Embryology of Reproductive Tract Flashcards

1
Q

urinary and internal repro organs from?

A

intermediate mesoderm

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2
Q

genital ridge

A

forms gonad

from intermediate mesoderm

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3
Q

mesonephric duct

A

aka wolffian

drains to cloaca

forms male internal reproduction organs

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4
Q

paramesonephric duct

A

forms female internal reproduction organs

aka mullerian duct

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5
Q

indifferent stage

A

not male or female - to week 8

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6
Q

determines male?

A

SRY gene on Y chromosome

protein - TDF - testis determining factor

masculinization of indifferent genitals

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7
Q

indifferent gonad

A

genital ridges from intermesoderm

epithelium (cortex) grows into underlying mesoderm to form primitive sex cords (medulla)

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8
Q

primordial germ cells

A

migrate to genital ridge week 4-6

-no PHC migration, no gonad formation

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9
Q

genetic sex

A

determined at fertilization

-phenotypic - not until puberty fully

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10
Q

determination of internal and external genitalia

A

determined by gonadal hormones

testes - produce testosterone

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11
Q

leydig cells

A

testosterone

-masculinizes internal/external genitals

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12
Q

sertoli cells

A

produces antimullerian hormone (AMH)

-suppresses female development (paramesonephric duct)

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13
Q

in response to TDF in males

A

outer cortex regress

inner medulla forms testes

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14
Q

tunica albuginea

A

cortex of primitive gonad

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15
Q

primitive sex cords

A

seminiferous tubules, tubuli recti, rete testes

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16
Q

descent of testes

A

determined by testosterone

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17
Q

gubernaculum

A

attaches caudal pole of testes to anterior body wall

-future site of deep inguinal ring

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18
Q

processus vaginalis

A

evagination of peritoneum passing through abdominal wall lateral to site of attachment of gubernaculum

proximal closes (around deep ring), distal becomes tunica vaginalis of testes

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19
Q

inguinal canal

A

formed when processus vaginalis and gubernaculum pulled through abdominal wall

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20
Q

prostate

A

from cloaca

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21
Q

mesonephric duct differentiation

A

epididymis, ductus deferens, ejaculatory duct, seminal vesicles

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22
Q

urethra gives rise to

A

prostate and bulbourethral glands

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23
Q

mesonephric tubule differentiation

A

efferent ductules, appendix of epididymis

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24
Q

paramesonephric duct regression

A

appendix of testes and prostatic utricle

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25
Q

external genitalia formation

A

cloacal folds - mesenchyme swelling around cloacal membrane

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26
Q

lateral cloacal folds

A

urethral and anal folds

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27
Q

anterior cloacal folds

A

genital tubercle

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28
Q

genital swellings

A

labioscrotal swellings

form on each side of cloacal membrane

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29
Q

external genitalia differentiation

A

fully at 12th week

-under influence of testosterone and DHT

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30
Q

anal folds

A

anus

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31
Q

genital tubercle

A

glans penis

32
Q

urethral folds

A

shaft, root of penis and penile urethra

33
Q

urethral groove

A

open on ventral penis

  • between urethral folds
  • fuse to form urethra

remaining urethra in glans
-formed by ectodermal cells that grow inward

34
Q

labioscrotal swellings

A

scrotum

-scrotal septum where two swellings fuse

35
Q

hypospadias

A

incomplete fusion of urethral folds on ventral surface of penis

urethral meatus no ventral surface of penis

testosterone dependent process

36
Q

epispadias

A

penile urethra opens on dorsal surface

not testosterone dependent

often with exstrophy of bladder

37
Q

indirect hernia

A

failure of processus vaginalis to close around deep inguinal ring

more common in males

intestines can pass into opening

38
Q

hydrocele

A

excessive production of serous fluid in tunica vaginalis

noncommunicating and communicating types

39
Q

cryptochidism

A

failure of testes to desent into scrotum

testosterone dependent

infertile - temp dysregulation

40
Q

gonad determination

A

genetic

female - need two XX for ovary formation

don’t know specifically proteins

41
Q

internal and external female genitalia

A

form from absence of hormones

42
Q

formation of ovary

A

sex cords in medulla degenerate
-second generation of cortical sex cords from epithleium form folllicular cells around oogonia

cortex forms ovaries, medulla regresses

43
Q

mesonephric duct

A

mostly contributes to male ducts

44
Q

paramesonephric duct

A

mostly contributes to female ducts

45
Q

ends of paramesonephric duct

A

cranial - abdominal cavity

caudal - cloaca

46
Q

differentiation of paramesonephric duct

A

absence of AMH - paramesonephric differentiates to genital ducts

mesonephric degenerates absence of testosterone

47
Q

gubernaculum

A

forms ovarian ligament and round ligament of uterus

48
Q

processus vaginalis

A

small, obliterates before birth

49
Q

paramesonephric duct differentiation

A

absence of AMH

50
Q

mesonephric duct regression

A

absence of testosterone

51
Q

epoophoron, paroophoron, gartners duct

A

remnant of mesonephric duct

can sometimes become cyst

52
Q

uterine tube

A

from cranial paramesonephric duct

53
Q

uterus, cervix, superior vagina

A

from caudal fused portion of paramesonephric duct

54
Q

sinovaginal bulb

A

interface of cloaca and fused paramesonephric duct

aka vaginal plate
-inferior portion of vagina

canalizes by month 5

55
Q

hymen

A

thin membrane separating urogenital sinus from vagina

56
Q

urethral endoderm

A

give rise to greater vestibular and skenes gland

57
Q

indifferent external genitalia

A

cloacal folds > urethral and anal folds
genital swellings (aka labioscrotal)
genital tubercle

58
Q

female external genitalia

A

absence of hormone

-estrogen not required

59
Q

genital swellings in female

A

labia majora

60
Q

urethral folds in female

A

labia minora

erectile tissue
clitoris crus and bulb of vestibule

61
Q

genital tubercle in female

A

clitoris

62
Q

uterine and vaginal defects

A

mostly incomplete fusion of two paramesonephric ducts

63
Q

uterus arcuatus

A

slight lack of fusion of ducts

indentation of fundus of uterus

64
Q

uterus didelphys

A

double uterus with double vagina, two cervix

-complete lack of fusion of ducts and formation of two sinovaginal bulbs

65
Q

uterus bicornis

A

partial lack of fusion of paramesonephric duct

-two horns of uterus and two cervix

66
Q

uterus unicornis

A

complete agenesis of one paramesonephric duct

67
Q

uterus bicornis unicollis

A

caudal portion of 1 duct fails to form

one cervix two uterine horns

68
Q

vaginal and cervical atresia

A

atresia of sinovaginal bulbs - failure of canalization

69
Q

klinefelter syndrome

A

XXY, 47

nondisjunction during meiosis

  • infertile - low testosterone, aspermatogenesis
  • impaired sexual paturation

gynecomastia - breasts in males

high estrogen, low testosterone

70
Q

turner syndrome

A

XO, 45

  • nondisjunction
  • ovaries do not form
  • testes don’t form
  • streak gonads - genital ridge only
  • need to be removed

female external and internal genitalia are normal

lack of secondary sex traits
-no estrogen with no ovaries

short-stature, broad chest, short neck, lymphadema of hands and feet, amenorrhea

71
Q

swyer syndrome

A

46, XY

  • point mutation of SRY, defective TDF
  • gonadal dysgenesis, streak gonads
  • female external and internal genitalia normal
  • no ovaries
  • lack of secondary sex taits at puberty
  • no estrogen, no ovaries

amenorrhea

72
Q

hermaphroditism

A

most 46, XX

likely a translocated Y chromosome

ovotestes - both ovary and teste in same gonad

internal genitalia most often female

ambiguous external genitalia

73
Q

female pseudohermaphroditism

A

46, XX

congenital adrenal hyperplasia

  • ovaries form
  • internal organs female
  • masculinization of external genitalia
  • because of increased androgens
74
Q

male pseudohermaphroditism

A

46, XY

testes form

  • insufficient androgen production and AMH from testes
  • hypogonadism

external and internal genitalia are female
-bc lack of AMH

75
Q

androgen insensitiity syndrome

A

46, XY

testes form, AMH and testosterone normal

lack of androgen receptors

mesonephric duct degenerates - testosterone sensitivity

paramesonephric duct also degenerate - presence of AMG

female external genitalia

vagina short and blind ending - no uterus