Respiratory and Pulmonary Terminology: Complete Guide to Lung and Breathing Terms
Respiratory and pulmonary terminology provides the specialized vocabulary that enables healthcare professionals throughout Dubai’s world-class medical facilities to communicate precisely about the lungs and breathing, from the fundamental concepts of pulmonary anatomy and physiology to the sophisticated terminology of lung diseases, respiratory failure, and pulmonary function testing. Respiratory diseases represent a significant burden of illness globally and in the UAE, with asthma, chronic obstructive pulmonary disease, respiratory infections, and lung cancer affecting millions of patients. Understanding this terminology empowers patients to engage meaningfully in discussions about their respiratory health, appreciate the rationale for diagnostic tests and treatments, and make informed decisions about managing chronic lung conditions. Whether you are a healthcare professional refining your understanding, a patient managing asthma or COPD, or a family member supporting a loved one through respiratory illness, this comprehensive glossary provides the foundation for understanding the language of pulmonary medicine used in Dubai’s hospitals, clinics, and respiratory care centers.
The landscape of respiratory medicine has transformed dramatically with advances in inhaled therapy, bronchodilators, biologic agents for severe asthma, lung cancer screening, and sleep medicine. Dubai’s healthcare infrastructure reflects these advances, with specialized respiratory centers, pulmonary function laboratories, sleep disorder units, and comprehensive lung cancer programs. Understanding respiratory terminology helps patients navigate this sophisticated landscape, appreciate the rationale for pulmonary function tests and imaging studies, and engage actively in managing their lung health. The terms presented in this glossary represent the essential vocabulary for understanding pulmonary anatomy, respiratory physiology, pulmonary diseases, and respiratory treatments.
Pulmonary Anatomy and Airway Terminology
Pulmonary anatomy terminology describes the structures of the respiratory system, from the nose to the alveoli. Understanding pulmonary anatomy helps patients appreciate how oxygen enters the bloodstream and how disease affects this process.
Upper Airway includes the nose, nasal cavity, pharynx, and larynx, responsible for filtering, warming, and humidifying inspired air. Understanding the upper airway helps patients appreciate why nasal breathing is important and how upper respiratory infections affect breathing.
Nose is the primary entrance for inspired air, containing turbinates that increase surface area for warming and humidification. Understanding the nose helps patients appreciate nasal breathing and sinus function.
Nasal Cavity is the space behind the nose, lined with mucous membrane and cilia that filter and clean inspired air. Understanding the nasal cavity helps patients appreciate nasal function and the importance of nasal breathing.
Pharynx (Throat) is the passage connecting the nasal cavity to the larynx, serving both respiratory and digestive systems. Understanding the pharynx helps patients appreciate throat anatomy and conditions like pharyngitis.
Larynx (Voice Box) contains the vocal cords and serves as the gateway to the lower airway. Understanding the larynx helps patients appreciate voice production and laryngeal anatomy.
Trachea (Windpipe) is the cartilaginous tube connecting the larynx to the bronchi, lined with ciliated epithelium that clears mucus and particles. Understanding the trachea helps patients appreciate the airway and why tracheostomy is performed.
Bronchi are the airways branching from the trachea into each lung, further dividing into smaller bronchi. Understanding bronchi helps patients appreciate airway anatomy and bronchial inflammation.
Bronchioles are the small airways (<1mm diameter) lacking cartilage, leading to alveolar ducts. Understanding bronchioles helps patients appreciate where bronchoconstriction occurs in asthma.
Terminal Bronchioles are the smallest airways (0.5mm) without alveoli, representing the end of the conducting zone. Understanding terminal bronchioles helps patients appreciate the transition from conducting to respiratory zone.
Respiratory Bronchioles are bronchioles with scattered alveoli in their walls, beginning the respiratory zone where gas exchange occurs. Understanding respiratory bronchioles helps patients appreciate the beginning of gas exchange.
Alveolar Ducts are passageways lined with alveoli that connect respiratory bronchioles to alveolar sacs. Understanding alveolar ducts helps patients appreciate alveolar organization.
Alveoli are the tiny air sacs (300-500 million in lungs) where gas exchange occurs across the alveolar-capillary membrane. Understanding alveoli helps patients appreciate the site of oxygen uptake and carbon dioxide elimination.
Alveolar-Capillary Membrane is the barrier between alveolar air and pulmonary capillary blood, consisting of alveolar epithelium, basement membrane, and capillary endothelium. Understanding this membrane helps patients appreciate how gas exchange occurs and why it is disrupted in disease.
Pleura is the double-layered membrane surrounding the lungs (visceral pleura on lung surface, parietal pleura on chest wall), with pleural space containing a thin layer of fluid. Understanding the pleura helps patients appreciate pleurisy and pleural effusions.
Respiratory Physiology Terminology
Respiratory physiology terminology describes the processes of ventilation, diffusion, and gas exchange that sustain life. Understanding pulmonary physiology helps patients appreciate how breathing works and what goes wrong in lung disease.
Ventilation is the movement of air in and out of the lungs, driven by pressure gradients created by respiratory muscle contraction. Understanding ventilation helps patients appreciate the mechanical process of breathing.
Perfusion is blood flow through the pulmonary capillaries, matching ventilation for efficient gas exchange. Understanding perfusion helps patients appreciate the vascular component of respiration.
Ventilation-Perfusion (V/Q) Matching is the relationship between ventilation and perfusion in different lung regions, optimal when both are well-matched. Understanding V/Q helps patients appreciate why some lung regions oxygenate blood better than others.
V/Q Mismatch is mismatch between ventilation and perfusion, the most common cause of hypoxemia in lung disease. Understanding V/Q mismatch helps patients appreciate why lung disease causes low oxygen.
Dead Space is the portion of each breath that does not participate in gas exchange, including anatomical dead space (airways) and physiological dead space (alveoli without perfusion). Understanding dead space helps patients appreciate ventilation inefficiency.
Shunt is blood flowing through lungs without participating in gas exchange, caused by perfusion of non-ventilated alveoli. Understanding shunt helps patients appreciate the most severe form of V/Q abnormality.
Diffusion is the movement of gases across the alveolar-capillary membrane from higher to lower partial pressure. Understanding diffusion helps patients appreciate how oxygen enters and carbon dioxide leaves the blood.
Diffusion Capacity (DLCO) measures how well gases transfer across the alveolar-capillary membrane, reduced in interstitial lung disease and emphysema. Understanding DLCO helps patients appreciate gas exchange testing.
Partial Pressure is the pressure exerted by a gas in a mixture, determining the direction of gas movement. Understanding partial pressure helps patients appreciate the driving force for gas exchange.
Oxygen Saturation is the percentage of hemoglobin bound to oxygen, measured by pulse oximetry. Understanding oxygen saturation helps patients appreciate the measure of oxygenation.
Hypoxemia is low arterial oxygen levels, causing tissue hypoxia if severe. Understanding hypoxemia helps patients appreciate low oxygen states and when supplemental oxygen is needed.
Hypercapnia is elevated arterial carbon dioxide levels, resulting from hypoventilation or V/Q mismatch. Understanding hypercapnia helps patients appreciate carbon dioxide retention and respiratory failure.
Hypoxia is low tissue oxygenation, which may result from hypoxemia, anemia, poor perfusion, or cellular dysfunction. Understanding hypoxia helps patients appreciate tissue oxygen delivery.
Dyspnea is the subjective sensation of difficult or labored breathing, the most common symptom of respiratory disease. Understanding dyspnea helps patients recognize and describe breathing difficulty.
Orthopnea is dyspnea when lying flat, relieved by sitting up, seen in heart failure and severe COPD. Understanding orthopnea helps patients recognize positional breathing difficulty.
Paroxysmal Nocturnal Dyspnea (PND) is sudden dyspnea awakening the patient from sleep, typically from pulmonary edema. Understanding PND helps patients recognize severe breathing difficulty.
Pulmonary Function Test Terminology
Pulmonary function test (PFT) terminology describes the specialized vocabulary of lung function testing, essential for diagnosing and monitoring respiratory disease. Understanding PFT terminology helps patients interpret their test results.
Spirometry is the most common pulmonary function test, measuring lung volumes and airflow rates during forced breathing maneuvers. Understanding spirometry helps patients appreciate the fundamental test of lung function.
Forced Vital Capacity (FVC) is the maximum amount of air that can be forcibly exhaled after maximal inspiration. Understanding FVC helps patients appreciate total exhaled volume.
Forced Expiratory Volume in One Second (FEV1) is the amount of air exhaled in the first second of the FVC maneuver. Understanding FEV1 helps patients appreciate airflow measurement.
FEV1/FVC Ratio is the ratio of FEV1 to FVC, the key parameter for distinguishing obstructive from restrictive patterns. Understanding the ratio helps patients interpret spirometry results.
Obstructive Pattern is reduced FEV1/FVC ratio with normal or increased FVC, caused by airway narrowing (asthma, COPD, bronchiectasis). Understanding obstructive pattern helps patients appreciate airway disease.
Restrictive Pattern is reduced FVC with normal or increased FEV1/FVC ratio, caused by reduced lung or chest wall compliance. Understanding restrictive pattern helps patients appreciate lung expansion problems.
Peak Expiratory Flow (PEF) is the maximum flow rate during forced exhalation, useful for asthma monitoring. Understanding PEF helps patients appreciate peak flow monitoring.
Total Lung Capacity (TLC) is the maximum volume of air in the lungs after maximal inspiration, measured by body plethysmography or gas dilution. Understanding TLC helps patients appreciate total lung volume.
Vital Capacity (VC) is the maximum amount of air that can be exhaled after maximal inspiration (not forced). Understanding VC helps patients appreciate lung volume measurement.
Residual Volume (RV) is the amount of air remaining in the lungs after maximal exhalation, cannot be exhaled. Understanding RV helps patients appreciate air trapping.
Functional Residual Capacity (FRC) is the amount of air in the lungs at end-expiration, the resting lung volume. Understanding FRC helps patients appreciate resting lung volume.
Inspiratory Capacity (IC) is the maximum amount of air that can be inhaled from FRC. Understanding IC helps patients appreciate inspiratory reserve.
Bronchodilator Response is improvement in spirometry after inhaled bronchodilator, indicating reversible airway obstruction. Understanding bronchodilator response helps patients appreciate asthma diagnosis.
Bronchoprovocation Testing measures airway responsiveness to methacholine or exercise, diagnosing asthma. Understanding provocation testing helps patients appreciate asthma diagnosis when baseline spirometry is normal.
Lung Diffusion Testing (DLCO) measures gas transfer across the alveolar-capillary membrane. Understanding DLCO helps patients appreciate gas exchange capacity.
Body Plethysmography measures lung volumes by pressure-volume relationships, allowing measurement of RV and TLC. Understanding plethysmography helps patients appreciate volume measurement.
Gas Dilution Testing measures lung volumes by equilibration with an inert gas (helium or nitrogen). Understanding gas dilution helps patients appreciate volume measurement limitations.
Asthma Terminology
Asthma terminology describes the specialized vocabulary of this common chronic inflammatory airway disease. Understanding asthma terminology helps patients manage their condition effectively.
Asthma is a chronic inflammatory disorder of the airways characterized by variable and recurring symptoms, bronchospasm, and airflow limitation. Understanding asthma helps patients appreciate this common condition.
Bronchial Hyperresponsiveness is exaggerated airway narrowing in response to various stimuli, a hallmark of asthma. Understanding hyperresponsiveness helps patients appreciate asthma pathophysiology.
Bronchospasm is sudden constriction of bronchial smooth muscle, causing airway narrowing and wheezing. Understanding bronchospasm helps patients appreciate the acute symptom of asthma.
Airway Inflammation is the chronic inflammatory process involving eosinophils, mast cells, T-cells, and structural cells in asthma. Understanding inflammation helps patients appreciate why controller medications are needed.
Atopy is the genetic tendency to develop allergic diseases, including asthma, allergic rhinitis, and eczema. Understanding atopy helps patients appreciate the allergic component of asthma.
Allergic Asthma is asthma triggered by allergens (dust mites, pollen, mold, pet dander). Understanding allergic asthma helps patients appreciate triggers and anti-IgE therapy.
Non-Allergic (Intrinsic) Asthma is asthma without identifiable allergic trigger, often starting in adulthood. Understanding non-allergic asthma helps patients appreciate different asthma phenotypes.
Exercise-Induced Bronchoconstriction (EIB) is airway narrowing triggered by exercise, common in asthma. Understanding EIB helps patients appreciate exercise limitations and pretreatment.
Occupational Asthma is asthma caused by workplace exposures, potentially improving away from work. Understanding occupational asthma helps patients appreciate trigger identification.
Severe Asthma is asthma requiring high-dose inhaled corticosteroids plus a second controller, or oral corticosteroids, to maintain control. Understanding severe asthma helps patients appreciate this high-risk category.
Asthma Exacerbation (Asthma Attack) is acute worsening of asthma symptoms and function, requiring urgent treatment. Understanding exacerbations helps patients recognize when to seek emergency care.
Status Asthmaticus is severe, life-threatening asthma unresponsive to standard treatment, requiring intensive care. Understanding status asthmaticus helps patients appreciate the seriousness of severe attacks.
Asthma Control is the extent to which asthma symptoms are reduced by treatment. Understanding control helps patients assess their management.
Stepwise Asthma Management is the stepwise approach to asthma treatment, stepping up therapy for poor control and stepping down for sustained control. Understanding stepwise treatment helps patients appreciate asthma guidelines.
Reliever Medication (Rescue Medication) provides rapid bronchodilation for acute symptoms, typically short-acting beta-agonists (SABA). Understanding relievers helps patients appreciate emergency medication.
Controller Medication provides ongoing anti-inflammatory control, typically inhaled corticosteroids (ICS). Understanding controllers helps patients appreciate daily maintenance therapy.
Inhaled Corticosteroid (ICS) is the most effective controller medication for asthma, reducing airway inflammation. Understanding ICS helps patients appreciate the importance of daily use.
Long-Acting Beta-Agonist (LABA) provides 12-hour bronchodilation, combined with ICS for moderate-severe asthma. Understanding LABA helps patients appreciate combination therapy.
Biologic Therapy targets specific inflammatory pathways in severe asthma, including anti-IgE (omalizumab), anti-IL5 (mepolizumab, benralizumab), and anti-IL4R (dupilumab). Understanding biologics helps patients appreciate advanced treatment options.
Chronic Obstructive Pulmonary Disease (COPD) Terminology
COPD terminology describes the specialized vocabulary of this common progressive lung disease. Understanding COPD terminology helps patients manage their condition and understand disease progression.
Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease characterized by persistent respiratory symptoms and airflow limitation due to airway and/or alveolar abnormalities. Understanding COPD helps patients appreciate this prevalent condition.
Chronic Bronchitis is clinical diagnosis of cough with sputum production for at least 3 months in 2 consecutive years. Understanding chronic bronchitis helps patients appreciate this component of COPD.
Emphysema is pathological diagnosis of permanent enlargement of airspaces distal to terminal bronchioles with destruction of alveolar walls. Understanding emphysema helps patients appreciate the anatomical changes in COPD.
Chronic Bronchitis Phenotype is COPD characterized by prominent cough and sputum production. Understanding chronic bronchitis phenotype helps patients appreciate their COPD characteristics.
Emphysema Phenotype is COPD characterized by breathlessness and hyperinflation with less cough/sputum. Understanding emphysema phenotype helps patients appreciate their COPD characteristics.
Frequent Exacerbator is COPD patient with two or more exacerbations per year, identifying high-risk patients. Understanding frequent exacerbator helps patients appreciate exacerbation prevention.
GOLD Classification is the Global Initiative for Chronic Obstructive Lung Disease classification of COPD severity by FEV1. Understanding GOLD helps patients appreciate disease staging.
COPD Exacerbation is acute worsening of respiratory symptoms beyond normal day-to-day variation, requiring treatment change. Understanding exacerbations helps patients recognize and prevent acute worsening.
Acute Exacerbation of COPD (AECOPD) is sudden worsening of COPD symptoms requiring treatment modification. Understanding AECOPD helps patients appreciate when to seek medical care.
Long-Term Oxygen Therapy (LTOT) is continuous oxygen therapy (>15 hours/day) for patients with severe resting hypoxemia. Understanding LTOT helps patients appreciate when oxygen is needed.
Non-Invasive Ventilation (NIV) is mechanical ventilation delivered through a mask, used for acute respiratory failure and chronic hypercapnic respiratory failure. Understanding NIV helps patients appreciate respiratory support options.
Pulmonary Rehabilitation is comprehensive intervention including exercise training, education, and behavior modification for COPD patients. Understanding pulmonary rehab helps patients appreciate the cornerstone of non-pharmacological management.
Emphysema vs. COPD explains that emphysema is pathological; COPD is clinical, including emphysema, chronic bronchitis, and small airways disease.
Respiratory Infections Terminology
Respiratory infection terminology describes the specialized vocabulary of lung infections, from pneumonia to tuberculosis. Understanding infection terminology helps patients appreciate diagnosis and treatment.
Pneumonia is infection of the lung parenchyma, causing consolidation on imaging and symptoms of cough, fever, sputum, and dyspnea. Understanding pneumonia helps patients appreciate this common respiratory infection.
Community-Acquired Pneumonia (CAP) is pneumonia acquired outside healthcare settings. Understanding CAP helps patients appreciate typical pneumonia presentation and treatment.
Hospital-Acquired Pneumonia (HAP) is pneumonia developing >48 hours after hospital admission. Understanding HAP helps patients appreciate healthcare-associated infection risk.
Ventilator-Associated Pneumonia (VAP) is pneumonia developing >48 hours after endotracheal intubation. Understanding VAP helps patients appreciate mechanical ventilation complications.
Aspiration Pneumonia is pneumonia caused by inhalation of oropharyngeal contents, common in patients with impaired swallowing. Understanding aspiration pneumonia helps patients appreciate prevention strategies.
Lobar Pneumonia is pneumonia involving an entire lobe, typically caused by Streptococcus pneumoniae. Understanding lobar pneumonia helps patients appreciate classical presentation.
Bronchopneumonia is patchy pneumonia involving multiple lobes around bronchi. Understanding bronchopneumonia helps patients appreciate typical presentation.
Interstitial Pneumonia is pneumonia primarily involving the lung interstitium, seen in atypical pneumonias and interstitial lung diseases.
Pleural Effusion is fluid accumulation in the pleural space, which may be parapneumonic (associated with pneumonia) or require drainage. Understanding pleural effusion helps patients appreciate complication of pneumonia.
Empyema is infected pleural fluid collection requiring drainage. Understanding empyema helps patients appreciate complicated parapneumonic effusions.
Lung Abscess is localized collection of pus in the lung parenchyma, typically from aspiration or necrotizing pneumonia. Understanding lung abscess helps patients appreciate this complication.
Tuberculosis (TB) is infectious disease caused by Mycobacterium tuberculosis, primarily affecting the lungs. Understanding TB helps patients appreciate this serious infection and treatment requirements.
Active Tuberculosis is TB disease with symptoms and signs of active infection, requiring multi-drug treatment. Understanding active TB helps patients appreciate infectiousness and treatment.
Latent Tuberculosis Infection (LTBI) is TB infection without active disease, treated to prevent progression. Understanding latent TB helps patients appreciate treatment to prevent active disease.
Extrapulmonary Tuberculosis is TB affecting organs other than lungs (lymph nodes, meninges, bone, genitourinary). Understanding extrapulmonary TB helps patients appreciate TB manifestations.
Multidrug-Resistant Tuberculosis (MDR-TB) is TB resistant to isoniazid and rifampin, requiring prolonged treatment. Understanding MDR-TB helps patients appreciate treatment challenges.
Extensively Drug-Resistant Tuberculosis (XDR-TB) is TB resistant to MDR drugs plus fluoroquinolones and injectables. Understanding XDR-TB helps patients appreciate treatment difficulties.
Bronchitis is inflammation of the bronchial mucosa, acute (viral, bacterial) or chronic (COPD). Understanding bronchitis helps patients appreciate airway inflammation.
Acute Bronchiolitis is viral lower respiratory tract infection in infants, causing wheezing and respiratory distress. Understanding bronchiolitis helps parents appreciate this common infant illness.
Pertussis (Whooping Cough) is respiratory infection caused by Bordetella pertussis, characterized by paroxysmal coughing. Understanding pertussis helps patients appreciate vaccination importance.
Pleural and Mediastinal Terminology
Pleural and mediastinal terminology describes conditions affecting the membranes surrounding the lungs and the central chest compartment. Understanding this terminology helps patients appreciate pleural and mediastinal conditions.
Pleural Effusion is fluid accumulation in the pleural space, classified as transudate (heart failure, cirrhosis) or exudate (infection, malignancy). Understanding pleural effusion helps patients appreciate this common finding.
Transudative Effusion is pleural fluid with low protein and LDH, caused by systemic factors increasing hydrostatic pressure or decreasing oncotic pressure. Understanding transudate helps patients appreciate causes like heart failure.
Exudative Effusion is pleural fluid with high protein and LDH, caused by local pleural or lung disease. Understanding exudate helps patients appreciate causes like infection and malignancy.
Parapneumonic Effusion is pleural effusion associated with pneumonia, may require drainage if complicated. Understanding parapneumonic effusion helps patients appreciate pneumonia complications.
Empyema is infected pleural fluid (pus), requiring chest tube drainage and antibiotics. Understanding empyema helps patients appreciate drainage indications.
Pleural Thickening is fibrosis of the pleural membrane, potentially restricting lung expansion. Understanding pleural thickening helps patients appreciate pleural scarring.
Pneumothorax is air in the pleural space, causing lung collapse. Understanding pneumothorax helps patients appreciate this emergency condition.
Spontaneous Pneumothorax occurs without trauma, primary (ruptured bleb in tall thin individuals) or secondary (underlying lung disease). Understanding spontaneous pneumothorax helps patients appreciate risk factors.
Tension Pneumothorax is pneumothorax with air under pressure, causing mediastinal shift and cardiovascular compromise. Understanding tension pneumothorax helps patients appreciate this life-threatening emergency.
Hemothorax is blood in the pleural space, from trauma or other causes. Understanding hemothorax helps patients appreciate traumatic complications.
Chylothorax is milky pleural fluid from chyle leakage, typically from thoracic duct injury. Understanding chylothorax helps patients appreciate this complication.
Thoracentesis is needle aspiration of pleural fluid for diagnostic and therapeutic purposes. Understanding thoracentesis helps patients appreciate fluid evaluation procedure.
Chest Tube (Thoracostomy Tube) is a tube placed in the pleural space to drain air or fluid. Understanding chest tubes helps patients appreciate drainage systems.
Mediastinum is the central compartment of the chest containing the heart, great vessels, trachea, esophagus, and lymph nodes. Understanding the mediastinum helps patients appreciate central chest anatomy.
Mediastinitis is infection of the mediastinal tissues, a serious condition often post-surgical. Understanding mediastinitis helps patients appreciate post-sternotomy complications.
Mediastinal Mass is a tumor or cyst in the mediastinum, classified by location (anterior, middle, posterior). Understanding mediastinal masses helps patients appreciate evaluation and differential.
Interstitial Lung Disease Terminology
Interstitial lung disease (ILD) terminology describes the specialized vocabulary of diseases affecting the lung interstitium. Understanding ILD terminology helps patients appreciate these complex conditions.
Interstitial Lung Disease (ILD) is a group of disorders characterized by inflammation and fibrosis of the lung interstitium. Understanding ILD helps patients appreciate this category of diseases.
Pulmonary Fibrosis is scarring of the lung interstitium, reducing compliance and gas exchange. Understanding fibrosis helps patients appreciate the end result of many ILDs.
Idiopathic Pulmonary Fibrosis (IPF) is progressive fibrosing ILD of unknown cause, with characteristic usual interstitial pneumonia pattern. Understanding IPF helps patients appreciate this specific diagnosis.
Connective Tissue Disease-Associated ILD is ILD occurring in patients with autoimmune diseases (rheumatoid arthritis, scleroderma, myositis). Understanding CTD-ILD helps patients appreciate autoimmune-related lung disease.
Hypersensitivity Pneumonitis is ILD caused by inhaled organic antigens (birds, mold), acute or chronic. Understanding HP helps patients appreciate antigen avoidance.
Sarcoidosis is a systemic granulomatous disease commonly affecting lungs and lymph nodes. Understanding sarcoidosis helps patients appreciate this granulomatous disease.
Granuloma is a localized collection of inflammatory cells, characteristic of sarcoidosis and other conditions. Understanding granulomas helps patients appreciate histological findings.
Usual Interstitial Pneumonia (UIP) is the pathological pattern of IPF, characterized by usual interstitial pneumonia. Understanding UIP helps patients appreciate the diagnostic pattern.
Non-Specific Interstitial Pneumonia (NSIP) is an ILD pattern with more uniform involvement than UIP, often associated with connective tissue disease. Understanding NSIP helps patients appreciate better prognosis pattern.
Organizing Pneumonia is an ILD pattern with plugs of granulation tissue in alveoli, often responsive to steroids. Understanding organizing pneumonia helps patients appreciate steroid-responsive pattern.
Desquamative Interstitial Pneumonia (DIP) is an ILD pattern associated with smoking, with good response to smoking cessation and steroids. Understanding DIP helps patients appreciate smoking-related ILD.
Acute Interstitial Pneumonia (AIP) is a rapidly progressive ILD (Hamman-Rich syndrome), similar to ARDS. Understanding AIP helps patients appreciate acute fibrosing ILD.
Pulmonary Hypertension is elevated pulmonary artery pressure, which may complicate ILD and COPD. Understanding pulmonary hypertension helps patients appreciate this complication.
Sleep and Ventilatory Disorder Terminology
Sleep and ventilatory disorder terminology describes conditions affecting breathing during sleep and respiratory drive. Understanding this terminology helps patients appreciate sleep-disordered breathing.
Obstructive Sleep Apnea (OSA) is repetitive upper airway collapse during sleep, causing intermittent hypoxemia and sleep fragmentation. Understanding OSA helps patients appreciate this common sleep disorder.
Apnea is cessation of breathing for at least 10 seconds. Understanding apnea helps patients appreciate the definition of breathing pauses.
Hypopnea is reduced breathing effort or airflow with oxygen desaturation or arousal. Understanding hypopnea helps patients appreciate partial breathing reduction.
Apnea-Hypopnea Index (AHI) is the number of apneas and hypopneas per hour of sleep, used to classify sleep apnea severity. Understanding AHI helps patients appreciate severity classification.
Mild Sleep Apnea is AHI 5-15 events per hour. Understanding mild OSA helps patients appreciate the spectrum of disease.
Moderate Sleep Apnea is AHI 15-30 events per hour. Understanding moderate OSA helps patients appreciate treatment thresholds.
Severe Sleep Apnea is AHI >30 events per hour or >=15 with symptoms. Understanding severe OSA helps patients appreciate high-risk classification.
Central SleepCSA) is Apnea ( cessation of breathing effort due to absent respiratory drive, seen in heart failure and neurological conditions. Understanding CSA helps patients appreciate different sleep apnea mechanism.
Mixed Sleep Apnea has both obstructive and central components. Understanding mixed apnea helps patients appreciate combined patterns.
Snoring is vibratory noise from upper airway tissues during sleep, a symptom of potential OSA. Understanding snoring helps patients appreciate this common finding.
Continuous Positive Airway Pressure (CPAP) is positive pressure delivered throughout the respiratory cycle to prevent upper airway collapse. Understanding CPAP helps patients appreciate the primary OSA treatment.
Bilevel Positive Airway Pressure (BiPAP) provides different pressures for inspiration and expiration, used for CSA or hypoventilation. Understanding BiPAP helps patients appreciate advanced support.
Oral Appliance is a dental device advancing the mandible to reduce upper airway collapse. Understanding oral appliances helps patients appreciate CPAP alternatives.
Upper Airway Resistance Syndrome (UARS) is characterized by snoring, arousals, and symptoms without measurable AHI elevation. Understanding UARS helps patients appreciate borderline cases.
Obesity Hypoventilation Syndrome (OHS) is awake hypercapnia in obese patients (BMI >30), with sleep-disordered breathing. Understanding OHS helps patients appreciate obesity-related respiratory failure.
Lung Cancer Terminology
Lung cancer terminology describes the specialized vocabulary of pulmonary malignancies. Understanding lung cancer terminology helps patients appreciate diagnosis, staging, and treatment.
Lung Cancer is malignancy arising from lung tissue, classified as non-small cell (adenocarcinoma, squamous cell, large cell) or small cell. Understanding lung cancer helps patients appreciate the most common cause of cancer death.
Non-Small Cell Lung Cancer (NSCLC) is the most common type (80-85%), including adenocarcinoma, squamous cell carcinoma, and large cell carcinoma. Understanding NSCLC helps patients appreciate the main category.
Adenocarcinoma is the most common subtype of NSCLC, arising from glandular cells, often in periphery. Understanding adenocarcinoma helps patients appreciate the most common lung cancer.
Squamous Cell Carcinoma is NSCLC arising from bronchial epithelium, typically central, associated with smoking. Understanding squamous cell helps patients appreciate central tumors.
Large Cell Carcinoma is NSCLC lacking features of adenocarcinoma or squamous cell, often aggressive. Understanding large cell helps patients appreciate undifferentiated tumors.
Small Cell Lung Cancer (SCLC) is highly malignant neuroendocrine tumor, strongly associated with smoking, often central. Understanding SCLC helps patients appreciate this aggressive type.
Carcinoid Tumor is a low-grade neuroendocrine tumor, typically central, less aggressive than SCLC. Understanding carcinoid helps patients appreciate bronchial tumors.
Staging determines the extent of cancer using the TNM system (Tumor, Node, Metastasis). Understanding staging helps patients appreciate prognosis and treatment options.
Solitary Pulmonary Nodule (SPN) is a discrete, small (<3cm) pulmonary opacity, requiring evaluation for malignancy. Understanding SPN helps patients appreciate nodule evaluation.
Mass is a pulmonary opacity >=3cm. Understanding mass helps patients appreciate larger lesions requiring evaluation.
Ground-Glass Opacity (GGO) is hazy increase in lung attenuation without obscuring vessels. Understanding GGO helps patients appreciate early adenocarcinoma presentation.
Solid Nodule is a completely opaque pulmonary nodule. Understanding solid nodules helps patients appreciate common nodule type.
Part-Solid Nodule contains both solid and ground-glass components, suspicious for adenocarcinoma. Understanding part-solid nodules helps patients appreciate concerning features.
Transthoracic Needle Biopsy is percutaneous sampling of lung lesions, used for diagnosis. Understanding needle biopsy helps patients appreciate diagnostic procedures.
Bronchoscopy is endoscopic visualization of airways, allowing biopsy of central lesions. Understanding bronchoscopy helps patients appreciate central lesion evaluation.
Targeted Therapy is treatment targeting specific molecular alterations in NSCLC (EGFR, ALK, ROS1, BRAF). Understanding targeted therapy helps patients appreciate personalized treatment.
Immunotherapy uses immune checkpoint inhibitors (PD-1, PD-L1 inhibitors) to treat NSCLC. Understanding immunotherapy helps patients appreciate treatment advances.
Stereotactic Body Radiation Therapy (SBRT) is precise, high-dose radiation for early-stage inoperable lung cancer. Understanding SBRT helps patients appreciate non-surgical treatment options.
Frequently Asked Questions
What is the difference between asthma and COPD? Asthma is characterized by reversible airflow obstruction, typically starting younger, with symptoms triggered by specific factors. COPD is characterized by progressive airflow limitation, typically from smoking, with less reversibility.
What causes asthma? Asthma results from genetic predisposition (atopy) and environmental exposures (allergens, irritants, infections) leading to airway inflammation and hyperresponsiveness.
What causes COPD? COPD primarily results from cigarette smoking, though other factors (biomass fuel exposure, alpha-1 antitrypsin deficiency) contribute.
What is a normal FEV1/FVC ratio? Normal FEV1/FVC ratio is >0.70 (70%). Ratios below this indicate obstructive lung disease.
What does a low DLCO mean? Low DLCO indicates impaired gas transfer across the alveolar-capillary membrane, seen in emphysema, interstitial lung disease, and pulmonary vascular disease.
What is the treatment for pneumonia? Treatment includes antibiotics (bacterial pneumonia), antivirals (influenza), or antifungals (fungal pneumonia), plus supportive care including oxygen if needed.
What is the difference between upper and lower respiratory infection? Upper respiratory infections affect nose, sinuses, pharynx, larynx (common cold, pharyngitis). Lower respiratory infections affect trachea, bronchi, lungs (bronchitis, pneumonia).
What is a pulmonary function test? Pulmonary function tests measure lung volumes, airflow rates, and gas exchange, used to diagnose and monitor respiratory disease.
What causes shortness of breath? Causes include cardiac (heart failure), pulmonary (asthma, COPD, pneumonia), anemia, deconditioning, anxiety, and many other conditions requiring evaluation.
What is COPD exacerbation? Exacerbation is acute worsening of COPD symptoms (increased dyspnea, cough, sputum) requiring treatment modification, often from respiratory infections.
What is the difference between bronchitis and pneumonia? Bronchitis is inflammation of bronchi; pneumonia is infection of lung parenchyma. Pneumonia typically causes more systemic symptoms (fever, chills) and consolidation on imaging.
What is a peak flow meter? A peak flow meter measures peak expiratory flow, used for asthma monitoring to detect worsening and guide treatment.
What is the treatment for sleep apnea? Treatment includes CPAP, oral appliances, weight loss, positional therapy, and surgery for selected patients.
What is lung cancer screening? Low-dose CT screening is recommended for high-risk individuals (55-80 years, 30 pack-year smoking history, current or quit within 15 years) to detect early lung cancer.
What is pleural effusion? Pleural effusion is fluid accumulation in the pleural space, caused by heart failure, infection, malignancy, or other conditions, requiring evaluation.
What is pulmonary rehabilitation? Pulmonary rehabilitation is a comprehensive program of exercise training, education, and support for patients with chronic respiratory disease, improving exercise tolerance and quality of life.
What are the symptoms of lung cancer? Symptoms include cough, hemoptysis, dyspnea, chest pain, weight loss, and hoarseness. Early lung cancer may be asymptomatic.
What is bronchoscopy? Bronchoscopy is endoscopic visualization of the airways, allowing diagnosis of central lesions, sampling of infections, and therapeutic interventions.
What is the difference between restrictive and obstructive lung disease? Obstructive disease (asthma, COPD) has reduced airflow (low FEV1/FVC); restrictive disease (fibrosis, obesity) has reduced lung volumes (low TLC).
What is a chest X-ray? Chest X-ray is the initial imaging study for respiratory symptoms, showing lungs, heart, bones, and mediastinum.
What is CT chest? CT chest provides detailed cross-sectional imaging of the chest, superior to X-ray for characterizing lung nodules, interstitial lung disease, and pulmonary embolism.
What is oxygen therapy? Oxygen therapy provides supplemental oxygen for patients with hypoxemia, prescribed based on blood oxygen levels and symptoms.
What is respiratory failure? Respiratory failure is inadequate gas exchange, type 1 (hypoxemic, PaO2 <60) or type 2 (hypercapnic, PaCO2 >45 with acidemia).
What is the difference between acute and chronic bronchitis? Acute bronchitis is short-term bronchial inflammation, usually viral; chronic bronchitis is cough with sputum for 3 months in 2 years, a component of COPD.
Key Takeaways
Respiratory and pulmonary terminology provides the specialized vocabulary for understanding lung anatomy, respiratory physiology, pulmonary diseases, and respiratory treatments. Understanding pulmonary anatomy (airways, alveoli, pleura) and physiology (ventilation, diffusion, gas exchange) helps patients appreciate how breathing works. Recognizing pulmonary function test terminology (spirometry, FEV1, FVC, DLCO) helps patients interpret diagnostic testing. Understanding disease terminology (asthma, COPD, pneumonia, ILD, lung cancer) helps patients comprehend their diagnoses. Knowing respiratory treatments (inhalers, oxygen, CPAP, pulmonary rehabilitation) helps patients manage their conditions. Dubai’s healthcare system offers comprehensive respiratory care, and understanding respiratory terminology empowers patients to participate actively in their lung health.
Related Glossary Terms
- Pathology Medical Terms - Understanding pathology suffixes
- Laboratory and Test Terminology - Understanding diagnostic tests
- Pharmacology and Medication Terminology - Drug-related terminology
- Cardiovascular Terminology - Heart and blood vessel terms
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Understanding respiratory terminology helps you become a more informed participant in your lung health care. At Healer’s Clinic Dubai, our team of experienced healthcare professionals is dedicated to helping you understand your respiratory condition, manage lung disease, and optimize your breathing health. Whether you need asthma or COPD management, respiratory testing, sleep disorder evaluation, or pulmonary rehabilitation, our integrated approach combines conventional medicine with evidence-based complementary therapies to support your optimal respiratory health and wellbeing.
Contact our friendly team today to schedule your appointment and experience healthcare that puts your understanding and comfort first.
Important Medical Disclaimer: This glossary is provided for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider for medical concerns. If you are experiencing a medical emergency, please call emergency services or go to the nearest emergency department immediately.