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21 Cards in this Set

  • Front
  • Back
What is the embryonic germ layer origin of the gut tube lining? What is the origin of the tissue surrounding the gut lining?
Lining = Endoderm
Around lining (tube) = Splanchnic Mesoderm
What is the arterial supply of the foregut? What structures comprise the foregut?
Celiac Artery

Foregut = esophagus, stomcah, duodenum (first part and second part), pancreas, liver, gall bladder
What is the arterial supply of the midgut? What structures comprise the midgut?
Superior Mesenteric Artery

Midgut = duodenum (distal 2nd part on onward), jejunum, ileum, cecum, appendix, ascending colon, hepatic flexure, transverse colon (proximal 2/3's)
What is the arterial supply of the hindgut? What structures comprise the hindgut?
Inferior mesenteric artery

Transverse colon (distal 1/3), splenic flexure, descending colon, sigmoid colon, rectum
What is the cloaca in the developing embryo?
"Sewer"--where everything gets dumped
What is the foregut proper?
Gut tube past diaphragm (in abdomen)
Describe development of the stomach in the developing embryo.
Ventral mesentary on ventral part of gut tube
Dorsal mesentary on dorsal part of gut tube

Ventral mesentary spins to right
Dorsal mesentary spins to left
Vagal Branches rotate as well

Ventral mesentary goes superior to form lesser omentum (over lesser curvature of stomach)

Dorsal Mesentary stays inferior to become greater omentum (over greater curvature)
Discuss how the liver, gallbladder and pancreas arise during embryonic development.
All arise from budding of gut tube within mesentaries

Hepatic bud, cystic diverticulum (gall bladder), and ventral pancreatic bud arise VENTRALLY

Dorsal pancreatic bud arises DORSALLY

Ventral Pancreatic bud gets tucked behind duodenum to join dorsal pancreatic bud. These buds then fuse to form a single pancreas.
Why might the pancreas have two ducts instead of one?
Fusion of ventral and dorsal pancreatic buds during embryogenesis accounts for accessory duct
What is the medical term for pancreatic choking? What is this condition and how does it arise?
ANNULAR PANCREAS

Faulty spin of ventral pancreatic bad 'chokes' duodenum
What does the falciform ligament join? What is it a remnant of?
Falciform ligament: joins liver to anterior body wall

Remnant of ventral mesentary
What is the embryonic origin of the spleen? Which mesentary does it form in?
Mesoderm

Dorsal mesentary
What ligament joins the liver to the stomach?
Hepatogastric
What ligament joins the stomach to the spleen?
Gastrosplenic
What ligament joins the spleen to the left kidney?
Splenorenal ligament
On what side of the body would you encounter remnants of dorsal mesentary? Ventral?
Dorsal: Left
Ventral: Right
How does the omental bursa form? AKA?
Omental bursa = lesser sac

Greater omentum outpouches from dorsal stomach, hangs over transverse colon, and fuses to it. Creates a space behind the stomach and above the transverse colon.
Which mesentary does the greater omentum arise from?
Dorsal mesentary
Describe the embryonic development of the intestines.
Umbilical Herniation: Midgut loop outpouches from gut tube into yolk stalk and rotates

Cecal diverticulum buds off of ileum (still in yolk stalk, need to get to lower R quadrant)

More coiling; transverse colon goes over duodenum, cecum to lower right quadrant (now out of yolk stalk)
What is malrotation?
Faulty rotation of intestines during development; cecum gets stuck in upper left quadrant and can pinch off gut tube
What is Meckel's diverticulum?
Yolk stalk doesn't seal off, leaves opening between umbilicus and ileum (which is dorsal to umbilicus); can result in fecal leakage