Cardiac Development Flashcards

1
Q

What are the four sequential stages of prenatal lung development?

A
  1. Embryonic period
  2. Pseudoglandular period
  3. Cannicular period
  4. Terminal sac period
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2
Q

When does the embryonic period occur?

A

First five weeks after conception

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3
Q

What forms during the embryonic period?

A

Main and lobar bronchi are formed, with the pulmonary arteries following the airways as they divide

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4
Q

When does the pseudoglandular period occur?

A

5-16 weeks gestation

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5
Q

What forms during the pseudoglandular period?

A

Mucous glands form and increase in number; muscle fibres and elastic tissue and early cartilage form to establish a tracheobronchial tree; diaphragm develops

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6
Q

When does the cannicular period occur?

A

13 - 25 weeks gestation

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7
Q

What occurs during the cannicular period?

A

Increases in the surface of the respiratory epithelium; formation of alveolar buds, with type I and II pneumocytes

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8
Q

When does the terminal sac period occur?

A

24 weeks to birth

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9
Q

What occurs during the terminal sac period?

A

Cilia begin to develop, alveolar buds becomes saccules, cough and gag reflex develops

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10
Q

What are the two phases of the terminal sac period?

A
  1. Saccular phase (28-36 weeks)

2. Alveolar phase (36 weeks to 8 years)

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11
Q

What factors influence lung development?

A
  1. Hormones
  2. Growth factors
  3. Extracellular matrix interactions
  4. Corticosteroids and thyroid hormones
  5. Distension of the lung
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12
Q

When does the heart start to beat?

A

Day 22 - 23

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13
Q

What is septation?

A

Converting of simple tube into four chambered heart

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14
Q

When does the closure of the ductus ateriosus occur?

A

Immediately after birth due to a muscular contraction

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15
Q

List common cardiac anomalies

A
  1. Patent ductus arteriosus (PDA)
  2. Coarctation of the aorta
  3. Atrial septal defect
  4. Ventricular septal defect (VSD)
  5. Tetrology of Fallot
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16
Q

What are some significant anatomical differences of babies vs adults in the upper respiratory tract?

A
  • larger head
  • larger tongue
  • lack of hair leads to increased heat loss
  • nose breathers until 3-4 months of age
  • smaller nostrils
  • crico-thyroid membrane is narrow and vulnerable to open suction and intubation
  • larger heart, adenoids and tonsils
17
Q

What are some significant anatomical differences of babies vs adults in the lower respiratory tract?

A
  • Lungs less compliant (stiffer)
  • ## Horizontal ribs