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EMBRYOLOGY Lecture 3 & 4 Prof.Dr.Alhubaity GENERAL EMBRYOLOGY SECOND WEEK DEVELOPMENT Is being considered as the week of ''TWOS'' and always remember 2 in 2ndwk as: 1-The trophoblast becomes 2 layers syncytiotrophoblast& inner cytotrophoblast. 2-Embryoblast becomes Bilaminar disc ,an outer Ectoderm &innerer Endoderm. 3-Two cavities are formed during this wk an Amniotic cavity & Yolk sac. At Day 8 the Blastocyst is partially embedded in the Endometrium & the part of Trophoblast that lies over the inner cell mass(Embryonic pole)is differentiated into an outer dark zone which takes the responsibility of implantation by opening a tin y gap in the endometrial mucosa with the aid of proteolytic enzyme(Syncytiotro..)&an inner pale(lighter) zone having a clear cellular boundaries known as Cytotrophoblas which directs the nutrients materials coming to it from the outer Syncytiotrophoblast toward the inner cell mass(Embryoblast). The EMBRYONIC DISC is differentiated in to what is called as Bilaminar germ disc consists of inner small rounded and polyhedral cells facing the Blastocyst cavity known as Endoderm(Hypoblast)& outer tall columnar layer Ectoderm (Epiblast). The amniotic cavity starts to form at this time whose roof is formed by Amnioblast( derives from inner surface of cytotrophoblast),while it's floor is the outer surface of the Ectoderm(Epiblast). DAYS 9 & 10:t of Development 1-Implantation is about to finish &fibrin coagulum appears at implantation site. 2-Developmental changes in the Trophoblast is more progress compared to that of the Embryonic disc which is relatively slow& the trophoblast differentiate into 2 layers surrounding the Blastocyst completely at this time.At the mean time Vacules& lacunae appears in the Syncytiotrophoblastlayer,thus this stage is called the Lacunar stage. 3-The Amniotic cavity becomes much larger. 4-Some cells from the Endoderm layer creeps on the inner surface of the cytotrophoblast forming what is called Heuser's membrane which becomes continuous with the edges of the Endoderm& forming the primary yolk sac(it's roof is by Endoderm & it's floor by Heuser's membrane). Days 11th& 12th Development 1-Implantation is completed at 12th day& fibrin clot is replaced by endometrial cells. 2-The 2 cavities(Amniotic & primary yolk sac) show no definitive changes. 3-The Trophoblast shows the following changes: a-Lacunae increases in number &size,and some of them communicates & open to other lacunae forming what is called the Trabecular appearance in the Syncytium b-More erosion of the stromal endothelial layer of the capillaries produces sinusoids,as a result the syncytial lacunae become continuous with sinusoids & maternal blood enters the lacunae thus establishing what is called Utero-placental circulation. 4-Formation of extraembryonic mesoderm &coelomiccavity.The extraembryonic mesoderm is formed from the inner surface of cytotrophoblast& doesn’t share in the formation of any tissue or structure of the embryo.Thus the trophoblast is called now as chorion,while the Blastocyst is called now as Chorionic vesicle. The extraembryonic mesoderm includes 2 parts as : a-Somatopleural mesoderm covering the amniotic cavity. b-Splanchnopleuric membrane covering the yolk sac. The extraembryonic mesoderm forms the connecting stalk at the site of connection of the embryo with the trophoblast.This stalk will progress latelcn into the umbilical cord..while the 2 parts of extraembryonic mesoderm are separated from each other by the extraembryonic coelom(chorionic cavity). 5-Decidual reaction at the site of attachment of the embryo to the endometrium.The cells become larger in size,polyhedral& storing materials to supply the embryo with nutrient materials.This will progress into what is called as Decidua Basalis which is considered as maternal part of the placenta. Day 13th 1-The primary chorionic velli form from the trophoblast around the embryonic pole & this will progress into the fetal part of placenta(chorionic frondosum). 2-The major part of the primary yolk sac is pinched off&the remaining part becomes the secondary yolk sac (Definitive yolk sac). 3-Bleeding may occur at the site of implantation& confuses with menstrual bleeding. 4-The connecting stalk becomes more clear at this day. Day 14th At this time a localized area of thickening part named the prochordal plate appears in the anterior part of the endoderm layer.At this place the endoderm becomes very adherent to the overlying ectoderm. Day 14 is the day of prochordal plate& is also the day of bleedings which might confuses the woman about the exact date of her conception ( pregnancy). THE EMBRYONIC PERIOD Is the period of Organogenesis,where each of the 3 layers of Trilaminar disc gives rise to a number of tissues&organs.It extends from 3rd-8th weeks……. The derivatives of the Ectoderm are: 1-Neuroectoderm which gives rise to C.N.S ,, P.N.S ,& autonomic N.S. 2-Sensory epithelium of the ear ,nose & eye. 3-The epidermis of skin & skin appendages as hair,nails,sweat 7sebacous glands. 4-The pituitary gland & Medulla of suprarenal gland ( Adrenal ). 5-The breast& sweat glands. 6-The epithelium of anterior part of Oral cavity & lower part of Anal canal. The Derivatives of the Mesoderm are : 1-The dermis of the skin & connective tissue. 2-The muscles of trunk & skeleton( except the skull) 1 & 2 form the Paraxial mesoderm which becomes separated from day 20 into Somites.At day 20 the first pair of somitesappears,then 3 pairs are added daily till day 35 where they become 42-44 somites ,which are arranged as 4 occipital, 8 cervical,12 thoracic, 5 lumbar,5 sacral & 8-10 coccygeals. Each somites is differentiated in to 2 parts an inner (ventromedial part) called Sklerotome( forms vertebrae & bones ) & an outer (dorsolateral part) as Dermomytotome( gives muscles & strip of skin). 3-The intermediate Mesoderm ( Nephrogenic cords) gives rise to the Urogenital&accessory glands. 4- Lateral plate Mesoderm will gives rise to the followings: a-Connectivetissues,smooth muscles of viscera & limbs. b-Bloodvessels,blood cells & lymphatic tissues & lymph cells. c-The Cardiovascular system. d-The Spleen. e-The Adrenal cortex. The Derivatives of The Endoderm are: 1-The epithelial lining of Gastrointestinal tract including liver &pancreas. 2-Thyroid¶thyroid glands + Tonsils. 3-The Tympanic cavity & pharyngotympanic tube. 4-The epithelial lining of the Pharynx. 5-Epithelial lining of Trachea ,Bronchii& lungs. THE FETAL PERIOD It extends from the 9th week to the end of pregnancy (40 wks) i.e from beginning of 3rd month until delivery time ( birth of baby).The pregnancy extends for 40 wks from the date of the last menstrual period(L.M.P) which is equivalent to 280 days. Or 38 wks from the date of fertilization( 266 days). The length of the fetus can be estimated as Crown-Rump length(CRL)i.e sitting position early in the fetal period ,or Crown-Heel(CHL) i.e standing height later on during the fetal period.The length is expressed in cms,then correlated with age of the fetus.The growth in length is a striking feature in the 3rd5th month with an a verage of about 5 cm per month,while the increase in weight is a striking feature during the last two month with an a verage increase as 500 grams per month during the last two months. The features of fetus by the end of the 3rd month ( i.e 12-13 weeks) are: 1-The face appears to be more human looking. 2-The limbs reach their relativelength & position in comparison to rest of body. 3-Primary ossification centers can be seen in some long bones& skull. 4-The external genitalia becomes clear& sex can be determined at this time. 5-The head is an enormous part of the fetus& is about half the CRL(sitting ). The Features at the 5th month are : 1-The head is about one third the crown-heel length(CHL) i.e of standing length. 2-Fine lanugo hair, eye brows & head hair are also visible. 3-By the end of 5th month the body weight is about 500 grams( 1/ 7 of birth wt). 4-Fetal movement is easily recognized by the pregnant mother. The weight of the fetus increases slowly during the first half of pregnancy,where as it increases rapidly during the 2nd half of pregnancy,specially in lthe last 2 months, where about 50% the full term baby weight is added. At 6th to early 7th month 1-If borne ,it has no ability to survive because both the respiratory & nervous systems are not fully differentiated. 2-Has rounded appearance due to deposition of some fats under the skin& the Skin is covered by Vernix Caseosa.. If born by the end of the 7th month(28 wks),then it is able to survive but with some difficulty &needs a special care in the Intensive Neonatal care Unit( Cubicles). The Features at the end of the 9th month( at delivery or just before delivery)are: 1-The skull (Head) has the largest circumference of all parts of the body(12-13 cms) ,which forms about one fourth of the CHL( standing length is about 50 cms at birth). 2-The testes are now located in the scrotum ( i.eout side the body). 3-The weight at birth is a bout 3000-3400 grams( Average 3200 gms). 4- The CHL is about 50cms& CRL is about 36 cms. Some investigation are needed during fetal period as followings: 1-Ultrasonography to assess placental & fetal size,to diagnose Twins & Multiple pregnancy ,then to detect any congenital anomaly before birth of the baby. 2-Amniocentesis,usually done after the 14th week( aspirate sample of Amniotic fluid) for some biochemical analysis is cases of spina bifida(neural tube defect)& anencephaly where Alpha-Feto protein is increased.Also to detect some inborne Biochemical error. Also to examine some fetal cells after culture & Giemsa stain. 3-Chorionic Vellous Sampling ( CVS),in order to do cell analysis with out culture for chromosomal & Biochemical analysis can be done from the 9th week of pregnancy. By : Ody Drd