Urinary development Flashcards

1
Q

Name the 3 sets of excretory organs which contribute to the development of the urinary system:

A

1) Pronephros
2) Mesonephros
3) Metanephros

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2
Q

During which week after fertilisation does the pronephros develop? What is the function of the pronephros?

A

Week 4

Makes duct, which makes contact with the hind gut (no kidney-like function)

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3
Q

During which week after fertilisation does the mesonephros develop? When does it regress?

A
Week 4 (end of)
Regresses in week 8
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4
Q

From which germ layer does the kidneys and ureters develop from?

A

Mesoderm (intermediate)

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5
Q

What is the function of the mesonephros?

A
  • Forms mesonephric tubules
  • Forms mesonephric duct, which sprouts the ureteric bud, and is important for the development of the ductal male reproductive system
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6
Q

During which week after fertilisation does the metanephros develop?

A

Week 5

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7
Q

What is the function of the ureteric bud? From which developing excretory organ does it sprout?

A
  • Contacts metanephric blastema, initiates development of collecting system (ureter, renal pelvis, calyces, papillary and collecting ducts)
  • Mesonephros
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8
Q

List the parts of the urinary collecting system:

A
  • Renal pelvis
  • Ureter
  • Calyces
  • Papillary ducts
  • Collecting ducts
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9
Q

List the parts of the urinary excretory system:

A
  • Glomerulus
  • Bowman’s capsule
  • Proximal Convoluted Tubule
  • Loop of Henle
  • Distal Convoluted Tubule
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10
Q

What does the urinary collecting system develop from?

A

Ureteric bud (from the mesonephros)

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11
Q

What does the urinary excretory system develop from?

A

Metanephric cap (metanephros)

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12
Q

Describe the ascent of the kidneys. What causes this process to occur?

A
  • Cranio-caudal shift from L4 -> T12/L1
  • Lateral displacement
  • 90’ rotation

Migration and expansion of the caudal region of the embryo

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13
Q

Why do some people have accessory renal vessels?

A
  • Failure of some vessels to regress during the ascent of the kidneys in embryonic development
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14
Q

From which germ layer does the urinary bladder and urethra develop?

A

Endoderm (hindgut derivative)

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15
Q

What is the name of the tissue which grows between the urogenital sinus and anorectal canal, separating the tubes?

A

Urorectal septum

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16
Q

What is the fate of the urachus?

A

Median umbilical ligament

Connects apex of bladder to umbilicus

17
Q

Name the 3 parts of the urogenital sinus:

A

1) Bladder part
2) Pelvic part
3) Phallic part

18
Q

What is the difference in the mesonephric duct development between males and females?

A

Males - Mesonephric ducts make openings in pelvic part of the urogenital sinus = future vas deferens and prostate
Females - mesonephric ducts regress

19
Q

From which part of the urogenital sinus does the female urethra develop from?

A

Pelvic part

20
Q

From which part of the urogenital sinus does the male urethra develop from?

A
  • Pre-prostatic, prostatic and membranous urethra forms from the pelvic part
  • Spongy urethra forms from phallic part
21
Q

Name the 4 sections of the male urethra:

A

1) Pre-prostatic
2) Prostatic
3) Membranous
4) Spongy

22
Q

If the ureteric bud fails to interact with the intermediate mesoderm, which congenital defect will result?

A

Renal agenesis

23
Q

If pregnant women presents with abnormally low amniotic fluid volume, which congenital defect is likely to be present?

A

Bilateral renal agenesis

24
Q

How would bilateral renal agenesis present during pregnancy?

A

Abnormally low amniotic fluid volume

25
Name the tumour of the metanephric blastema, a childhood cancer:
Wilm's tumour
26
What is the typical presentation of Wilm's tumour?
``` Child ~2/3 yrs Painless swollen abdomen Haematuria Hypertension Weight loss ```
27
What development event causes a bifid renal pelvis or bifid ureter?
Splitting of the ureteric bud
28
What is the outcome if the ureteric bud splits during development?
Either: - Bifid renal pelvis - Bifid ureter
29
Name the 2 main types of cystic kidney disease:
- Multicystic dysplastic kidney | - Polycystic Kidney Dease (inherited)
30
What is exstrophy of the bladder? How does it occur?
'Inside out' bladder | Due to rupture of cloacal membrane = lower abdo wall doesn't form properly = open, exposed bladder
31
What is the name of the congenital defect where the urethra opens onto the ventral surface rather than at the end of the glans? How does this occur?
Hypospadias | Defective fusion of urethral folds
32
What is hypospadias?
Congenital defect where the urethra opens onto the ventral surface rather than at the end of the glans
33
Why is a horseshoe kidney always located at the pelvic brim?
Kidneys fuse before ascent | During ascent the fused kidney catches on the IMA, preventing further ascent