Female Pelvis Flashcards Preview

Anatomy > Female Pelvis > Flashcards

Flashcards in Female Pelvis Deck (34):
1

What is the broad ligament composed of?

A double layer of peritoneum

2

What is enclosed between the two layers of the broad ligament?

Uterine tubes, ovarian ligament, round ligament of uterus

3

What suspends the ovaries in the peritoneal cavity?

The mesovarium

4

What covers the ovaries?

Surface epithelium, not peritoneum

5

What structure delivers the ovarian artery and vein to the ovaries?

The suspensory ligament of the ovary

6

Where do the ovarian arteries terminate?

They anastamose with the uterine arteries

7

What does the uterus rest on?

The urinary bladder

8

The cervix of the uterus runs between what two structures?

Bladder and rectum

9

What are the three parts of the uterus?

Body, isthmus, cervix

10

What provides active support to the uterus?

Pelvic diaphragm (levator ani and coccygeus)

11

What provides passive support to the uterus?

Its position, Uterine ligaments (transverse cervical (cardinal) ligaments, uterosacral ligaments)

12

What uterine ligament is palpable during a rectal exam?

Uterosacral ligaments

13

Transverse cervical ligaments attach what to what?

The cervix of the uterus to the lateral wall

14

Anterior relations of the uterus

Vesicouterine pouch, Superior surface of urinary bladder, Peritoneum

15

What structure is immediately posterior to the uterus?

The rectouterine pouch

16

What structures are lateral to the uterus?

Broad ligament, ureters, and uterine arteries

17

What structures are anterior to the vagina?

Fundus of bladder and urethra

18

What structures are posterior to the vagina?

Anal canal, rectum, and rectouterine pouch

19

What structures are lateral to the vagina?

Levator ani, visceral pelvic fascia, ureters

20

Which vaginal fornix is larger?

The posterior vaginal fornix is larger than the anterior vaginal fornix

21

Lymphatic drainage of ovarian and uterine tubes

Follow ovarian vessels to lumbar nodes

22

Lymphatic drainage of the fundus of the uterus

Follow ovarian vessels to lumbar nodes and follow round ligament to superficial inguinal nodes

23

Lymphatic drainage of the body of the uterus

Follow broad ligament to external iliac nodes

24

Lymphatic drainage of the cervical region of the uterus

Follow uterine vessels to internal iliac nodes, and follow uterosacral ligament to sacral nodes

25

Lymphatic drainage of each of the parts of the vagina

Superior - Internal and external iliac nodes, Middle - internal iliac nodes, Inferior - sacral, common iliac nodes, External orifice - superficial inguinal nodes

26

Trace the route followed by sympathetic fibers which innervate female internal genital organs

T12-L2 or L3, 3 or 4 Lumbar Splanchnic Nerves, synapse at Intermesenteric Ganglia, to Intermesenteric Plexus, to Superior Hypogastric Plexus, through R and L Hypogastric Nerves to Inferior Hypogastric Plexus to pelvic plexuses

27

Trace the route of parasympathetic fibers which innervate the female internal genital organs

Originate at S2-S4, travel through pelvic splanchnic nerves to inferior hypogastric plexus to pelvic plexuses

28

What is the uterovaginal plexus a subplexus of?

The inferior hypogastric plexus

29

What do nerves of the uterovaginal plexus travel with and what structures do they innervate

Travel with uterine artery, innervate uterus, superior 3/4 of vagina, ovaries, and uterine tubes

30

What provides somatic innervation to the inferior 1/4 of the vagina?

The deep perineal nerve (off the pudendal nerve)

31

List the intraperitoneal organs

Stomach, First part of the duodenum [5 cm], jejunum, ileum, Cecum, appendix, transverse colon, sigmoid colon, Rectum (upper 1/3), uterus (above cervix), fallopian tubes, ovaries

32

List the retroperitoneal organs

Last 3 parts of duodenum, ascending colon, descending colon, Rectum (middle 1/3), pancreas (except tail), Kidneys, adrenal glands, proximal ureters, renal vessels, Gonadal blood vessels, IVC, aorta

33

List the infraperitoneal/subperitoneal organs of the abdomen

Rectum (lower 1/3), Urinary bladder, distal ureters

34

Visceral afferent fibers leaving the uterus follow which types of fibers, and how do you know this?

Above cervix - Follow sympathetic fibers, because above the cervix the uterus is intraperitoneal, and thus above the pelvic pain line. Cervix and below - Follow parasympathetic fibers, because this part is subperitoneal and thus below pelvic pain line

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