Created by CK-12 Foundation/Adapted by Christine Miller
Case Study: Cough That Won’t Quit
Three weeks ago, 20-year-old Erica came down with symptoms typical of the common cold. She had a runny nose, fatigue, and a mild cough. Her symptoms were starting to improve, but recently, her cough has been getting worse. She is coughing up a lot of thick mucus, her throat is sore from frequent coughing, and her chest feels very congested. According to her grandmother, Erica has a “chest cold.” Erica is a smoker and wonders if her habit is making her cough worse. She decides that it’s time to see a doctor.
Dr. Choo examines Erica and asks about her symptoms and health history. She checks the level of oxygen in Erica’s blood by attaching a device called a pulse oximeter to Erica’s finger.
Dr. Choo concludes that Erica has bronchitis, which is an infection that commonly occurs after a person has a cold or flu. Bronchitis is sometimes referred to as a “chest cold,” so Erica’s grandmother was right! Bronchitis causes inflammation and a build up of mucus in the bronchial tubes in the chest.
Because bronchitis is usually caused by viruses and not bacteria, Dr. Choo tells Erica that antibiotics are not likely to help. Instead, she recommends that Erica try to thin out and remove the mucus by drinking plenty of fluids and using a humidifier or spending time in a steamy shower. She recommends that Erica get plenty of rest as well.
Dr. Choo also tells Erica some things not to do — most importantly, to stop smoking while she is sick, and to try to quit smoking in the long-term. She explains that smoking can make people more susceptible to bronchitis and can hinder recovery. Finally, she advises Erica to avoid taking over-the-counter cough suppressant medication.
As you read this chapter about the respiratory system, you will be able to better understand what bronchitis is, and why Dr. Choo made the treatment recommendations that she did. At the end of the chapter, you will learn more about acute bronchitis, which is the type that Erica has. This information may come in handy to you personally, because chances are high that you will get this common infection at some point in your life — there are millions of cases of bronchitis every year!
Chapter Overview: Respiratory System
In this chapter, you will learn about the respiratory system — the system that exchanges gases (such as oxygen and carbon dioxide) between the body and the outside air. Specifically, you will learn about:
- The process of respiration, in which oxygen moves from the outside air into the body and carbon dioxide and other waste gases move from inside the body into the outside air.
- The organs of the respiratory system, including the lungs, bronchial tubes, and the rest of the respiratory tract.
- How the respiratory tract protects itself from pathogens and other potentially harmful substances in the air.
- How the rate of breathing is regulated to maintain homeostasis of blood gases and pH.
- How ventilation, or breathing, allows us to inhale air into the body and exhale air out of the body.
- The conscious and unconscious control of breathing.
- Nasal breathing compared to mouth breathing.
- What happens when a person is drowning.
- How gas exchange occurs between the air and blood in the alveoli of the lungs, and between the blood and cells throughout the body.
- Disorders of the respiratory system, including asthma, pneumonia, chronic obstructive pulmonary disease (COPD), and lung cancer.
- The negative health effects of smoking.
As you read the chapter, think about the following questions:
- Where are the bronchial tubes? What is their function?
- What is the function of mucus? Why can too much mucus be a bad thing?
- Why did Dr. Choo check Erica’s blood oxygen level?
- Why do you think Dr. Choo warned Erica to avoid cough suppressant medications?
- How does acute bronchitis compare to chronic bronchitis? How do they both relate to smoking?
Attributions
Figure 13.1.1
Cold/ Look into my eyes forever [photo] by Spencer Backman on Unsplash is used under the Unsplash License (https://unsplash.com/license).
Figure 13.1.2
Wrist-oximeter by UusiAjaja on Wikimedia Commons is used under a CC0 1.0 Universal Public Domain Dedication (https://creativecommons.org/publicdomain/zero/1.0/deed.en) license.
Reference
Mayo Clinic Staff. (n.d.). Bronchitis [online article]. Mayoclinic.org. https://www.mayoclinic.org/diseases-conditions/bronchitis/symptoms-causes/syc-20355566
Inflammation of the mucous membrane in the bronchial tubes. It typically causes bronchospasm and coughing
A tiny, nonliving particle that contains nucleic acids but lacks other characteristics of living cells and may cause human disease.
Any member of a large group of unicellular microorganisms which have cell walls but lack organelles and an organized nucleus, including some which can cause disease.
The body system responsible for taking in oxygen and expelling carbon dioxide. The primary organs of the respiratory system are the lungs, which carry out this exchange of gases as we breathe.
