Embyology Flashcards

1
Q

What structure is folded to form gut tube?

A

Yolk sac is folded inwards and sealed from all ends to form the gut tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What structure seals the cranial end of the gut tube?

A

The buccopharyngeal space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What structure seals the caudal end of the gut tube (rectum)

A

The cloacal membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the origin of the peritoneal cavity?

A

The intraembryonic coelom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is there a process of recanalization of the gut tube?

What are some of the outcomes when this process goes wrong?

A

Recanalization is necessary because proliferation exceeds lengthening of the gut tube– it becomes occluded, and needs to be hollowed out.

Errors in recanalization lead to duplication, stenosis and atresia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the four divisions of the gut tube defined by?

A

Their blood supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the source of blood supply for each regional division?

A

Thoracic foregut: aortic arches
Abdominal foregut: celiac artery
Midgut: SMA
Hindgut: IMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name three anomalies of the esophagus and describe them.

A

Esophageal atresia and stenosis– blockage/narrowing of esophagus
Tracheoesophageal fistula: displacement of septum between trachea and esophagus results in incomplete separation of respiratory/esophageal tubes
Congenital hiatal hernia: Esophagus doesn’t elongate properly, displacing part of stomachh into thoracic cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which wall grows more rapidly: dorsal or ventral? What are implications?

A

The dorsal wall grows more rapidly, forming the greater (dorsal) and lesser (ventral) curvature of the stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the fate of the dorsal and ventral mesentery? What structure connects them?

A

The dorsal mesentery expands to become the greater momentum
The ventral mesentery expands to become the lesser momentum
The epiploic foramen connects the two compartments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the process of liver formation

A

Hepatic plate proliferation forms the hepatic diverticulum, which grows into the ventral mesentery
The hepatic diverticulum gives rise to hepatic cords, duct and bile clinical
Ventral mesentery connects liver to stomach (lesser omentum) and ventral body wall (falciform ligament)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the cystic diverticulum form?

A

Gallbladder and cystic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is gallbladder duplication?

A

Splitting of the cystic diverticulum that is usually asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is extra hepatic biliary atresia?

A

Obstruction of the bile duct due to a failure to canalize

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the process of pancreas formation:

A

Dorsal pancreatic bud forms on dorsal duodenum, and grows into dorsal mesentery
Ventral pancreatic bud forms on ventral duodenum (caudal to hepatic/cystic diverticuli) and grows into ventral mesentery.
They fuse during weeks 5-6 and the dorsal pancreatic duct degenerates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is angular pancreas?

A

Two attached ventral buds rotate in opposite directions to fuse with dorsal bud causing duodenal stenosis or atresia

17
Q

Describe midgut formation:

A

Elongation, rotation, retraction and second rotation

18
Q

What is congenital omphalocele?

A

Herniation of the intestines into the umbilical cord due to a failure of the midgut to return to the abdomen at week 10

19
Q

What is an umbilical hernia?

A

Failure of the umbilicus to close completely results in intestinal herniation following appropriate return to the abdomen

20
Q

What is gastroschisis?

A

Extrusion of might structures through the ventral body wall due to incomplete lateral folding during week 4

21
Q

What is Meckel’s diverticulum?

A

A remnant of the yolk stalk persists as an outpouching of the ileum– it may contain gastric/pancreatic tissue and can appendicitis-like symptoms

22
Q

What are two defects of midgut rotation and fixation?

A

Non-rotation and Volvulus

23
Q

Hirschsprung’s disease

A

Dilation of colon due to peristalsis defect— failure of neural crest migration and enteric ganglion formation

24
Q

Membraneous atresia

A

Failure of anal perforation during week 8