placenta and development of major body cavities Flashcards

1
Q

what are the 3 layers of the uterine wall

A
  • endometrium - inner layer - mucosa
  • myometrium - middle - muscular
  • perimetrium - outer - CT/ supportive
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2
Q

what are the 2 zones of the endometrium in the uterine wall

A
  • basal layer
  • functional layer
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3
Q

what is the basal layer in the endometrium

A

deeper layer, not sloughed off during menstruation but functions as a regenerative zone after its rejected
- supplied by straight arteries

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4
Q

what is the functional layer of the endometrium

A

superficial layer, 80% of thickness and is sloughed off during menstruation
- site of cyclic changes
- supplied by spiral arteries

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5
Q

where does the blastocyst attaches

A

functional layer of endometrium

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6
Q

what happens when the blastocyst invades the basal layer of endometrium

A

placenta accerta

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7
Q

what happens when the blastocyst invades the myometrium

A

placenta increta

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8
Q

what happens when the blastocyst invades the perimetrium

A

placenta percenta

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9
Q

what is decidua

A

portion of the uterine wall that is lost at parturition

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10
Q

what are the 3 types of decidua

A
  • decidua basalis
  • decidua capsularis
  • decidua parietalis
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11
Q

what is decidua basalis

A

position of the decidua underlying the embedded embryo and where chorionic villi are anchored

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12
Q

what is decidua capsularis

A

portion of the decidua that covers the embryo as it bulges into the uterine cavity

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13
Q

what is decidua parietalis

A

decidua that lines the remainder of the uterus

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14
Q

what is the cytotrophoblast

A

stem cell layer that contributes to the growing synctiotrophoblast layer

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15
Q

what is the Syncytiotrophoblast layer

A

mass of cytoplasm filled with nuclei
- unbroken barrier that protects the fetus
- recreates enzymes to invade maternal tissue

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16
Q

what to blastocysts produce

A

human chorionic gonadotrophin (hCG) which signals corpus luteum which creates progesterone in the ovaries to continue its life

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17
Q

what is the function of stromal cells

A
  • in contact with villi
  • differentiate into decidual cells which are filled with glycogen
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18
Q

what fills the lacunae become filled with when growth occurs

A

maternal blood

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19
Q

what do the first primitive vessels of the yolk sac do

A

the first site of hematopoiesis

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20
Q

what do the primordial germ cells do in the yolk sac

A

migrate to the bees of the gonads

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21
Q

what is chorion

A

fetal tissue that forms the placenta
- Syncytiotrophoblast
- Cytotrophoblast
- Extraembryonic somatopleuric mesoderm

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22
Q

how are chorionic villi formed

A

1) cytotrophoblast invades the strands of syncytiotrophoblast and coverts it to primary villi
2) maternal blood from the eroded maternal blood vessels fills the lacunae which forms intervillus spaces
3) extraembryonic mesoderm invades the villi forming secondary villi

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23
Q

what are primary villus

A

central core of cytotrophoblast surrounded by syncytiotrophoblast

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24
Q

what are secondary villus

A

primary mesoderm invade primary villi forming central core
- central core of mesoderm + cytotophoblast + syncytiotrophoblast

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25
Q

what are tertiary villus

A

formation of fetal blood vessels in the central core of mesoderm

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25
Q

what happens to tertiary villus

A

undergo degeneration except the villi adjacent to the decidua basalis where they continue to grow

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26
Q

what tissue does the core of tertiary villi contain

A
  • loose CT with fetal capillaries
  • fibroblasts
  • few phagocytic cells called cells of Hofbauer
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26
Q

what are Hofbauer cells

A

large cells with large nuclei

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27
Q

what are the parts of chorion

A
  • chorion frondosum
  • chorion laeve
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28
Q

what is the chorion frondosum

A

bushy chorion, part under the implanted embryo
- between embryo and myometrium

28
Q

what is the placenta

A

disk shaped organ composed of maternal side bassalis and dental side

29
Q

what is the fetal surface covered by

A

amnion - smooth where the umbilical cord is attached too

30
Q

what does the fetal part of the placenta consist of

A
  • branching chorionic plate
  • amniotic membrane
  • tertiary chorionic villi
31
Q

what does the maternal part of the placenta consist of

A
  • modified basal lamina of endometrium
  • lacunae - filled with maternal blood
  • connected tissue septae - separate colyledons
  • cotyledons - placnetal lobes
32
Q

what are the functions of the placenta

A
  • respiratory function
  • nutrition function
  • excrete waste products
  • barrier function - heparin and insulin do not pass
  • production of hormones
  • immune - IgG antibodies transferred giving passive immunity
  • production of enzymes
33
Q

when does the placental barrier form

A

at 4 months

34
Q

what passes through the placental barrier

A

nutrients, hormones and viruses

35
Q

what cannot pass through placental barrier

A

drugs and bacteria

36
Q

what are the components of the placental barrier

A
  • syncytiotrophoblast,
  • cytotrophoblast,
  • basal lamina of cytotrophoblast,
  • CT (mesodermal, mesenchymal layer) of villus,
  • basal lamina of the blood vessel,
  • endothelium of the fetal blood vessel.
37
Q

what happens to the placental barrier after 4 months

A

cytotrophoblast and mesoderm thin out and leaves a thin layer of syncytiotrophoblast and fetal capillary endothelium

38
Q

where does the umbilical cord develop from

A

connecting stalk - part of extrambryonic mesoderm

39
Q

where is the mesodermal bar of connecting stalk attached to

A

roof of amniotic cavity at one end and trophoblast at the other

40
Q

what are the 3 blood vessels in the umbilical cord

A
  • 2 umbilical arteries - branched from iliac arteries carry deoxygenated blood from fetus to placenta
  • 1 umbilical vein - supplies oxygenated blood from placenta to fetus into the inferior vena cava via ductus venosus
41
Q

what is the amnion

A

large sac containing amniotic fluid whee the umbilical card is suspended

42
Q

what are the functions of amniotic fluid

A
  • absorbs jolts
  • allows for fetal movement
  • prevents adherence of the embryo to surrounding tissue
43
Q

how is amniotic fluid produced

A

dialysis through placental and fetal blood vessels or fetal urine

44
Q

how is amniotic fluid absorbed

A

feral swallowing

45
Q

when is the maximum amount of amniotic fluid reached

46
Q

what is amniocentesis

A

procedure where amniotic fluid is aspirated from amniotic cavity for diagnostic purposes
- done at 14-15 weeks

47
Q

what is the purpose of amniocentesis

A
  • examine chromosomes
  • detect defective enzymes
  • neural tube defects
  • sex of a fetus
  • study fetal enzymes and hormones
48
Q

what are the abnormalities with amniotic fluid

A
  • severe hydaamios - excess - may indicate genetic defects eg. CNS or blockage to gastrointestinal tube
  • oligohydramnios - not enough - problem with fetal development
49
Q

what are dizygotic twins/ fraternal

A

come from two zygotes

50
Q

what are monozygotic twins/ identical

A

one zygote

51
Q

what are the reasons for hyperovulation

A
  • height - taller people more likely
  • high body weight - increases estrogen
  • maternal age - older women more likely
  • subsequent births - people who have given birth several times
  • race
52
Q

what happens to the placenta with dizygotic twins

A
  • separate placentas but fuse due to being so close together
52
Q

what happens when dizygotic twins have different sexs

A

testosterone from male can affect female development
- square jaws
- large teeth

53
Q

how does conjoined monozygotic twins form

A

embryonic disc doesn’t divide completely of discs fuse

55
Q

what are the types of conjoined monozygotic twins

A
  • craniopagus - twins united with head
  • thoracopagus - twins fused at thorax
  • pygopagus - fusion of sacral region
  • cephalothoracopagus - function of throat and head
56
Q

what are parasitic twins/ heteropagus

A

conjoint twin that have one large and another smaller parasitic twin

57
Q

what are vanishing twin

A
  • fetus becomes mummified and resembles parchment paper
58
Q

what is the intraebroyonic mesoderm subdivided into

A
  • paraxial mesoderm (somite),
  • intermediate mesoderm (nephrogonatome),
  • lateral plate mesoderm.
59
Q

what does lateral plate mesoderm form

A

body wall and body cavities
- initially involved in formation of intraembryonic celom

60
Q

what is the itraembryonic celom

A

all cavities fuse together to form one large horseshoe shaped cavity

61
Q

when does the intramebryonic celom divide

A

during 2nd month

62
Q

what does the intraembronic celom divide into

A
  • somatopleuric mesoderm - development of body wall
  • splanchnopleuric mesoderm - development of walls of viscera
  • intraembryonic mesoderm - development of liver and diaphragm
63
Q

what is the canal connecting the pericardial and peritoneal cavities called

A

pericardioperitoneal
canals

64
Q

What do two fused primitive peritoneal cavities form

A

Single peritoneal cavity

65
Q

When does the intraembryonic celom form

A

End of 3rd week

66
Q

What is the structure of the intraembryonic celom

A

Horseshoe-shaped cavity in the lateral plate mesoderm

67
Q

How does folding of the embryo occur

A
  • pericardial cavity lined ventrally and two pericardioperitoneal canals pass on either side of the foregut
  • two long buds arising from foregut invaginate the pericardioperitoneal canals
  • growth and enlargement of lung buds expands the canals forming the pleural cavities
68
Q

What components form the diaphragm

A
  • septum transversum
  • paired pleuropeitoneal membranes
  • dorsal mesentry of esophagus
  • mesoderm of body wall