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fetal abdominal wall
| Question | Answer |
|---|---|
| What does the foregut develop into | pharynx, lower respiratory system, esophagus, stomach, duodenum, liver, pancreas, gallbladder, biliary duct system |
| what does the midgut develop into | small intestines, cecum, part of the cloaca, part of transverse colon, ascending colon. |
| what develops from the hindgut | distal part of the transverse colon, descending colon, sigmoid colon, rectum, superior portion of the anal canal, epithelium of the urinary bladder, most of the urethra |
| umbilication hernia of bowel occurs during what week of development | 8th week |
| the intestines return to abdominal cavity by what week of gestation | 12th week |
| what are the three most common types of abdominal wall defects | gastroschisis, omphalocele, umbilical hernia |
| when bowel loops fail to return to into the abdomen what occurs | bowel-containing omphalocele |
| midline abdominal wall defect with evisceration of bowel or combination of liver and bowel in to base of umbilical cord | omphalocele |
| BOARD QUESTION: what does the surrounding membrane of an omphalocele consist of | peritoneum and amnion |
| can fetal ascites be present in the case of an omphalocele | yes |
| what is the most common association with an omphalocele | complex cardiac disease |
| complex cardiac disease, gastrointestinal, neural tube, genitourinary tract anomalies are all association of what | omphalocele |
| when scoliosis is found with an omphalocele, what is to be considered | limb-body wall complex |
| what is the name for a milder form of limb-body wall complex | amniotic band syndrome |
| is you see a large omphalocele, diaphragmatic hernia, ectopia cordis, and other heart defects are observed what should be considered | pentalogy of cantrell |
| when a low omphalocele is observed what should be considered | bladder or cloacal exstrophy |
| what side of the umbilicus is gastroschisis nearly always located on | the right side |
| opening in all three layers of the abdominal wall with evisceration of bowel and , infrequently, stomach and genitourinary organs | gastroshisis |
| what are the associated anomalies or chromosomal anomalies with gastroschisis | none |
| what is a key sign of gastroschisis | free floating herniated small bowel |
| rupture of amnion leads to entrapment or entanglement of fetal parts by "sticky" chorion | amniotic band syndrome |
| what can amniotic band syndrome cause | amputation or defects in random sites |
| what lab is associated with amniotic band syndrome | MSAFP |
| what can Beckwith Wiedemann syndrome coexist with | omphalocele, macroglossia, visceomegaly |
| defect in lower abdominal wall and anterior wall of urinary bladder. soft tissue profusion from lower abdominal wall | bladder exstrophy |
| everted bladder becomes exposed on lower abdominal wass | bladder exstrophy |
| condition that occurs early in development with involvement of primitive gut and persistent cloaca. | cloaca extrophy |
| what is the cloaca | is embryonic structure that develops into the rectum and urogenital sinus |
| splaying of the pelvis | cloacal exstrophy |
| exstrophy of bladder in which two hemi bladders are separated | cloacal extrophy |
| OEIS | omphalocele, exstrophy, imperforate anus, and spinal defects |
| is normal urinary bladder visible with bladder enteropathy | no |
| as the embryo folds at the ____ end, the base of the yolk sac is partially incorporated as ____. This will later develop into what? | cranial foregut pharynx, lower respiratory, esophagus, stomach, duodenum, liver, panc, gallbladder and biliary system |
| Growth of neural tube causes the embryo to fold at the ___ end, incorporating part of the yolk sac as ____. | caudal hindgut |
| the hindgut will develop into | small intestines, duodenum, cecum, vermiform, appendix, ascending colon, and the right half 2/3 of the transverse colon. |
| the most common malformation of the midgut is | Meckle's diverticulum |
| fusion of the midline begins in week __ and should complete by week __ | 7 8 |
| the purpose of midgut herniation is to | proper development and rotation of abdominal organs |
| midgut herniation should return to abdominal cavity by __ weeks | 12 |
| the most common abdominal defects are | omphalocele, gastroschisis, and umbilical hernia |
| When bowel fails to return to the abdomen, a bowel containing ___ occurs. | omphalocele |
| an omphalocele is caused by a midline defect of the abdominal muscles, fascia, and skin results in herniation of intrabdominal structures into the base of the umb cord. | |
| the herniation of an omphalocele is covered by a membrane of | amnion and peritoneum |
| what are 2 types of omphalocele | variable amount of bowel with AND without liver |
| of the two types of omphalocele, which one may be a relatively large defect when compared to the abdominal circumference | WITH liver |
| which type of omphalocele is at higher risk for chromosomal abnormalities and other anomalies | withOUT liver |
| the umbilical cord will be found piercing the central part of an ___, to the left of a ___, and will have anormal insertion with ____ | central = omphalocele to the left = gastroschisis normal = umb hernia |
| what are the associated anomalies with an omphalocele | pentalogy of Cantrell, Beckwith Weidmann, spina bifida, Tri 13 & 18, turner syndrome, NT |