Pelvic Vessels, Nerves, and Lymphatics Flashcards

(38 cards)

1
Q

Which artery supplies the organs of the pelvic cavity?

A

The internal iliac artery

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2
Q

What arteries make up the posterior division of the pelvic cavity? (3)

A
  • lateral sacral a’s.
  • iliolumbar a.
  • superior gluteal a.
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3
Q

What do the lateral sacral arteries supply? (2)

A
  • Structures of sacral canal

- muscles and skin posterior to sacrum

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4
Q

What does the iliolumbar artery supply? (2)

A
  • iliacus muscle

- lumbar region posterior to psoas major m.

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5
Q

What course does the iliolumbar artery take?

A

It goes between the obturator n. and lumbosacral trunk

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6
Q

What does the superior gluteal artery supply?

A

gluteal region

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7
Q

Where course does the superior gluteal branch take?

A

exits sciatic foramen superior to piriformis m.

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8
Q

What arteries make up the anterior division of the pelvic cavity? (8 b/w male and female)

A
  • umbilical a. (obliterated after birth)
  • superior vesical a.
  • inferior vesical a.
  • middle rectal a.
  • obturator a.
  • internal pudendal a.
  • inferior gluteal a.
  • uterine a.
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9
Q

What does the superior vesical artery supply?

A

bladder

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10
Q

What does the inferior vesical artery supply? (5)

A
  • bladder
  • seminal vesicle
  • prostate
  • ureter
  • vas deferens
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11
Q

What does the middle rectal artery supply in the female? (2)

A
  • rectum

- vagina

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12
Q

What does the middle rectal artery supply in the male? (4)

A
  • prostate
  • vas deferens
  • seminal vesicle
  • rectum
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13
Q

Where does the obturator exit the pelvis?

A

Obturator canal, enters medial thigh

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14
Q

What course does the internal pudendal artery take?

A
  • exits pelvis via greater sciatic foramen

- loops around ischial spine to enter perineum via lesser sciatic foramen

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15
Q

What does the internal pudendal artery supply? (2)

A
  • inferior rectal artery

- gives branches to vagina

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16
Q

Where course does the inferior gluteal artery take?

A

It exits the sciatic foramen inferior to piriformis

17
Q

What does the inferior gluteal artery supply?

A

gluteal region

18
Q

What does the uterine artery supply? (2) What does it anastamose with?

A
  • uterus
  • vagina
  • the ovarian artery
19
Q

Do the pelvic venous plexuses have valves?

20
Q

What do the pelvic venous plexuses connect with?

A

vertebral venous plexus (Batson’s veins)

21
Q

What nerves make up the sacral plexus? (4)

A
  • sciatic nerve (L4-S3)
  • pudendal nerve (S2-S4)
  • superior gluteal nerve (L4-S1)
  • inferior gluteal nerve (L4-S2)
22
Q

What course does the sciatic nerve take?

A
  • Passes inferior to piriformis to enter gluteal region

- descends posterior thigh

23
Q

What does the sciatic nerve innervate? (2)

A
  • posterior compartment of thigh

- whole leg and foot

24
Q

What course does the pudendal nerve take?

A
  • passes b/w piriformis and coccygeus

- enters perineum though lesser sciatic foramen

25
What does the pudendal nerve innervate?
perineum
26
What course do the superior and inferior gluteal nerves take?
Pass superior to piriformis to enter gluteal region
27
What does the superior gluteal nerve innervate?
gluteus medius and minimus
28
What does the inferior gluteal nerve innervate?
Gluteus maximus
29
What nerves make up the coccygeal plexus?
anterior rami of S4, S5, and C0
30
What does the coccygeal plexus innervate? (3)
- coccygeus m. - part of levator ani m. - sacrococcygeal joint
31
What other nerves arise from the coccygeal plexus? What do they innervate?
- anococcygeal nerves | - supply skin b/w of coccyx and anus
32
What nerves make up the pelvic autonomic nerves? (2)
- inferior hypogastric plexus | - pelvic splanchnic nerves (S2-S4)
33
What do branches of the inferior hypogastric plexus make?
- sub-plexuses known as pelvic plexuses
34
What do the sub-plexuses innervate in both males and females? (2)
- lateral rectum | - inferolateral urinary bladder
35
What do the sub-plexuses associate with in males? (2)
- prostate | - seminal vesicles
36
What do the sub-plexuses associate with in females? (2)
- cervix | - lateral fornices of vagina
37
What do the parasympathetic fibers of prostatic plexus innervate?
the penis, producing an erection
38
What do the pelvic splanchnic nerves supply? (5)
parasympathetic innervation to: - pelvic viscera - descending colon - sigmoid colon - rectum - proximal anal canal