congenital Flashcards

1
Q

how many phases of developemtn

A

4

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2
Q

weeks 1-5

A

embryonic

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3
Q

foregut development

A

day 9 endoderm

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4
Q

lung buds

A

week 4

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5
Q

mainstem bronchi and trachea

A

week 5

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6
Q

weeks 5-16

A

pseudoglandular stage

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7
Q

last event in pseudoglandular

A

PA and bronchial tree

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8
Q

weeks 16-26

A

cannicular stage

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9
Q

last event in cannicular

A

PV

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10
Q

weeks 26-40

A

terminal sac, production of surfactant

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11
Q

when does acinar production stop

A

8 years of age

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12
Q

airway diameter increases until

A

5 years of age

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13
Q

period of rapid growth of length of vasculature

A

18 months

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14
Q

Most common TEF

A

Type C EA with distal TEF

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15
Q

how to reduce chance of recurrence after TEF repair

A

interposition muscle flap

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16
Q

ELS or ILS more problematic

A

ELS (25%)

17
Q

congenital lobar emphyesema lobes

A

LUL> RUL> RML

18
Q

cause of CLE

A

cartilaginous defect, or extrinsic compression, often no identifiable cause

19
Q

are CLE symptomatic at BIRTH

A

no

20
Q

is prompt treatment required of symptomatic CLE

A

yes, 50% dead at 1 week

21
Q

can asymptomatic CLE be observed

A

yes, 50% normalize at infancy

22
Q

CCAM type 1

A

mediastinal shift, rare to be associated with other anomalier, half will develop PNA, prognosis good

23
Q

CCAM type 2

A

mostly premature and stillborn, small cysts

24
Q

CCAM type 3

A

most commonly LLL, prognosis poor usually hours after birth

25
Q

asymptomatic CCAM

A

observe until 6 months, usually a lobectomy

26
Q

Tracheal stenosis type 1

A

entire thing

27
Q

Tracheal stenosis type 2

A

funnel shaped

28
Q

Tracheal stenosis type 3

A

segment

29
Q

associated vascular ring with tracheal stenosis

A

pulmonary vascular ring

30
Q

how many rings before autograft for tracheal stenosis can be removed

A

8 and need ecmo postoperatively

31
Q

how much can you pull together in neonatal tracheal resection

A

up to 50% and closed primarily