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HSF 2 Embryology
Heart and lungs
38
Bartending
Graduate
11/07/2010

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Term
Embryologic origin of heart
Definition
- forms from angiogenic cell clusters situated between splanchnic mesoderm and the endoderm
- as right and left sides of the flat embryonic plate come together, the primitive heart tubes lie adjacent to each other and fuse
Term
Bulbus cordis
Definition
- Heart tube bulges to right
- becomes the right ventricle
Term
ventricle (embryologically)
Definition
- bulge opposite of bulbus cordis
- becomes left ventricle
Term
Blood flow in the fetus (4 wks)
Definition
1. sinus venosus
2. atrium
3. left ventricle
4. right ventricle
5. truncus arteriosus
Term
Septum primum
Definition
- crescent of tissue tuat grows from dorsal wall of the common atrium and extends ventro-superiorly in fetal heart
- upward growth covers up septum secundum
Term
Ostium secundum
Definition
- space above (caudal to) the septum primum
- "second opening"
Term
Ostium primum
Definition
- "first opening"
- lies ventral to spetum primum
Term
Septum secundum
Definition
- muscular band that develops on the right of the septum primum
Term
Foramen ovale
Definition
- an ovel opening that passes under septum secundum and over septum primum from right to left
Term
Conotruncal swellings
Definition
- form the conal septum that separates the aorta and the pulmonary artery
Term
Endocardialc cushions
Definition
- grow to form 2 atrioventricular canals
1. emptying into RV forming tricuspid valve
2. emptying into LV forming mitral valve
- also closes the ostium primum
Term
Septum of the AV canal
Definition
- endocardial cushions that close the ostium primum
- muscuslar ventricular septum extedns downward as the ventricles evaginate
- make RA blood empty into RV and LA into LV
Term
Auricles
Definition
- formed from original R and L atria
- has trabeculated surface
Term
Right proximal vitelline vein
Definition
- froms proximal inferior vena cava
Term
Circulation before birth
Definition
1. blood leaves placenta
2. passes through umbilical vein
3. passes through ductus venosus to RA
4; 60% of floww passes through foramen ovale into LA
5. of 40% through RV, 3/4 pass through patent ductus arteriosus into aorta
6. 1/4 passes through pulmonary vascular bed
- vascular resistance greater in pulmonary artery to blood flows from here to aorta
Term
Blood circulation changes at birth
Definition
1. aeration of lungs decreases pulmonary resistance
2. cutting off placental supply decreases venouss flow and thus right atrial pressure
3. When RA pressure falls below LA pressure the septum primum pushes against septum secundum separating the two atria
4. closure of ductus arteriosus a few days later completes the partition of the circulations
5. pressures continue to fall and resistance in pulmonary beds until reach that of adult at around 6 months
6. myocardium of RV atrophies in response to lowered pressure (35/10 mmHG in pulmonary artery, 80/50 mmHG in aorta)
7. at 6 months, left ventricle is 3x as thick aws RV
Term
Lung bud
Definition
- Diverticulum along ventral aspect of pharyngeal gut between 4th and 6th pharyngeal arches
- Enveloped by splanchnic mesoderm
- Bifurcates to form right and left mainstem bronchi
Term
Surfactant
Definition
- By week 28 lining cells of airspaces begin to produce it
- Phospholipid material acts as a wetting agent and is critically important in decreasing surface tension of aqueous surface of airspaces facilitating lung inflation
Term
Bronchi branching (embryologically)
Definition
1. 4.5 weeks left and right main
2. Then 2 left and 3 right secondary bronchi
3. Then in the following weeks secondary divide 17 times
4. At 18 weeks the terminal branches form outpouchings that will become alveoli
5. After term delivery airways undergo additional 6 branchings (95% of alveoli develop after birth)
6. By age 10 each lobe has 8.4 million bronchioles and 300-600 million alveoli
Term
Congenital diaphragmatic hernia
Definition
- Pleuroperitoneal fold fails to develop
- Happens much more frequently on left side, defect is lateral
- Causes abdominal organs to herniate up into left chest pushing heart and lungs right and compressing lungs

Results in pulmonary hypoplasia
Term
Pulmonary hypoplasia
Definition
- Result of restricted lung growth
- When baby is delivered it causes pulmonary insufficiency and death frequently
- Caused by congenital diaphragmatic hernias and severe fetal edema causing pleural effusions
Term
Fetal hydrops
Definition
- Severe fetal edema
- Causes pleural effusions

May be due to chromosomal abnormality (trisomy 21, monosomy x) or viral infection
Term
Oligohydramnios
Definition
- Little amniotic fluid
- Causees external compression of lungs and thus produces pulmonary hypoplasia
Term
Diaphragm formation
Definition
- Formed from growth of shelves of septum transversum
- This septum is splanchnic mesoderm and is first plate of tissue that begins separation of thoracic and abdominal cavities, contributes tissue mostly to ant. And midline regions of diaphragm
- Both somatic and splanchnic mesoderm
Term
central tendon
Definition
- Part of diaphragm anterior and midline
Term
Pleuroperitoneal folds
Definition
- 2 shelves of somatic mesoderm coming from chest wall
- Form lateral muscular portions of diaphragm
Term
Dorsal region of diaphragm (embryo)
Definition
- In region of aorta, inf. Vena cava and espphagus
- Formed by dorsal mesentary (splanchnic mesoderm origin)
Term
Neurocranium
Definition
part of bones of head
- bones ossify through membranous ossification
1. membranous part: includes flat bones of skull which are formed by membranous ossification. Under control of neural crest cells
2. Cartilaginous part: consists of the bones of the base of the skull
Term
Embryological origin of bones anterior to sella turcica
Definition
- bones anterior to sella turcica form neural crest cells
Term
Embryologic origin of bones posterior to sella turcica
Definition
- bones posterior to sella turcica develop from 1st somite (paraxial mesoderm)
Term
Viscerocranium
Definition
- part of skull bones that encompass bones of face
- arise from neural crest-derived mesenchyme and the 1st pharyngeal arch
- from my endochondral ossification
Term
Achondroplasia
Definition
- most common form of dwarfism
- autosomal dominant (but most mutations are sporadic)
- basic abnormality is diminution of endocondral ossification
- chondrocytes at epiphysis do not proliferate and thus there is shortening of the bones
- typically normal braincases but facial bones are small because neurocranium ossifies by membranous ossification and is unaffected
Term
Facial prominences develop into...
Definition
1. 2 maxillary prominences (on either side of stomodeum
2. mandibular prominence (caudal to stomodeum)
3. frontonasal prominence (along midline)
4. nasal placodes (on either side of frontonasal prominence): two circular depressions
Term
Lower face embryologic formation
Definition
1. frontonasal prominence grows down towards stomodeum and the 2 nasal placodes move closer so the medial ridges fuse
2. the 2 maxillary prominences gro toward stomodeum from lateral locations and each fuses with the side of the frontonasal prominence
3. the mandibular prominence enlarges to form the mandible
Term
Embryologic origin of palate
Definition
1. frontonasal forms region of roof of mouth just behind and including four front teeth (intermaxillary segment)
2. maxillary prominences form 2 palatal shelves which move towards the midline fusing together and forming roof of mouth (palate) around 7 weeks
Term
Cleft palate and cleft lips
Definition
- lips more common
- failure of fusion of maxillary and frontonasal prominences (why they are usually just off midline, not central)
- difficulty with phonation and swallowing
Term
Neural crest cell origin
Definition
- paraxial mesoderm (1st somite)
Term
Craniosynostosis
Definition
- syndr5omes characterized by premature closure of certain sutures of neurocranium
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