Development of the Lungs - Diaphragm and body cavities Flashcards

1
Q

Body folding to give thoracic cavities

A

Original coelom will end up as 4 body cavities

1) Pericardial cavity
2) Pleural cavities (2)
3) Abdominal cavity

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2
Q

Origin of the central tendon of the diaphragm

A
  • septum transversum

- starts out at the anterior of the embryo ahead of the developing brain and head

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3
Q

Folding to give the 4 body cavities

A
  • when embryo folds up folds over at 90 degrees to the long axis of the embryo at the head and tail end –> gives head and tail fold
  • embryo rolls up in the long axis to give lateral body folds
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4
Q

Where are the fluid filled coeloic cavities after folding

A

-lie below and on either side of the developing GI trct

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5
Q

Location of prospective pericardial cavity and pleural cavities after folding

A

Located anterior to the septum transversum (future diaphragm)

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6
Q

Location of future abdominal cavity after folding

A

-portions that will fuse to form the future abdominal cavity after folding lie behind the septum transversum

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7
Q

Development of the lungs

A

1) develop as a groove in the floor of the developing digestive tract = laryngotracheal groove
2) Laryngotracheal groove grows down into region between the developing pleural cavities (pleural coeloms) as a lung bud
3) Lung bud branch divides into two buds (left and right bronchial buds)
4) Right then branches into three while left branches into two
5) Lung buds grow sideways out into pleural coeloms and as they grow become invested by the thin sheet of cells lining the coeloms (the splachnic mesoderm) which forms the visceral pleura
6) By week 7 have branched again to form segmental bronchi
7) Lungs continue to grow outwards into pleural cavities (pleural coeloms) and fill all of the space except for that which is occupied by the heart
8) Folds of the membrane divide the pleural colelom off from the pericardial coelom -giving 2 pleural cavities and a pericardial cavity (i.e. parietal pleura?)

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8
Q

Four periods of development lung histology

A

1) Pseudoglandular 8-16 weeks
- histological structure resembles a gland
- development of pulmonary arteries during this period
2) Canalicular 17-26 weeks
- formation of respiratory bronchi and intense growth of pulmonary blood vessels
3) terminal sacs 26 weeks to birth
- blood-air barier established (type I aveolcyte responsible for gas exchange while type II responsible for surfactant production)
4) Formation of alveoli 32 weeks to 2 years
- also full microvascular maturation by age 2-5 (from double capillary network to single)
- growth of terminal sacules, alveolar ducts and alveoli

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9
Q

Requirements for lung development (3)

A

1) Adequate thoracic space
2) Foetal breathing movements
3) Adequate amnionic fluid volume

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10
Q

Division of lungs by 24 weeks + what this means for respiration

A
  • as lungs grow out into pleural cavities continue to divide so that by 24 weeks there are 17 orders of branching
  • at this point there is still not enough alveolar developmet for respiration (so prognosis of foetus delivered at this point is poor but can maintain life?)
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11
Q

Most important factor in lung development for maintenance of life

A
  • development of type II alveolocyte and its production of surfactant
  • surfactanct acts like a detergent - reduces surface tension in the lungs and allows alveoli to open up (otherwise walls of the alveoli will remain stuck together held together by surface tension)
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12
Q

Timeline development of the capillaries

A
  • marginal development at 23 weeks

- adequate development by weeks 24-26

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13
Q

Function of amniotic fluid -respiration

A
  • surrounds the foetus

- foetus breathes the amniotic to help expand the lungs and strengthen the respiratory muscles

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14
Q

Origin of amniotic fluid

A
  • secreted by foetal kidneys

- that which is swallowed by the foetus is reabsorbed into foetal circulation –> maternal circulation

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15
Q

Consequence of inadequate amniotic fluid development (oligohydramnios)

A

The lungs may be underdeveloped (hypoplastic)

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16
Q

Common congenital anomalies

A

1) Trachesophageal fistula
2) Hypoplastic lungs
3) Congenital lung cysts

17
Q

Trachesophageal fistula

A
  • failure of the trachea to separate properly from the esophagus
  • leaves a second connection between trachea and esophagus
  • sometimes the esophagus fails to connect with the stomach (esophageal atresia)
18
Q

Hypoplastic lungs

A
  • failure of lungs to expand and develop properly

- usually due to compression by other structures

19
Q

Congenital lung cysts

A
  • dilation of bronchi later in development

- can lead to pneumothorax later in life

20
Q

Development of the diaphragm - composition

A

-develops from the septum transversum, two pleuroperitoneal folds, the mesoesophagus and muscles of the body wall

21
Q

Mesoesophagus -formation, function

A
  • the mesentery that supports the esophagus

- formed by 2 sheets of splanchnic mesoderm

22
Q

Development of diaphragm -steps

A
  • two pleuroperitoneal folds grow down from the dorsal part of the body wall to fuse with the mesentery of the esophagus and septum transversum
  • as embryo expands outwards muscle is pulled off the body walls
  • muscle is arranged in radial fashion (ideal for flattening of diaphragm when it contracts)
23
Q

Problems with development of diaphragm

A
  • mostly due to failure to fuse or to remain fused leaving a hole (diaphragmatic hernia)
  • because of increased abdominal pressure during development the contents of the abdomen will be forced into the thorax through hole and the lungs will fail to expand (hypoplastic lung)
  • if the hole is large the prognosis is poor
24
Q

Most common cause of diaphragmatic hernia

A

-failure of fusion of the pleuroperitoneal membranes (folds) with the septum transversum and mesoesophagus

25
Q

Foramen of Bochdalek

A
  • name given to opening in diaphragmatic hernia

- more common on the left side