Renal embryology Flashcards

1
Q

From which germ layers is the renal system derived?

A

Mesoderm and endoderm

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2
Q

3 layers of mesoderm

A

Paraxial, intermediate and lateral plate (also divides into somatic and splanchnic)

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3
Q

From which germ layer is the uterine tube derived

A

Mesoderm

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4
Q

From which germ layer is the uterus and uterine canal derived

A

Mesoderm

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5
Q

From which germ layer is the vagina derived

A

Mesoderm and endoderm

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6
Q

From which germ layer is the urethra derived

A

Endoderm

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7
Q

From which germ layer is the external genitalia

A

Endoderm

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8
Q

Which structures make up the renal collecting duct system

A

Ureters, renal pelvis, calyces, collecting tubules

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9
Q

Which structures make up the renal excretory system

A

Nephron (renal corpuscle, glomerulus, Bowman’s capsule), PCT, LOH, DCT

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10
Q

Which structures are formed by the mesonephric system?

A

Mesodermal germ layer structures (renal tubules, ureter, reproductive ductal system, uterine canal, vagina)

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11
Q

Which structures are formed from the cloaca?

A

Ectodermal germ layer (urinary bladder, urethra, vagina, external genitalia)

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12
Q

What is the pronephros?

A

Functional kidney in primitive fish, derived from intermediate mesoderm

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13
Q

What is the mesonephros?

A

Functional kidney in advanced fish - intermediate mesoderm, forms mesonephric ducts

  • Mesonephros form excretory tubules with glomerular capillaries surrounding which forms Bowman’s capsule - makes renal corpuscle which drains to mesonephric ducts
  • Developing gonads lies on medial side of developing mesonephros, forming urogenital ridge
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14
Q

What is the metanephros?

A

Functional kidney in human

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15
Q

How is the collecting system formed?

A
  • Ureteric bud from mesonephros penetrates the metanephric tissue or blastema
  • Gives rise to ureter, renal pelvis, calyces
  • Collecting tubules converge on minor calyces forming renal pyramids
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16
Q

How is the excretory system formed?

A
  • Distal end covered by metanephric cap
  • Cells of cap form renal vesicles
  • Renal vesicles form S-shapes renal tubules
  • At one end of tubules, forms glomerulus
  • Glomerulus indents to form Bowman’s capsule
  • Other end forms pathway from Bowman’s capsule to collecting units
  • Renal tubules + glomeruli form nephrons
  • Lengthening of excretory tubes forms convoluted tubules
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17
Q

What are the two embryonic structures from which the kidney is derived?

A
  • Ureteric bud from mesonepohric duct gives rise to collecting system
  • Metanephric blastema forms excretory units
18
Q

When does urine production start?

19
Q

Why do the kidneys not filter waste in fetus?

A

Placenta does

20
Q

Why does the kidney ascend?

A

Body curvature, growth in lumbar and sacral regions

21
Q

How does the blood supply to the kidney change as it ascends?

A

In pelvis = pelvis branch of abdominal aorta

When ascends = higher branches of aorta

22
Q

Wilm’s tumour

A

Kidney cancer in kids <5

Caused by mutated WT1 gene on 11p13

23
Q

WAGR

A

Wilms, Aniridia, Gondoblastoma and mental retardation, due to deletion in chromosome 11 that includes PAX6 and WT1 genes

24
Q

Denys-Drash

A

Congenital nephropathy

renal failure, ambiguous genitalia, Wilm’s tumour

25
How to treat renal dysplasia and Genesis
Dialysis and transplantation in yr1
26
What is multicystic dysplastic kidney?
ducts surrounded by undifferentiated cells, nephrons fail to develop and ureteric buds fail to branch so collecting ducts never form
27
Kidney defect impacts
involution of kidneys and renal agenesis (may also arise if no interaction between metanephric mesoderm and ureteric bud fails)
28
Potter's syndrome
anuria, oligohydramnios and hypoplastic lungs, can be with abnormalities of vagina, uterus, vas deferens, seminal vesicles
29
Oligohydramnios
uterine cavity compressed - flattened face (Potter facies) and club feet
30
congenital polycystic kidney
may be autosomal recessive or dominant, cysts form from collecting ducts - large kidneys and renal failure
31
Autosomal recessive polycystic kidney disease
Cysts form in collecting ducts | Kidneys are very large - renal failure
32
Duplication of the ureter
early splitting of ureteric bud, can be partial or complete, metanephric tissue divides into twi parts with separate renal pelvis - may have some lobes in common. Sometimes, one ureter opens into bladder and other is ectopic, entering vagina, urethra or vestibule
33
Pelvic kidney
one kidney fails to ascend
34
Horseshoe kidney
Lower poles of kidneys fuse - During ascent, horseshoe kidney arrested at lower lumbar vertebrae by inferior mesenteric artery - Ureters arise from anterior surface of kidneys and pass ventral to isthmus of fused poles
35
What is the cloaca?
enlarged common sac for lower parts of hind gut and allantois - endoderm
36
What happens to the cloaca between weeks 4-8
cloaca divided by urorectal septum into urogenital sinus and anal canal
37
What happens to the urogenital sinus?
- Cloaca: enlarged common sac for lower parts of hind gut and allantois - endoderm - During week 4-8, cloaca divided by urorectal septum into urogenital sinus and anal canal - Urogenital sinus forms bladder, which is initially continuous with allantois - leaves urachus behind which connects bladder to umbilicus - In adults, urachus forms median umbilical ligament - Pelvic part of urogenital sinus in male forms prostatic and membranous parts of urethra - Caudal portions of mesonephric ducts absorbed into bladder to form trigone - Ureters enter bladder separately - Trigone is mesodermal but is replaces by endodermal epithelium - Orifices of ureters move farther cranially - Mesonephric ducts move close together to form urethra and ejaculatory ducts
38
Exstrophy of the bladder
- Exstrophy of cloaca: ventral body wall defect, closure of lateral wall folds disrupted, anal malformations occur
39
Urachal fistula
lumen of intraembryonic portion of allantois persists, may cause urine to drain from umbilicus
40
Urachal cyst
localised area of allantois persists and results in cystic dilation
41
Urachal sinus
lumen in upper allantois persists, usually continuous with bladder