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68 Cards in this Set

  • Front
  • Back
Sonic hedgehog gene
Involved in patterning along anterior-posterior axis.
Wnt-7 gene
Necessary for proper organization along dorsal-ventral axis
FGF gene
Provides for lengthening of limbs
Week 1 fetal landmark
hCG secretion after implantation of blastocyst
Week 2 fetal landmark
Bilaminar disk (epi and hypoblast)
Week 3 fetal landmark
Gastrulation (formation of 3 layers)
Weeks 3-8 fetal landmarks
Embryonic period.

Neural tube closes.
Organogenesis --> susceptible to teratogens.
Week 4 fetal landmark
Heart begins to beat.
Upper and lower limb bud form.
Week 8 fetal landmark
Fetal period.

Fetal movement.
Looks like a baby.
Week 10 fetal landmark
Genitalia have male/female characteristics
Rule of 2's for the 2nd week
2 germ layers (bilaminar disk - epi and hypoblast)

2 cavities: amniotic sac and yolk sac

2 components to placenta: cytotrophoblast, synctiotrophoblast
Rule of 3's for the 3rd week
Gastrulation - 3 germ layers
Rule of 4's for 4th week
4 chambers of the heart
4 limb buds grow
Embryologic derivatives of surface ectoderm
Adenohypophysis (Rathke's pouch)
Lens of eye
Epithelial lining of the oral cavity
Ear sensory organs
Retina
Olfactory epithelium
Sweat, tear, mammary glands
Embryologic derivative of neuroectoderm
Brain
Retina
Spinal Cord
Embryologic derivative of neural crest
ANS
Dorsal root ganglia
CNs
Celiac ganglion
Schwann Cells
Parafollicular cells of thyroid
Chromaffin cells of adrenal medulla
Pia and arachnoid mater
Aorticopulmonary septum
Embryologic derivatives of endoderm
Gut tube epithelium and derivatives
Embryologic derivatives of mesoderm
Muscle
Bone
CT
Serous lining of body cavities (peritoneum)
Spleen
CV structures
Lymphatics
Blood
Urogenital/kidneys/adrenal cortex
Name the key mesodermal defects
VACTERL

Vertebral defect
Anal atresia
Cardiac defects
Tracheo-Esophageal Fistulas
Renal defects
Limb defects
What is the post-natal derivative of the notochord?
Nucleus pulposus
ACE-inhibitors
renal damage
EtOH
Leading cause of birth defects and metnal retardation
Alykylating agents
Absence of digits
Multiple anomalies
Aminoglycosides
CN 7 abnormality
Cocaine
Abnormal fetal development
Fetal addiction
Placental abruption
DES
Vaginal clear cell adenocarcinoma
Folate antagonists
NTD
Iodide (lack or excess)
Congenital goiter
Hypothyroidism
Lithium
Ebstein anomaly
Maternal diabetes
Caudal regression syndrome (hypoplasia of sacrum)

Anal atresia
Sirenomelia (mermaid syndrome)
Smoking
Preterm labor
Placental problems
IUGR
ADHD
Tetracyclines
Stained teeth
Thalidomide
Limb defects (flipper limbs)
Valproate
Decreases intestinal absorption of folate
Vitamin A excess
Spontanous abortions
Birth defects
Warfarin
Bone deformities
Fetal hemorrhage
Abortion
Fetal Alcohol Syndrome
Leading cause of congenital malformations and mental retardation in US

Microcephaly
Holoprosencephaly
Facial abnormalities
Limb dislocation
Heart and lung fistula
What day is the chorion formed?
Day 3
What day is the amnion formed?
Day 8
Monozygotic twins, how many:

Amniotic sacs
Placenta
Chorion
2 amniotic sacs
1 placenta
1 chorion

*could also have 1 amniotic sac, 1 placenta, 1 chorion --> increased chance of conjoined twins
Dizygotic twins, number of

Amniotic sacs
Placenta
Chorion
1 of each
When does a dichorionic, diamniotic, 2 placenta form?
Before day 3 (when the chorion forms)
When does a monochorionic, diamniotic, placenta form?
Between day 3 and day 8, before the amnion has formed.
When does a monochorionic, monoamniotic, placenta form?
After day, after amnion has formed.
Function of placenta
Primary site of nutrient and gas exchange between the mother and the fetus
Fetal components of the placenta
Cytotrophoblast - inner layer of chorionic villi. Makes cells.

Synctiotrophoblast - outer layer. Makes hCG (similar to LH, stimulates corpus luteum to secrete progesterone in 1st trimester
Maternal component of the placenta
Decidua basalis. Derived from endometrium. Maternal blood in the lacunae.
Components of the umbilical cord
2 umbilical arteries (carry deoxygenated blood away from baby via fetal iliac arteries)

1 umbilical vein (carries oxygenated blood to baby)

Urachus (canal that drains urine from fetal bladder)

Wharton's jelly

Amniotic epithelium
Urachus develops from?
Allantois
Failure of urachus to obliterate results in 2 abnormalities
1. Patent urachus: urine discharge from umbilicus

2. Vesicourachal diverticulum - outpouching of bladder
What is the vitelline duct and when is it obliterated?
Connects yolk sac to the midgut.

7th week
Vitelline duct abnormalities
Vitelline fistula: failure of duct to close --> meconium discharge from umbilicus.

Meckel's diverticulum: partial closure, with patent portion attached to ileum. Melena and RUQ pain.
Proencephalon is composed of
Telencephalon and Diencephalon
Telencephalon becomes
cerebral cortex and lateral ventricles
Diencephalon becomes
Thalamus, etc. and 3rd ventricles
Mesencephalon becomes
midbrain
Rhombencephalon is composed of
Metencephalon and Myelencephalon
Metencephalon becomes
Pons and Cerebellum and Aqueduct
Myelencephalon becomes
Medulla and 4th ventricles
Neural tube defects

1. results from
2. serum labs
3. CSF results
1. persistent connection between amniotic cavity spinal canal
2. increased AFP
3. Increased AFP and AChE
Spina bifida occulta
Failure of bony spinal canal to close, no structural herniation. See tuft of hair.

Lower vertebral levels.
Dura is intact.
Meningocele
Herniation of meninges through bony spinal canal defect.
Myelomeningocele
Herniation of meninges and spinal cord through bony spinal canal defect.
Anencephaly
Malformation of anterior end of neural tube.

No brain.

Elevated AFP and polyhydroamnios (since there is no swallowing center in the brain)
Holoprosencephaly
decreased separation of hemispheres across midline.

Associated with Patau's syndrome, FAS, cleft lip/palate
Arnold-chiari type II
cerebellar tonsillar herniation through foramen magnum
aqueductal stenosis
hydrocephaly

often presents with syringomyelia, myelomeningocele
Dandy-walker
Large posterior fossa.
Absent cerebellar vermis with cystic enlargement of the 4th ventricle.

Can lead to hydrocephalus and spina bifida.
Syringomyelia
Enlargement of central spinal canal of SC.

Affects anterior commissure.
Seen in Arnold-Chiari II malformations.
Common C8-T1.