Lung Development (anne Greenough) Flashcards

1
Q

What is pulmonary agenesis?

A

Failure of respiratory development beyond the carina

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2
Q

What is pulmonary agenesis associated with?

A

Anencephaly

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3
Q

Deficiency of which vitamin can cause unilateral pulmonary agenesis?

A

Vitamin A

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4
Q

Which side does unilateral pulmonary agenesis most commonly occur on?

A

Left

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5
Q

What is pulmonary hypoplasia?

A

Incomplete development of lungs

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6
Q

Name 2 causes of secondary pulmonary hypoplasia

A

Oligohydramnios, compression (congenital diaphragmatic hernia)

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7
Q

What is the normal amount of foetal lung fluid at term?

A

20ml/kg

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8
Q

What effect does adrenaline have on the foetal lung fluid?

A

Stops secretion, increases resorption

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9
Q

Which 2 hormones are needed to mature the foetal lung response to adrenaline?

A

Thyroid hormone and cortisol

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10
Q

What can chronic drainage of foetal lung fluid lead to?

A

Pulmonary hypoplasia?

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11
Q

Which syndrome is characterised by lung hypoplasia, limb contractures, talipes, dislocated hips and flattened nose and ears?

A

Potter’s syndrome ⚡

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12
Q

When in pregnancy could an amniocentesis be done safely?

A

2nd trimester

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13
Q

What is mortality in babies with congenital diaphragmatic hernias due to?

A

Pulmonary hypoplasia

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14
Q

Which side are congenital diaphragmatic hernias most common?

A

Left

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15
Q

What is hydrops fetalis and what is a cause of it?

A

It is diminished venous return and congestive heart function. It is caused by pleural effusion

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16
Q

How is foetal pleural effusion managed?

A

Thoracocentesis

17
Q

What is oesophageal atresia?

A

Oesophagus ends in a blind ended pouch

18
Q

What is a tracheo-oesophageal fistula

A

Abnormal separation of the primitive trachea and oesophagus

19
Q

What is the presentation of tracheo-oesophageal fistula?

A

Maternal polyhydramnios, small/absent foetal stomach bubble, postnatally baby dribbles saliva, choking, coughing, acid aspiration, gastric distension

20
Q

At which week if gestation does surfactant start to be produced ?

A

24 weeks

21
Q

What is surfactant composed of?

A

Phospholipids, neutral lipids and proteins

22
Q

What does surfactant protein B do?

A

Increased the spreading of phospholipids in the air water interface

23
Q

What is the outcome of surfactant B deficiency?

A

Lethal respiratory failure

24
Q

What does surfactant protein A do?

A

Synthesis, secretion and recycling of phospholipids. Acts as an opsonin for phagocytosis of viruses

25
Q

What does surfactant protein C do?

A

Enhances adsorption and spreading

26
Q

What does surfactant protein D do?

A

Immune defence of the lung

27
Q

What does a deficiency in surfactant C lead to?

A

Interstitial lung disease

28
Q

What does a polymorphism in surfactant D lead to?

A

Severe RSV infection