Developmental abnormalities genetic and environment Flashcards

1
Q

What are the mechanisms of abnormal development?

A
  • Arrest or inhibition of development
  • Persistence of fetal structures
  • Failure of closure of fetal grooves and fissures
  • Growth in aberrant locations
  • Duplications
  • Lack of coordination of growth and differentiation
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2
Q

What is a neural tube defect?

A
  • Defect in closure of the neural tube
  • Resulting conditions can include anencephaly, encephalocele, and spina bifida (myelomeningocele) resulting in failure of formation of the overlying dorsal portion of the vertebra
  • Types include myelomeningocele, meningocele, and spina bifida
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3
Q

What is spina bifida?

A
  • Neural tube defect
  • Results in spinal cord malformation and failure of formation of the overlying dorsal portion of the vertebra
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4
Q

What is spina bifida occulta?

A
  • Same as spina bifida but there is a bony change in one or more vertebra
    • doesn’t affect nerves within the spinal column
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5
Q

Morphologic diagnosis for this image?

A

Hard palate, cleft

“Cleft palate”

“Palatoschisis”

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6
Q

What is ectopic cordis?

A
  • Growth of the heart in an aberrant location
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7
Q

What is “ectopic”

A
  • Growth of a tissue outside of where is normal
  • Used in morphologic diagnosis
    • Ex:
      • Duodenum, ectopic pancreas
        • abnormal pancreas tissue found on the duodenum
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8
Q

What is “Diphagus”?

A

two jaws

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9
Q

What is “Polydactyly”?

A

Additional digits

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10
Q

How are conjoined twins morphologically described?

A
  • “-pagus” - fixed or united
  • Ex:
    • Cephalothoracopagus
      • fusion of head and thorax of conjoined twins
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11
Q

What is “-parapagus”?

A
  • Conjoined twins that lie side-by-side with ventrolateral fusion
  • Ex:
    • Dicephalic parapagus
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12
Q

What is “holoprosencephaly?

A
  • Failure of proper differentiation of the embryonic forebrain (prosencephalon)
  • Features vary widely from microencephaly, hydrocephalus, facial anomalies and clefts, cyclopia, single upper incisor
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13
Q

What is “Schistosomus reflexus”?

A
  • Syndrome with multiple malformations including:
    • Spinal inversion
    • Ventral midline abdominal cleft with externalization of abdominal viscera
    • Arthrogryposis/ankylosis
    • hypoplasia of the diaphragm and lungs
  • Variable features include:
    • Cleft sternum and exposure of thoracic viscera
    • Scoliosis
    • Digestive defects
    • Urogenital defects
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14
Q

What is “Amorphous globosus”?

A
  • A spherical fetus that lacks differentiation of phenotypic body parts
  • Inner part consists of various degrees of differentiation of mesodermal and ectodermal tissues
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15
Q

What are examples of musculoskeletal developmental diseases?

A
  • Amelia
  • Hemimelia
  • Arthrogryposis
  • Chondrodysplasia
  • Osteopetrosis
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16
Q

What is “amelia”?

A

Absence (or near absence) of a limb or limbs

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17
Q

What is “hemimelia”?

A

The absence of all or part of the distal part of a limb

18
Q

What is “Hemivertebrae”?

A
  • Half of the vertebral body fails to form, often resulting in a wedge-shaped vertebra
  • Common cause of scoliosis
19
Q

What is “scoliosis?”

What is “kyphosis”?

A
  • Scoliosis: lateral deviation of the spine (sideways curvature)
  • Kyphosis: Dorsal/ventral deviation of the spine
20
Q

What is “arthrogryposis”?

A

flexure or contracture of a joint

21
Q

What is “brachygnathia”?

A

Shortening of the mandible relative to the maxilla

“Overbite”

22
Q

What is “prognathia”

A

Lengthening of the mandible relative to the maxilla

“Underbite”

23
Q

What is “Chondrodysplasia”?

A
  • abnormal development of cartilage
  • Results in short long bones and spine (Dwarfism)
  • Normal phenotypic trait in certain dog breeds (Dachshunds, English bulldog, etc)
24
Q

What is Osteopetrosis?

A
  • Disorder characterized by increased bone density and abnormal bone remodeling
    • due to decreased bone resorption caused by osteoclast dysfunction
  • Bone is fragile and predisposed to fractures
  • Excess bone can compress normal tissues
25
Q

What are examples of Nervous system developmental diseases?

A
  • Anencephaly
  • Microencephaly
  • Hydrocephalus
  • Hydranencephaly
26
Q

What is anencephaly?

A
  • Neural tube defect
  • All or part of the brain and skull are absent
27
Q

What is microcephaly?

A
  • Head is smaller than normal
  • Often a smaller incompletely developed brain
28
Q

What is Hydrocephalus?

A

Excessive fluid in the ventricles of the brain

29
Q

What is hydranencephaly?

A
  • Failure of formation of parts of the cerebrum
    • usually white matter
30
Q

What is porencephaly?

A

Cyst or cavity within the cerebrum due to abnormal development or destructive/viral lesions

31
Q

What is Aortic and pulmonary stenosis?

A
  • Narrowing of the aortic or pulmonary valves
  • Restricts blood flow
  • Ventricular hypertrophy will be a secondary event
32
Q

What is patent ductus arteriosus?

A
  • Ductus arteriosus connecting the aorta and pulmonary artery doesn’t close after birth
  • Allows oxygenated blood in the aorta to flow back to the pulmonary artery/lungs
    • Creates excessive blood flow to the lungs
33
Q

What is Truncus arteriosus?

A
  • Failure of separation of the aorta and pulmonary artery
  • Results in a single common vessel with a single common valve (truncal valve)
34
Q

What is tetralogy of Fallot?

A
  • Combination of pulmonic stenosis, ventricular septal defect, overriding aorta and right ventricular hypertrophy
  • Overriding aorta:
    • aorta is shifted slightly to the right and lies directly above the ventricular septal defect, receiving blood from both the right and left ventricles
35
Q

What are ventricular septal defects?

A
  • Incomplete formation of the interventricular septum
  • Results in holes that allow communication between the right and left ventricles
36
Q

What is a hermaphrodite?

A
  • Individual with both ovarian and testicular tissue
    • Sometimes combined as an ovotestis
  • And ambiguous external genitalia
  • Chromosomes have both male and female components (mosaicism)
37
Q

What is a pseudohermaphrodite?

A
  • Individuals with mismatched reproductive organs and external genitalia
    • Male pseudohermaphrodites: Testes with chromosomal constitution of male but with ambiguous or female external genitalia
    • Female pseudohermaphrodite: Ovaries with chromosomal constitution of female, but male external genetalia
38
Q

What is freemartinism?

A
  • twinning a heifer and a bull calf, in which there has been a sharing of common blood supply
    • placentas each merged together
  • Male hormones inhibit female repro tract development (hypoplasia for all components)
39
Q

What is Epitheliogenesis imperfecta?

A
  • Absence of epithelium in discrete area of the skin nd mucosa
  • Most often present over the distal extremities
  • Defects can also occur in the oral cavity and tongue
40
Q

What is Hypotrichosis?

A

Reduction in the amount of hair

41
Q

What is collagen dysplasia?

A
  • Group of diseases of connective tissue that result in reduced strength of affected tructures
  • Cutaneous astheni
  • Ehlers-Danlos-like Syndromes
  • Osteogenesis imperfecta
42
Q

What is Ichthysis?

A
  • Conditions characterized by thick, dry, scaling skin
  • sometimes resemble fish scales