Female Reproduction Anatomy Flashcards Preview

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Flashcards in Female Reproduction Anatomy Deck (60):
1

ligaments supporting the female stuff

median umbilical ligament
round ligament of uterus
round ligament of ovary
uterosacral ligament
board ligament of the uterus
suspensory ligament of the ovary

2

female spaces/pouches

supravesicular fossa
retropubic space
vesicouterine pouch
rectouterine pouch

3

supravesicular fossa

peritoneal depression anterior to the bladder, above the pubic symphysis
used for suprapubic approach to pelvic cavity

4

retropubic space

between bladder and pubic symphysis low, used for suprapubic approach

5

vesicouterine pouch

space between uterus and bladder when uterus is ante flexed (normal)

6

rectouterine pouch

between the uterus and rectum, defined by uterosacral ligament

7

how is the rectouterine pouch accessed

posterior fornix of the vagina

8

uterine prolapse

uterus protrudes into vagina

9

rectocele prolapse

rectum protrudes into vagina

10

cytocele prolapse

bladder protrudes into vagina

11

enterocele prolapse

intestine protrudes into vagina

12

what causes a prolapse

relaxed pelvic floor ligaments
damaged perineal body
excessive retroversion

13

parts of the uterine tube

fimbria
infundibulum- first part of tube
osteium- opening into peritoneal cavity
isthmus- narrow area
intramural- in uterine wall

14

salpingitis

uterine tube infection

15

what is the blood supply of the uterine tuve

ovarian artery

16

peritinitis

infection in the peritoneal cavity

17

blood supply to uterus

ovarian and uterine

18

ligments on the ovary

suspensory ligament- holds ovarian vessels
ligament of ovary- ovary to uterus
mesosalpix- part of broad ligament

19

bloods supply of ovary

ovarian vessels

20

which vaginal wall is longer

posterior

21

palpable structures on pelvic exam

posterior- rectum, rectouterine pouch
anterior- bladder, urethra
lateral- ureters, uterine vessels, ovaries if enlarged

22

vaginal blood supply

upper 1/3- uterine artery
middle- vaginal artery
lower- pudenal

23

mesovarium

ovary to mesometrium

24

mesosalpnix

surrounds uterine tuves

25

mesometrium

connects uterus to lateral wall

26

ovarian arteris

branch off aorta at T12
travel in suspensory ligament of the ovary
supply ovary and uterine tubes

27

uterine artery

branch off internal iliac
uterus, upper 1/3 of vagina
in transverse cervical ligament (cardinal)

28

vaginal artery

branch off internal iliac
lower vagina

29

internal pudendal artery

branch of internal iliac
supplies perineum, posterior labia, vestibule of vagina

30

lymph of ovary and uterine tubes

lumbar nodes

31

lymph of uterus and vagina

internal iliac nodes

32

lymph of round ligament of uterus

inguinal nodes

33

what forms the frenulum and prepuce

the labia minora

34

what is in the vestibule of vagina

vaginal orifice
urethral orifice
opening of paraurethral glands
opening of greater vestibular glands

35

homolog of the greater vestibular glands

seminal vesicle

36

homolog of the lesser vestibular glands

prostate

37

homolog of the bulb of the vestibule

bulb of the penis and accompanying corpus spongiosum

38

contents of the superficial perineal space

ishiocavernosus muscle
clitoris glans and crura
bulbospongiosus muscle
bulbs of vestibule
greater vestibular glands
superficial perineus muscle

39

female erectile tissues

clitoris and bulb of vestibule

40

ishiocavernosus muscle covers the

crura of the clitoris

41

bulbospongiosus muscle covers the

bulb of the vestibule

42

contents of deep perineal space

external urethral sphincter
compressor urethrae
urovaginal sphincter
deep transverse perineus
dorsal verve of the clitoris
dorsal artery of the clitoris

43

location of external urethral sphincter

circular muscle around the urethra at the neck of the bladder and then spreads out

44

location of compressor urethrae

formed by spreading out of the external urethral sphincter around the vagina

45

location of urovaginal sphincter

formed by external urethral sphincter around the hiatus

46

lymphatic drainage fot he perineum

goes to the same sine + 1 cm across midline (midline overlaps)
follows inguinal nodes or iliac nodes if along internal pudendal artery

47

perineum innervation

posterior labial nerve- cutaneous to labia
anterior labial- fron ilioinguinal
perineal branch of posterior cutaneous of thigh- outside labia majora

48

pudendal nerve block

needle through vaginal wall aimed at the sacrospinous ligament
gets posterior labial nerve only

49

full anesthesia of perineal area

posterior labial (pudendal)
anterior labial (ilioinguinal)
perineal (cutaneous nerve of thigh)

50

episiotomy

surgical cutting of the perineal body for more room for child birth

51

suboccipitolbregmatic measurement

baby head size

52

transverse diameter of pelvic inlet

widest part of pelvis, between the top of the ischial spines

53

obstetric conjugate distance

distance from sacral promontory to the middle of the pubic symphysis, indirectly measured by the diagonal conjugate

54

diagonal conjugate distance

distance from sacral promontory to the inferior pubic symphysis
measured by inserting fingers into vagina and palpating the sacrum and measuring to the pubic symphysis

55

interspinous distance

distance between ischial spine and location of baby head
ischial spine to tuberosity is 5cm

56

structures above the pelvic pain line

ovary, uterine tubes, upper uterus

57

visceral pain path above pelvic pain line

sympathetic T12-L2 segments, hypogastric plexus and lumbar splanchnic nerves

58

structures below the pelvic pain line

cervix, vagina, perineum

59

visceral pain path below the pelvic pain line

parasympathetic S2-4 via pelvic splanchnic nerves

60

somatic pain below the pelvic pain line

pudendal and posterior labial nerves