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Vibrantly illustrated with full-color diagrams and clinical images, Langman's Medical Embryology, 14th Edition
helps medical, nursing, and health professions students confidently develop a basic understanding of embryology
and its clinical relevance. Concise chapter summaries, captivating clinical correlates boxes, clinical problems, and a
clear, concise writing style make the subject matter accessible and engaging to students throughout their courses.
• Updated content reflects the latest clinical findings on the effects of the Zika virus, urogenital system
disorders, and more.
• Clinical Correlates boxes tie clinically relevant content to case-based scenarios students may encounter in
practice.
• More than 400 full-color illustrations, micrographs, and clinical images clarify key aspects of embryonic
development.
• Problems to Solve with accompanying answers help assess student understanding.
• Chapter summaries and an expanded glossary reinforce understanding of key development stages, terms, and
clinical conditions.
• Illustrated Development Chart provides visually guides students through the stages of embryonic development at a
glance.
• Updated online review questions with answers help students test their understanding and identify areas of
weakness.
Part 1. General Embryology
Chapter 1. Introduction to Molecular Regulation and Signaling, 3
Gene Transcription, 3
Other Regulators of Gene Expression, 5
Induction and Organ Formation, 6
Cell Signaling, 6
Key Signaling Pathways for Development, 8
Summary, 10
Chapter 2. Gametogenesis: Conversion of Germ Cells into Male and Female Gametes, 14
Primordial Germ Cells, 14
The Chromosome Theory of Ingeritance, 15
Morphological Changes during Maturation of the Gametes, 25
Summary, 32
Chapter 3. First Week of Development: Ovulation to Implantation, 34
Ovarian Cycle, 34
Fertilization, 38
Cleavage, 42
Blastocyst Formation, 43
Epiblast, Hypoblast, and Axis Formation, 44
Uterus at Time of Implantation, 46
Summary, 48
Chapter 4. Second Week of Development: Bilaminar Germ Disc, 50
Day 8, 50
Day 9, 51
Days 11 and 12, 52
Day 13, 53
Summary, 57
Chapter 5. Third Week of Development: Trilaminar Germ Disc, 59
Gastrulation: Formation of Embryonic Mesoderm and Endoderm, 59
Formation of the Notochord, 59
Establishment of the Body Axes, 60
Fate Map Established during Gastrulation, 65
Growth of the Embryonic Disc, 65
Further Development of the Trophoblast, 68
Summary, 69
Chapter 6. Third to Eighth Weeks: The Embryonic Period, 72
Derivatives of the Ectodermal Germ Layer, 72
Derivatives of the Mesodermal Germ Layer, 80
Derivatives of the Endodermal Germ Layer, 87
Patterning of the Anteroposterior Axis: Regulation by Homeobox Genes, 89
External Appearance during the Second Month, 90
Summary, 93
Chapter 7. The Gut Tube and the Body Cavities, 96
A Tube on Top of a Tube, 96
Formation of the Body Cavity, 97
Serous Membranes, 97
Diaphragm and Thoracic Cavity, 101
Formation of the Diaphragm, 102
Summary, 104
Chapter 8. Third Month to Birth: The Fetus and Placenta, 106
Development of the Fetus, 106
Fetal Membranes and Placenta, 110
Chorion Frondosum and Decidua Basalis, 113
Structure of the Placenta, 113
Amnion and Umbilical Cord, 118
Placental Changes at the End of Pregnancy, 119
Amniotic Fluid, 119
Fetal Membranes in Twins, 121
Parturition (Birth), 121
Summary, 126
Chapter 9. Birth Defects and Prenatal Diagnosis, 128
Birth Defects, 128
Prenatal Diagnosis, 139
Fetal Therapy, 143
Summary, 143
Part 2. Systems-Based Embryology
Chapter 10. The Axial Skeleton, 147
Skull, 147
Vertebrae and the Vertebral Column, 156
Ribs and Sternum, 158
Summary, 159
Chapter 11. Muscular System, 160
Striated Skeletal Musculature, 160
Innervation of Axial Skeletal Muscles, 161
Skeletal Muscle and Tendons, 163
Molecular Regulation of Muscle Development, 163
Patterning of Muscles, 163
Head Musculature, 163
Limb Musculature, 163
Cardiac Muscle, 164
Smooth Muscle, 164
Summary, 165
Chapter 12. Limbs, 167
Limb Growth and Development, 167
Limb Musculature, 170
Summary, 178
Chapter 13. Cardiovascular System, 179
Establishment and Patterning of the Primary Heart Field, 179
Formation and Position of the Heart Tube, 181
Formation of the Cardiac Loop, 183
Molecular Regulation of Cardiac Development, 186
Development of the Sinus Venosus, 187
Formation of the Cardiac Septa, 188
Formation of the Conducting System of the Heart, 205
Vascular Development, 206
Circulation Before and After Birth, 216
Summary, 219
Chapter 14. Respiratory System, 223
Formation of the Lung Buds, 223
Larynx, 225
Trachea, Bronchi, and Lungs, 225
Maturation of the Lungs, 227
Summary, 228
Chapter 15. Digestive System, 230
Divisions of the Gut Tube, 230
Molecular Regulation of Gut Tube Development, 231
Mesentery, 232
Foregut, 233
Molecular Regulation of Liver Induction, 242
Pancreas, 244
Midgut, 244
Hindgut, 248
Summary, 254
Chapter 16. Urogenital System, 256
Urinary System, 256
Genital System, 267
Summary, 282
Chapter 17. Head and Neck, 284
Pharyngeal Arches, 286
Pharyngeal Pouches, 290
Pharyngeal Clefts, 291
Molecular Regulation of Facial Development, 292
Tongue, 297
Thyroid Gland, 298
Face, 300
Intermaxillary Segment, 301
Secondary Palate, 301
Nasal Cavities, 302
Teeth, 302
Molecular Regulation of Tooth Development, 310
Summary, 311
Chapter 18. Central Nervous System, 313
Spinal Cord, 314
Brain, 324
Molecular Regulation of Brain Development, 336
Cranial Nerves, 338
Autonomic Nervous System, 342
Summary, 349
Chapter 19. Ear, 351
Internal Ear, 351
Middle Ear, 354
External Ear, 356
Hearing, 356
Summary, 359
Chapter 20. Eye, 360
Optic Cup and Lens Vesicle, 360
Retina, Iris, and Ciliary Body, 362
Lens, 362
Choroid, Sclera, and Cornea, 364
Vitreous Body, 364
Optic Nerve, 365
Molecular Regulation of Eye Development, 365
Summary, 369
Chapter 21. Integumentary System, 370
Skin, 370
Hair, 372
Fingernails and Toenails, 373
Sweat Glands, 373
Mammary Glands, 373
Summary, 375
Part 3. Appendix
Answers to Problems, 379
Figure Credits, 391
Glossary of Key Terms, 397
Index, 411