12. Gut Embryology Flashcards

1
Q

What are the functions of the yolk sac?

A

Generation of blood cells in wall

Origin of primordial germ cells

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2
Q

What does the vitelline duct connect?

A

Gut tube to yolk sac

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3
Q

What suspends the gut tube from the dorsal body wall?

A

Dorsal mesentery

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4
Q

What is the ventral mesentery derived from?

A

Septum transversum

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5
Q

What divides the ventral mesentery?

A

Liver

Divides into falciform ligament and lesser omentum

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6
Q

What tissue is the septum transversum made from?

A

Mesodermal

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7
Q

Where does the septum transversum extend from?

A

Thorax to stalk of yolk sac

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8
Q

What are the derivatives of the septum transversum?

A

Ventral mesentery
Diaphragm
Part of liver

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9
Q

What type of hernia occurs if there is an opening between the sternal and costal heads of the diaphragm?

A

Hernia of Morgagni

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10
Q

What type of hernia occurs if there is an absence of pleuroperitoneal membrane?

A

Hernia of Bochdalek

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11
Q

What are the results of a diaphragmatic hernia?

A

Abdominal organs move into pleural cavity

Impaired lung function and growth

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12
Q

What marks the beginning of the foregut in the embryo?

A

Tracheobronchial diverticulum

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13
Q

What is the first part of the embryological gut tube called?

A

Pharyngeal gut

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14
Q

What needs to form to separate the oesophagus from the trachea?

A

Tracheoesophageal ridge

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15
Q

What is a tracheoesophageal fistula?

A

Oesophagus joins up to the trachea

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16
Q

What is oesophageal atresia?

A

Gut tube isn’t joined

17
Q

What nerve innervates the anterior of the stomach?

A

Left vagal nerve

18
Q

What nerve innervates the posterior of the stomach?

A

Right vagal nerve

19
Q

What is pyloric stenosis?

A

Extreme narrowing of the pylorus

Results in projectile vomiting

20
Q

Describe how the duodenum becomes retroperitoneal

A

Originally develops on mesoduodenum
As the stomach rotates, the duodenum rotates to the right
This presses it against the posterior abdominal wall, making it a retroperitoneal structure

21
Q

What happens to the gut tube during week 6?

A

Endodermal cells lining the tube proliferate and obliterate the lumen

22
Q

Describe the development and positioning of the spleen

A

Forms within dorsal mesentery
Initially in isolated islands, which then join up
Moves to left as stomach rotates

23
Q

Where does the liver bud grow from?

A

Endodermal epithelium from foregut

24
Q

What 2 sources of cells are used to make up the liver?

A

Endothelium from bud

Hepatocytes

25
What are the functions of the liver in the embryo?
Bile formation from 12 weeks | Haematopoiesis at 6 weeks
26
What does the gallbladder arise from?
Caudal offshoot from the liver bud
27
Describe the formation of the pancreas
Forms as 2 separate buds Foregut rotates, bringing around the ventral bud Now in dorsal mesentery
28
What pancreatic duct comes from the ventral bud?
Wirsung
29
What pancreatic duct comes from the dorsal bud?
Santorini
30
What is it called when 2 pancreatic ducts open into the duodenum?
Pancreas divisum
31
What is an annular pancreas?
Dorsal pancreatic bud is bilobed | One bud is anterior and the other posterior of the duodenum, constricting it
32
What is physiological herniation?
Normal herniation between weeks 6-10 | Abdominal cavity is too small due to rapid growth of midgut and liver
33
What are 2 abnormalities associated with physiological herniation?
Omphalocoele | Gastroschisis
34
Which direction does the midgut rotate?
270 degrees counterclockwise
35
Name 4 midgut abnormalities
Meckel's Diverticulum Vitelline cyst Vitelline fistula Small bowel atresias