Module 2B: Development Of Lymphatic And Digestive Systems Flashcards

(140 cards)

1
Q

Abdominal aorta- unpaired visceral branches

Celiac trunk

A

upper border of L1, immediately after entering abdomen. 3 branches:
1. Left gastric a cardiac
stomach, lesser omentum, L half of small curvature of stomach
—Esophageal br  esophagus;
anastomosis w/ thoracic aorta esophageal branches

  1. Splenic a—>largest, tortuous
    —Pancreatic br—>pancreas
    —Proper splenic br—>spleen
    — Short gastric br—>upper
    greater curvature of stomach & fundus
    — Left gastroepiploic —>left side
    of greater curvature of stomach & greater omentum
  2. Common Hepatic a
    • Gastroduodenal a
    • Right gastric a (sometimes right
    side of lesser curvature & lesser
    omentum • Proper hepatic a
    • R hepatic  liver
    • Cystic a  gallbladder • L hepatic a liver • Right gastric a (sometimes)
    • Superior pancreaticoduodenal a
    (anterior & posterior) common
    bile duct, duodenum & head of
    pancreas • Right gastroepiploic  right side
    of lesser curvature & greater
    omentum
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2
Q

Name the three branches of the abdominal aorta celiac trunk

A

Left gastric a
Splenic a
Common hepatic a

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3
Q

The common hepatic a turns into the ______ ______ artery

A

Proper hepatic a

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4
Q

The proper hepatic a has what branches ? What do they supply?

A

Proper hepatic a
• R hepatic —>liver
• Cystic a —> gallbladder
• L hepatic a—> liver
• Right gastric a (sometimes)

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5
Q

Abdominal aorta- unpaired visceral branches

Superior mesenteric a :

A

Lower border L1, branches  pancreas, small intestine, ascending &
transverse colon

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6
Q

Name the branches of the superior mesenteric a. (5)

A
  1. Inferior pancreaticoduodenal a
    (anterior & posterior) —>
    duodenum, head of pancreas
  2. Middle colic a —> transverse
    colon
  3. Right colic —> ascending colon
  4. Ileocolic —> lower ascending
    colon, cecum, appendix, distal
    end of ileum
  5. Jejunal & ileal aa (intestinal aa)
    —> ileum & jejunum
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7
Q

Abdominal aorta- unpaired visceral branches

Inferior mesenteric a:

A

@L3, supplies descending colon, sigmoid colon, rectum

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8
Q

Name the three branches of the inferior messenteric a?

A
  1. Left colic a —> descending
    colon
  2. Sigmoid aa —>
    sigmoid colon
  3. Superior rectal a —> upper
    part of rectum
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9
Q

Name the three main unpaired branches of abdominal aorta

A

Celiac trunk

Superior mesenteric

Inferior mesenteric

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10
Q

Name the parked visceral branches of the abdominal aorta

A

Visceral branches
1. R & L middle suprarenal aa —> suprarenal glands

  1. R & L renal aa—>kidneys (@lower L1 level)
    • R & L inferior suprarenal a—> suprarenal glands
  2. Gonadal aa (testicular, ovarian)
    —> (male) testes, ureter, cremaster, spermatic cord
    —> (female) ovaries, labia majora, ureter, uterine tubes
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11
Q

Name the three arteries supplying the adrenal glands

A

Superior suprarenal a

Middle suprarenal a (coming off the renal artery)

Inferior suprarenal a (coming off renal a)

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12
Q

Name the parietal branches of parried visceral abdominal aorta

A
  1. R & L inferior phrenic aa —>inferior diaphragm**1 st
    branches of abdominal aorta!
    **Superior suprarenal a —> suprarenal glands
  2. Lumbar aa (4-5 pairs, arise opposite corresponding
    vertebral bodies  skin & muscles of back & abdominal wall, lumbar vertebrae, cord, meninges
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13
Q

Name the terminal paired visceral branches of abdominal aorta

A
  1. Common iliac aa : bifurcation of aorta @ L4
  2. Middle sacral a (unpaired) sacrum & coccyx
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14
Q

Collateral arterial circulation

**know marginal artery

A

• Several routes in event of aortic
obstruction
• Sudden, acute obstruction of
abdominal aorta @ or above
level of renal aa is fatal
• Sudden occlusion below renal
level results in gangrene of LE • Major collateral channels in
event of aortic obstruction
noted in notes

  1. Marginal artery (very weak): R, L, middle
    colic aa, ileocolic, sigmoid anastomosing
    parallel to inner margin of colon (ileocolic
    junction to rectum)
  2. Superior epigastric (terminal br of internal
    thoracic W/ inferior epigastric (br of
    external iliac)
  3. Lumbar aa W/ iliolumbar (br of internal
    iliac) & deep circumflex iliac a (br of
    exernal iliac)
  4. Superior rectal W/ middle rectal (off
    internal iliac) & inferior rectal (off internal
    pudendal- a branch of internal iliac)
  5. Ovarian & uterine aa (not for everyone…)
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15
Q

Inferior vena cava

A

Receives veins corresponding to paired visceral & parietal branches

• R & L renal vv —> IVC

• Lumbar vv: communicating brs to vertebral venous
plexuses. 4-5 pairs interconnected by ascending
lumbar vv—>azygos & hemiazygos vv

• Gonadal (testicular/ovarian)
• R gonadal —> IVC

• L gonadal —> L renal v

• Suprarenal vv
• R —> IVC
• L—> L renal v

• Inferior phrenic vv
• R—>IVC
• L—> L renal v

• Hepatic vv (2-3)
• —> IVC

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16
Q

What does the L renal v receive that the R does not?

A

Left inferior phrenic,

left gonadal

left suprarenal v

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17
Q

Portal venous system

“Portal” = second capillary bed between arterial-venous bed and heart

Typical flow?

Portal flow?

A

Typical flow
Artery —> capillary —> vien —> heart

Portal flow
Artery —> capillary (digestive tract) —> portal view, —> capillary (liver sinusoids) —> vein —> heart

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18
Q

Portal venous system

A

• All venous return from GI tract
goes to liver via portal system vv • Portal vein formed by
confluence of superior
mesenteric v & splenic v
• Also receives coronary v (L & R
gastric vv)

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19
Q

Areas of portal-caval anastomoses

A

1.Superior rectal (portal) & middle a& inferior
rectal (caval)
2. Esophageal plexus= anastomosis of thoracic
esophageal vv + abdominal esophageal vv
3. Paraumbilical area: small vv w/in falciform
ligament (vv arise fr L portal br/L portal hepatic
v) + subcutaneous vv around the umbilicus
(superficial epigastric & thoracoepigastric vv)
4. Numerous diffuse small vv which pass to body
wall from NON- peritonealized surfaces of such
organs as (ascending & descending colon,
duodenum, pancreas, bare area of liver… these
anastomose W/ small caval tributaries in body
wall & diaphragm

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20
Q

Clinical application

Caput medusa

A

• In event of portal v obstruction
(or portal hypertension)
• Rectal vv (hemorrhoids) and
esophageal vv (varices) are
prominent
• Paraumbilical area may form
caput medusa
• Channels between non-
peritonealized surfaces of organs
listed and body wall may enlarge

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21
Q

The abdominal aorta begins at which vertebral level?

L2

T12

T10

L4

A

T12

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22
Q

Which vein directly drains into the inferior vena cava?

Superior mesenteric vein

Splenic vein

Inferior mesenteric vein

Left renal vein

A

Left renal vein

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23
Q

The gonadal arteries arise from the aorta at the level of:

T10

L1–L2

L4

T12

A

L1-L2

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24
Q

A blockage in the inferior mesenteric artery would most directly affect which organ?

Liver

Rectum

Stomach

Jejunum

A

Rectum

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25
What is the main vein draining blood from the abdominal digestive organs? Inferior vena cava Renal vein Iliac vein Hepatic portal vein
Hepatic portal vein
26
The superior mesenteric artery arises at what vertebral level? L3 L1 L4 T12
L1
27
The left renal vein typically passes: Anterior to the superior mesenteric artery Posterior to the aorta Posterior to the inferior vena cava Between the aorta and superior mesenteric artery
Between the aorta and superior mesenteric artery
28
Which artery primarily supplies the small intestine? Celiac trunk Inferior mesenteric artery Renal artery Superior mesenteric artery
Superior mesenteric artery
29
Which of the following is a branch of the superior mesenteric artery? Middle colic artery Right hepatic artery Left colic artery Right gastric artery
Middle colic artery
30
The testicular or ovarian arteries are also called: Gonadal arteries Genital arteries Mesenteric arteries Pelvic arteries
Gonadal arteries
31
After processing in the liver, blood exits via the: Portal veins Gastric veins Inferior mesenteric vein Hepatic veins
Hepatic veins
32
Which branch of the celiac trunk supplies the liver? Common hepatic artery Left gastric artery Splenic artery Inferior phrenic artery
Common hepatic artery
33
The liver receives blood from both the: Splenic artery and superior mesenteric vein Hepatic portal vein and hepatic artery Celiac trunk and renal artery Inferior vena cava and aorta
Hepatic portal vien and haptic artery
34
The hepatic veins drain into the: Splenic vein Superior mesenteric vein Inferior vena cava Renal vein
IVC
35
An obstruction in the hepatic portal vein would cause increased pressure in which of the following? Inferior vena cava Hepatic veins Mesenteric veins Aorta
Mesenteric veins
36
The hepatic portal vein is formed by the union of the: Splenic and gastric veins Inferior mesenteric and renal veins Superior mesenteric and splenic veins Gastric and superior mesenteric veins
Superior mesenteric and splenic veins
37
The portal triad includes all of the following except: Hepatic portal vein Inferior vena cava Bile duct Hepatic artery
Inferior vena cava
38
Portal hypertension may lead to varices in all the following areas except: Pancreas Umbilicus Rectum Esophagus
Pancreas
39
Which of the following is not part of the celiac trunk trifurcation? Superior mesenteric artery Left gastric artery Splenic artery Common hepatic artery
Superior mesenteric artery
40
The middle suprarenal artery typically branches from the: Celiac trunk Inferior phrenic artery Abdominal aorta Renal artery
Abdominal aorta
41
Which structure is responsible for filtering blood from the hepatic portal system? Pancreas Spleen Liver Kidney
Liver
42
What is the main artery supplying blood to the abdominal organs? Hepatic artery Abdominal aorta Inferior vena cava Superior mesenteric artery
Abdominal aorta
43
The inferior mesenteric artery supplies the: Cecum Sigmoid colon Transverse colon Jejunum
Sigmoid colon
44
Lumbar arteries arise from the posterior aorta and supply the: Stomach Vertebral column and abdominal wall Intestines Kidneys
Vertebral column and abdominal wall
45
Which arteries branch laterally from the abdominal aorta to supply the kidneys? Renal arteries Suprarenal arteries Gonadal arteries Lumbar arteries
Renal Arteries
46
The marginal artery branches of the: Renal and gonadal arteries Splenic and pancreatic arteries Superior and inferior mesenteric arteries Celiac trunk and hepatic artery
Superior and inferior mesenteric arteries
47
The suprarenal arteries supply the: Liver Kidneys Pancreas Adrenal glands
Adrenal glands
48
The abdominal aorta bifurcates into the: External iliac arteries Femoral arteries Internal iliac arteries Common iliac arteries
Common iliac arteries
49
The left gastric artery primarily supplies the: Duodenum Lesser curvature of the stomach Greater curvature of the stomach Fundus of the stomach
Lesser curvature of the stomach
50
Which artery anastomoses with the superior mesenteric artery via the marginal artery?
Inferior mesenteric artery
51
What is the primary function of the lymphatic system? Transport oxygen Absorb carbon dioxide Produce red blood cells Return interstitial fluid to the bloodstream
Return interstitial fluid to the bloodstream
52
Which of the following lymph nodes are found deep to the sternocleidomastoid? superficial cervical preauricular deep cervical submandibular
Deep cervical
53
The thoracic duct empties lymph into the: Left subclavian vein Right subclavian vein Superior vena cava Aorta
LSCV
54
Which lymphatic organ is most active in children and shrinks with age?
Thymus
55
Which of the following is not a function of lymph nodes? Filter lymph Activate lymphocytes House immune cells Produce red blood cells
Produce RBC
56
Which part of the body does the right lymphatic duct drain? Right leg Entire lower body Right arm and right side of head and thorax Left leg
Right arm and right side of head and thorax
57
Lymphvasculogenesis involves: Sprouting from blood vessels Bone marrow-derived progenitors From scratch formation from mesenchymal precursors Division of mature LECs
From scratch formation from mesenchymal precursors
58
What type of lymphocyte matures in the thymus? B cells NK cells T cells Plasma cells
T cells
59
What is the name of the dilation at the beginning of the thoracic duct found at T12-L1? Lymph node Thymus Cisterna chyli Spleen
Cisterns chalk
60
Peyer’s patches are found in the: Small intestine Spleen Liver Kidneys
Small intestine
61
Lymph functions as part of our circulatory system
• Fluid from plasma in the capillaries (red) diffuses into the interstitial space (IS) → interstitial fluid (IF) • Most is absorbed by tissue cells (pink) or resorbed into venous structures (blue) • ↑ Interstitial pressure is very damaging to structures in the IS • Lymph vessels are like an overflow valve, shunting accumulating IF away from the IS, eventually returning it to the venous blood
62
Venous System In the fifth week, three pairs of major veins can be distinguished: 1. Vitelline 2.Umbilical Veins 3. Cardinal veins
1. Vitelline veins, carrying blood from the yolk sac to the sinus venosus 2. Umbilical veins, originating in the chorionic villi and carrying oxygenated blood to the embryo 3. Cardinal veins, draining the body of the embryo proper. The lymphatic system begins mesodermally as a bilaterally symmetrical network arising from the cardinal veins.
63
Origin of Lymphatic Asymmetry
Selective atrophy and remodeling of these early vessels lead to an asymmetric drainage pattern.  The thoracic duct, which drains most of the body (left head/neck, left upper limb, entire lower body), forms from the fusion of multiple lymphatic plexuses (e.g., cisterna chyli, retroperitoneal, lumbo-iliac).  The thoracic duct empties into the left venous angle (junction of left internal jugular and subclavian veins).  The right lymphatic duct, which drains the right upper quadrant, empties into the right venous angle.  This asymmetry reflects developmental remodeling of the original bilateral system into two distinct drainage pathways.
64
Historical Debate on the Embryonic Origin of the Lymphatic System
Two main hypotheses debated since the early 20th century: • Centrifugal hypothesis: • Lymphatic vessels sprout from veins ( lymphangiogenesis) • Centripetal hypothesis: • Lymphatic vessels form de novo from mesenchymal precursor cells ( lymphvasculogenesis) •Ongoing controversy for over a century •Recent evidence suggests both mechanisms contribute to lymphatic development
65
Topic: Structure of Developed Lymphatic Capillaries and GALT Name and describe two Lymphatic Vessel Types
1. Capillary lymphatics: • Made of lymphatic endothelial cells (LECs) with discontinuous junctions that allow passive fluid entry from the surrounding interstitial tissues. 2. Collecting lymphatics: • Contain LECs with continuous junctions, intraluminal valves, lymphatic smooth muscle cells (LSMCs), and a continuous basement membrane. • Facilitate unidirectional lymph flow toward central circulation. • It provides a one-way drainage route from tissues back to the bloodstream via the great veins of the neck.
66
Developed Lymphatic System
Structure and Function •Primary lymphoid organs (bone marrow, thymus): sites of immune cell production and maturation. •Secondary lymphoid organs (lymph nodes, spleen, mucosa-associated lymphoid tissues like Peyer’s patches, tonsils, adenoids): sites of lymphocyte activation. Major Lymphatic Ducts •The thoracic duct drains lymph from most of the body. •The right lymphatic duct drains lymph from the right side of the head and neck, the right thorax, and the right upper limb. Lymphoid Organ Organization •The spleen, Peyer’s patches, and lymph nodes are highly organized with distinct B-cell and T-cell zones. •This structure supports efficient adaptive immune response induction.
67
What does GALT stand for? What is it?
GALT is a key component of mucosa-associated lymphoid tissue (MALT).  Includes Peyer’s patches, isolated lymphoid follicles, appendix, and mesenteric lymph nodes.  Provides immune defense in the gastrointestinal tract. Prenatal Period: Postnatal Maturation:  Postnatal antigen exposure (microbiota, food) drives GALT expansion and maturation.  Germinal centers and IgA-secreting plasma cells develop.  Peyer’s patches sample luminal antigens.  Begins around week 11–12 of gestation in humans.  Initiated by interactions between intestinal epithelium, mesenchyme, and lymphoid tissue inducer cells.  Mesenchymal cells differentiate into lymphoid tissue organizer cells.  Formation of Peyer’s patches driven by VEGF-C and lymphotoxin signaling by week 20.
68
Development of Gut-Associated Lymphoid Tissue (GALT)
Relationship Between Cisterna Chyli and GALT: • Cisterna chyli is a dilated sac located at the lower end of the thoracic duct, typically at the level of L1–L2 vertebrae. • It serves as a major collecting reservoir for lymph from the intestinal trunk, lumbar lymphatics, and lower body. • The cisterna chyli is the central conduit for lymph originating from the GALT and surrounding abdominal organs, linking gut immunity with systemic circulation and helping maintain immune and metabolic homeostasis.
69
Cisterns chyli develops into what?
Proximal lower part of the Thoracic duct
70
What is the primary function of the lymphatic system? Transport oxygen Absorb carbon dioxide Produce red blood cells Return interstitial fluid to the bloodstream
Return interstitial fluid to the bloodstream
71
Which of the following lymph nodes are found deep to the sternocleidomastoid? superficial cervical preauricular deep cervical submandibular
Deep cervical
72
During embryonic development, the lymphatic system arises from the: Endoderm Yolk sac Amniotic sac Cardinal veins
Cardinal veins
73
What facilitates passive fluid entry into capillary lymphatics? Intraluminal valves Positive pressure in the interstitial space Continuous junctions Basement membranes
Postitive pressure in the interstitial space
74
Which of the following supports the centrifugal hypothesis of lymphatic development? Lymphvasculogenesis Hemangioblast theory Angiogenesis from arteries Lymphangiogenesis
Lymphagiogenesis
75
Intraluminal valves developed in collecting lymphatics help ensure: Blood cell filtration Passive fluid absorption Hormone delivery Unidirectional lymph flow
Unidirectional lymph flow
76
The embryologic development of the lymphatic system shows: No asymmetry Exclusive venous drainage Symmetry maintained through life Asymmetry due to selective remodeling
Asymmetry due to selective remodeling
77
Which of the following structures drains lymph from most of the body? Thoracic duct Superior vena cava Hepatic vein Right lymphatic duct
Thoracic duct
78
The thoracic duct empties into the: Right subclavian vein Left venous angle Left atrium Aortic arch
Left venous angle
79
Postnatal maturation of GALT is stimulated by: High oxygen tension Placental antibodies Lymphangiogenesis Antigen exposure from microbiota and food
Antigen exposure from microbiotat and food
80
Foregut develops? What section of the primitive gut tube is this portion?
Development of the esophagus, stomach, proximal duodenum, liver, gallbladder, and pancreas.. Foregut- includes the pharyngeal gut, and the remainder of the foregut that includes the esophagus, stomach, liver+ pancreas
81
Midgut develops? What section of the primitive gut tube is this portion?
Mechanisms and significance of physiological herniation and intestinal rotation Midgut - remains temporarily connected to the yolk sac via the vitelline duct. Includes duodenum, jejunum, ileum and ascending colon
82
Hindgut develops? What section of the primitive gut tube is this portion?
Formation of the urogenital sinus and anal opening…… Hindgut- from transverse colon to the cloacal membrane
83
The formation of “Tube in a Tube”: Concurrent with neurulation, the endoderm rolls down to form the ____ _______. As a result, the embryo has: —A parietal tube forming the body wall) —the gut tube (present within)
Gut tube
84
• Outer Tube – The Body wall • Formed from the??
ectoderm and somatic mesoderm! Gives rise to the skin, body wall musculature, adn the parietal peritoneum (outer lining of the abdominal cavity) Encloses the entire body and eventually format the trunk and limbs
85
Inner Tube – The Gut Tube • Derived primarily from the endoderm, with contributions from the???
Splanchnic mesoderm! Forms the entire gastrointestinal tract, including the foregut, midgut, and hindgut. Which subsequently contributes to the development of associated organs such as the liver, pancreas, gallbladder a den parts of the respiratory system.
86
The Space In Between – The Body Cavity (Coelom) • Originates from the????
Lateral plate mesoderm, which splits into somatic and splanchnic layers!! The space brown these layers forms the intraembryonic coelom, which develops into the pericardial vanity (around the heart) pleural cavities (around the lungs), peritoneal cavity (around abdominal organs)
87
After gastrualtion, the trilaminar disc undergoes a process known as “embryonic folding”. At the end of embryological folding what is the result?
Ventral body wall is completely closed, except in the midgut region, where the connecting stalk (future umbilical cord) and the yolk sac are present The gut tube is also closed, except for a connection from the midgut to the yolk sac through the vitelline duct
88
The formation of the gut tube. The embryo undergoes 2 different ‘folding’ processes - _______ _______ and ______ ______. A the end of these 2 folding processes, the gut is formed as a continuous tube. Explain these two processes!
Lateral folding - in the ventral direction pulls the amniotic cavity centrally - The lateral body wall of the embryo folds downwards. It consists of the partial layer mesoderm and overlying ectoderm - Vesceral mesoderm layers (surrounding the gut tube) are continuous with the parietal mesoderm layer through a membrane- the dorsal mesentery —> Dorsal mesentery extends from the caudal end of the foregut to the end of the hindgut Cephalocaudal folding - as the hold sac shrinks the cephalcaudal folding forces the shrinking hold sac towards the midgut region, away from the foregut and the hindgut
89
Lateral Folding!
1.Head and Tail (Cephalocaudal) Folding: 1. The embryo undergoes a process of head and tail folding, where the cephalic (head) and caudal (tail) regions move toward the ventral side of the embryo. 2. Lateral Folding: 1. Simultaneously, the sides of the embryo undergo lateral folding, bringing the left and right sides closer together. 3.Formation of Cylindrical Structure: 1. These folding movements transform the flat trilaminar disc into a more cylindrical structure, creating the basis for the embryonic body shape. 4.Closure of Body Wall: 1 The folds eventually meet and close, forming a continuous body wall around the cylindrical embryo. 5. Establishment of Embryonic Axes: 1. The folding process establishes the three embryonic axes: anterior-posterior, dorsal-ventral, and left-right, providing spatial orientation for further development. .Differentiation of Regions: 1. As folding progresses, different regions of the embryo become more defined, setting the stage for the development of specific tissues and organs. Embryonic folding is a dynamic process that plays a crucial role in shaping the early embryo and establishing the foundation for subsequent organogenesis. It ensures that the basic body plan is correctly oriented and organized, allowing for the formation of complex structures during embryonic development.
90
Cranialcaudal folding!!
1.Initiation of Folding: The embryo begins to fold along its longitudinal axis, initiating cranial-caudal folding. This folding process is essential for properly developing the neural tube and establishing the body's anterior-posterior axis. 2. Cephalic (Head) Folding: 1. Folding occurs more prominently at the anterior end of the embryo, leading to the formation of the head region. This process involves bending tissues to create the head and brain structures. 3. Caudal (Tail) Folding: 1. Simultaneously, folding occurs at the posterior end of the embryo, forming the tail region. This folding is crucial for the proper development of the posterior part of the neural tube and the tail structures. 4. Closure of Neural Tube: As the folding progresses, the neural tube continues to close along its length. The closure of the neural tube is vital for properly developing and protecting the central nervous system. 5.Establishment of Body Axes: 1. Cranial-caudal folding helps establish the anterior-posterior axis of the embryo, which is critical for the proper development of organs and structures along this axis. 6. Formation of the Gut Tube: Caudal folding contributes to the formation of the gut tube, which will eventually give rise to the digestive tract. This process is essential for the proper development of the gastrointestinal system. Cranial-caudal folding is a complex and coordinated process that lays the foundation for the subsequent development of organ systems and body structures. It is a fundamental step in the early embryonic development of vertebrates.
91
The basic vertebrate body plan consists of a bilaterally symmetrical features such as ?
Dorsal neural tube, a notochord (derived from mesoderm) Paraxial mesodermal dominates (vertebrae skeletal muscles, and dermis) The developing embryo is organized into a tube-within-a-tube, which will develop into the gut and the outer tube is the body wall. Between these is the intraembryonic coelom, a fluid-filled body cavity that will give rise to the pleural, pericardial ,a peritoneal cavities.m **the intire structure is enclosed within a body wall derived from somatic mesoderm and ectoderm.
92
THE VERTEBRATE BODY PLAN INCLUDES:
1.Bilateral Symmetry: —Vertebrates exhibit bilateral symmetry, dividing the body into two symmetrical halves. 2. Segmentation: —The body is often organized into repeating segments. (Somites) 3.Dorsal Nerve Cord (Neural tube): —Vertebrates have a dorsal nerve cord, developing into the spinal cord. (Neuralation) 4.Notochord: —A flexible, rod-like notochord provides support, and its vestiges form the intervertebral discs. 5.Vertebral Column: —The vertebral column surrounds and protects the spinal cord. (developed via the sclerotome of the somites) 6.Endoskeleton: —An internal skeleton made of bone or cartilage provides support. 7. Cranium (Skull): —Protects the brain and sensory organs. 8.Pharyngeal Arches: —Develop into gills, jaws, or throat structures. 9.Muscular System: —Well-developed for movement. (Thank you myotomes of the somites) 10.Digestive, Circulatory, Respiratory, Excretory Systems: —Specialized organs for processing food, circulating blood, obtaining oxygen, and eliminating waste. 11.Reproductive System: —-Specialized organs for sexual reproduction. 12.Nervous System: Includes a brain for processing information and coordinating body functions. These features form the foundation of the vertebrate body plan, adapting to diverse environments and species.
93
Primitive gut receives contribution from endoderm and visceral mesoderm: a) Endoderm  gives rise to:
The epithelial lining of the digestive tract ‒ Epithelium modifies to form secretory cells such as hepatocytes and the exocrine and endocrine cells of the pancreas.
94
Primitive gut receives contribution from endoderm and visceral mesoderm: Visceral mesoderm gives rise to:
The stroma for the glands ‒ Muscle, connective tissue, and other components of the wall of the gut
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At the cephalic end of the primitive gut tube?
• The foregut is temporarily closed by an ectodermal–endodermal membrane called the oropharyngeal membrane • An ***oropharyngeal membrane separates the stomodeum (the primitive oral cavity derived from ectoderm) from the pharynx (a part of the foregut, derived from endoderm) • In the 4th week, the oropharyngeal membrane ruptures, establishing an open connection between the oral cavity and the primitive gut
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At its caudal end of the primitive gut tube??
The hindgut also terminates temporarily at the ***cloacal membrane • This membrane separates the upper part of the anal canal from the lower part, called the ***Proctodeum • The membrane breaks down in the 7th week to create an opening (the anus) to the cloaca
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Proctodeum eventually around week 7 breaks down to form what?
The lower part of the anus
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The stomodeum is the primitive?
Oral cavity - the oropharyngeal membrane separates the stomodeum from the pharynx
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The Foregut: Esophagus When the embryo is approximately 4 weeks old, the ___________ __________ (lung bud) appears at the ventral wall of the foregut at the border with the pharyngeal gut • The tracheoesophageal septum gradually partitions the lung bud from the ventral part of the foregut (pharynx) Initially, the esophagus is short, but with the descent of the heart and lungs, it lengthens rapidly
respiratory diverticulum
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The Foregut: Stomach In the 4th week, the stomach appears as a spindle-shaped dilation in the foregut In the following weeks, its appearance and position changes because of?? During positional changes the stomach rotates both around the longitudinal axis and an _____________ ____.
1) the different rates of growth in various regions of the stomach wall and 2) the changes in position of surrounding organs ***During positional changes, the stomach rotates both around a longitudinal axis and an anteroposterior axis Clockwise Rotation along the longitudinal axis
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The pyloric stomach moves to the right, going upwards • The cardiac stomach moves to the left, going ________ _______
Slightly downward
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What happens when the stomach undergoes rotation along the anteroposterior axis?
• The visceral mesoderm layer on the outside starts to proliferate • This creates an apron-like structure called the Greater omentum
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The Foregut Duodenum rotates?
As the stomach rotates, the duodenum rotates to the right The rapid growth of the pancreas swings the duodenum from its initial midline position to the right side of the abdominal cavity
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What is recanalization? How is this involved with the duodenum?
During the second month, the lumen of the duodenum is initially blocked due to the proliferation of cells in its walls. However, the lumen is recanalized shortly after
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Liver and Gallbladder • The liver primordium appears in the middle of the third week as an outgrowth of the ____________ __________ at the end of the foregut • This outgrowth is called the _______ __________, or liver bud
endodermal epithelium Hepatic diverticulum
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Liver and Gallbladder Tissue present outside the liver bud is called the _______ _________ • The cranial part of the septum transversum gives rise to the ______ tendon of the diaphragm and is the origin of the myoblasts that invade the pleuroperitoneal folds, resulting in the formation of the muscular diaphragm. • Hematopoietic cells and connective tissue cells present in the _____ are derived from the mesenchyme of the septum transversum
Septum transversum Central Liver
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While hepatic cells continue to proliferate, the connection between the hepatic diverticulum and the foregut (duodenum) narrows, forming the _____ _____
Bile duct
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Early Fetal Liver Function
The fetal liver begins functioning early in development and plays several vital roles before birth. Initially, it serves as a major hematopoietic organ, producing red and white blood cells beginning around the 6th week of gestation. This hematopoietic activity peaks during the second trimester and gradually declines as the bone marrow assumes this role. In addition to hematopoiesis, the fetal liver contributes to metabolic activities, including glycogen storage and limited plasma protein synthesis (such as albumin and clotting factors). However, its detoxification function is minimal during fetal life, as the placenta primarily handles this role. Although structurally developing by week 4, the liver's full enzymatic and metabolic capacity remains immature at birth and continues to mature postnatally.
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Fetal liver and bile production
•Hepatocyte Development: By week 12, the fetal liver is structurally well-developed. Hepatocyte cords have formed, contributing to the epithelial lining of the bile system. •Formation of Bile Canaliculi: Specialized channels between hepatocytes. Enable transport of bile from hepatocytes into the developing billary network. Critical for initiating bile secretion. • Intrahepatic Bile Duct Development: These ducts branch throughout the liver parenchyma. Connect bile canaliculi to the extrahepatic biliary tree. • Extrahepatic Bile Duct and Gallbladder Formation: Structures including the gallbladder and cystic duct develop concurrently. Allow for bile storage and its eventual transport to the duodenum.
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Pancreas Positioning and Developmental Summary
Two endodermal buds •The pancreas develops from dorsal and ventral buds that approximate and fuse during gut rotation. —-A dorsal pancreatic bud (arises directly from the duodenum) —-A ventral pancreatic bud (arises near the bile duct) •As the duodenum rotates and shifts rightward: —The head, neck, and body of the pancreas are pushed against the posterior abdominal wall. The overlying peritoneum fuses and resorbs, making these parts developmentally retroperitoneal. —The tail of the pancreas remains intraperitoneal. ** The ventral bud comes to lie immediately below the dorsal bud Later, the tissues and the duct systems of the dorsal and ventral pancreatic buds fuse together In the 3rd month of fetal life, pancreatic islets (of Langerhans) develop from the pancreatic tissue and scatter throughout the pancreas Insulin secretion begins during the fifth month
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MIDGUT Development of the midgut is characterized by
1) Rapid elongation of the gut and its mesentery, resulting in formation of the primary intestinal loop 2) The cephalic limb of the loop develops into the end part of the duodenum, the jejunum, and upper part of the ileum 3) The caudal limb becomes the lower portion of the ileum, the cecum, the appendix, the ascending colon, and the proximal two-thirds of the transverse colon
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Over its entire length, the midgut is supplied by the __________ _____________ _______.
superior mesenteric artery
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Physiological Herniation:
Rapid elongation of the primary intestinal loop, particularly of the cephalic limb, together with the rapid growth and expansion of the liver —> the abdominal cavity is too small at that time to contain all the intestinal loops —> causes the intestine loops to enter the umbilical cord during the 6th week of development —> physiological umbilical herniation - Occurews between Weeks 6-10 of embryonic development - rapid elongation of the midgut - large size of the developing liver and kidneys restricts abdominal space -the growing midgut hernia ties into the umbilical cord
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Midgut Loop Formation
• This midgut herniation is accompanied by a 270° anticlockwise midgut rotation in the abdominal cavity. • Return into the body is caused by the rapid growth of the body or a decrease in the length of the mesentery. Midgut Loop Formation: • The midgut forms a U-shaped loop around the superior mesenteric artery (SMA). • Divided into two limbs: • Cephalic limb (cranial portion) • Caudal limb (caudal portion) Derivatives: Cephalic limb becomes: • Distal duodenum • Jejunum Part of the ileum Caudal limb becomes: • Distal ileum • Cecum • Ascending colon • Proximal two-thirds of the transverse colon •Rotation: During herniation: 90° counterclockwise rotation around the SMA. During return (around week 10): additional 180° counterclockwise rotation. • Total: 270° counterclockwise rotation ensures proper intestinal positioning. • Return to Abdomen: • Midgut returns to the abdominal cavity as it enlarges. • The cecum descends to the lower right quadrant. •Clinical Relevance: Abnormalities can result in: Malrotation Volvulus (twisting of the bowel) Omphalocele (failure to return to the abdomen)
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Examples of Omphalocelesa
defect that occurs when intestinal loops, which normally herniate into the umbilical cord during the 6th to the 10th weeks of gestation (physiological umbilical herniation), fail to return to the body cavity Amnion is the sac surrounding the intestinal loops q
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Situs inversus totalis (SIT)
is a rare congenital abnormality characterized by a mirror-image transposition of both the abdominal and the thoracic organs • Results in failure to generate normal left- right laterality
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The Hindgut gives rise to ?
to the distal third of the transverse colon, the descending colon, the sigmoid colon, the rectum, and the anal canal
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A layer of mesoderm, the urorectal septum, separates the region between the ________ and hindgut
allantois
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As the embryo grows, the tip of the urorectal septum comes closer to the ________ __________
cloacal membrane
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Allantois and Relationship to the Cloacal membrane
Allantois: An extraembryonic membrane, like the amnion and chorion. •Appears as a small tubular outpouching from the hindgut, extending into the connecting stalk. •Unlike the amnion and chorion (which are primarily protective), the allantois: — Functions in early waste collection and fluid exchange. — Plays a minor role in reproductive development. • Later forms the urachus, which becomes the median umbilical ligament in the adult. (More on Allantois with GU development). **Relationship to the Cloacal Membrane •The allantois connects to the hindgut, which terminates at the cloaca, a common cavity for digestive and urinary outflow. •The cloacal membrane lies over the cloaca and is composed of surface ectoderm. •As the urorectal septum forms: The cloaca is divided into: Anorectal canal (posterior) - gives rise to the rectum and anal canal. • The cloacal membrane ruptures, creating the anal opening for the hindgut and an opening for the urogenital sinus (covered by the urogenital membrane). • Urogenital sinus (anterior) - associated with the allantois and becomes part of the urinary bladder. The endoderm of the hindgut forms the internal lining of the bladder and urethra •Thus, the urinary bladder is derived from the portion of the hindgut originally associated with the allantois.
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Allantois, Cloacal Membrane, and Urorectal Septum – Summary
•The allantois is a small extension from the hindgut that enters the cloaca, a shared cavity for urinary and digestive outflow. •The cloacal membrane initially covers this region externally. •The urorectal septum grows downward, dividing the cloaca into: • Anterior urogenital sinus → associated with the allantois, forms part of the urinary bladder • Posterior anorectal canal → becomes the rectum and anal canal •The cloacal membrane ruptures, forming separate openings for the anal and urogenital tracts. •The urinary bladder ultimately derives from the cloacal region linked to the allantois.
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Failure of the ventral body wall to close —> ventral body wall defects:. Ectopia cordis
The heart lies outside the thorax, and there is a cleft in the thoracic wall
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Failure of the ventral body wall to close —> ventral body wall defects:. Gastroschisis
Intestines herniate through the abdominal wall to the right of the umbilicus
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Failure of the ventral body wall to close —>ventral body wall defects:. Bladder exstrophy
Closure in the pelvic region has failed
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Failure of the ventral body wall to close —> ventral body wall defects:. Cloacal exstrophy
A larger closure defect in which most of the pelvic region has failed to close, leaving the bladder, part of the rectum, and the anal canal exposed
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The foregut is initially closed at its cephalic end by what structure? Proctodeum Oropharyngeal membrane Neural crest Cloacal membrane
Oropharyngeal membrane
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Which organ develops from both dorsal and ventral buds? Pancreas Liver Spleen Gallbladder
Pancreas
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The stomach rotates along how many axes during development? Two Two (longitudinal and anteroposterior) One Three
Two (longitudinal and anteroposterior)
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The body cavity (coelom) originates from which embryonic structure? Lateral plate mesoderm Intermediate mesoderm Neural tube Surface ectoderm
Lateral plate mesoderm
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Which of the following structures is derived from the midgut? Pharynx Jejunum Esophagus Rectum
Jejunum
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In total, the primary intestinal loop rotates how many degrees anticlockwise? 180° 90° 360° 270°
270
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The gut tube forms primarily from which germ layer?
Endoderm
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Which membrane breaks down to form the anal opening?
Cloacal membrane
134
Failure of the midgut to return to the body cavity results in: Bladder exstrophy Gastroschisis Omphalocele Cloacal exstrophy
Omophalocele
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The hindgut ends at what structure during early development? Stomodeum Notochord Cloacal membrane Allantois
Cloacal memebrane
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The dorsal and ventral pancreatic buds fuse to form: Stomach Spleen Liver Pancreas
Pancreas
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What divides the cloaca into the urogenital sinus and the anorectal canal? Vitelline duct Allantois Cloacal membrane Urorectal septum
Urorectal septum
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What causes physiological herniation of the midgut? Disruption of the yolk sac Rapid intestinal and liver growth Atrophy of mesoderm Failure of neural tube closure
Repaid intestinal and liver growth
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The primitive gut tube connects to the yolk sac via which structure? Mesonephric duct Vitelline duct Cloacal duct Umbilical vein
Vitelline duct
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*** LOOK AT NINJA NERD YOUTUBE EXPLINATION OF DEVELOPMENT OF GI