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Kaplan Qbank USMLE



Author4 Posts
  #1

Hi,

I have a question about the respiratory system. Right now, my class is going over the lung pressures. Can anybody explain the transmural pressure and the elastic recoil pressure and their relationship? I am really confused with those concepts. Thanks.

  #2



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Aim High

  #3

Transmural pressure literally means "pressure across the wall of any structure"

PTM (transmural pressure) = Pin - Pout

Pin = pressure inside the structure

Pout = pressure outside the structure

Now you can see if the pressure inside is
  1. more than that outside then PTM will be positive and structure tends to expand
  2. less than that outside then PTM will be negative and structure tends to collapse

In respiratory system this PTM has been given different names
  1. Transpulmonary pressure = alveolar pressure - intrapleural pressure
  2. Transthoracic pressure = intrapleural pressure - pressure on the body surface (atmospheric pressure )
  3. Trans-respiratory pressure = alveolar pressure - pressure on the body surface

Elastic recoil pressure is the pressure developed in the wall of the lung which has following properties
  1. It is always inward i.e collapsing
  2. It is the function of lung volume ie. more lung volume ,more elastic pressure ,less lung volume ,less elastic recoil pressure.

If Elastic recoil pressure < Transpulmonary pressure = lung is epanding (inspiration)

If Elastic recoil pressure > transpulmonary pressure = Lung is collapsing (expiration)

Best of luck


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FA is just a good revision book.It is not a "real" learning tool.

  #4

Thanks Leopart. I also appreciate your great explanations.







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