Term
Embryonic gut is derived from which layer? |
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Definition
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Term
What are the superior and inferior membranous boundaries for the primitive gut? |
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Definition
The buccopharyngeal membrane and the cloacal membrane. |
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Term
Which germ layer forms the muscles, connective tissue and mesenteries of the gut, and contributes the mesenchymal component to glands? |
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Definition
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Term
Which germ layer contributes to the epithelium of the most peripheral parts of the gut tube (the mouth and the anus)? |
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Definition
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Term
What are the boundaries of the foregut? |
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Definition
The pharyngeal tube to the liver diverticulum |
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Term
In the adult, which artery supplies the foregut? |
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Definition
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Term
The celiac artery supplies blood to which parts of the abdomen? |
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Definition
The abdominal esophagus, the stomach, and the superior half of the duodenum. |
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Term
What are the derivatives of the foregut in the adult? |
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Definition
The lungs, liver, gall bladder, and pancreas. |
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Term
What are the boundaries of the midgut? |
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Definition
The liver diverticulum to the posterior intestinal portal |
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Term
What artery supplies the midgut? |
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Definition
The superior mesenteric artery. |
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Term
The superior mesenteric artery supplies blood to which parts of the adbomen? |
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Definition
Everything from the inferior half of the duodenum, to the right two thirds of the transverse colon. |
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Term
What are the boundaries of the hindgut? |
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Definition
posterior intestinal portal to the cloacal membrane. |
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Term
The inferior mesenteric artery supplies blood to which parts of the abdomen? |
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Definition
Everything from the left one third of the transverse colon through the rectum. |
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Term
What is the adult derivative of the hindgut? |
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Definition
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Term
What is the name of the mesentary that is around the region of the stomach? |
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Definition
The Dorsal mesogastrium or the greater omentum. |
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Term
What is the name of the mesentary that is around the region of the duodenum? |
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Definition
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Term
What is the name of the mesentary that is around the region of the colon? |
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Definition
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Term
What is the name of the mesentary that is around the jejunum and the ileum? |
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Definition
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Term
During embryonic development, what two structures form at the rostrol most end of the forgut? |
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Definition
The trachea and the lungs. |
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Term
What is the name of the septum that forms between the esophagus and the trachea? |
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Definition
The esophagotracheal septum. |
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Term
What are three indications for the malformation of the esophagus? |
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Definition
Coughing, regurgitating, and choking. |
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Term
Name and describe four examples of malformation of the esophagus. |
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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. |
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Term
What germ layer contributes to the lining of the larynx, the trachea, and the lungs? |
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Definition
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Term
The lung stroma, the tracheal, laryngeal, and bronchiolar cartilages; smooth muscle, and viceral pleura are derived from which mesoderm? |
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Definition
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Term
How many primary bronchi form? |
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Definition
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Term
How many secondary bronchi form on the right side? |
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Definition
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Term
How many secondary bronchi form on the left side? |
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Definition
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Term
How many tertiary bronchi form on the right side? |
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Definition
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Term
How many tertiary bronchi form on the leftt side? |
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Definition
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Term
Are all the alveoli present at birth? |
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Definition
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Term
How many years from birth pass until all the alveoli have formed? |
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Definition
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Term
Is the branchless gene FGF or FGF-R? |
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Definition
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Term
Is the breathless gene FGF or FGF-R? |
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Definition
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Term
What is the name of the gene that is an antagonist to FGF and limits branching? |
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Definition
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Term
What two extra cellular matrix components stop growth between branch points? |
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Definition
fibronectin and collagen. |
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Term
What two extra cellular matrix components stabilize bronchiole tubes? |
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Definition
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Term
Describe Ectopic lung lobes and the factor involved. |
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Definition
Extra lobar lung buds due to over production of FGF-10. |
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Term
Name the 4 stages of lung maturation. |
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Definition
1) Pseudoglandular 2) Canalicular 3) Terminal sac 4) Alveolar |
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Term
Describe the Pseudoglandular stage of lung maturation. |
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Definition
Formation of terminal bronchioles. No respiratory bronchioles or alveoli are present. |
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Term
Describe the canalicular stage of lung maturation. |
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Definition
Terminal bronchioles divide into two or more respiratory bronchioles, which in turn divide into 3-6 alveolar ducts. |
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Term
Describe the terminal sac stage of lung maturation. |
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Definition
Alveoli are associated with capillaries. |
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Term
Describe the alveolar stage of lung maturation. |
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Definition
Squamous epithelium (Type I alveolar cells) lines alveoli, and capillaries form close contacts with alveoli. |
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Term
Which cells produce surfactant? |
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Definition
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Term
What syndrome is due to underproduction of surfactant and leads to 20% of infant deaths? |
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Definition
Respiratory Distress Syndrome. |
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Term
How are congenital cysts of the lungs formed? |
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Definition
Dilation of terminal bronchioles. |
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Term
During the 5th week of development, the stomach rotates in which direction? |
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Definition
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Term
After the stomach rotates, two leaves of folded mesentary fold and fuse to form what structure? |
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Definition
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Term
Hypertrophic pyloric stenosis is one of the most common birth defects. How is it caused? |
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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. |
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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? |
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Definition
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Term
Which organs are intraperitoneal? |
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Definition
the abdominal esophagus, stomach, gall bladder, transverse colon, jejunum, ileum, cecum and sigmoid colon |
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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? |
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Definition
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Term
Which organs are retroperitoneal? |
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Definition
thoracic esophagus and rectum |
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Term
Which organs are secondarily retroperitoneal? |
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Definition
the duodenum, pancreas ascending and descending colon |
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Term
The hepatic diverticulum from the primitive gut endoderm grows into the septum to form what two structures? |
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Definition
hepatocytes and hepatic ducts |
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Term
The mesenchyme of the septum transversum gives rise to which structures? |
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Definition
the stroma, hematopoietic cells and Kupffer cells of the liver |
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Term
The ventral mesentery arises from an interaction of what two structures? |
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Definition
the gut and the transverse septum |
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Term
The growth of the liver stretches the mesoderm between the septum and the ventral abdominal wall, creating what structure? |
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Definition
the membranous falciform ligament. |
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Term
The free, caudal margin of the falciform ligament contains what vein? |
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Definition
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Term
The umbilical vein at birth is transformed into which structure? |
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Definition
the round ligament of the liver (ligamentum teres hepatis). |
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Term
What is the 'bare area of the liver'? |
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Definition
The area of the liver directly in contact with the septum that is not covered by mesentery |
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Term
What does the 'bare area of the liver' become after birth? |
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Definition
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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? |
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Definition
the membranous lesser omentum |
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Term
What is contained by the ventral margin of the lesser omentum? |
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Definition
bile duct, portal vein and hepatic artery |
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Term
What structures form from a secondary outgrowth of the duodenal endoderm that fuses to the hepatic duct and forms the common bile duct? |
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Definition
Gall bladder and cystic duct |
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Term
How does the pancreas begins its life? |
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Definition
as a dorsal pancreatic bud and a smaller ventral pancreatic bud, near the bile duct |
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Term
How does the ventral bud rotate to fuse with the dorsal bud? |
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Definition
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Term
What is the name of the main pancreatic duct? |
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Definition
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Term
How is Annular pancreas formed and what are the complications? |
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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. |
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Term
Is the spleen a derivative of the gut? |
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Definition
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Term
From what structure is the spleen derived from? |
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Definition
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Term
Initially the spleen serves what function and after 23 weeks what is its next function? |
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Definition
first hematopoietic, then lymphatic |
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Term
Describe the formation of the midgut. |
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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. |
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Term
During retraction of the midgut, what usually happens to the vitelline duct? |
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Definition
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Term
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Definition
intestines fail to return to the abdomen and are covered only with the amniotic membrane |
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Term
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Definition
obstruction or knotting of the intestines due to abnormal rotations, including non-rotation, reversed rotation and mixed rotation |
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Term
What is Meckel’s diverticulum? |
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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. |
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Term
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Definition
the most caudal portion of the gut tube, continuous with the allantois |
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Term
The urorectal septum forms to partition the cloaca into what two structures? |
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Definition
The rectum and the urogenital sinus. |
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Term
What does the urorectal septum form? |
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Definition
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Term
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Definition
The lower third of the anorectal canal that is formed by an ectodermal invagination |
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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? |
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Definition
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Term
What is an imperforate anus? |
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Definition
when the anal pit fails to develop or to cavitate and the separation between the ectodermal and endodermal regions of the rectum persists |
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Term
What is Hirschsprung’s disease? |
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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. |
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Term
What are rectoanal atresias and fistulas? |
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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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