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Flashcards in Female Anatomy Deck (46):
1

The suspensory ligament of the ovary contains what

Ovarian artery, vein, nerve supply

2

What is another name for the suspensory ligament of the of the ovary?

Infundibulopelvic ligament (IPL)

3

How should you think of the location of the Suspensory ligament of the ovary or the IPL

It basically runs lateral from the ovary. It is lateral to the ureter at the pelvid brim

4

Ovarian ligament?

Runs medial, connects the inferior pole of the ovary to the lateral uterus

5

The ovaria fossa is bounded anteriolaterally by what?

anterior illiac vessels

6

Ovaria fossa bounded posteromedially by the

ureter

7

When performing an oophorectome, what must you be careful of regarding the ureter?

Don't cut it, remember that it lies at the medial boundary of the ovarian fossa

8

Primary blood supply to the oary comes from

Ovarian artery through suspensory ligament

9

Remember, however, that ovarian blood supply is anasthamotic meaning that there are multiple sources. Another is...

uterine arteries....when performing an oopherectomy, you will need to ligate both the uterine artery and the ovarian artery

10

What does water under the bridge mean?

Ureters are posterior to the uterine artery

11

Uterine tubes run through which part of the broad ligament?

Mesosalpinx

12

What do you call the trumpet shaped end of the uterine tube near the ovary>

Infundibulum...this curves around the superior pole of the ovary

13

Infundibulum contains small finger like projections called?

fimbriae

14

What do fimbriae do?

help in trapping the ovum and sweeping it into the uterine tube

15

Which part of the uterine tube is directly medial to the ovary?

Ampulla- where conception usually occurs

16

Uterine tubes are common sites of ectopic pregnancy

ok

17

Broad ligament

sheet like fold of peritoneum with anterior and posterior layers. Spans from lateral pelvic wall to the uterus.
Three parts:
1) Mesometrium
2) Mesosalpinx
3) mesovarium

18

Mesometrium is

Pretty much the largest part. It extends from the lateral pelvic wall to the uterus

19

Mesosalpinx is

Most superior part of broad ligament, suspends the uterine tube in the pelvic cavity

20

Mesovarium

A posterior extension that attaches to the ovary

21

Uterus is located between the urinary bladder anteriorly and the rectum posteriorly

It consists of five parts: Fundus, Uterine cavity, Isthmus, Cervix, etc...

22

Uterine opening of the cervix is called

internal os

23

Vaginal opening of the cervix is called

external os

24

What is the pouch of douglas?

Rectouterine pouch- formed between the posterior wall of the uterus and the rectum. Lowest point in the abdomino pelvic cavity and therefore is a common site of fluid collection and infection. It is also at risk of perforation during procedures that use a vaginal approach.

25

Blood supply to the uterus is primarily from what artery

Uterine, runs with the cardinal ligament just at the base of the broad ligament. WATCH FOR URETER

26

Position of the uterus

anteverted and anteflexed. Basically, it kinda lays on top pf the bladder.

27

What does the angle of anteflexion refer to?

Basically measures the bend in the uterus. It is the angle between the axis of the cervical opening and the axis of the uterine body.

28

Angle of anteversion

angle between the axis of the cervix and the angle of the axis of the vagianl canal

29

Abnormally positioned uterus may contribute to infertility, pregnancy complications, and tendency towards prolaps

ok

30

Support for the female internal genitalia include

bladder, rectum, pelciv and urogenital diaphragms, perineal body, transverse cervical, pubovesical, uterosacral, and round ligaments.

31

Cysocele

Pretty much a herniation of the bladder

32

enteroceles

herniation of bowel (colon)

33

Rectocele

herneation of rectum

34

all of these celes can impede vaginal function/ childbirth

ok

35

fistulae

open communication between vagina and bladder,

36

Body of clitoris formed by

Right and left cavernosa

37

Clitoral root is attached to two muscles

bulbuspongiosus muscle, extends from the perineal body to surround the orifice of the vagina and cover the vestibular bulbs. It's function is to reduce the size of the vaginl orifice and compress the deep dorsal vein of the clitoris assisting in maintaining erection.

and Ischiocavernosus muscle

38

Bartholin's glands

located just posterior to each half of the bulb of the vestibule. Secrete clear mucous to lubricate the vulva during sexual excitation.

39

Which arteries are responsible for erection of the clitoris?

deep arteries of the clitoris...they supply the corpora cavernosa

40

sensory innervation to the clitoris via what nerve

dorsal nerve of the clitoris

41

Pelvic diaphragm consists of two muscles, they are

Levator Ani and cocygeus

42

UG diaphragm stretches between the ischipubic rami and is exterior to the pelvic diaphragm

ok

43

The inferior surface of the UG diaphragm is covered with dense fibrous fascia called

the fascia of the UG diaphragm

44

Options for regional anesthesia during birth

1) spinal nerve block at L3/L4 = paresthesia from waist down
2) Caudal epidural- anesthesia administered to the epidural space via an indwelling catheter to bathe the S2-S4 roots. Lower limbs usually not affected.
3) Pudendal nerve block- S2-S4 block

45

True obstetrical conjugate

minimum anterior to posterior diameter of the lesser pelvis as measured between the sacral promontory and the pubic symphysis.

46

Since the true obstetrical conjugate cannot be measured easily, the diagonal conjugate substitutes.

should be 11cm or greater or you probably need to do a C-section