Embryology - Cole Flashcards

1
Q

what gives rise to the urogenital system?

A

nephrogenic cord and urogenital ridge

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2
Q

what is the 1st kidney formed?

when and how long?

A

pronephros

beg. of 4th week until day 24/25

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3
Q

what is the 2nd kidney formed?

when is it functional?

what does it form?

A

mesonephros

weeks 6-10

ductus deferens in males

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4
Q

where do mesonephric tubules form?

A

within nephrogenic cords

40 tubules

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5
Q

what are the mesonephric tubules?

A

primitive nephrons
20 pair found in lumbar region

differentiate into functional nephric units with glomeruli

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6
Q

where do the mesonephric ducts form from?

A

cords dorsolateral to tubules

empty into the cloaca

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7
Q

what is the renogenic mesoderm?

what does it do?

A

metanephric blastema

secretes GFs that induce growth of urerteric bud from caudal portion of mesonephric Duct

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8
Q

what are the cell adhesion molecules essential for condensation of the mesenchyme into an epithelium

A

Syndecan and E-cadherin

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9
Q

what does the metanephric blastema make?

A

bowman’s capsule, PCT, loop of Henle, DCT

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10
Q

what comes from the urteric bud?

A

CTs, CDs, minor and major calyces, renal pelvis, ureter

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11
Q

where does renal fusion display an abnormal blood supply

A

middle sacral or common iliac arteries

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12
Q

what divides the cloaca?
what does the ventral portion develop into?
dorsal?

A

urorectal septum
bladder and urogenital sinus
rectum and anal canal

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13
Q

what is incorporated into the posterior wall of the urinary bladder?

A

weeks 4-6, mesonephric duct(pelvic urethra) and ureteric bud(to bladder wall)

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14
Q

what forms the trigone

A

triangular region of the incorporated mesonephric duct incorporated in the bladder wall

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15
Q

what is exstrophy of the bladder

A

failure of midline closure of inf. abdominal musculature of anterior wall fails to form

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16
Q

what does exstrophy of the bladder cause?

A

bifid penis or clitoris, bladder open to external environment

17
Q

what are the 4 urachus anomalies?

A

patent urachus - tubular urachus connects bladder to umbilicus
urachal sinus - caudal urachus partially obliterates
bladder diverticulum - proximal urachus partially obliterates
urachal cyst - urachus partially obliterates

18
Q

what does ectopic ureter develop from?

A

2 ureteric buds

19
Q

where do ectopic orifices open in females?

A

vestibule (38%)
urethra (32)
vagina (27)
uterus (3)

20
Q

where does an ectopic ureter occur in males?

A

prostatic urethra
seminal vesicles
ejaculatory duct
ductus deferens

21
Q

what is it called when ectopic ureters enter the male genital tract?

A

epididymorchitis, urine in testis

22
Q

pain as UTI or flank pain indicates what?

A

ureters draining into bladder neck or prostatic urethra

23
Q

what is a common cause of unilateral renal agenesis?

what absence is accompanied with this in males?

A

absence of mesonephric duct

ductus deferens

24
Q

bilateral renal agenesis causes what?

A
hypoplastic lungs
Potter face (flattened everything)

due to oligohydramnios

25
what is renal dysplasia and agenesis due to?
absence of inductive signals from the ureteric bud | mutations in GDNF signaling which controls branching and growth of ureteric bud
26
where are the lesions in polycystic kidney disease?
PCT, loop of Henle
27
what is wilm's tumor due to? what is it?
mutation in WT1 cancer of the kidney
28
what does a failure of Rathke folds result in?
rectourethral fistula
29
what happens in males if Rathke fold fails?
rectoprostatic fistula
30
what happens in females if Rathke folds fail?
rectocloacal canal or | rectovaginal fistula
31
where does the urinary and genital system develop from?
intermediate mesoderm of trilaminar disc