anatomy Flashcards

1
Q

where do the majority of the arteries of the pelvis and perineum arise

A

internal iliac artery
except gonadal artery and superior rectal artery

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2
Q

anastomosis of the female pelvis

A

between the uterine artery and the ovarian artery
uterine artery and vaginal artery

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3
Q

where does most of the veins in the pelvis drain

A

internal iliac vein
some drains into superior rectal > hepatic
some drain via lateral sacral veins > internal vertebral venous plexus

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4
Q

where does lymph of the superior pelvic viscera drain

A

external iliac nodes
common iliac, aortic, thoracic duct, venous system

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5
Q

where pelvic viscera

A

deep perineum
internal iliac nodes
common iliac, aortic, thoracic duct, venous system

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6
Q

where does the inguinal ligament attach

A

between the asis and the pubic tubercle

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7
Q

where does the sacrospinous ligament attach

A

sacrum and ischial spine

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8
Q

where does the sacrotuberous ligament attach

A

sacrum and ischial tuberosity

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9
Q

what is moulding

A

the movement of one bone over another to allow the foetal head to pass through the pelvis during labour

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10
Q

what is the vertex

A

the area of the foetal skull outline by the anterior and posterior fontanelles and the parietal eminences

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11
Q

what position should the foetal head be at the pelvic inlet

A

transverse

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12
Q

what position should the foetal head be in the pelvic cavity

A

should rotate and should be flexed

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13
Q

what position should the foetal head be at the pelvic outlet

A

ideally occipitoanterior and extension of the head

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14
Q

nerve control of uterine cramping

A

hormonal (sympathetic/parasympathetic)

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15
Q

nerve control of uterine contraction

A

hormonal (sympathetic/parasympathetic)

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16
Q

pelvic floor muscle contraction (sneezing)

A

somatic motor

17
Q

sensory control of pain from the adnexae (ovaries and fallopian tubes)

A

visceral afferents

18
Q

sensory control of pain from the uterus

A

visceral afferents
- run along side sympathetic fibres
- enter spinal cord between T11-L2

19
Q

sensory control of pain from the vagina

A

visceral afferents (pelvic part)/somatic sensory (perineum)
- run along parasympathetic fibres
- enter spinal cord at levels S2, S3, S4
- pain perceived in S2, S3, S4 dermatome

20
Q

sensory control of pain from the perineum

A

somatic sensory

21
Q

pain in structures above levator ani

A

visceral afferents
parasympathetic
spinal cord levels S2, S3, S4

22
Q

Pain below the levator ani

A

somatic sensory
pudendal nerve
spinal cord levels S2, S3, S4