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44 Cards in this Set

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Surface ectoderm derivatives

Adenohypophysis - Rathke pouch


Lens of eye


Epithelial linings of oral cavity


Sensory organs of ear


Olfactory epithelium


Epidermis


Anal canal below pectinate line


Parotid


Sweat glands


Mammary glands

Craniopharyngoma = benign Rathke pouch tumour - cholesterol crystals, calcifications

Neuroectoderm derivatives - ectoD

Brain - neurohypophysis, CNS neurons, oligodendrocytes, astrocytes, ependymal cells, pineal gland


Retina


Optic nerve


Spinal cord

Neural crest derivatives - ectoD

PNS - dorsal root ganglia, cranial nerves, celiac ganglion, Schwann cells, ANS


Melanocytes


Chromaffin cells - adrenal medulla


C/Parafollicular cells of thyroid


Pia and arachnoid


Odontoblasts


Aorticopulmonary septum

Mesoderm derivatives

Muscle


Bone


Connective tissue


Serous linings - peritoneum


Spleen


CardioV structures


Lymphatics


Blood


Wall of gut tube


Vagina


Kidneys


Adrenal cortex


Dermis


Testes


Ovaries


Notochord used to induce neuroE from E => nucleus pulposus of intervertebral disc

Mesodermal defects = VACTERL


Vertebral defects


Anal atresia


Cardiac defects


TEF


Renal defects


Limb defects

Endoderm derivatives

Gut tube epithelium - anal canal above pectinate line


Most of urethra - urogenital sinus


Luminal epithelial derivatives - lungs, liver, GB, pancreas, Eustachian tube, thymus, parathyroid, thyroid follicular cells

ACE inhibitors

Renal damage

Alkylation agents

Absence of digits


Multiple anomalies

Aminoglycosides

CN8 toxicity

Carbamazepine

Neural tube defects


Craniofacial defects


Fingernail hypoplasia


Developmental delay


IUGR

DES

Diethylstilbestrol


Vaginal clear cell adenoCa


Congenital Mullerian anomalies

Folate antagonists

Neural tube defects

Lithium

Ebstein anomaly = atrialised RV

Methimazole

Aplasia cutis congenita

Phenytoin

Fetal hydantoin syndrome =


Microcephaly


Dysmorphic craniofacial features


Hypoplastic nails and distal phalanges


Cardiac defects


IUGR


Intellectual disability

Tetracyclines

Discoloured teeth

Teethracyclines

Thalidomide

Limb defects


- phocomelia


- micromelia


= flipper limbs

ThaLIMBdomide

Valproate

Inhibition of maternal folate absorption


Neural tube defects

Warfarin

Bone deformities


Fetal haemorrhage


Abortion


Opthalmologic abnormalities

Alcohol abuse

Fetal alcohol syndrome


Birth defects


Intellectual disability

Cocaine abuse

AB fetal growth


Fetal addiction


Placental abruption

Smoking abuse

Low birth weight


Preterm labour


Placental problems


IUGR


ADHD

Iodine - lack or XS

Congenital goitre


Hypothyroidism = cretinism

Maternal DM

Caudal regression syndrome - anal atresia to sirenomelia


Congenital heart defects


Neural tube defects

Vit A XS

Extremely high risk of spontaneous abortion


Birth defects - cleft palate, cardiac AB

X-Rays

Microcephaly


Intellectual disability

Fetal alcohol syndrome

Intellectual disability


Pre and post natal developmental retardation


Microcephaly


Holoprosencephaly


Smooth philtrum


Thin upper lip


Small palpebral fissures


Hypertelorism


Limb dislocation


Heart defects

Fetal component of placenta

Cytotrophoblast = inner layer of chorionic villi - makes cells


Syncytiotrophoblast = outer layer - secretes HCG which stimulates corpus luteum to secrete progesterone during first trimester

Maternal component of placenta

Derived from endometrium


Maternal blood in lacunae

Umbilical cord

2 arteries = return deoxy blood from fetal int iliac A to placenta


1 vein = supplies oxy blood from placenta to fetus -> IVC via liver or ductus venosus


Single UA - A/W congenital and chromosomal anomalies


Both derived from allantois

Urachus

3rd week - yolk sac forms allantois - extends into urogenital sinus


Allantois => urachus = duct twixt fetal bladder and yolk sac

Failure of urachus to obliterate

Patent urachus - urine discharge from umbilicus


Urachal cyst - partial failure of urachus to obliterate - fluid filled cavity lined with uroepiT, between umbilicus and bladder -> infection, adenoCa


Vesicourachal diverticulum - outpouching of bladder

Vitelline duct

7th week - obliteration of vitelline duct = omphalo-mesenteric duct - connects yolk sac to midgut lumen

Failure of vitelline duct to close

Vitelline fistula - meconium discharge from umbilicus


Meckel diverticulum - partial closure - patent portion attached to ileum = true diverticulum - may have ectopic gastric mucosa +/- pancreatic tissue -> melena, periumbilical pain, ulcers

1st A arch derivatives

Part of maxillary A <- external carotid

2nd A arch derivatives

Stapedial A


Hyoid A

3rd A arch derivative

Common carotid A


Proximal part of int carotid A

4th A arch derivatives

Aortic arch = L


Proximal part of R subclavian A = R

6th A arch derivative

Proximal part of pulmonary As


Ductus arteriosus - L only

Brachial apparatus

= pharyngeal apparatus


Branchial clefts + arches + pouches

Branchial clefts

Ectoderm


= branchial groves


1st - external auditory meatus


2-4th - temporary cervical sinuses - obliterated by proliferation of 2nd arch mesenchyme


Persistent cervical sinus -> branchial cleft cyst within lateral neck

Branchial arches

Mesoderm - muscles, arteries


Neural crest - bones, cartilage

Branchial pouches

Endoderm

1st B arch

Meckel cartilage - mandible, malleus, incus, spheno-mandibular L


Muscles - temporalis, masseter, lateral and medial pterygoids, mylohyoid, ant belly of digastric, tensor tympani, tensor veli palatini


Nerves - CN V2 and V3 - chew


Treacher Collins syndrome = 1st arch neural crest fails to migrate -> mandibular hypoplasia, facial AB

2nd B arch

Reichert cartilage - stapes, styloid process, lesser horn of hyoid, stylohyoid L


Muscles - of facial expressions, stapedius, stylohyoid, platysma, belly of digastric


Nerve - CN 7


Congenital pharyngo-cutaneous fistula = persistence of cleft and pouch -> fistula between tonsillar area and lateral neck