Embryology Of The Urinary System Flashcards

1
Q

What layer of the embryo forms the urinary tract?

A

Intermediate mesoderm.

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2
Q

In which order do the three embryo logical kidney systems develop?

A

Pronephros,
Mesonephros,
Metanephros.

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3
Q

What is the function of the pronephros?

A

First kidney system, does not function to filter or excrete, but develops the pronephric duct required for the development of the mesonephric tubules.

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4
Q

Where is the pronephric region?

A

Extending from the cervical region to the cloaca

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5
Q

What is the function of the mesonephros?

A

Mesonephric tubules and duct - filter out waste but unable to conserve water. Also plays a role in the development of the male reproductive tract in the form of the vas deferens.

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6
Q

What is the ureteric bud?

A

Sprouting of intermediate mesoderm from the mesonephric duct that guides the development of the metanephros and definitive kidney.

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7
Q

What type of induction drives the formation of the metanephros and kidney?

A

Reciprocal induction - ureteric bud releases growth hormones to drive differentiation of caudal intermediate mesoderm, which in turn secretes growth hormones that act upon the ureteric bud.

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8
Q

What is the name given to the mesoderm that forms the nephrons?
What forms the major and minor calyces and ureter?

A

Metanephric blastema.

Ureteric bud

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9
Q

What is unique about the kidneys in their path during embryological development?

A

They ascend, undergoing caudal to cranial shift where they pick up innervation of nearby arteries, namely the renal arteries.

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10
Q

What normal anatomical variation may occur in terms of blood supply to the kidney?

A

Multiple supplemental arterial blood supplies alongside the renal artery.

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11
Q

What is renal agenesis?

A

Failure of the ureteric bud to interact with intermediate mesoderm. May be unilateral or bilateral.

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12
Q

What results in a pelvic kidney?

What results in a horseshoe kidney?

A

Failure of ascension (kidney still functions).

Fusion of the poles of the kidney, causing entrapment on the mesenteric artery.

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13
Q

What causes ectopic ureteral orifices?

Where might they occur?

A

Splitting of the ureteric bud, either partial or complete.

May occur into vagina or urethra, bypassing the bladder.

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14
Q

Where does the bladder develop from?

A

The cloaca of the hindgut.

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15
Q

What forms the urogenital sinus?

What is the UGS continuous with?

A

Urorectal septum.

Continuous with the umbilicus - Urachus. This closes to form the median umbilical ligament.

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16
Q

What does the urogenital sinus develop into?

A

Majority develops into the bladder,

Middle portions develop into urethra and lower portions into clitoris and penis.

17
Q

In which weeks is the mesonephric duct absorbed into the bladder?
What does this form?

A

5-6.

Trigone.

18
Q

By which week is the kidney functional?

A

Week 10