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14 Cards in this Set

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Parts of adult kidney
Cortex, medulla, adrenal gland, collecting system, ureter
Origin and derivatives of urogenital ridges
Develops from intermediate mesoderm – between somites and lateral mesoderm

--> nephrogenic cord (urinary system)
--> genital/gonadal ridge (genital system)
Parts of embryological kidneys
Pronephros
Mesonephros
Metanephros

When does each appear/function?
Pronephros - 4th wk, cervical nephrotomes, transitory and non-functional
Mesonephros - late in 4th wk
Metanephros – 5th wk, 9th week functional; 12th week majority of amniotic fluid is fetal urine
What does the mesonephros consist of?
nephrostomes --> glomeruli
mesonephric tubules
mesonephric ducts (remnant of pronephros, opens into cloaca)

What happens to the mesonephros?
Degenerate at end of first trimester (except for some adult male derivatives)
What are the parts of the metanephros? What structures in the adult kidney do they each form?
1) Metanephric diverticulum
Aka ureteric bud
Outgrowth > distal mesonephric duct
Gives rise to ureters, renal pelvis, calices and collecting tubules

2) Metanephric mass of intermediate mesoderm
Aka metanephrogenic blastema
Gives rise to nephrons

How do each develop?
Metanephric diverticulum and metanephric mass (blastema) of intermediate mesoderm are interdependent
Reciprocal induction – induce each other
How does the ureteric bud develop?
Undergoes branching:
Major calices – closer to renal pelvis
Minor calices
Collecting tubules

What forms at collecting tubule?
Nephron
What is the nephron made of?
Corpuscle (Kore-Pussel)
Bowman’s Capsule
Glomerulus
+ capillaries
PCT – proximal to where the filtration is occuring
Loop of Henle - resorption
DCT

How does it form?
Distal end of collecting tubule (from ureteric bud) induces metanephric vesicles (from blastema)
Metanephric vesicles elongate into metanephric tubules
Distal end of metanephric tubule invaginated by glomerular capillaries
Fetal kidneys description; weeks of glomeruli proliferation? function?
Lobular in appearance
Number of glomeruli increases until about 32-34 weeks gestation
Glomerular filtration begins around week 9, GFR increases after birth
How do the kidneys change position during development?
Initially in pelvis
“Ascend” into abdomen as caudal portion of embryo grows relative to cranial
Ascent stops when kidneys reach adrenals
Hilum of kidney rotates 90 degrees medially during “migration”

What type of movement is this? How are the kidneys supplied blood
actually just repositioned due to relative growth – if kidneys fuse they can get caught on the ureters during migration and obstruct them

As kidneys “ascend” branches involute and new arteries arise from aorta
How does the Urinary Bladder develop?
Cloaca>>urorectal septum separates
-Rectum
-Urogenital sinus

UGS vesicle forms most of bladder:

Epithelium: endoderm
Outer layers: splanchnic mesoderm
Initially continuous with allantois
Ureters come from metanephros

How the bladder move over development?
Bladder is abdominal in children and pelvic after puberty
Fate of the allantois
Initially continuous with the bladder
Contributes to vesicle portion of bladder
Constricts and becomes urachus
Extends from dome of bladder to umbilicus
Median umbilical ligament in adults
What does the urethra develop from?
1) Endoderm:
Female: endoderm of urogenital sinus
Male:
Proximal-urogenital sinus,
Distal-epithelial ingrowth from penis (glandular urethral plate)

2) Connective tissue/smooth muscle derrived from splanchnic mesoderm

What happens if endoderm in urethra doesn't canalize properly?
“Prune belly” syndrome
Only affects males
Posterior urethral valves
Same effects as renal agenesis
What do the adrenal glands develop from?
Cortex develops from mesoderm, medulla develops from neural crest cells

When does this happen?
Fetal cortex: 6th week
Intermediate mesoderm
Adjacent to developing gonads
Medulla: formed from migrating neural crest cells
Adult cortex: surrounds fetal cortex
What are the layers of the adrenal gland?
Medulla

Cortex (outer to inner layers):
Zona glomerulosa
Zona fasciculata
Zona reticularis

What do they each produce?
Medulla: epinephrine and norepinephrine

Cortex (outer to inner layers)
Zona glomerulosa (mineralocorticoids=salt/fluid regulation, aldosterone)
Zona fasciculata (glucocorticoids=metabolism of carbs, proteins and fats, cortisol)
Zona reticularis (sex steroid precursors)