Embryology Flashcards

1
Q

What do the dorsal and ventral mesenteries divide the intraembryonic coelem into?

What do these go to form?

A

Left and right sacs

Left - greater sac

Right - lesser sac

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2
Q

Which directions do the ventral and dorsal mesogastrium swing around as the foregut longitudinally rotates?

What do they end up being attached to?

A

Ventral mesogastrium - right - lesser curve and superior part of duodenum

Dorsal mesogastrium - left - greater curve and inferior aspect of the duodenum

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3
Q

Which ommentum forms which mesentery?

A

Greater ommentum forms the dorsal mesentery

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4
Q

Name some problems that can arise from abnormal positioning of the tracheosophageal septum.

A

Proximal blind-end oesophagus

Tracheosophageal fistulas

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5
Q

Name 4 parts of the gut which are secondarily retroperitoneal?

A

Duodenum
Pancreas
Ascending colon
Descending colon

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6
Q

Which week does physiological herniation occur during?

A

6th

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7
Q

Give some causes of volvulus.

A
Malrotation 
Enlarged colon
Pregnancy 
Abdominal adhesions 
Hirchsprung’s disease 
(Congenital intestinal aganglionosis)
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8
Q

Describe the rule of 2s with relation to meckel’s diverticulum.

Give a complication and why it occurs.

A

2 feet from ileocaecal valve
2% of population
2:1 M:F
Commonly detected in under 2s

Necrosis - ectopic gastric or pancreatic tissue from the foregut causing an inflammatory response.

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9
Q

What is the difference in lymphatic drainage above and below the pectinate line?

A

Internal iliac above

Superficial inguinal below

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10
Q

Give 3 hindgut abnormalities

A

Imperforate anus
Anal/anorectal agenesis
Hindgut fistula

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11
Q

Highlight the important parts in the timeline of development of the primary intestinal loop.

A

4 - appears
6 - herniated
8 - rotates
10 - returns

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12
Q

What occurs in weeks 4 and 7 in relation to pancreatic development?

A

4 - buds form in the dorsal and ventral mesenteries

7 - fuse

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13
Q

When does recanalisation occur?

A

Week 8

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14
Q

When does cloacal partitioning occur to form the urorectal septum?

A

Week 7

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15
Q

When does the buccopharyngeal membrane rupture?

A

Week 4

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16
Q

Why are atresia and stenoses most likely to occur from the lower duodenum onwards?

A

Vascular accident due to malrotation, volvulus or body wall defect

17
Q

What is parasympathetic and sympathetic nerve supply to the Hindgut?

A

Parasympathetic - pelvic splanchnic nerves (S2-S4)

Sympathetic - lumbar splanchnic (L1-L3) IMG and plexus