Lecture 1: Urinary System Embryology Flashcards

1
Q

which structures compose the adult urinary system?

A
  • kidneys: nephron, collecting duct, calyces and pelvis.
  • ureter
  • bladder
  • urethra
  • blood supply
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2
Q

which embryological tissue gives rise to the urogenital system (kidneys, reproductive)?

A

intermediate plate mesoderm

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3
Q

what is Allantois? what is its functions?

A
  • Allantois is an outpouching of endoderm at the hindgut that extends into the body stalk.
  • collects waste products of the embryo, in time the allantois grows into the umbilical cord/body stalk and therefore excretory products go out through the blood vessels and trhough the placenta of the maternal system.
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4
Q

what does the cloaca get divided into?

A
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5
Q

what is the cloaca?

A
  • distal part of hindgut that serves as a common opening for the urinary system and the digestive system and when the reproductive system develops that also will be opening into this future cloaca.
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6
Q

what is the layer of mesoderm called that divides the cloaca into the rectum posteriorly and the urogenital sinus anteriorly?

A

urorectal septum

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7
Q

what does the urogenital sinus form?

A
  • urinary bladder
  • terminal bit forms the urethra
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8
Q

At birth, the allantois gets obliterated to form what?

A

the urachus

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9
Q

are the bladder and urethra formed from endoderm, mesoderm or ectoderm?

A

endoderm

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10
Q

discuss the development of pronephros

A
  • early in the 4th week the intermediate mesoderm in the neck region of the embryo becomes the pronephros > 1st set of kidneys > pronephric kidneys.
  • pronephros = pronephric duct + rudimentary pronephric tubules.
  • pronephric duct dains into cloaca.
  • in humans, the pronephros mainly degenerates by 5th week (except the pronephric duct).
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11
Q

discuss the development of the mesonephros

A
  • by late 4th week, intermediate plate mesoderm in the trunk region of the embryo starts developing into the urinary system > mesonephros.
  • pronephric duct now becomes the mesonephric duct.
  • mesonephric tubules develop and drain into the mesonephric duct.
  • mesonephric duct initially opens into the cloaca, but as division occurs it opens into the anterior urogenital sinus.
  • mesonephros functions as the kidney for approx. 4 weeks to end of week 9.
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12
Q

discuss the devlopment of the metanephros/definitive kidneys

A
  • the metanephros starts to develop from about week 5, but only starts to function around week 9.
  • consists of: ureteric bud that comes off the mesonephric duct, metanephric mesoderm (the most caudal part of the intermediate mesoderm).
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13
Q

what happens to the mesonephros when the metanephros develops?

A
  • Much of the mesonephros will be incorporates into the developing gonad (testes or ovary).
  • In males, mesonephric tubules are going to form the tubules (rete testis) that carry the newly formed sperm to the spermatic cord.
  • In males, the mesonephric duct becomes the spermatic cord = vas deferens.
  • In females, the mesonephros becomes the ovary but the tubules and mesonephric duct degenerate. Paramesonephric ducts form fallopian tubes.
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14
Q

discuss the further development of the uteric bud

A
  • the uteritic bud undergoes repeated branching at its distal end.
  • the stalk becomes the ureter, the expanded cranial end becomes the renal pelvis.
  • the metanephric mesoderm surrounds the uteric bud and forms the parenchyma of the kidney.
  • the first 4 generations of branches become confluent to become the major calyces, the next four generations form the minor calyces.
  • the remaining generations of branches form the collecting tubules.
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15
Q

what does the nephron develop from?

A

metanephric mesoderm

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16
Q

what is the difference between the nephron and uriniferous tubule?

A
  • nephron = renal corpuscle + proximal convuluted tubule (PCT) + loop of Henle + distal convuluted tubule (DCT)
  • uriniferous tubule = nephron + collecting duct
17
Q

what do the collecting duct, calyces, pelvis and ureter develop from?

A

ureteric bud

18
Q

discuss the ascent of the kidneys

A
  • kidneys initially lie on either side of the bladder and in the developing pelvis.
  • appears to ‘ascend’ into the adbomen due to differential growth of lower body inferiorly away from kidneys.
  • kidneys come to lie in upper abdomen (T12-L3).
  • hilum rotates from ventral to medial (90 degrees).
  • ascent stops when they come in contact with adrenal glands.
19
Q

which congential abnormalities of the urinary system are illustrated?

A

A = congenital polycystic kidney
B = aberrant renal arteries (failure to degrade when kidney ascends)
C = lobulated kidney
D, E & F = transposition of kidney
G & H = horseshoe kidney
I = pancake kidney

20
Q

the ureteric bud grows out of the….

A

caudal end of mesonephric duct