSO CALLED HACKING COUGH OR DRY COUGH |
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Term
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Definition
SUBJECTIVE SENSATION OF UNCOMFORTABLE BREATHING AND SHORTNESS OF BREATH |
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Term
DYSPNEA: CAUSES (AIRWAY OBSTRUCTION) |
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Definition
AIRWAY OBSTRUCTION: NARROWING OF AIRWAYS, EX: ASTHMA MUCUS ACCUMULATION: EX: CHRONIC BRONCHITIS (RESULTS IN WHEEZING. |
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Term
DYSPNEA: CAUSES (DECREASED LUNG COMPLIANCE) |
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Definition
COMPLIANCE IS THE ABILITY OF LUNGS TO EXPAND
DECREASED LUNG COMPLIANCE MEANS LUNGS ARE STIFFER (COLLAPSED LUNG, FIBROSIS, PNEUMONIA,EDEMA) |
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Term
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Definition
-BLUISH DISCOLORATION OF SKIN, MUCUS MEMBRANES CAUSED BY DECREASING AMT OF OXYGEN BOUND TO HEMOGLOBIN -HEMOGLOBIN SATURATED WITH OXYGEN IS BRIGHT RED, AS IT LOSES OXYGEN, IT BECOMES DARKER RED. OPTICAL PROPERTIES OF THE SKIN CHANGE COLOR OF DEOXYGENATED HEMOGLOBIN TO BLUE |
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Term
ABNORMAL BREATHING SOUNDS |
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Definition
-DIMINISHED OR ABSENT BREATH SOUNDS -WHEEZING -STRIDOR |
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Term
ABNORMAL BREATHING SOUNDS: DIMINISHED OR ABSENT BREATH SOUNDS |
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Definition
-DUE TO DECREASED MOVEMENT OF AIR INTO AND OUT OF LUNGS -CAUSED BY: AIR OR FLUID IN OR AROUND LUNGS OVER INFLATION OF LUNGS REDUCED AIRFLOW TO PART OF LUNGS |
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Term
ABNORMAL BREATHING SOUNDS: WHEEZING |
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Definition
HIGH PITCHED, MUSICAL, VARIABLE BREATHING SOUND HEARD MOSTLY ON EXPIRATION. CAUSED BY AIR FLOWING THRU NARROW OR IRREGULAR AIRWAYS. EX: ASTHMA |
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Term
ABNORMAL BREATHING SOUNDS: STRIDOR |
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Definition
-TYPE OF WHEEZING -SHORT CROWING SOUND HEARD DURING INSPIRATION AND EXPIRATION -CAUSED BY NARROWING OF LARYNX OR AIRWAYS BELOW GLOTTIS MOST OFTEN CAUSED BY VIRAL/BACTERIAL INFECTIONS CAUSING EPIGLOTTIS OR LARYNGITIS |
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Term
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Definition
DEFORMITY OF NAILS OBSERVED IN LUNG, HEART AND GI DISEASES |
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Term
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Definition
-SPIROMETRY -DIFFUSING CAPACITY -ARTERIAL BLOOD GASES |
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Term
PULMONARY FUNCTION TEST: SPIROMETRY |
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Definition
MEASURES LUNG VOLUMES AND ABILITY TO MOVE AIR INTO AND OUT OF LUNG. USED TO DETERMINE IF PATIENT HAS OBSTRUCTIVE OR RESTRICTIVE RESPIRATORY DISEASE. -FORCED VITAL CAPACITY: TOTAL VOLUME OF FORCIBLY EXPIRED AIR -FEV1 FORCED EXPIRATORY VOLUME IN FIRST 1 SEC OF EXPIRATION |
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Term
PULMONARY FUNCTION TEST: DIFFUSING CAPACITY |
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Definition
INDICATES STATUS OF RESPIRATORY MEMBRANE |
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Term
PULMONARY FUNCTION TEST: ARTERIAL BLOOD GASES |
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Definition
MEASURES p02 AND pC02 OF ARTERIAL BLOOD |
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Term
ABNORMAL BREATHING PATTERNS |
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Definition
-MAY BE A SIGN OF PULMONARY DISEASE |
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Term
BREATHING PATTERNS: EUPNEA |
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Definition
-NORMAL BREATHING -8-16 BREATHS PER MIN -400-800 ML W/ SHORT RESPIRATORY PAUSE |
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Term
BREATHING PATTERNS: TACHYPNEA |
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Definition
INCREASED BREATHING RATE (NOT TIDAL VOLUME) |
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Term
BREATHING PATTERNS: BRADYPNEA |
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Definition
DECREASED BREATHING RATE (NOT TIDAL VOLUME) |
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Term
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Definition
-CESSATION OF BREATHING -NO CHANGE IN RESPIRATORY MUSCLES OR CHANGE IN LUNG VOLUME -MAY BE VOLUNTARY, DUE TO TRAUMA OR NEUROLOGICAL DISEASE |
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Term
BREATHING PATTERNS: HYPERPNEA |
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Definition
-INCREASED MINUTE VENTILATION -MOVES AIR TO MEET METABOLIC DEMANDS, OCCURS WITH STRENUOUS EXERCISE OR METABOLIC ACIDOSIS -KUSSMAUL RESPIRATIONS: OCCURS WITH DIABETIC KETOACIDOSIS |
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Term
BREATHING PATTERNS: CHEYNE-STOKES RESPIRATIONS |
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Definition
ABNORMAL BREATHING -ALTERNATING PERIODS OF DEEP AND SHALLOW BREATHING -APNEA LASTING 15 TO 60 SECONDS FOLLOWED BY INCREASED IN TIDAL VOLUME UNTIL PEAK IS REACHED. THEN TIDAL VOLUME DECREASES TO APNEA. |
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Term
BREATHING PATTERNS: HYPOVENTILATION |
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Definition
-DECREASED MINUTE VOLUME -MINUTE VOL. NOT HIGH ENOUGH TO REMOVE CARBON DIOXIDE AT THE SAME RATE IT IS PRODUCED. CAN RESULT IN HYPERCPNIA. -OCCURS AS A RESULT OF DEPRESSED RESPIRATORY DRIVE; DRUG OVERDOSE, OBESITY, NEUROLOGICAL DISORDERS OR COPD. |
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Term
BREATHING PATTERNS: HYPOVENTILATION (HYPERCAPNIA) |
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Definition
PCO2 ABOVE 44 mm Hg. (NORMAL PCO2 IS 40 mm Hg) CAUSED BY DECREASED AIR EXCHANGE IN ALVEOLI DUE TO EITHER DECREASED RESPIRATORY RATE OR DECREASED AIR FLOW IN THE ALVEOLI. RESULTS IN RESPIRATORY ACIDOSIS. |
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Term
BREATHING PATTERNS: HYPERVENTILATION |
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Definition
-INCREASED MINUTE VOLUME, MOVES MORE AIR THAN NORMAL. -CARBON DIOXIDE REMOVED FASTER THAN IT IS PRODUCED. -CAN RESULT IN HYPOCAPNIA -HYPERVENTILATION CAN OCCUR AS A RESULT OF ANXIETY, RESPIRATORY DISEASE, HEAD INJURY OR STROKE. -OCCURS INDEPENDENT OF METABOLIC ACIDOSIS. |
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Term
BREATHING PATTERNS: HYPERVENTILATION (HYPOCAPNEA) |
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Definition
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Term
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Definition
REDUCED OXYGENATION OF ARTERIAL BLOOD. CAN LEAD TO TISSUE HYPOXIA |
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Term
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Definition
DECREASED OXYGEN LEVELS IN TISSUES. |
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Term
VENTILATION PERFUSION: RESULTS OF |
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Definition
VENTILATION PERFUSION ABNORMALITIES CAN RESULT IN HYPOXEMIA |
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Term
VENTILATION PERFUSION ABNORMALITIES: DUE TO HYPOPERFUSION |
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Definition
DECREASED PERFUSION OF PULMONARY CAPILLARIES |
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Term
VENTILATION PERFUSION ABNORMALITIES: DUE TO DECREASED OXYGEN DELIVERY TO ALVEOLI |
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Definition
CAUSES INCLUDE: HYPOVENTILATION (DECREASED VENTILATION) DECREASED OXYGEN CONTENT OF INSPIRED AIR (HIGH ALTITUDE) |
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Term
VENTILATION PERFUSION ABNORMALITIES: DUE TO DECREASED DIFFUSION OF OXYGEN |
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Definition
CAUSES INCLUDE: INCREASED DIFFUSION DISTANCE ACROSS ALVEOLI WALL FLI=UID IN ALVEOLI (PULMONARY EDEMA, PNEUMONIA) AND FIBROSIS (FIBROUS LESIONS IN LUNG) DECREASED SURFACE AREA FOR DIFFUSION (DECREASED SURFACE AREA AS IN EMPHYSEMA) |
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Term
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Definition
LESS OXYGEN ENTERING BLOOD, LESS CARBON DIOXIDE LEAVING BLOOD |
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Term
HYPOPERFUSION: COMMON CAUSES |
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Definition
PULMONARY HYPERTENSION INCREASES AFTERLOAD OF RIGHT VENTRICLE WHICH HAMPERS ABILITY OF R. VENTRICLE TO EJECT BLOOD INTO PULMONARY TRUNK |
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Term
HYPOPERFUSION: CAUSES OF HYPERTENSION |
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Definition
-HEART FAILURE (RIGHT FAILURE DIRECTLY CAUSES HYPOPERFUSION) -THROMBOEMBOLISM -REDUCED VENTILATION |
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Term
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Definition
-OBSTRUCTIVE LUNG DISEASE -RESTRICTIVE LUNG DISEASE |
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Term
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Definition
RESPIRATORY DISORDER CHARACTERIZED BY CHRONIC OBSTRUCTION OF AIRWAYS RESULTING IN HYPOVENTILATION |
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Term
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Definition
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Term
COPD: CAUSES OF OBSTRUCTION |
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Definition
-CHRONIC BRONCHITIS -ASTHMA -EMPHYSEMA |
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Term
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Definition
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Term
COPD: 4TH LEADING CAUSE OF DEATH IN US |
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Definition
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Term
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Definition
-CHRONIC OBSTRUCTIVE BRONCHITIS -EMPHYSEMA -ATHSMA -BRONCHIECTASIS |
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Term
CHRONIC BRONCHITIS: CAUSED BY |
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Definition
-OBSTRUCTION OF SMALL AIRWAYS DUE TO HYPERSECRETION OF MUCUS |
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Term
CHRONIC BRONCHITIS: HYPERSECRETION OF MUCUS CAUSED BY |
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Definition
-INCREASE IN GOBLET CELLS -SUBMUCOSAL HYPERTROPHY (METAPLASTIC CHANGE AGAINST TOBACCO SMOKE) |
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Term
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Definition
THICK MUCUS CAUSES PRODUCTIVE COUGH AND INCREASES RISK OF VIRAL AND BACTERIAL INFECTIONS |
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Term
PATIENTS WITH CHRONIC BRONCHITIS ARE ALSO CALLED: |
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Definition
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Term
CHRONIC BRONCHITIS: CHAIN OF EVENTS |
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Definition
DIFFICULTY BREATHING HYPOXEMIA HYPOXIA IN KIDNEYS KIDNEYS INCREASE ERYTHROPOIETIN RBC PRODUCTION INCREASES POLYCYTHEMIA RAISES CLOT RISK |
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Term
CHRONIC BRONCHITIS: SIGNS AND SYMPTOMS |
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Definition
-SMOKING HISTORY -SHORTNESS OF BREATH -PRODUCTIVE COUGH -CYANOSIS DUE TO HYPOXIA -HYPERCAPNIA -PERIPHERAL EDEMA -POLYCYTHEMIA -COR PULMONALE |
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Term
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Definition
BREAKDOWN OF ELASTIN AND COLLAGEN FIBERS IN ALVEOLAR WALL |
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Term
EMPHYSEMA: CAUSES OF AIR TRAPPING |
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Definition
-HYPERINFLATION OF LUNGS -BARREL-SHAPED CHEST -HYPOVENTILATION |
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Term
EMPHYSEMA: HOW PATIENTS MAINTAIN OXYGEN AND CARBON DIOXIDE LEVELS |
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Definition
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Term
EMPHYSEMA: CAUSE OF INCREASED RESPIRATORY EFFORT |
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Definition
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Term
EMPHYSEMA: PATIENTS ALSO CALLED |
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Definition
PINK PUFFERS (PINK SKIN, PURSED LIP) |
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Term
EMPHYSEMA: SIGNS AND SYMPTOMS |
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Definition
-SMOKING HISTORY -BARREL CHEST -SEVERE WEIGHT LOSS IN ADVANCED CASES -DECREASED BREATH SOUNDS -NORMAL BLOOD GASES |
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Term
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Definition
-HISTORY AND PHYSICAL EXAM -PULMONARY FUNCTION TEST -CHEST RADIOGRAPHS -LABORATORY TESTS |
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Term
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Definition
-SMOKING CESSATION SLOWS PROGRESSION OF DISEASE -USE OF BRONCHODIALATORS AND OXYGEN THERAPY -IF GIVING OXYGEN THERAPY, IMPORTANT TO MAINTIN OXYGEN FLOW (BLOOD PO2 BETWEEN 60-60 MMHG). |
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Term
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Definition
-NORMALLY DUE TO INCREASING LEVELS OF CARBON DIOXIDE IN BLOOD -IF ARETRIAL PCO2 LEVELS ARE CHRONICALLY HIGH, THEN CHEMORECEPTORS BECOME INSENSITIVE TO ARTERIAL PCO2 AND THIS BECOMES RESPONSIBLE RESPIRATORY DRIVE |
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Term
BRONCHIAL ASTHMA: DEFINITION |
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Definition
-CHRONIC INFLAMMATORY AIRWAY DISORDER THAT CAUSES AIRWAY OBSTRUCTION. AIRWAY OBSTRUCTION IS REVERSIBLE |
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Term
BRONCHIAL ASTHMA: INITIATED BY |
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Definition
-ALLERGIC REACTION -RESPIRATORY TRACT INFECTION -EXERCISE -COLD AIR -EMOTIONAL RESPONSE -EXPOSURE TO BRONCHIAL IRRITANT |
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Term
BRONCHIAL ASTHMA MAST CELLS |
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Definition
-PEOPLE WHO DEVELOP ASTHMA MAY HAVE MORE MAST CELLS THAT RELEASE HISTAMINE |
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Term
BRONCHIAL ASTHMA; AIRWAY OBSTRUCTION |
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Definition
-CAUSED BY BRONCHOSPASM, MUCUS EDEMA AND MUCUS PLUG -EXPIRATION BECOMES PROLONGED BECAUSE OF AIRWAY OBSTRUCTION |
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Term
BRONCHIAL ASTHMA: SIGNS AND SYMPTOMS |
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Definition
-INCREASE IN RESPIRATORY RATE -WHEEZING -DISTANT BREATH SOUNDS -SEVERE DYSPNEA -BREATH SOUNDS BECOME INAUDIBLE -ONSET OF RESPIRATORY FAILURE -CHEST TIGHTNESS -FATIGUE -ANXIETY |
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Term
BRONCHIAL ASTHMA: DIAGNOSIS |
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Definition
-PULMONARY FUNCTION TESTS |
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Term
BRONCHIAL ASTHMA: TREATMENT |
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Definition
-PREVENTING EXPOSURE TO ALLERGENS -PHARMACOLOGICAL TREATMENT |
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Term
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Definition
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Term
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Definition
-INFECTION AND INFLAMMATION DESTROY SMOOTH MUSCLE IN AIRWAYS |
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Term
CYSTIC FIBROSIS: DEFINITION |
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Definition
-MAJOR CAUSE OF SEVERE CHRONIC RESPIRATORY DISEASE IN CHILDREN |
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Term
CYSTIC FIBROSIS: CAUSED BY: |
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Definition
-HIGH CONCENTRATIONS OF NACL -LESS NA+ AND WATER OBSTRUCTS AIRWAYS AND PREDISPOSES TO LUNG INFECTION, OBSTRUCTS PANCREATIC AND BILIARY DUCTS |
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Term
CYSTIC FIBROSIS: SIGNS AND SYMPTOMS. |
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Definition
-DELAYED GROWTH AND DEVELOPMENT -FREQUENT RESPIRATORY PROBLEMS -GASTROINTESTINAL SYMPTOMS |
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Term
EXTRINSIC RESTRICTIVE LUNG DISEASE |
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Definition
-DEFECTIVE THORACIC FRAMEWORK CAUSED BY TRAUMA OR CONGENITAL MALFORMATION |
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Term
EXTRINSIC RESTRICTIVE LUNG DISEASE: SYMPTOMS |
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Definition
-RESPIRATORY MUSCLE WEAKNESS DOES NOT RESULT IN ENOUGH THORACIC CAGE EXPANSION TO RESULT IN ADEQUATE VENTILATION -NEURAL AND NEUROMUSCULAR DEFECTS RESULT IN DECREASED RESPIRATORY STIMULUS (EX POLIOMYELITIS, ALS, BOTULISM) |
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Term
INTRINSIC RESTRICTIVE LUNG DISEASE |
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Definition
-ACUTE RESPIRATORY DISTRESS SYNDROME |
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Term
CHRONIC INTRINSIC RESTRICTIVE LUNG DISEASE |
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Definition
-LUNG STIFFNESS DEVELOPS OVER TIME -DUST PARTICLES AND INFECTIONS ARE MAIN CAUSES |
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Term
ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) |
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Definition
-ACUTE DEVELOPMENT OF PULMONARY EDEMA (EXUDATE ENTERS ALVEOLI) |
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Term
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Definition
-RESPIRATORY FAILURE -MULTIPLE ORGAN FAILURE |
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Term
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Definition
-SUPPORT UNTIL CAUSES ARE REVERSED AND LUNGS HEAL |
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Term
RESPIRATORY FAILURE: MANIFESTATION |
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Definition
-HYPOXEMIA AND HYPERCAPNIA |
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Term
RESPIRATORY FAILURE: ACUTE CUASES |
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Definition
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Term
RESPIRATORY FAILURE: CHRONIC CAUSES |
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Definition
-PROGRESSIVE HYPOVENTILATION DUE TO AIRWAY OBSTRUCTION |
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Term
RESPIRATORY FAILURE: CHRONIC HYPOXEMIA RESULTS |
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Definition
-MEMORYLOSS -VISUAL IMPAIRMENT -DROWSINESS -INTRACRANIAL PRESSURE (HEADACHE) |
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Term
RESPIRATORY FAILURE: HYPERCAPNIA RESULTS |
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Definition
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Term
RESPIRATORY FAILURE: PATTERNS |
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Definition
-PO2 AT OR BELOW 60MM HG -NERVOUS SYSTEM SYMPTOMS (HEADACHE AND AGITATION) -IF PO2 CONTINUES TO DECLINE, WIDESPREAD TISSUE DAMAGE OCCURS |
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Term
RESPIRATORY FAILURE: CAUSES |
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Definition
-HYPOVENTILATION -VENTILATION/PERFUSION MISMATCHING -IMPAIRED DIFFUSION OF OXYGEN ACROSS ALVEOLAR CAPILLARY WALL. |
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Term
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Definition
-AIR ENTERING AIRWAYS INFLATES LUNG -NEGATIVE PRESSURE IN PLEURAL CAVITY PREVENTS LUNGS FROM |
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Term
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Definition
-AFFECT ABILITY OF LUNGS TO INFLATE |
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Term
LUNG INFLATION DISORDERS: PNEUMOTHORAX |
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Definition
-AIR ENTERS PLEURAL CAVITY |
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Term
LUNG INFLATION DISORDERS: ATELECTASIS |
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Definition
-COLLAPSE OR PART OR ALL OF LUNG. |
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Term
LUNG INFLATION DISORDERS: PLEURAL EFFUSION |
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Definition
-ACCUMULATION OF FLUID IN INTRAPLEURAL SPACE COMPRESSES LUNG (USUALLY RESULT OF PLEURISY) |
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Term
PNEUMOTHORAX: SIGNS AND SYMPTOMS |
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Definition
-INCREASED RESPIRATORY RATE -INCREASED HEART RATE -BREATH SOUNDS ABSENT -ASYMMETRY OF CHEST MOVEMENT -DYSPNEA -CHEST PAIN
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Term
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Definition
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Term
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Definition
-SPONTANEOUS: MAY HEAL ON ITS OWN,IF LARGE, NEEDLE ASPIRATION MAY BE USED, SUPPLEMENTAL OXYGEN IF NEEDED -TRAUMATIC;SURGERY REQUIRED |
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Term
ATELECTASIS: SIGNS AND SYMPTOMS |
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Definition
-TACHYPNEA -TACHYCARDIA -CYANOSIS -ABSENCE OF BREATH SOUNDS -DECREASED CHEST EXPANSION OVER AFFECTED AREA. -DYSPNEA -CHEST PAIN |
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Term
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Definition
-INFLAMMATION OF PLEURA USUALLY DUE TO AN INFECTION |
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Term
PLEURISY: PLEURAL EFFUSION |
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Definition
-EXCESS FLUID THAT BUILDS UP IN LUNG |
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Term
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Definition
-MINIMAL PLEURAL EFFUSION FORMED |
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Term
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Definition
-TRANSUDATE -EXUDATE -EMPYEMA -HEMOTHORAX -CHYLOTHORAX |
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Term
PLEURALEFFUSIONS: TRANSUDATE |
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Definition
-PROTEIN POOR FLUID THAT IS FORMED AS A RESULT OF INCREASED HYDROSTATIC PRESSURE -MOST COMMON CAUSE IS CONGESTIVE HEART FAILURE |
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Term
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Definition
-PROTEIN-RICH FLUID PRODUCED AS A RESULT OF INFLAMMATION OF PLEURAL MEMBRANES -CUASES INCLUDE INFLAMMATORY DISEASES, MALIGNANCIES EXPOSURE TO ASBESTOS |
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Term
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Definition
-FLUID WITH PUS -MOST COMMON CAUSE IS BACTERIAL PNEUMONIA. |
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Term
PLEURAL EFFUSIONS: HEMOTHORAX |
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Definition
-PRESNECE OF BLOOD IN PLEURAL CAVITY -MOST COMMON CAUSE IS TRAUMA |
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Term
PLEURAL EFFUSIONS: CHYLOTHORAX |
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Definition
-PRESENCE OF MILKY FLUID -MOST COMMON CAUSE IS TRAUMA |
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Term
PLEURAL EFFUSION: SIGNS AND SYMPTOMS |
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Definition
-DULLNESS OR FLATNESS TO PERCUSSION OF CHEST -DIMINISHED BREATH SOUNDS |
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Term
PLEURAL EFFUSION: SYMPTOMS |
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Definition
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Term
PLEURAL EFFUSION: DIAGNOSIS |
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Definition
-XRAY, ULTRASOUND, CT -THORACENTESIS (ASPIRATION OF FLUID FROM PLEURAL CAVITY) |
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Term
PLEURAL EFFUSION: TREATMENT |
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Definition
-TREAT CAUSE -DRAIN FLUID FROM PLEURAL CAVITY |
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