Development of the Respiratory System Flashcards

1
Q

Describe the development of the layers of the trilaminar embryo

A
  • ectoderm develops a neural groove with the tips of the walls of the groove forming a neural crest
  • lateral plate mesoderm divides into parietal (somatic) and visceral (splanchnic) mesoderm which becomes serous membranes
  • parietal layer forms body walls
  • visceral layer surrounds organs
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2
Q

Describe the process of lateral folding of the trilaminar embryo

A
  • parietal layer of lateral plate mesoderm merges with ectoderm

at same time:

  • pinching of the primitive yolk sac which becomes the gut tube
  • visceral layer of lateral plate mesoderm envelopes gut tube
  • leading edge of ectoderm and parietal layer of lateral plate mesoderm moves antero-medially to come together and fuse in midline
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3
Q

What are the results of lateral folding of the trilaminar embryo?

A
  • a cavity which becomes thoracic, abdominal and pelvic cavity (continuous by pericardio-peritoneal canals until diaphragm forms)
  • thoracic body wall from surface ectoderm and parietal layer of lateral plate mesoderm deep to it
  • gut tube suspended by visceral layer of lateral plate mesoderm
  • parietal layer of lateral plate mesoderm becomes parietal pleura
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4
Q

As lateral folding of the embryo occurs what other process is taking place?

A
  • cranio-caudal folding also takes place

- head and tail folds meet 2 lateral folds at umbilicus

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5
Q

Describe the development of the lung buds

A
  • in cervical portion of gut tube in ventral midline respiratory diverticulum appears
  • respiratory diverticulum expands ventrally and towards the chest in front of the gut tube
  • meanwhile tracheo-oesophageal ridges grow towards each other to separate respiratory diverticulum from gut tube
  • diverticulum bifurcates into 2 branches which can later expand/dilate
  • terminal ends of dilatations are lung buds that will become lungs
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6
Q

Describe the development of the pharyngeal arches

A
  • 4-5 weeks of development pharyngeal arches appear separated from one another by pharyngeal clefts
  • 5 pharyngeal arches (1,2,3,4,6) have a cartilaginous element (aortic arch), an artery and a nerve (cranial nerve)
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7
Q

Describe the position of the laryngeal opening and what the sections of the diverticulum develop into

A
  • laryngeal orifice is between the epiglottal and laryngeal swellings
  • upper end of diverticulum becomes larynx
  • middle section of larynx becomes trachea
  • lower end becomes tertiary bronchi, bronchioles and alveoli
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8
Q

What is the epithelium of the respiratory system derived from?

A

endoderm

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9
Q

What are the 4 overlapping stages of lung development?

A
  • pseudoglandular
  • canalicular
  • terminal saccular
  • alveolar
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10
Q

Why are the first 2 overlapping stages of development of the lungs not compatible with life?

A

As the sections involved in gas exchange has not been developed yet

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11
Q

When is surfactant secreted and what cells secrete them?

A
  • from 20 weeks

- type 2 pneumocytes

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12
Q

From when can the foetus survive?

A

28 weeks

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13
Q

What are the 4 sources of origin of the diaphragm?

A
  • pleura-peritoneal folds
  • septum transversum
  • mesentery of the oesophagus
  • muscular in-growth from the body wall
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14
Q

Describe the development of the diaphragm

A
  • pleura-peritoneal folds fuse with the septum transversum
  • septum transversum forms central tendon of diaphragm
  • contains myoblasts from somites in C 3,4,5 (phrenic nerve)
  • crura develops from mesentery of oesophagus
  • muscular in-growth occurs from the body wall
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15
Q

What causes diaphragmatic hernias?

A

failure in the normal development of one of the sources of origin of the diaphragm or fusion of them

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16
Q

What happens if the tracheo-oesophageal folds do not fuse properly?

A
  • in most cases, communication between trachea and oesophagus
  • called tracheo-oesophageal fistula usually accompanied by oesophageal atresia
  • in cases where the start of the oesophagus communicates with the trachea the baby will attempt to feed and it will enter the trachea and cause choking and possible development of pneumonia/pneumonitis
  • possibility of retrograde passage of gastric acid from GI tract to respiratory system in cases where the bottom of the oesophagus is in communication with the trachea
17
Q

What occurs in oesophageal atresia?

A
  • during pregnancy, foetus swallows amniotic fluid which is resorbed from the gut and returned to maternal circulation
  • oesophageal atresia causes prevention of the circulation of fluid and polyhydramnios develops (excessive amniotic fluid)
18
Q

What are the different diaphragmatic hernias that can happen?

A
  • Bochdalek hernia (95%): posterolateral defect in fusion of pleura-peritoneal folds
  • Morgagni hernia anterior
  • central hernia
19
Q

Describe Respiratory Distress Syndrome and how it is treated

A
  • insufficient surfactant
  • collapse of alveolar wall during expiration
  • treated with artificial surfactant
  • glucocorticoids to stimulate surfactant secretion