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Chapter 11

                  will be necessary.


            Otitis Media
                  Otitis media in an infection of the middle ear. Even though the middle ear is not part of the
                  respiratory tract, it is discussed here because it is often a complication seen in children who has a
                  nasal infection. The infection can be spread by way of the 'auditory (Eustachian) tube that leads
                  form the nasopharynx to the middle ear. The main symptom is usually pain. Sometimes though,
                  vertigo, hearing loss, and dizziness may be present. Antibiotics can be prescribed and tubes are
                  placed in the eardrum to prevent the buildup of pressure in the middle ear and the possibility of
                  hearing loss.

            Tonsillitis
                  Tonsillitis occurs when the tonsils become swollen and inflamed. The tonsils located in the
                  posterior wall of the nasopharynx are often referred to as adenoids. If you suffer from tonsillitis
                  frequently and breathing becomes difficult, they can be removed surgically in a procedure called
                  a tonsillectomy.


            Laryngitis
                  An infection of the larynx is called laryngitis. It is accompanied by hoarseness and being unable
                  to speak in an audible voice. Usually, laryngitis disappears with treatment of the URI. Persistent
                  hoarseness without a URI is a warning sign of cancer, and should be checked into by your
                  physician.



            Lower Respiratory Tract Disorders


                 Lower respiratory tract disorders include infections, restrictive pulmonary disorders, obstructive
            pulmonary disorders, and lung cancer.



            Lower Respiratory Infections

            Acute bronchitis
                  An infection that is located in the primary and secondary bronchi is called bronchitis. Most of the
                  time, it is preceded by a viral URI that led to a secondary bacterial infection. Usually, a
                  nonproductive cough turns into a deep cough that will expectorate mucus and sometimes pus.
            Pneumonia
                  A bacterial or viral infection in the lungs where the bronchi and the alveoli fill with a thick fluid.
                  Usually it is preceded by influenza. Symptoms of pneumonia include high fever & chills, with
                  headache and chest pain. Pneumonia can be located in several lobules of the lung and obviously,
                  the more lobules involved, the more serious the infection. It can be caused by a bacteria that is
                  usually held in check, but due to stress or reduced immunity has gained the upper hand.



            Restrictive Pulmonary Disorders


            Pulmonary Fibrosis
                  Vital capacity is reduced in these types of disorders because the lungs have lost their elasticity.
                  Inhaling particles such as sand, asbestos, coal dust, or fiberglass can lead to pulmonary fibrosis,


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