Embryology ✅ Flashcards

1
Q

Where does the respiratory tree arise from?

A

The ventral surface of the foregut

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2
Q

What are the phases of lung development?

A
  1. Embryonic phase
  2. Pseudoglandular phase
  3. Canalicular phase
  4. Saccular phase
  5. Term
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3
Q

When does the embryonic phase of lung development occur?

A

3-5 weeks

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4
Q

What happens in the embryonic phase of lung development?

A

The respiratory bud arises from the ventral surface of the foregut

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5
Q

What kind of mesoderm does the respiratory bud arise from?

A

Splanchnic

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6
Q

When does the pseudoglandular phase of lung development occur?

A

6-16 weeks

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7
Q

What is formed in the pseudoglandular phase?

A

Bronchial tree

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8
Q

What develops in parallel to the bronchial tree during the pseudoglandular phase?

A

The arterial supply to each lung

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9
Q

What is the result of the arterial supply of each lung arising parallel to the bronchial tree?

A

Arteries are found alongside each airway, a pattern that persists into adulthood

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10
Q

When do the pulmonary veins develop?

A

At a similar time to the arteries and bronchial tree

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11
Q

Do the pulmonary veins accompany the airways?

A

No

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12
Q

Where do the pulmonary veins lie?

A

In the intersegmental plane

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13
Q

When is smooth muscle present in the trachea and bronchi from?

A

10 weeks

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14
Q

When does cartilage develop in the respiratory system?

A

6 weeks

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15
Q

When are ciliated cells seen?

A

12 weeks onwards

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16
Q

When is the canalicular phase of respiratory development?

A

17-24 weeks

17
Q

What happens in the canalicular phase of lung development?

A
  • Distal airways develop

- Epithelial cells subdivide into type I pneumocytes and type II pneumocytes

18
Q

What is the purpose of type I pneumocytes?

A

Gas exchange

19
Q

What is the purpose of type II pneumocytes?

A

Surfactant production

20
Q

When is the saccular phase of lung development?

A

24 weeks - term

21
Q

What happens in the saccular phase of lung development?

A

Terminal sacs, alveolar ducts, and finally alveoli form, increasing surfactant production from 24 weeks

22
Q

How to the lungs of a term neonate compare to adults?

A

They have 1/5 of the number of alveoli

23
Q

What happens to alveoli during childhood?

A

Alveolar multiplication and maturation continues into early childhood

24
Q

What can abnormal embryological development of the lungs lead to?

A

Congenital thoracic malformations (CTMs)

25
Give 7 examples of abnormal embryological development of the lungs?
- Failure of complete separation of the foregut and bronchial structures - Congenital pulmonary airway malformations - Pulmonary sequestration from abnormal blood supply to part of the lung - Congenital diaphragmatic hernia - Cysts - Congenital lobar emphysema - Lung agenesis/bronchial atresia
26
What does failure of separation of the foregut and bronchial structures lead to?
Different types of tracheo-oesophageal fistula
27
What causes congenital pulmonary airway malformations?
Abnormal development of alveolar or bronchial tissues
28
Is pulmonary sequestration from an abnormal blood supply to part of the lung systemic or pulmonary?
Usually systemic
29
What causes congenital diaphragmatic hernia?
Maldevelopment of the pleuroperitoneal canal
30
What are the types of cysts that can arise due to abnormal embryological development of the lungs?
- Bronchogenic | - Foregut
31
What causes congenital lobar emphysema?
Partial obstruction of the developing airway
32
What is the most common cause of partial obstruction of the developing airway leading to congenital emphysema?
Deficiency of bronchial cartilage development
33
What causes lung agenesis/bronchial atresia?
Maldevelopment of the bronchial tree in early fetal life