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59 Cards in this Set

  • Front
  • Back

Pharyngeal Clefts


How many and what do they become

Total of 4 clefts




Only the first cleft makes a contribution forming the external auditory meatus and the ectodermal covering for the tympanic membrane (eardrum).

First Pouch

Forms the tympanic cavity and the Eustachian (auditory) tube.




Lining of the tympanic cavity will help form the tympanic membrane (eardrum).




The tympanic cavity is also known as the middle ear cavity where the incus, malleus and stapes reside.

Second Pouch

Creates a bud that penetrates into the adjacent mesenchyme.


They form the primordium of the palatine tonsils.


The bud is infiltrated with lymphoid tissue which becomes the actual palatine tonsil.


The pouch is somewhat visible in adults as the tonsillar fossa.

Third Pouch Dorsal Wing



Dorsal Wing differentiates into the inferior parathyroid gland




Both wings will lose their connection and migrate to their permanent positions in the body.

Third Pouch Ventral Wing

Ventral wing differentiates into the thymus gland


Both wings will lose their connection and migrate to their permanent positions in the body.

Fourth Pouch Dorsal Wing

Dorsal wing forms the superior parathyroid gland

Fourth Pouch Ventral Wing

Ventral wing forms the ultimobranchial body.




Ultimobranchial body give rise to parafollicular cells in the thyroid gland (they secrete calcitonin)

First arch


nerve innervation


muscles

innervated by V2 & V3 of the trigeminal nerve




muscles of mastication


anterior belly of the digastric


mylohyoid


tensor tympani


tensor veli palatini.

Second arch


nerve innervation


muscles

innervated by the facial nerve




muscles of facial expression


posterior belly of the digastric


stylohyoid


auricular muscle


stapedius muscle

Third arch


nerve innervation


muscles

innervated by the glossopharyngeal nerve CN9




Only one muscle: stylopharyngeus

Fourth & Sixth arches


nerve innervation


muscles

Fourth Arch- gives rise to superior laryngeal n.


Sixth Arch- gives rise to recurrent laryngeal n.




all the muscles of the palate


(exception of the tensor veli palatini)


all the muscles of the pharynx


(except stylopharyngeus)


Nerve innervation to Arch 1,2,3,4+6

CN5, CN7, CN9, CN10

Glycerophospholipids


vs Triglycerides

Resembles Triglyceride except on Carbon 3 has Phosphate group with a head groupGlycerophospholipids are an integral part of lipid bilayer

Glycerophospholipids synthesized from

phosphatidic acid

Actions of phospholipase A1, A2, C, D

A1/A2 cut C-O bond C/D cut O-P bond

Ether Glycerolipids

Acyl group on Carbon 1 is replaced by unsaturated alkyl group tied to glycerol by ether bond

Platelet-activating factor (PAF)

Has potent thrombotic and inflammatory action




Carbon 1: Saturated alkyl group linked to Carbon 1 via ether bond




Carbon 2: Acetyl group (in place of fatty acid)

Sphingolipids vs phospholipid

Structurally similar to phospholipid, but Fatty Acid on Carbon 1 replaced by Sphingosine

Nieman-Pick disease

Impaired Sphingomyelinase leading to accumulation of sphingomyelin in the Liver, Spleen, and CNS




Accumulation of Sphingomyelin result in neurodegeneration and death

Glycosphingolipids vs sphingolipids

Instead of Phosphate and head group, has sugar attachment

3 types of Lysosomal Storage Disease:

Lysosomal Storage Disease is due to genetic defect in the synthesis of lysosomal enzyme result in accumulation of Glycosphingolipids which cannot be degraded in the lysosome




Gaucher Disease


Tay-Sachs Disease


Niemann-Pick Disease

What part of the GI has submucosal glands

Esophagus and Duodenum

Histology:


Stomach Key Features

Rugae with mucosa and submucosa


- 3 layered muscularis externa


- Mucosa has pits covered by a simplecolumnar epithelium


- glands extend to muscularis mucosa


- gastric pits lined entirely by surface mucous cells


- glands have parietal cells and chief cells


- inconspicuous lamina propria

Histology


Stomach neck region of pit

More Parietal Cells than Chief Cells


Primarily mucous cells and stemcells




Parietal cell: Fried egg looking


Chief Cell: nucleus basally located

Paneth cells

found in theepithelium at the base of theglands (crypts).




synthesize granules to secrete defensins, lysozymes, TNFa

Histology


Enteroendocrine cells features

-Secretory vesicles at basal portion of cells


-Not simple columnar cells


-Very narrow apical surface with small microvilli

Histology


Duodenum

Leaf-shaped villi


Submucosal Glands - Brunner's Gland


secrete alkaline mucin to neutralize chyme acidity

Histology


Jejunum

Long-finger-shaped villi


Plica Circulares


Primary absorption site




No Key distinguishing feature

Histology


Ileum

Aggregated lymphatic nodule (Peyer's Patches) in the Lamina Propria and Submucosa




Site of absorption of Vitamin B12


Primary site of re-absorption of water and electrolytes

Histology


Large Intestine Key feature

-No Villi, only crypts


-Goblet Cells lines the crypts


-Lamina Propria rich in Gut-Associated Lymphoid Tissue (GALT)


-Muscularis externa has Teniae Coli

Primary vs secondary Retroperitoneal

Primary, organ were at one time covered by peritoneum, final position outside peritoneum after rotation is termed Secondary Retroperitoneum

Pharyngeal gut

from theoropharyngeal membrane to therespiratory diverticulum.

Foregut:

lung buddiverticulum to the bile duct

Midgut:

bile duct to thefirst two-thirds of the transversecolon.

Hindgut:

last third of thetransverse colon to the cloacalmembrane

vitelline duct

connects to the midgutthrough the umbilicalregion

cloaca

endoderm derivativethat receivesconnections from thehindgut and primitiveurogenital structures.

Muscular wall of upper 2/3 Esophagus


Origin, innervated by?

Originated from surrounding Splanchnic mesenchyme




Vagus n.

Muscle of lower 1/3 Esophagus


innervation

Mostly smooth muscle




Esophageal plexus

Molecular Regulation of Gut Tube

-Specification is initiated by aRA concentration gradient


-Initial specification is“stabilized” by SHH in the gut tube, resultingin nested expression of HOXgenes in the mesoderm thatinstructs the endoderm as towhat it should become


-epithelial-mesenchymalinteraction result in differentiation

Liver derm layer and structure

liver begins as aproliferation of gutendoderm called the liverbud



liver cells grow intomesoderm of the septumtransversum.




Endoderm formshepatocytes; mesodermforms connective tissue andblood vessels.

Molecular Regulation of Liver Induction

Fibroblast growth factors (FGFs), secretedby cardiac mesoderm, inhibit theinhibitors and stimulate bud outgrowth.




Bone morphogenic proteins (BMPs)enhance the action of the FGFs

Formation of the Pancreas

Two pancreatic budsform, dorsal andventral, on oppositesides of the gut tube byproliferations of gutendoderm.




Note that the ventralbud forms at the baseof the liver bud.

Fusion of the Pancreatic Buds

ventral bud moves around to lie beneath the dorsal bud


caused by gut rotation and differential growth between thetwo sides of this region of the gut


ventral bud contributing theuncinate process and part of the head and the remainder (head, body, and tail)derived from the dorsal pancreas



Pancreas ducts after fusion which one remains

connection of thedorsal bud is lost, and the main pancreatic duct is formed by the distal portion of the dorsal bud and the proximal portion of the ventral bud

Cephalic limb gives rise to

Duodenum


All of Jejunum


Most of ileum

Caudal Limb gives rise to

Rmaining ileum


All of Colon

Omphaloceles

when the gut tube fails to return to the bodycavity after umbilical herniation.

Gastroschisis

closure of theventral body wall fails and gut loopsherniate through the opening.




omphaloceles covered by amnion; gastroschisis defects notcovered by amnion because they herniatethrough a defect of the abdominal walldirectly into the amniotic cavity.

Classic Lobule

Central vein in thecenter. Defines the flowof blood from the portalregion to the centralvein.




Emphasize blood flow

Portal Lobule

Bile duct in the center.Defines the flow of bilefrom the hepatocytes ofadjacent classic lobulestoward a bile duct.




Emphasize bile flow

Liver Acinus

Short axis connects portaltriads between 2 adjacentclassic lobules. Long axisconnects the central veins.Defines regions of classiclobules with distinctmetabolic characteristics.




Emphasize metabolic gradient

Peptide responsible for MMC

MMC = Migrating Motor Complex




Motilin

Gene crucial for establishing midline in facial development

SHH

Prominence are derived from

Neural crest mesenchyme

Treacher Collins Syndrome

Neural Crest Cell defects




Deficient maxilla and zygomatic arches

Robin Sequence

Neural Crest Cell defects




Mandible is deficient

DiGeorge Anomaly

Craniofacial Defect




Deletion of Chromosome 22q




Pt lacks thymus and has immunological problems




Feature:


Wide spaced eye, small mouth



Goldenhar Syndrome

Craniofacial Defect




Neural crest defect in Maxilary, temporal, zygomatic bones




maybe induced by alcohol, maternal diabetes