Gynecologic Flashcards
between which two organs does the uterus lie
bladder
rectum
4 paired ligaments supporting uterus
broad
round
cardinal
uterosacal
area of uterus above openings of tubes
fundus
body of uterus communicates with cervix at…
internal os
cervix communicating with vagina is…
external os
3 layers of uterus
outer: serous
middle: myometrium
innter: endometrial
salpinx
tube/trumpet
purpose of tubes
ova from ovaries to uterus
how do tubes move ova
peristalsis/ciliary movement
right adnexa close to which 2 GI structures
cecum
appendix
ligament suspends ovaries
ovarian ligament
2 layers of ovaries
outer cortex
inner medulla
layer of ovary containing nerves, blood, and lymph vessels
medulla
layer of ovary containing follicles in different levels of maturity
cortex
2 functions of ovaries
make ova
endocrine glands-hormones
hormones produced by ovaries
estrogen: secondary sex characteristics, growth of uterine lining during period
progesterone: implantation of fertilized ovum, development of embryo
what ligament is fallopian tube in
broad
3 functions of vagina
sexual intercourse
menstrual bleeding
end of birth canal
anterior vaginal wall is near…
bladder
urethra
lower posterior vaginal wall close to…
rectum
projection of cervix into vagina divides into regions
fornices: anterior, posterior, right and left lateral
posterior fornix contacts
periotneum of cul-de-sac of Douglas pouch
external organs of the vulva
labia minora, laabia majora, clitoris, vestiblue, bartholin’s glands, vaginal opening, urethral opening
what bony structure is the mons pubis situated over
anterior symphysis pubis
what lies within labia majora
labia minora
homolog of penis
clitoris
vestibule openings for what structures
vaginal
urethral
2 paraurethral ducts on either side of urethral meatus
Skene’s
glands & ducts on lower end of vagina
Bartholin’s
self-retaining vaginal speculum
Grave’s speculum/bivalved
weighted vaginal speculum
Auvard
3 types of uterine dilators
Hank
Hegar
Goodell
2 self-retaining abdominal retractors in GYN
O’Sullivan O’Connor
balfour and blade
why is a simple vulvectomy done and what is removed
carcinoma in situ (multicentric)
labia majora, minora, possibly clitoris
position and incision for simple vulvectomy
lithotomy
wide elliptical
lasers most commonly in GYN
CO2
ND:YAG
Argonp
2 procedures to remove vulvar structures, inguinal nodes, portion of round ligament & saphenous vein and skin from abd. and groin
radical vulvectomy
groin lymphadenectomy
position for radical vulvectomy/groin lymphadenectomy
supine
trendelenburg
low lithotomy
prep area for radical vulvectomy/groin lymphadenectomy
abdomen
thighs
vulva
urethral marker to prevent urethral postop damage in radical vulvectomy/groin lymphadenectomy
catheter
drains in radical vulvectomy/groin lymphadenectomy
closed-wound
catheter
cystocele procedure
anterior colporrhaphy
herniated bladder into anterior vaginal wall