CRS 1 Flashcards
Explain the maturation of the lung in utero.
- originates from the endodermal layer
- first forms digestive tube, respiratory tube grows from this then bifurcates into 2 lungs
- there are 5 stages of development:embryonic, pseudoglandular, canalicular, saccular and alveolar
Explain the production, composition and role of surfactant in utero.
- surfactant is needed to keep the lungs inflated in utero by reducing surface tension and increasing lung compliance
- Consists of sphingomyelin and lecitin
- Secreted late in gestation by Type II pneumocytes
- 4 proteins in surfactant: SPA, SPB, SPC adn SPD
Explain the role of SPA in surfactant.
Is most abundant. Main role is to prevent lung infection
Describe SPB and SPC in surfactant, including their role and biochemical nature.
- Have the classical role of surfactant
- Are lipid soluble, hydrophobic and essential for the production of the surfactant film
- Regulate spreading and organisation of phospholipids over the alveolar surface
- Are important during dynamic inflation and deflation of the lungs
What is the role of SPD in surfactant?
The role of SPD is unknown.
What factors can modulate lung development?
4 main factors
- Intra-thoracic space
- Intra-uterine space
- Foetal breathing movements
- Lung liquid production
Outline how intra-thoracic space can modulate lung development.
- The lung needs space to grow
- Can be impaired by congenital diaphragmatic hernia which is relatively common
- Gut fills thoracic space by passing thorugh a hole in the diaphragm
- This impairs lung growth
- Animals can adapt but will usually die
Outline how intra-uterine space can modulate lung development.
- Adequate space is needed
- Can be impaired by oligohydraminos (lack of amniotic fluid)
- Leads to uterine compression and changes teh foetal posture
- Common cause of pulmonary hypoplasia
Outline how foetal breathing movements can modulate lung development.
- The must be a negative pleural pressure in order to train the lungs to breath once born
- If no negative pressure is developed during development then the animal will be unable to breath
Outline how lung liquid production can modulate lung development.
- Liquid inside the lungs (for example surfactant) causes the lungs to blow up
- this stretches the lungs, mimicking breathing expansion and training the lungs for breathing
Describe the embryonic stage of lung development.
- First stage of development
- Starts as outgrowth of foregut
- Simple epithelial tubes branch out into the mesenchyme and then branch into primitive bronchi
- The right bronchus gives off 3 diverticula, the left gives off 2
- These become lobar and indicate the right lung will have 3 lobes while the left will have 2
- Each bronchus will then develop into smaller bronchi
- bronchioles begin to form
- 17 divisions until the 6th foetal month
- Laryngotracheal groove forms and further budding may be unequal
- creates bronchi and bronchioles
Descibre the differences between cardiac and skeletal muscle cells.
- Cardiac muscle is not a true syncitium
- Nuclei are centrally located in cardiac muscle cells
- Cardiomyocytes have sarcoplasmic reticula and T-tubules
- Cardiomyocytes have more mitochondria and glycogen
- Cardiac muscle has richer vascularisation
- Cardiac muscle is myogenic
- Cardiac muscle is not innervated by motor neurons
- Cardiac muscle generates is own action potentials
Define absolute refractory period.
The period following the firing of nerve firbre when it cannot be stimulated no matter how great a stimulus is applied.
Outline the psuedoglandular stage of embryonic lung development.
- Epithelial tubes invade further into the mesencyme, as well as capillaries
- The epithelium and mesenchyme interact which stimulates budding
- Rapid growth and proliferation of primitive airways and coincides with the formation of pulmonary vasculature
- Diffusion barrier is 60mm compared to 0.2mm at birth
- Bronchi divide into bronchioles
Outline the canalicular stage of embryonic lung development
- Canaliculi branch out of the terminal bronchioli
- Canaliculi are the respiratory part of the lungs/pulmonary parenchyma
- All air spaces form an acinus (bronchioli, alveolar duct and alveolar sacculi)
- Alteration of epithelium and surrounding mesenchyme along the acinus
- Capillaries surround acini, form foundation for later exchange of gases
- Lumen become wider and some epithelial cells flatten
- Type II pneumocytes differentiate into type I
- Type II produce surfactant, Type I make up difusio surface
- Lungs become more vascular and capillaries organise themselves around epithelind epithelial tubes into a double layered network
Outline the saccular stage of embryonic lung devlopment
- Sacs form on terminal branches, represent last subdivision of passages that supply air
- Further division will form ducts and saccules (to form alveolar ducts and sacs)
- Primary septa are thick, become invaded by capillaries
- Number of capillaries increases and approach respiratory epithelium
- Future air spaces more dilated
- Elastic tissue appears in sacular walls
- Birth is end of the saccular phase
Outline the alveolar stage of embryonic development.
- Starts at varying times depending on species
- Around end of pregnancy, overlaps with saccular phase
- New sacculi develop into alveoli due to formation of secondary septa
- Influenced by ECM
- Matrix is mixture of collagen, elastin, proteoglycans and glycoproteins
- provide structural support, influence cell division, differentiation and migration
- Secondary septa growth decreases diffusion distance
- Not complete at birth
- Leads to major increase in surface area
- double capillary network in alveolar wall remodels as single layer
Identify the features of external nares present in all speceis and explain their role in airway resistance.
- The meatus - hole
- Surrounded by hairless skin (sometimes highly modified depending on species)
- Supported by nasal cartilages (lateral nasal cartilages, vartiery of accessory cartilages, attached to nasal septum, forms opening of nostril)
Identify the features of external nares of bovidae and explain their role in airway resistance.
- Nostrils surrounded by a smooth hairless nasolabial plate (reduces airway resistance)
- Stratified cornified epithelium
- Serous glands create moisture (nasolabial glands) (allows particles to stick to walls of nares)
Identify teh features of external nares of equidae and explain their role in airway resistance.
- No ventral nasal cartilages - incomplete cartilaginous ring (distensible nostrils)
- Alar cartilages (plate and horn - form comma shpaed nostril)
- Ventral true nostril and dorsal false nostril
- Skin lined diverticulum within nasoincisive notch
Identify the features of external nares of carnivoridae and explain their role in airway resistance.
- Nasal plate (divided by median groove, philtrum secretions from lateral nasal gland)
- dry nose suggest illness as are not displaying normal behaviour
Identify the features of external nares of suidae and explain their role in airways resistance.
- small nostrils on snout
- Highly sensitive
- Contaisn rostrale (use nose to dig so need hard surface)
Identify the features of external nares of aves and explain their role in airway resistance.
- Slit like openings (not in diving birds)
- Operculum (overhanging bony flap)
- Wide communication between nasal cavity and pharynx - choana
Describe and overview of the structures of nasal cavities and the division created by the turbinates.
- Nasal cavity extends from nostril to cribriform plate of ethmoid bone
- Divided by nasal septum
- further divided into nasal meatuses by nasal concae (increase nasal surface area and are highly vacularised)
- Turbinates form the nasal concahe
- 1st endodermal turbinate = dorsal concha
- 2nd endodermal turbinate = middle concha
- Maxillary turbinate = ventral concha
Define the term concha.
Concha are turbinates covered by nasal mucosa
Define the term turbinates.
Turbinates are delicate scrolls of bone. There are 3 groups -maxillary, endodermal and ethmoidal
Define the term meatus.
Meatus simply means hole. There are many meatuses in the body.
Define the role of the nostrils.
They warm and humidify the air during inspiration and capture particles and pathogens
Define the role of conchae in the head.
- Defence mechanism (as they capture pathogens and small particles)
- Warm and moisten the air
Define the role of turbinates in the head
- Generate turbulence as air passes through the head
- Maximise capture of particles on epithelium
- Caudal regions are covered by olfactory epithelium
Define the role of the nasal meatus in the head
- Pathway for air to flow through
Explain the of airflow along the nasal chambers.
- Resistance to airflow is present (nasal cavity, pharynx and larynx make up 60% of resistance)
- Resistance = length/radius^4
- Drawn into nostrils/mouth
- through nasal cavities to pharynx
- Through larynx and into trachea (sits ventral to oesophagus)
- Horses obligate nose breathers
Describe the histological appearance of structures of the nasal cavity
- Respiratory epithelium is pseudostratified
- Covers most parts of nasal cavity
- Mucosa = eptihelium + lamina propria
- olfactory epithelium is pseudostratified, ciliated and has olfactory cells
Explain the structure of the paranasal sinus, their drainage and interconnections in the horse and dog.
- Frontal and maxillary sinuses present in all species
- Frontal sinus is between nasal and cranial cavities, drain into ethmoidal meatus (different in horse). 3 compartments in dogs, may include zygomatic process. In the horse is continuous with part of dorsal concha (frontoconchal sinus and drains into maxillary sinus through frontomaxillary opening)
- Maxillary sinus is in caudolateral aspect of upper jaw around cheek teeth, drains into middle meatus. Largest sinus in horses, divided into rostral and caudal sinus by oblique bony septum. Drain through nasomaxillary opening dorsally.
- Rostal maxillary sinus is in horses only, divided into lateral and medial compartment. Medial compartment enclosed by ventral concha and infraorbital canal
- Frontal sinus (frontoconchal) -> frontomaxillary opening ->caudal max. sinus -> nasomaxillary opening -> middle meatus
- Sphenopalatine sinus -> caudal max. sinus -> nasomaxillary opening -> middle meatus
- Rostral max sinus -> nasomaxillary opening -> middle meatus
List the differences in anatomy of the sinuses in cattle, dogs and pigs.
Frontal sinus of cattle: 5 compartments, one larger caudal compartment leads to the cornual process and pneumatises the horn
Frontal sinus of dogs: 3 compartments, lateral compartment is the largest, may include zygomatic process
Frontal sinus of pigs: very extensive cavity
Describe the relationship between the paranasal sinuses and the nasolacrimal duct.
- Nasolacrimal duct drains from medial canthus of the eye to the nasal cavity
- Ends at nasal punctae
- Runs with maxilla and maxillary sinus
- In horses ends at the nares, and in dogs ends within nasal cavity
Describe the relationship between the paranasal sinuses and horns.
- Horns are continuous with sinuses, made of bone
- Frontal sinus communicates with horn (caudal in cattle)
- Most nerves arise from trigeminal nerve and all innervated by cornual nerve
Describe the vascular supply to the horns of cows and goats.
- Branch of macillary artery (superficial temporal artery and cornual artery)
- Very vascular
Describe the neural supply to the horns of cows and goats.
- Most nerves from trigeminal nerve
- All species innervated by cornual nerve
- 90% of animals from cornual branch of infratrochlear nerve
- 15% also have frontal nerve and 5% have frontal sinus nerve
- Cutaneous branches from 1st and 2nd vertebrae caudally
Describe the limits of the oropharynx.
- ventral to soft palate
- Extends from oral cavity (last molar) to epiglottis
- Bordered by tongue, palate and palatoglossal arches
- Lined with stratified squamous epithelium