Lecture 4: Respiratory Embryology Flashcards

1
Q

Where does the respiratory system start from?

A

Laryngotracheal groove (median outgrowth)

  • on the floor of the caudal foregut
  • inferior to the 4th pharyngeal arch
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2
Q

What does the endoderm of the laryngotracheal groove give rise to?

A

Pulmonary epithelium and glands of:

  • larynx
  • trachea
  • bronchi
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3
Q

What does the splanchnic mesoderm of the laryngotracheal groove give rise to?

A

CT, cartilage, and smooth muscles that surround foregut

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4
Q

What will the laryngotracheal groove evaginate into?

A

Laryngotracheal diverticulum –> respiratory bud

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5
Q

What is the function of the tracheoesophageal fold?

A

Divides esophagus (dorsal) from trachea (ventral)

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6
Q

How does the laryngeal inlet form?

A

Mesenchyme from pharyngeal arches 4 and 6 promote arytenoid swellings, converting primordial glottis into a laryngeal inlet

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7
Q

How does the laryngeal inlet form a bigger opening?

A

Briefly, over-proliferation of epithelium will occlude the inlet. However, recanalization and apoptosis will remove epithelium revealing a larger inlet and laryngeal ventricles.

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8
Q

Where does the epiglottis develop from?

A

Hypopharyngeal eminence

-produced from mesenchyme from pharyngeal arches 3 and 4

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9
Q

Where does the trachea develop from?

A

Laryngotracheal tube

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10
Q

What is a tracheoesophageal fistula?

A

Abnormal connection between trachea and esophagus

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11
Q

What is the most common form of a tracheoesophageal fistula?

A

Esophageal atresia: upper esophagus and does not connect with the lower esophagus and stomach

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12
Q

What can cause a tracheoesophageal fistula?

A

Foregut endoderm does not proliferate fast enough

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13
Q

What are some symptoms of a tracheoesophageal fistula?

A
Cannot swallow
Frequently drools saliva
Immediate regurgitation
Polyhydramnios
Excess air in GI tract
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14
Q

How are primary bronchial buds formed?

A

From respiratory buds

-grow vetrocaudally and bifurcates

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15
Q

Where do primary bronchial buds grow to?

A

Grows laterally to pericardioperitoneal canals

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16
Q

How is branching pattern of the lung endoderm initiated?

A

Splanchnic mesoderm via SHH and FGF 10

17
Q

What composes a bronchopulmonary segment?

A

Segmental Bronchi and mesenchyme

18
Q

What are the four stages of lung maturation?

A

1) Pseudoglandular
2) Canalicular
3) Terminal Sac
4) Alveolar

19
Q

What happens in the pseudoglandular state of lung maturation?

A

Major elements of lungs have formed except those involved with gas exchange

20
Q

What happens in the canalicular state of lung maturation?

A

Respiratory bronchioles develop and primordial alveolar structures are present

21
Q

What happens in the terminal state of lung maturation?

A

Production of alveoli and pneumocytes

Gas exchange can occur

22
Q

What happens in the alveolar state of lung maturation?

A

Mature alveoli is formed

23
Q

How does splanchnic mesoderm play a role in bronchi development?

A

1) Cartilaginous plates
2) Bronchial smooth muscle and CT
3) Pulmonary CT and capillaries

24
Q

What are fetal breathing movements?

A

Erratic breathing can can cause aspiration of amniotic fluid and stimulate lung development

25
Q

How is amniotic fluid cleared at birth?

A

1) Pressure from vaginal birth or via suction tubes
2) Pulmonary capillaries, arteries, and veins
3) Lymphatics

26
Q

What is pulmonary agenesis?

A

Complete absence of lung or a lobe

27
Q

What is oligohydramnios?

A

Insufficient amniotic fluid volume that can retard lung development

28
Q

What is pulmonary hypoplasia?

A

Incomplete development of the lungs due to restriction of fetal thorax

29
Q

What is respiratory distress syndrome?

A

Surfactant deficiency that can account for death in half o premature infants

30
Q

What are congenital lung cysts?

A

Cyst that can disrupt bronchial development and normal air flow