Developmental Anatomy Flashcards

1
Q

What are 3 important landmarks at 18 days?

A
  1. Mesdorm thickens to form paraxial mesoderm
  2. Coelomic spaces arise
  3. Notochord induces neural plate development
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2
Q

When does:

  1. First somite arise
  2. last somite?
A
  1. 20 days
  2. 30 days
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3
Q

Describe the difference between dermomyotome and sclerotome?

What about their relative location on paraxial mesoderm?

A
  1. Dermotome - dermis
  2. Myotome - muscles
  3. Sclerotome - skeleton

Sclerotome is deep to myotome, which is deep to dermotome

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4
Q

Name 2 different types of bone formation and how they differ

A
  • Endochondral
    • involves cartilagineous precursor to bone
    • Mesenchyme -> cartilage -> bone
  • Intermembranous
    • No cartilage precursor
    • Mesenchyme -> bone
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5
Q

How are joints formed?

A
  • Interzoneal Mesenchyme differentiates based on what type of joint it is forming
    • Fibrous
    • Synovial
  • Cells will undergo apoptosis to form the joint cavity
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6
Q

What are the 5 key points to know in axial skelton formation (think, how do you go from somites to a spinal column)

A

ABIVM

A better inside voice, man!

  1. A - annulus fibrosis forms from dense cranial cells
  2. B - vertebral body forms from lower scelerotome
  3. IV - notochord forms the nucleus pulposis in IV disc (chordoma if not degenerate)
  4. M - myotome is at level of IV disc and stretches across 2 adjacent vertebrae
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7
Q

What does the neurocentral joint form?

What are some important landmarks

A
  • Neurocentral joint is a joint between the vertebral body and vertebral arch halves
  • On dorsal side, vertebral arch halves are separated by cartilaginous spinous processes (not a joint)
  1. 5 weeks - mesenchymal vertebrae (centrum, costal processes, and vertebral forament)
    1. forms a neural arch around developing spinal cord
  2. 6 weeks - cartilaginous precursor
  3. 7 weeks - 3 ossification centers = 3 bony parts
    1. You have “3 bony parts” until birth, which begin to ossify further in early years
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8
Q

What are 3 anomalies of axial skeletal development

A
  1. Spina Bifida
  2. Congenital hemivertebra - can lead to scoliosis
  3. Accesssory lumbar or cervical ribs - can cause Thoracic Outlet Syndrome
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9
Q

How does the sternum develop?

A

The 2 sternal bands become sternal plates and fuse cranial to caudal

Anomalies (often associated with mutation of homeobox genes responsible for spatial arrangement of body’s segments)

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10
Q

Name 2 sternal anomalies and their underlying causes

A
  • Associated with mutations in homeobox genes
  • Pigeon Chest
    • Overgrowth of ribs causes sternum to protrude forward
  • Cleft Sternum
    • Incomplete fusion of sternal plates in the midline
  • Funnel chest - sunken in sternum
    • defect of the diaphragm that forms a small central tendon which pulls chest inward
  • Ectopia Cardis (worst prognosis)
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11
Q

What type of bone formation is involved in the appendicular skeleton? And what are some important landmarks?

A
  • Endochondral Bone formation
    • cartilagenous precursor before bone
  • 5 weeks - mesenchymal condensations
  • 6 weeks - chondrified
  • 8 weeks - ossification begins
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12
Q

What 4 sources do limb tissues come from? And name the important components of each source?

A
  1. Lateral Plate Mesoderm
    1. Skeleton
    2. Tendons
    3. Ligaments
    4. Vasculature
  2. Somites
    1. Musculature
  3. Neural Crest
    1. Schwann cells
    2. DRG
    3. Sensory Axons
  4. Neural Tube
    1. Motor Axons
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13
Q

When do the limbs develo? How do the limbs rotate to anatomic position in utero?

A
  • Limb buds appear at 4th - 5th week; upper limb seen first, which give rise to digits around the 6th - 7th week
  • Upper limb rotates 90 degrees LATERALLY so that it is in the anatomic position
  • Lower limb rotates 90 degrees MEDIALLY to be in anatomic position
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14
Q

What is the difference between epaxial and hypaxial muscle?

A
  • Epaxial division (dpimere) - givs rise to deep back muscles (dorsal rami)
  • Hypaxial (hypomere) - gives rise to muscles in limb and body wall ( VENTRAL Rami)
  • Striated muscles of the trunk develop from myotomes (in contrast to smooth and cardiac muscle which develops from splanchnic mesoderm
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15
Q

Where does smootha nd cardiac muscle come from?

A

Splanchnic mesoderm forms smooth and cardiac muscle

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16
Q

What germ layer do muscles develop from?

A

MESODERM (except those of the optic cup)

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17
Q

What is the difference between Amelia and Meromelia?

A
  • Amelia and Meromelia are both limb malformations
  • Amelia - completely absent limbs (ngz)
  • Meromelia - limbs develop as rudimentary stumps
    *
18
Q

What is ichthyosis

A

Skin does not slough off easily given a “fish scale” like appearance

19
Q

Hemangioma or Angioma

A

Diffuse capillary beds in the skin causing port wine stains

20
Q

Where do mammary glands develop from?

A

Priomordial mammary glands invades the mesenchyme and forms glandular buds (called the “mammary ridge)

21
Q

Define the following anatomical variations with mammary development:

  1. Polythelia
  2. Polymastia
  3. Micromastia
  4. Macromastia
A
  1. Polythelia - additional nipple along mammary ridge
  2. Polymastia - accessory breast along mammary ridge
  3. Micro/macromastia - breast under/over- development
22
Q

What FGFR is associated with achondroplasia?

A

FGFR3 - involved with a deficit in growth plates

FGFR genes

23
Q

What does the 1st aortic arch form?

A

Small portion of maxillary artery

24
Q

What does the 2nd aortic arch form?

A

Stapedial artery and helps shape the stapes (bone in the middle ear)

25
Q

What does the 3rd aortic arch give rise to?

A

Proximal aspect of common carotid and internal carotid a.

26
Q

What does the 4th aortic arch turn into?

What pathology can result from improprer obliteration of the 4th arch?

A
  • Left portion = connects aortic sac with descending aorta (ie forms part of arch of aorta)
  • Right portion = forms proximal portion of Right Subclavian A.
    • You form a DOUBLE aortic arch if caudal portion of 4th aortic arch fails to obliterate
27
Q

What happens to the 5th aortic arch?

A

IT GOES AWAY, OBLITERATED!

28
Q

What happens to the 6th aortic arch?

A
  • Obliterates on the right side
  • Left side persists as the proximal portion of the right pulmonary artery + DUCTUS ARTERIOSUS
29
Q

What do the intersegmental arteries form? What is special about the 7th one?

A
  • Intersegmental arteries arise off of dorsal aorta to supply nearby somites
  • 1 - 6 form a longitudinal anastamosis and develop into vertebral arteries on either side
  • 7th cervical intersegmental a. becomes portion of R and L SCA
    • In adult, vertebral A come off of SCA and travel though transverse foramen of cervical vertebra
30
Q

Describe the bovine heart abnormality. Is it pathological?

A

Bovine heart = Brachiocephalic trunk gives rise to RSCA, Right common carotid AND Left common carotid

This is opposed to the left common carotid branching normally off the aortic arch.

31
Q

Describe a double aortic arch, and the underlying embryological pathology

A

Caudal portion of right dorsal aorta never obliterates and the right and left dorsal aorta remain tethered

  • Caudal Right dorsal aorta normally involutes to form R. SCA
32
Q

What causes a right aortic arch formation?

A

The caudal portion of the left involutes, creating a right sided aortic arch

33
Q

Describe a retroesophageal RSCA?

A
  • The entire right dorsal aorta involutes and right arch of the aorta is BEHIND the trachea and esophagus
34
Q

What are the fetus’ 2 shunting mechanisms to bypass lungs?

A
  1. Blood is pushed through foramen ovale and directly into the left atrium
  2. Lungs bypassed by the ductus arteriosus
35
Q

What is the ductus venosus?

A

Shunts 50% of umbilical vein blood directly (from umbilical veins into the SVC), bypassing the fetal liver

(the other 50% goes to the liver, purely for liver development, but not for detox purposes)

36
Q

What does the umbilical vein become?

A

Ligamentum Teres Hepatus (round ligmanet of the liver)

37
Q

What does the ductus venosus become?

A

Becomes Ligamentum venosum, which closes off shunt that previously bypassed the fetal liver - now blood goes into the liver from portal vein

38
Q

What does the foramen ovale become

A

Fossa Ovalis

39
Q

Ductus Arteriosus after birth?

A

Ligamentum arteriosum

40
Q

What do umbilical arteries turn into? Proximal and Distal

A
  1. Proximal UA renamed as superior vesicle arteries (these supply the bladder)
  2. Distal UA becaomes ligamentous and turns into medial umbilical ligaments
41
Q

Which creates collateral circulation and notching in the ribs? WHich requires surgical intervention, like a stent?

Post/Preductal co-arctation?

A
  1. Post-ductal coarctation - creates collateral circulation and notching of the ribs
  2. Pre-ductal coarctation - requires surgical intervention like a stent
    1. No time for fetus to create collateral circulation (cyanotic baby)
42
Q

From where does blood that make it into the right ventricle come from? What about blood that makes it into the left atrium?

A
  • Blood trickling into RV can *only *come from SVC because of “trickling”
  • Blood into the LA comes directly from the IVC to RA to Foramen ovale to LA
    • Why? because the IVC blood goes directly into the Forament ovale, and into the LA
      • no way for it to “trickle” into the RV like the blood from the SVC did