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Embryology - GI
Complete
84
Medical
Graduate
09/27/2008

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Term
Embryonic gut is derived from which layer?
Definition
The Endoderm.
Term
What are the superior and inferior membranous boundaries for the primitive gut?
Definition
The buccopharyngeal membrane and the cloacal membrane.
Term
Which germ layer forms the muscles, connective tissue and mesenteries of the gut, and contributes the mesenchymal component to glands?
Definition
The Mesoderm.
Term
Which germ layer contributes to the epithelium of the most peripheral parts of the gut tube (the mouth and the anus)?
Definition
The Ectoderm.
Term
What are the boundaries of the foregut?
Definition
The pharyngeal tube to the liver diverticulum
Term
In the adult, which artery supplies the foregut?
Definition
The celiac artery
Term
The celiac artery supplies blood to which parts of the abdomen?
Definition
The abdominal esophagus, the stomach, and the superior half of the duodenum.
Term
What are the derivatives of the foregut in the adult?
Definition
The lungs, liver, gall bladder, and pancreas.
Term
What are the boundaries of the midgut?
Definition
The liver diverticulum to the posterior intestinal portal
Term
What artery supplies the midgut?
Definition
The superior mesenteric artery.
Term
The superior mesenteric artery supplies blood to which parts of the adbomen?
Definition
Everything from the inferior half of the duodenum, to the right two thirds of the transverse colon.
Term
What are the boundaries of the hindgut?
Definition
posterior intestinal portal to the cloacal membrane.
Term
The inferior mesenteric artery supplies blood to which parts of the abdomen?
Definition
Everything from the left one third of the transverse colon through the rectum.
Term
What is the adult derivative of the hindgut?
Definition
The urogenital sinus.
Term
What is the name of the mesentary that is around the region of the stomach?
Definition
The Dorsal mesogastrium or the greater omentum.
Term
What is the name of the mesentary that is around the region of the duodenum?
Definition
The Dorsal mesoduodenum.
Term
What is the name of the mesentary that is around the region of the colon?
Definition
The Dorsal mesocolon.
Term
What is the name of the mesentary that is around the jejunum and the ileum?
Definition
The Mesentary proper.
Term
During embryonic development, what two structures form at the rostrol most end of the forgut?
Definition
The trachea and the lungs.
Term
What is the name of the septum that forms between the esophagus and the trachea?
Definition
The esophagotracheal septum.
Term
What are three indications for the malformation of the esophagus?
Definition
Coughing, regurgitating, and choking.
Term
Name and describe four examples of malformation of the esophagus.
Definition
1) Atresia - complete blockage or a blind ending. 2) Stenosis - narrowing. 3) Short esophagus - pulls up the stomach. 4) Tracheoesophageal fistula - communication between the trachea and the esophagus.
Term
What germ layer contributes to the lining of the larynx, the trachea, and the lungs?
Definition
The endoderm.
Term
The lung stroma, the tracheal, laryngeal, and bronchiolar cartilages; smooth muscle, and viceral pleura are derived from which mesoderm?
Definition
The splanchnic mesoderm.
Term
How many primary bronchi form?
Definition
2
Term
How many secondary bronchi form on the right side?
Definition
3
Term
How many secondary bronchi form on the left side?
Definition
2
Term
How many tertiary bronchi form on the right side?
Definition
10
Term
How many tertiary bronchi form on the leftt side?
Definition
8
Term
Are all the alveoli present at birth?
Definition
No
Term
How many years from birth pass until all the alveoli have formed?
Definition
About 10 years.
Term
Is the branchless gene FGF or FGF-R?
Definition
FGF
Term
Is the breathless gene FGF or FGF-R?
Definition
FGF-R
Term
What is the name of the gene that is an antagonist to FGF and limits branching?
Definition
Sprouty
Term
What two extra cellular matrix components stop growth between branch points?
Definition
fibronectin and collagen.
Term
What two extra cellular matrix components stabilize bronchiole tubes?
Definition
tenascin and syndecan.
Term
Describe Ectopic lung lobes and the factor involved.
Definition
Extra lobar lung buds due to over production of FGF-10.
Term
Name the 4 stages of lung maturation.
Definition
1) Pseudoglandular 2) Canalicular 3) Terminal sac 4) Alveolar
Term
Describe the Pseudoglandular stage of lung maturation.
Definition
Formation of terminal bronchioles. No respiratory bronchioles or alveoli are present.
Term
Describe the canalicular stage of lung maturation.
Definition
Terminal bronchioles divide into two or more respiratory bronchioles, which in turn divide into 3-6 alveolar ducts.
Term
Describe the terminal sac stage of lung maturation.
Definition
Alveoli are associated with capillaries.
Term
Describe the alveolar stage of lung maturation.
Definition
Squamous epithelium (Type I alveolar cells) lines alveoli, and capillaries form close contacts with alveoli.
Term
Which cells produce surfactant?
Definition
Type II alveolar cells.
Term
What syndrome is due to underproduction of surfactant and leads to 20% of infant deaths?
Definition
Respiratory Distress Syndrome.
Term
How are congenital cysts of the lungs formed?
Definition
Dilation of terminal bronchioles.
Term
During the 5th week of development, the stomach rotates in which direction?
Definition
Clockwise
Term
After the stomach rotates, two leaves of folded mesentary fold and fuse to form what structure?
Definition
The Greater Omentum
Term
Hypertrophic pyloric stenosis is one of the most common birth defects. How is it caused?
Definition
It is caused by an overgrowth (hypertrophy) of circular muscles in the pyloric region of the stomach which causes a distention of the stomach and vomiting.
Term
What is the term used to describe organs when they are enclosed in a double layer of peritoneum that connect them to the body wall?
Definition
Intraperitoneal
Term
Which organs are intraperitoneal?
Definition
the abdominal esophagus, stomach, gall bladder, transverse colon, jejunum, ileum, cecum and sigmoid colon
Term
What is the term used to describe organs that are not suspended in mesenteries, but lie against the posterior body wall and are covered by as single layer of peritoneum?
Definition
retroperitoneal
Term
Which organs are retroperitoneal?
Definition
thoracic esophagus and rectum
Term
Which organs are secondarily retroperitoneal?
Definition
the duodenum, pancreas ascending and descending colon
Term
The hepatic diverticulum from the primitive gut endoderm grows into the septum to form what two structures?
Definition
hepatocytes and hepatic ducts
Term
The mesenchyme of the septum transversum gives rise to which structures?
Definition
the stroma, hematopoietic cells and Kupffer cells of the liver
Term
The ventral mesentery arises from an interaction of what two structures?
Definition
the gut and the transverse septum
Term
The growth of the liver stretches the mesoderm between the septum and the ventral abdominal wall, creating what structure?
Definition
the membranous falciform ligament.
Term
The free, caudal margin of the falciform ligament contains what vein?
Definition
the umbilical vein
Term
The umbilical vein at birth is transformed into which structure?
Definition
the round ligament of the liver (ligamentum teres hepatis).
Term
What is the 'bare area of the liver'?
Definition
The area of the liver directly in contact with the septum that is not covered by mesentery
Term
What does the 'bare area of the liver' become after birth?
Definition
the coronary ligament
Term
The mesenchyme of the transverse septum between the liver and the ventral border of the stomach and duodenum is stretched to form what structure?
Definition
the membranous lesser omentum
Term
What is contained by the ventral margin of the lesser omentum?
Definition
bile duct, portal vein and hepatic artery
Term
What structures form from a secondary outgrowth of the duodenal endoderm that fuses to the hepatic duct and forms the common bile duct?
Definition
Gall bladder and cystic duct
Term
How does the pancreas begins its life?
Definition
as a dorsal pancreatic bud and a smaller ventral pancreatic bud, near the bile duct
Term
How does the ventral bud rotate to fuse with the dorsal bud?
Definition
90 degrees clockwise
Term
What is the name of the main pancreatic duct?
Definition
The duct of Wirsung
Term
How is Annular pancreas formed and what are the complications?
Definition
It is formed by the ventral pancreatic bud splitting, with one half rotating clockwise (as normal) and the other half rotating counterclockwise. The resulting fused pancreas completely encircles the duodenum, causing obstruction.
Term
Is the spleen a derivative of the gut?
Definition
No
Term
From what structure is the spleen derived from?
Definition
The dorsal mesogastrium
Term
Initially the spleen serves what function and after 23 weeks what is its next function?
Definition
first hematopoietic, then lymphatic
Term
Describe the formation of the midgut.
Definition
Primary intestinal loop forms. Loop herniates and rotates 90 degrees counterclockwise. Loop elongates and fold. Loop returns to the gut and rotates 180 degrees counterclockwise.
Term
During retraction of the midgut, what usually happens to the vitelline duct?
Definition
It regresses (atresia)
Term
Describe an Omphalocele.
Definition
intestines fail to return to the abdomen and are covered only with the amniotic membrane
Term
Describe volvulus.
Definition
obstruction or knotting of the intestines due to abnormal rotations, including non-rotation, reversed rotation and mixed rotation
Term
What is Meckel’s diverticulum?
Definition
persistence of the vitelline duct as a small intestinal diverticulum of the ileum. The diverticulum can remain attached to the umbilicus by an omphalomesenteric fistula or ligament, and produce symptoms similar to appendicitis.
Term
What is the cloaca?
Definition
the most caudal portion of the gut tube, continuous with the allantois
Term
The urorectal septum forms to partition the cloaca into what two structures?
Definition
The rectum and the urogenital sinus.
Term
What does the urorectal septum form?
Definition
the perineal body
Term
What is the anal pit?
Definition
The lower third of the anorectal canal that is formed by an ectodermal invagination
Term
What is the name of the border between the superior end of the anal pit and the rectum that is demarcated by mucosal folds?
Definition
the pectinate line
Term
What is an imperforate anus?
Definition
when the anal pit fails to develop or to cavitate and the separation between the ectodermal and endodermal regions of the rectum persists
Term
What is Hirschsprung’s disease?
Definition
a defect in neural crest migration that leaves the distal parts of the colon without myenteric innervation. The resulting lack of peristalsis cause fecal retention and abdominal distention.
Term
What are rectoanal atresias and fistulas?
Definition
due to mispositioning of the cloacal membrane. When the cloaca is too small, the cloacal membrane is shortened and shifted anteriorly, causing the hindgut to open into the urogenital sinus at an abnormal anterior position
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