Embryology review Flashcards
(53 cards)
Angioblasts?
developed from from mesenchymal cells
differentiate into primitive red blood cells, others transform into endothelial cells to produce capillaries
Chorionic villi?
comprised of cytotrophoblast cells which become organized into columns that extend through the syncytiotrophoblast
Primary villi?
chorionic villi begin as this, consist of cytotrophoblast cells, surrounded by synctriotrophoblast
Secondary villi?
primary transform into this when extraembryonic mesoderm pentrates, producing mesodermal cores
Tertiary villi?
secondary transform when embryonic blood vessels develop in the cores
outer cytotrophoblast shell?
when the villi grow through the synctriotrophoblast to reach the endometrium, cytrotrophoblast cells then spread out between the synctriotrophoblast and endometrium to form an epithelium
villi that extend completely through- stem villi
Stem villi?
extend completely through the synctrioptrophoblast, terminal villi branch off these
serve as nutrient exchange in the placenta
embryonic component of the placenta?
develops from the chorion
maternal component of the placenta?
begins with the trophoblastic lacunae forming in the syncyciotrophoblast
maternal sinusoids?
lacunae expand and coalesce with glands and capillaries in the overlying endometrium
decidua?
overlying endometrium
intervillous space?
maternal sinusoids eventually expand between the villi and coalesce
Maternal blood flow vs embryonic blood flow?
maternal blood flows through the intervillous spaces
embryonic blood flow through the vessels within the villi
How do nutrients and oxygen exchange between maternal and embryonic blood?
diffusion across the walls of the villi, no mixing of blood, discouranges isomimmunization
produce the placenta?
chorionic villi completely surround the blastocyst intially, the regress from the abembryonic pole and become concentrated at the embryonic pole
Rh factors?
erythrocyte (RBC) surface antigens
Isoimmunization?
example- fetus is Rh pos, mother Rh neg
- fetal blood gets into maternal and mother’s immune system will produce antibodies against the foreign Rh antigens
- Rh antibodies cross the placenta readily results in hemolysis of fetal RBCs
Hemolytic anemia of the newborn?
any anemia of pregnancy resulting from excessive destruction of fetal RBCs
Erythroblastosis fetalis?
any hemolytic anemia of pregnancy resulting from isoimmunization, such as Rh incompatibility
Hydrops fetalis?
an extreme case of erythroblastosis fetalis characterized by edema, elevated bilirubin (breakdown of hemoglobin), brain damage, and neonatal disease)
Diagnose hyrdrops fetalis?
spectrophotometric analysis of amniotic fluid
Treat hydrops fetalis?
intrauterine transfusion of RBC packed blood
Placenta abruptio?
placenta ruptures or separates from the uterine wall, resulting in intrauterine bleeding
most common mechanism for fetal blood getting into maternal circulatory system?
bleeding that occurs when the placenta releases from the uterine wall during birth