Development Of Gut (4) Flashcards

1
Q

What does the hindgut go on to form?

A

Lower GI tract

Distal 1/3 transverse colon, descending colon, sigmoid colon, rectum, superior part of anal canal and urinary bladder

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2
Q

What is the origin of the hindgut during embryological development?

A

Originates from the cloaca which is a common cavity at the end of the digestive and urinary tracts

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3
Q

What is the cloaca ?

A

A common cavity at the end of the digestive and urinary tracts

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4
Q

How is the cloaca divided?

A

Into 2 separate spaces by thee descending Urorectal septum

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5
Q

What is the urorectal septum?

A

Wedge of mesoderm separating the cloaca into 2 separate spaces

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6
Q

What time period does the descending urorectal septum form?

A

Between 4th and 7th week of development

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7
Q

What are the 2 spaces created by the descending urorectal septum?

A

Anterior urogential sinus

Posterior anorectal space

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8
Q

What does the urogenital sinus develop into?

A

Bladder
Urethra

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9
Q

How is the anorectal canal related to the amniotic fluid?

A

Open to the amniotic fluid since at 7th week cloacal membrane ruptures

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10
Q

What is the terminal part of the GI tract where the anus will form called?

What covers it?

A

Proctodeum

Covered by ectoderm

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11
Q

How does the anus form at the proctodeum?

A

Anal/cloacal membrane ruptures allowing ectoderm to invaginate inwards to the distal anus

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12
Q

What is the pectinate line?

A

The junction between the ectoderm and endoderm at the distal anus

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13
Q

How do the types of cell differ above and below the pectinate line in the distal anus?
And what are these cells derived from?

A

Below the line = stratified squamous epithelia derived from ectoderm

Above the line = columnar epithelia derived from endoderm

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14
Q

What is the white line?

A

A line in the anal canal marking the upper anal canal and rectum

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15
Q

What type of cells are above and below this white line in the anal canal?

A

Above line = non-keratinised

Below line = keratinised (skin)

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16
Q

How is pain experienced above and below the pectinate line?

A

Below the line = localised pain since its somatic derived pain

Above the line = more vague pain since gut doesn’t have good pain receptors, responds to stretch and chemical injury

17
Q

How is blood supply different above and below the pectinate line?

A

Below pectinate line = systemic blood supply

Above pectinate line = gut blood supply

18
Q

What are some hindgut development abnormalities that can happen with a blood supply abnormality?

A

Imperforate anus

Anorectal agenesis

Fistulae

19
Q

What is an imperforate anus?

A

When anal membrane fails to rupture

20
Q

What is anorectal agenesis?

A

When the hindgut fails to form completely

21
Q

What fistulae can form in the hindgut development?

A

Between the rectum and bladder or vagina

22
Q

What is a fistula?

A

An abnormal connection between hollow epithelial lined cavities