Synoptic table of the Carnegie stages 20 - 23

- Liver prominence
- Primordium of the eyelid
- Eye
- Auditory canal
- Elbow
- Fingers
- Toes being formed
- Straightening of the trunk
- Subcutaneous vessel network of the head
- Cervical flexure
Fig. synopimg20
Characteristic signs
- Arms in pronation.
- Separated fingers.
- Gonadal gender determinable in female embryos.
© Professor Kohei Shiota, Kyoto University

- Umbilical cord with physiologic hernia
- Nose
- Subcutaneous vessel network of the head
- Ear
- Elbow
- Pronation of the hands (pink arrow)
- Knee
- Supination of the feet (blue arrow)
- Toes
Fig. synopimg21
Characteristic signs
- Subcutaneous vessel network of the head spreads out.
- Hands and feet come closer and touch each other.
© Professor Kohei Shiota, Kyoto University

- Umbilical cord with physiologic hernia
- Nose
- Subcutaneous vessel network of the head
- Ear
- Elbow
- Pronation of the hands
- Knee
- Supination of the feet
- Well-developed toes
- Remainder of the embryonic tail
Fig. synopimg22
Characteristic signs
- Development of the eyelids and the external ear canal.
- Tragus and antitragus.
- Nasal septum.
- Secondary palate.
© Professor Kohei Shiota, Kyoto University

- Umbilcal cord with hernia
- Nose
- Eye
- Eyelid
- Ear (a: tragus, b: antitragus )
- Mouth
- Elbow
- Finger
- Toes
- Atrophied embryonic tail bud
- Telencephalon
- Diencephalon
- Mesencephalon
- Metencephalon
- Myelencephalon
- Spinal cord
Fig. synopimg23
Characteristic signs
- Angle between the head and trunk amounts to 30°.
- The head makes 50% of the embryo's size.
- The head is rounded, the extremities lengthened and stand out from the body.
- Chin.
- Nasal pit.
- Development of the external genital primordium.
© Professor Kohei Shiota, Kyoto University