session 2 - development of the urinary system Flashcards

1
Q

what is the blood supply to the left and right kidney

A

The kidneys are supplied with blood via the renal arteries, which arise directly from the abdominal aorta,

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2
Q

why do we say that three system develop sequentially when talking about the development of the kidney

A

disappearance of one system marks the onset of development of the next developmental stage
the first to appear is the pronephros in the cervical region

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3
Q

what happens when the pronephros dissapears

A

the mesonephros is formed
mesonephric tubes develop caudal to the pronephric region
mesonephric tubules plus mesonephric duct = embryonic kidney
does NOT have a water conserving function

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4
Q

what is the pronephros

A

it is a duct that extends from the cervical region to the cloaca and it drives the development of the next developmental stage

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5
Q

what is the urogenital ridge

A

it is a region of intermediate mesoderm giving rise to both the embryonic kidney and the gonad

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6
Q

why is the mesonephros important

A

the mesonephric duct has an important role in the development of the reproductive system in the male
and the mesonephric duct sprouts the uteric bud which induces the development of the definitive kidney

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7
Q

what is the uteric bud

A

it is undifferentiated intermediate mesoderm, caudal to the mesonephros.
and it induces the development of the true kidney, metanephros

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8
Q

how does the metanephros form

A

the uteric bud contacts the metanephric blastema (primitive clump of cells)
the bud expands and branches
the collecting system is dervied from the uteric bud
the excretory (nephron) component is derived from intermediate mesoderm under the influence of the the ureteric bud

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9
Q

in what region does the metanehpric kidney first appear

A

the pelvic region

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10
Q

how does the metanephric kidney move from the pelvis to the abdomen

A

migration and expansion of the caudal region of the foetus

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11
Q

what is pelvic kidney

A

Embyrologically, the kidneys develop in the pelvis, and ascend into the abdomen. Occasionally, one of the kidneys can fail to ascend, and remains in the pelvis, at the level of the common iliac artery

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12
Q

what is a horseshoe kidney

A

A horseshoe kidney (also known as a cake kidney or fused kidney) is where the two developing kidneys fuse into a single horseshoe-shaped structure.

This occurs if the kidneys become too close together during their ascent from the pelvis to the abdomen – they become fused and consequently ‘stuck’ underneath the inferior mesenteric artery.

This type of kidney is still drained by two ureters, and is usually asymptomatic, although it can be prone to obstruction.

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13
Q

what is renal dysgenesis

A

Renal dysgenesis is used to describe any underdevelopment of the kidneys. There are two main forms:
Renal agenesis – complete failure of one or both kidneys to develop. It is most commonly unilateral.
if unilateral it is compatible with life
Renal hypoplasia – the kidneys develop with a normal architecture, but are of a smaller size.

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14
Q

why might having an additional ureter be problematic

A

the ureter may not exit via bladder

it could enter the vagina causing incontinence

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15
Q

what does the urorectal septum do

A

the urogenital sinus is created from hindgut by urorectal septum
the urogenital sinus is continous with the umblicus
it divided the urinary and GI tracts
when the urorectal septum meets the cloacal membrane you get the formation of the perineum

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16
Q

what is the urogenital sinus continuous with

A

the umbilicus

17
Q

what is the fate of the urogenital sinus

A

• Superior part connects to
umbilicus
• Majority differentiates to form the urinary bladder
• Inferior part develops into the urethra
– Sex differences in structural development of the urethra

18
Q

how does the urethra develop in females

A

mesonephric ducts (MD) reach urogenital sinus (UGS)
ureteric bud sprouts from MD
UGS begins to expand
MD begins to regress
MD regression continues, ureteric bud opens into UGS

19
Q

how does the urethra develop in males

A

mesonephric ducts reach urogenital sinus (UGS)
ureteric bud sprouts from MD
smooth musculature begins to appear, UGS begins to expand
Urteric buds and MDs make independent opening in UGS
prostate and porstatic urethra formed

20
Q

what forms the female urethra

A

the pelvic part of the urogenital sinus

21
Q

what are the four parts of the male urethra

A

pre-prostatic
prostatic
membranous
spongy

22
Q

what forms the male urethra

A

In the male the Genital tubercle
elongates & genital folds
fuse to form the spongy
urethra

23
Q

what is hypospadias

A
  • Defect in fusion of urethral folds
  • Urethra opens onto the ventral surface rather than at the end of the glans
  • Incidence increasing (environmental oestrogen thought to be the cause)