Anatomy books

Monday, March 25, 2024

Development of testis

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 Development of testis

1.          Intermediate mesoderm forms the urogenital ridge, a longitudinal elevation at the dorsal body wall of the fetus.
The coelomic epithelium and underlying mesoderm of the urogenital ridge protifelate to form the gonadal ridge.
The coelomic epithelium forms irregular primary sex cords and incorporative primordial germ cells, which migrate from the wall of the yolk sac.
The primary sex
The development of the testis ord extends deep into the medulla to form medullary cords, which lose their connection to the surface epithelium as the thick tunica albuginea forms in between the medullary cord and coelomic epithelium.

2.       Near the hilum medullary cord break up into network of tiny cell stands that form rete testis

3.       By the 4th month of interuterine life medullary cord is continuous with rete testis

4.       The testis or medullary cord contain and primitive germ cells and sustentacular cell of  sertoli cell which derived from the surface epithelium of genital ridge.

5.       Sertoli cell secrete mullarian inhibiting factor (MIF) which degenerate mullarian duct

6.       Interstitial cell of leydig derive from mesenchyme of genital ridge which derived from intermediate mesoderm ,By the 8th week of gestation leydig cell begin to produce testosterone which influence development of genital duct and external genitalia

7.       The testis or medullary cord of testis remain solid cord until puberty , then it become canalize and known seminiferous tubule, the canal of seminiferous tubules are continuous with rete testis which inturn join with efferent ductile. The efferent ductules and other excretory part of male genital system derived from mesonephric or wolffian duct

Development of ovary

 Development of ovary 

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1.        intermediate mesoderm form urogenital ridge, a longitudinal elevation at the dorsal body wall of fetus

2.       The coelomic epithelium and underlying mesoderm of the urogenital ridge proliferate to form the gonada ridge

3.       The coelomic epithelium forms irregular primary sex cords and incorporate primordial germ cells which migrate from the wall of yolk sac

4.       The primary sex cord extends deep to medulla and dissociate into irregular cell clusters which eventually degenerate and replace by vascular stroma, the ovarian medulla.

5.       The surface epithelium of female gonad unlike that of the male continues to proliferate

6.       In the 7th week of development it produces second generation of cords, cortical cords, which penetrate underlying mesenchyme but remain close to the surface do not extend into medulla.

7.       In the 3rd months, the cortical cords get fragmented and form isolated cell cluster.

8.      Each cell cluster consists of a primordial germ cell in the center surrounded by a layer of celomic epithelial cells

9.       The primordial germ cells form oogonia and coelomic epithelial cells form follicular cells. The resulting structure is called primordial follicles which remain confined in the cortex of the ovary

10.   A large number of primordial follicles are formed during fetal life

11.     No new primordial follicles are formed after birth

12.    The further development of  primordial follicles takes place after puberty

13.    Tunica albuginea formed around the testis but in case ovary tunica albuginea is not formed . the surface epithelium of ovary flattens to form a single layer of cells , called germinal epithelium which is continuous with peritoneum

14.    The connective tissue of ovary derived from mesoderm

Sunday, March 24, 2024

Development of male reproductive system

 

Development of male reproductive system

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When fertilization occurs, the genetic makeup of the male gamete (22X or 22Y) determines the sex of the developing embryo.

The process of sex differentiation is complicated and multigenic.
The most significant one is the Y chromosome gene's sex-determining region (SRY), whereas certain autosomal chromosomal genes are also involved in this process.

On the short arm of Y chromosome Yp11, the SRY gene is located. Male development is influenced by the SRY protein, whereas female development is developed in its absence.

Indifferent gonad

Up to 6 weeks of development, gonads are two longitudinal genital ridges, at the dorsal body wall of embryo which develop from intermediate mesoderm.

The genital ridge is formed by coelomic epithelium and underlying mesoderm. The coelomic epithelium forms irregular sex cords in both male and female embryos, and it is not possible to distinguish between male and female gonads at this stage, so this stage of development is known as indifferent gonads.

By the 12-week mark, the male and female structures of the external genitalia can be differentiated.

By the 20th week, the phenotypical differentiation is complete.

Source of development of gonad

  1. Genital ridge: it is formed by the elevation of the intermediate mesoderm, which is covered by the coelomic epithelium. 
  2. Primordial germ cells

The STY gene produces a protein known as a testis-determining factor.

TDF induces the testis to secrete FGF9, which stimulates the mesonephric duct to penetrate the gonadal ridge.

The SRY gene also produces SF1, which stimulates the differentiation of sertoli and leydig cells, which produce testosterone and Mullarrian-inhibiting factor (MIF), respectively.

In the presence of TDF, testosterone, and MIF, the indifferent gonad will produce a male phenotype.

In the absence of TDF, testosterone, and MIF, the indifferent gonad will produce a female phenotype.

Sequence of development of reproductive system

Gonads > then genital duct formation > then formation of external genitalia

Development and migration of primordial germ cells originate from the epiblast, then migrate through the primitive streak to reach the endodermal cell of the yolk sac close to allantois by the 3rd week. During the 4th week of development, they pass through the dorsal mesentery of the hindgut, and by the 5th week of development, they reach near the genital ridges and start to penetrate the genital ridge by the 6th week.

If primordial germ cells have an inductive influence on the development of the gonad, if they fail to reach the genital ridges, the gonad will not develop.

 

Development of gonads

Development of testis

1.          Intermediate mesoderm forms the urogenital ridge, a longitudinal elevation at the dorsal body wall of the fetus.
The coelomic epithelium and underlying mesoderm of the urogenital ridge protifelate to form the gonadal ridge.
The coelomic epithelium forms irregular primary sex cords and incorporative primordial germ cells, which migrate from the wall of the yolk sac.
The primary sex
The development of the testis ord extends deep into the medulla to form medullary cords, which lose their connection to the surface epithelium as the thick tunica albuginea forms in between the medullary cord and coelomic epithelium.

2.       Near the hilum medullary cord break up into network of tiny cell stands that form rete testis

3.       By the 4th month of interuterine life medullary cord is continuous with rete testis

4.       The testis or medullary cord contain and primitive germ cells and sustentacular cell of  sertoli cell which derived from the surface epithelium of genital ridge.

5.       Sertoli cell secrete mullarian inhibiting factor (MIF) which degenerate mullarian duct

6.       Interstitial cell of leydig derive from mesenchyme of genital ridge which derived from intermediate mesoderm ,By the 8th week of gestation leydig cell begin to produce testosterone which influence development of genital duct and external genitalia

7.       The testis or medullary cord of testis remain solid cord until puberty , then it become canalize and known seminiferous tubule, the canal of seminiferous tubules are continuous with rete testis which inturn join with efferent ductile. The efferent ductules and other excretory part of male genital system derived from mesonephric or wolffian duct

 Relative descent of the testis

The testis originally developed within the abdomen but later descent to scrotum due to disproportionate growth of upper abdomen region away from the pelvic region

The gubernaculum testis a fibrous band extend from testis to scrotum pull the testis

The gubernaculum also pull part of peritoneum with it the processus vaginalis which obliterate later except a remnat of peritoneal sac the tunica vaginalis of the testis

12th week , testis reach inguinal region

28th week, inguinal canal

By 33rd week it reach the scrotum  

Genital duct in male

There are two genital ducts, mesonephric and paramesonephric ducts  are present in both sex at the initial period of development

In case male mesonephric duct is developed but paramesonephric duct mostly degenerate, while in case female para mesonephric duct is developed but mesonephric duct mostly degenerate

Gonads influence the development of genital duct and genitalia.

The Sertoli cell secrete mullarian inhibiting factor (MIF) which inhibit the development of paramesonephric or  mullarian duct

Interstitial cell of leydig derive from mesenchyme of genital ridge which derived from intermediate mesoderm ,

By the 8th week of gestation leydig cell begin to produce testosterone which stimulates the mesonephric ducts to form genital ducts .  Structure derived from mesonephric duct : Efferent ductules, epididymis, vas deferens, seminal vesicle and ejaculatory duct

The paramesonephric duct regress due to presence of Mullarian inhibiting factor secreted from the sertoli cell

The remnant of paramesonephric duct in male: Appendix testis , appendix epididymis,

, The remnant of mesonephric duct in male: paradidymis,

 

Development of external genitalia

Indifferent stage

In the 3rd week of development, mesenchymal cells origining in the region of the primitive streak migrate aroung the cloacal membrane to form a pair of slightly elevated cloacal folds , cranially these folds unit and form genital tubercles , caudally the folds are subdivided into urethral folds anteriorly and anal folds posteriorly .  another pair of swellings lateral to it known as genital swellings

A the end of the 6th week of development it is impossible to distinguish between two sexes.

Development of male external genitalia

Under influence of testosterone genital tubercle is elongated known as phallus which pull urethral folds forward

Phallus forms the (glans penis, corpora cavernosa and corpus spongiosum of penis )

Urethral folds form the ventral part of the penis

The genital swelling form the scrotum

Wednesday, February 28, 2024

Vertebral column : viva questions and answers

 

Vertebral column 

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Definition:

The vertebral column, also known as the backbone or spine, is part of the axial skeleton which is formed by  a segmented series of bonevertebrae separated by intervertebral discs

The vertebral column houses the spinal canal, a cavity that encloses and protects the spinal cord.

Number of vertebra form vertebral column: 33

Cervical vertebra : 7 , Thoracic vertebra : 12 , Lumbar vertebra : 5. Sacral vertebra: 5 , Coccygeal vertebra : 4

Function of vertebral column :

1.       It gives support to the trunk

2.       Provides articulation with ribs and pelvic bones

3.       Lodge and protects spinal cord

4.       Support and transmits body weight

Provides attachments of muscles and ligaments

Extension of the vertebral column:   From the skull to the apex of the coccyx

Content of vertebral canal:

From skull to lower border of the 1st lumbar vertebra contain spinal cord , spinal meninges  and blood vessels

Below the lower border of 1st lumbar vertebra : corda equina and filum terminalis (pia mater of meninges

What is corda equine ?

It is the bundle of nerve roots of lower lumbar, sacral and coccygeal spinal nerve  

Regions of vertebral column: it has four regions

Cervical region /Thoracic region/Lumbar region/Sacral region

Curvature of vertebra:

There are two types of curvature present in vertebral column  

Primary curvature: the concavity  of curvature is directed forward.  Primary curvature is present in thoracic and sacral region

 Secondary curvature : the convexity of curvature is directed forward. Secondary curvature is present in cervical and lumbar region

parts of vertebra 

Body and arch

Vertebral arches:

are formed by two pedicle, two lamina,

two superior articular process,

two inferior articular process,

 two transverse process and one spinal process 

Vertebral body :

It has six surfaces anterior , posterior , superior , inferior and two lateral surfaces .

two adjacent vertebral body is separated by intervertebral disc.

Intervertebral foramen : when two vertebrae articulate with each other the inferior vertebral notch of the vertebra above together with the superior vertebral notch of the vertebra below form intervertebral foramen

It is situated below the pedicle

Content : trunk of spinal nerve & vessels  

Intervertebral disc :

It is formed by fibrocartilage. It forms secondary cartilaginous joint which limited movement

Parts : it has outer annulus fibrosus & inner nucleus pulposus

 Number:

There are 23 discs in the human spine:

6 in the cervical region (neck),

12 in the thoracic region (middle back),

5 in the lumbar region (lower back).

Function of intervertebral disc:

·         The intervertebral disc functions to separate the vertebrae from each other

It acts as  shock-absorber

 

Difference between cervical, thoracic and lumbar vertebra

Topic

Cervical

Thoracic

Lumbar

body

1. Smallest of all vertebra

2.Transverse measurement is greater than anterior posterior measurement

3.Superior surface is concave

1.Body is heart shaped 2.Anterior posterior measurement is greater than the transverse measurement

3. body bears costal facet

 

1.Body is big size and kidney shaped

2. Transverse measurement is greater than anterior posterior measurement

3. body is thick in front than behind

Transverse process

1.It is pierce by foramen transversarium

2.It has anterior and posterior root which is connected by costo-transverse bar

1. Big size face laterally and backwards 

2. Each process bears a facet which articulate with numerically corresponding tubercle of rib

1. Thin and elongated

2. An accessory process is present at its posterior inferior process

Spinous process

Short , bifid and horizontal

It is directed downward and backward

It is end with tubercle

It is quadrangular in shape and lies horizontally

Laminae

Long and narrow

Short , broad & thick

Short , strong and broad

 

Pedicle

Project laterally and backwards

Project directly backwards

Short and strong and project from postero-lateral aspect of the body 

Superior articular process

Faces upwards and backwards

Faces upward, backward & laterally

Concave process face backward and medially

Inferior articular process

Faces downwards and forwards

Faces forwards, medially and downwards

Convex process faces forward and laterally

Vertebral foramen

Triangular in shape

Large in proportion to the size of the body

Circular in shape

Size is smaller

Triangular in shape

Larger than thoracic vertebral but smaller than cervical vertebra

Special feature

Foramen transversarium

Costal facet present on  the body

Massive body

Mamillary process is present at the posterior border of superior articular process

 

 

 

 

 

 

 

 

 


 

Summary of ossification of whole skeleton of body

 

Summary of ossification of whole skeleton of body

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 Membranous ossification:

Ex: head and neck: parietal bone, frontal bone, maxilla, zygomatic,

Sup extre: clavicle

Cartilaginous ossification: all vertebrae, all ribs, sternum, scapula, all bones of upper limb except clavicle, all bones of lower limb

Membrano-cartilaginous ossification:

Occipital: membranous ossification area above the highest nuchal line, rest of the parts arises from cartilaginous ossification 

Sphenoid: membranous ossification above the lateral part of greater wing and pterygoid process except the hamulus, rest of the part arises from cartilage,

Temporal: membranous ossification – squamous part and tympanic part, rest of the parts arises from cartilage,

 Mandible: cartilaginous ossification anterior part of body and part of ramus above mandibular foramen, rest of the body arises from membranous ossification

Name of bone

Primary ossification center

Secondary ossification center

Clavicle

Two

One for sternal end

Humerus

One for shaft

Three for upper end – head , greater & lesser tubercle

Four for lower end – lateral & medial epicondyle, capitulum, trochlear

Radius

One primary ossification center for shaft

One for upper end

One for lower end

Ulna

One primary ossification center for shaft

One for upper end

One for lower end

Carpal bone

One primary ossification center which appear after birth

No secondary ossification centre

Metacarpal bone

One primary ossification center for shaft

One 2nd ossification centre :

 base of  1st metacarpal bones is ossified from 2nd ossification center

Heads of  2-5 metacarpal bone are ossified from 2nd ossification center

Phalanges

One primary ossification center for shaft and head

One 2nd ossification center for base  of each phalanx

 


Lower limb

Name of bone

Primary ossification center

Secondary ossification center

Hip bone

Three – ilium, ischium, pubis

5 secondary ossification center 

Femur

One for shaft

Three for upper end – head , greater & lesser trochanter

One for lower end

Tibia

One primary ossification center for shaft

One for upper end

One for lower end

Fibula

One primary ossification center for shaft

One for upper end

One for lower end

Tarsal bone (except calcaneus)

One primary ossification center

No secondary ossification centre

Calcaneus

One primary ossification center

One secondary ossification centre

Metatarsal bone

One primary ossification center for shaft

One 2nd ossification centre :

 base of  1st metatarsal bones is ossified from 2nd ossification center

Heads of  2-5 metatarsal bone are ossified from 2nd ossification center

Phalanges

One primary ossification center for shaft and head

One 2nd ossification center for base  of each phalanx