Lecture 23 (7-7-14)

Question 1

What makes up the pelvic girdle?

Answer 1

• 2 os coxae bones
• sacrum
• coccyx

Question 2

What does the boney pelvis do?

Answer 2

Connect the vertebral colum and the femus

Question 3

What are the parts of the illium? including what attatches to each part

Answer 3

1. Illiac crest: tensor fasca lata
2. illiac fossa : illiopsosas
3. ASIS: sartorius, rectus femoris, tensor fasca lata
4. Anterior inferior iliac spine
5. Greater sciatic notch
6. Posterior inferior illiac spine
7. Posterior superior illiac spine
8. Arcuate line of ilium

lateral side: gluteus medus and minimus

Question 4

What are the parts of the acetabelem

Answer 4

1. Acetabular rim
2. acetabular fossa
   
   1. lunate

Question 5

What are the parts of the pubis including any attachments

Answer 5

1. Pubis: adductor longus, adductor brevis
2. sympophyseal surface
3. inferior pubic ramus: adductor brevis
4. pubic pubercle
5. superior pubis ramus
6. Pectine line of pubis: Pectineus

Question 6

What are the parts of the ischium including attachments

Answer 6

1. Ischial ramus
2. Ischial tuberosity
   
   1. orgins:
      
      • semitendinosus,
      • semimembronosus,
      • longhead biceps brachii
      • adductor magnus (hamstring part)
      • Inferior gemellus
   2. insertion: sacrotuberous ligament
3. ischial spine: ins: sacrospinus ligament
   
   • orgin: superior gemellus
4. Iscial Ramus
5. Lesser Ischial notch

Question 7

What are the parts of the sacrum and what attaches to it?

Answer 7

• Sacral promotory
• ala
• anterial sacaral foramen
• sacaral canal
• lateral sacral crest
• sacral hiatus
• sacral corura
• posterior sacral foramen
• mendian sacral crest
• superior articular process
• articular surface
• Sacrospinus/tuberous ligaments
• gluteus maximus

Question 8

What are teh parts of the coccyx and what attaches to it?

Answer 8

• coccygeal cornua
• transcerse process
• sacrospinous/tuberous ligaments
• gluteus maximus

Question 9

What kind of joint is the pubis symphsis?

what are the ligaments?

Answer 9

1. 2 degree cartlidagenous joint
2. superior and inferor pubic

Question 10

What are the joints of the pelivis?

Answer 10

• Sacroiliac
• sacrococcygeal
• pubic symphysis
• lumbosacral joint (L5-S1)

Question 11

1. What are the articulations of the lumbosacral joint?
2. What are the ligaments?

Answer 11

1. intervertebral disc–> 2 sygapophysial facets
2. iliolumbar
3. lumbosacral
4. anterior longitudinal ligament

Question 12

What are the ligaments of the sacroiliac joint?

Answer 12

Anterior side

• anterior sacroliliac ligaments
• sactosuberous ligaments
• sacrospinous ligaments

posterior side

• posterior sacroiliac ligaments
• sacrospinous
• sacrotuberous
• interoussus sacroiliac ligaments

Question 13

What are the difference beteween the sacrospinous and sacroutuberous ligametns?

Answer 13

Sacrospinous–> greater sciatic foramen

sacrotuberous–> lesser sciatic foramen

Question 14

What is the difference between girls and guys pelivs:

1. false pelvis
2. pelvic inlet
3. pelvic outlet
4. ischial tubrousities
5. pelvic cavity
6. sacrum
7. subpubic angle

Answer 14

girls first then boys

1. wide and shallow/ narrow and deep
2. oval/ heart shape
3. roomy and round/ narrow oblong
4. evertes/ inverted
5. roomy and shallow/ narrow and deep
6. shot, wide, fat/ long, narrow, convex
7. 90-100 degrees/ 70 degrees

Question 15

how is the bony pelvis orienteate?

Answer 15

angled inferior in the anterior plane

asis is anterior insead of superor

Question 16

What does our bony pelvis do?

Answer 16

• bear weight of upper bodu
• transfer weight b/t axial and lower appendicular
• contain/ protect pelvic viscera
• attachmetn site for pelvic floor muscles and external genitalia and muscles for locomotion

Question 17

What is the pelvis

Answer 17

bony sturcture conencting teh lower extremities tot eh rest of the body

Question 18

What is the pelvic cavity?

Answer 18

area connecting teh abdomial cavity to the perineum

Question 19

What is in teh pelvic cavity?

Answer 19

pelvic viscera

parts of urinary and gi systems

reproductive system parts

Question 20

How do the false and true pelvis differ?

Answer 20

Pelvic brim sperates them

FALSE PELVIS: above pelvic brim, inferior border: pelvic inlit

TRUE PELVIS: below pelvic brim inferior pelvic appature closed by pelvic diagphragm muscles. has pelvic viscera

Question 21

What do the uretrers do?

Answer 21

bring urine from kidney–> bladder

gFILLS BLADDER

Question 22

What is the blood supply to the ureters?

Answer 22

aorta

renal arteris

gonadal arterise

iliac arteries

Question 23

What are the areas of narrowing in the ureters?

Answer 23

1. ureteropelvic junction
2. pelvic brim
3. uterovesical junction

Question 24

1. Where does the bladder sit?
2. What muscle is it made of?’
3. What does it do with pee?
4. what is the difference in uretres and urethra?
5. does it move depeneing on how full it is?

Answer 24

1. behind the pubis
2. detrusor muscle
3. holds it until micturation
4. ureteres fill–> urethrea empties
5. can go all the way to umbilicus.

Question 25

Bladder differences in girls and boys 1. Where does it sit? 2. what bounds it posteriorly? 3. what is attached to posterior inferor wall?

Answer 25

1. G: behind pubis, anterior to uterus, atop Ug diagphragm B: behind pubis, anterior to rectus, atop prostate aka atop UG diagphragm, 2. G: utrervesical pouch B: rectovesical puch 3. seminal vesicals (in boys)

Question 26

Difference in boy and girl urethras:

Answer 26

boys: 4 parts: pre-prostatic--\> prostatic--\> membroneous (in ug diagphragm)--\> spongyu (in corpus spongiosum) Girls: short: urethrorfic in bladder--\> vestuble of vagina (in perineum)--\> external urethral orfice

Question 27

What makes up the trigone region?

Answer 27

two uretreal ofrices and the

Question 28

What are the parts fo the gastro intestial tract? Rectum

Answer 28

1. **rectum:** rectosigmoid juntcio (s3 vertabre) --\> at pelvic diagphragm --\> **rectal ampulla** disgtal part rests on pelvis diagphragm supports and holds poop--\> becomes **anal canal** throught pelvic diagphragm--\>**sphinctors** voluntary and involuntary (internal voluntary(external) has superfical, deep and subcutaneous parts **anus** sexits anal canal in perineum

Question 29

What is the portion of the levator ani tha tkins anorectal junction and helps with fecal contence?

Answer 29

puborectalis

Question 30

What are the internal reproductive organs?

Answer 30

**BOYS** seminal vesicles prostate ejaculatory duct vas deferens **GIRLS:** uterus with cervix overises fallopian tubes vagina

Question 31

What are the supportive structures for female reproductive system?\>

Answer 31

* round ligametn of uterus * mesosalpinx * mesovarium * roung ligament of ovary * mesometrium * uterosacarl ligament

Question 32

What are and wehre are the seminal vesicles?

Answer 32

posterior bladder wall meet with vas deferens and become teh ejaculatory duct

Question 33

What is the patway for sperm

Answer 33

testes--\> up vas deferns--\> ampula of vas deferns--\> meet up with semical vescilee--\> become ejaculatory duct--\> drain into prostatic urethra with prostatic secretions--\> go through membronous--\> spongy--\> out penis

Question 34

What are the brancehs of the interinal iliac artery anterior division?

Answer 34

1. umbilicus--\> supeior vesicl 2. obutrator 3. inferior vesicle/ vaginal 4. middle rectal 5. deferntial/ uterine 6. internial peduncle 7. inferior gluteal

Question 35

What are the posterior branches of the internal illiac artery?

Answer 35

all somatic 1. illio lumbar 2. lateral sacral 3. superior gluteal exits bt LS trunk and S1