Pelvic Viscera 1 Flashcards

(79 cards)

1
Q

What pelvic viscera is seen in both males and females

A

ureters
urethra
bladder
rectum

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2
Q

What pelvic viscera is seen only in males

A
prostate
ductus deferens
seminal vesicle
bulbourethral glands
ejaculatory ducts
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3
Q

What pelvic viscera is seen only in females

A

uterus
ovaries
uterine tubes
vagina

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4
Q

What structure will be draped over the pelvic viscera

A

peritoneum

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5
Q

What are the 3 types of pelvic fascia

A

parietal pelvic
viscera pelvic
endopelvic

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6
Q

What is pelvic fascia a continuation of

A

extraperitoneal connective tissue in the abdomen

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7
Q

What are the pelvic cavities in males

A

retropubic

rectovesical

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8
Q

Where may fluid collect in the pelvis of males

A

rectovesical

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9
Q

What are the pelvic cavities in females

A

retropubic
vesicouterine
rectouterine

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10
Q

Where does fluid most commonly collect in females

A

rectouterine pouch (of douglas)

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11
Q

Where is endopelvic fascia found

A

between visceral and parietal fascia

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12
Q

What are the thickenings of pelvic fascia that will support viscera

A

pubovesical ligament
transverse cervical
uterosacral ligament

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13
Q

What does the pubovesical ligament connect

A

bladder to pubic bone

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14
Q

What does the transverse cervical ligament connect

A

uterus to body wall

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15
Q

What does the uterosacral ligament enclose

A

rectum

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16
Q

In males, what is the pubovesicle ligament attached to

A

the prostate

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17
Q

What does the uterosacral ligament do

A

bind uterus to sacrum

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18
Q

What is the broad ligament

A

peritoneal fold that attaches the uterus, fallopian tubes, and ovaries to the pelvis

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19
Q

What are the different parts of the broad ligament

A

mesovarium
mesometrium
mesosalpinx

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20
Q

What is mesoovarium

A

peritoneum over ovaries

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21
Q

What is mesometrium

A

peritoneum closest to the body

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22
Q

What is mesosalpinx

A

peritoneum over uterine tube

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23
Q

Is the abdominal ureter intraperitoneal or retroperitoneal

A

retroperitoneal

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24
Q

What structures are associated with the ureters in males

A

crossed by ductus deferens

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25
What structures are associated with the ureters in femals
crossed by uterine artery
26
Where do ureters enter the bladder
posterolateral edge
27
What is the blood supply to the ureters
variable; renal, gonadal, common and internal iliacs, uterine vessels
28
What is the inenrvation to the ureters
T10-L2 | renal, aortic, hypogastric plexuses
29
What is the lymphatic drainage of the ureters
superior: lumbar inferior: external internal iliac
30
What are the surfaces of the bladder
``` apex trigone base inferolateral neck ```
31
What is the relationship between the bladder and pubic symphysis
bladder can be approached over the pubic symphysis (suprapubic lithotomy)
32
What is cystitis
bladder infection
33
Why are females more likely to experience cystitis
short urethra
34
Where is the retropubic space found
anterior to bladder | behind pubic bone
35
What are the structures that work to stabilize the bladder neck
thickening of endopelvic fascia
36
What is the thickenign of endopelvic fascia in women called
pubovesical
37
What is the thickening of endopelvic fascia in men called
puboprostatic
38
What is the structure that works to stabilize the posterior bladder
rectovesical ligaments
39
What is the structure to stabilize the anterior bladder
median umbilical ligament
40
What does the median umbilical ligament attach the bladder to
umbilicus
41
What is the trigone
smooth part of bladder
42
What is the trigone formed from
incorporation of mesonephric ducts
43
What is the internal surface of the bladder
trigone: mucosa | detrusor muscle
44
What is the main muscle of the bladder and what is its function
detrusor muscle | expands as bladder fills and contracts by parasympathetic stimulation
45
What is the blood supply to the bladder
superior vesicle inferior vesicle (males) vaginal (female)
46
What is the venous drainage of the bladder
vesical venous plexus | prostatic venous plexus
47
What is the innervation of the bladder
L1+L2 sympathetic pelvic splanchnic motor to detrusor
48
What is the lymphatic drainage of the bladder
external and internal iliac nodes
49
What are the 4 different parts of the male urethra
preprostatic prostatic membraneous spongy
50
Where is preprostatic found
trigone to start of prostate | surrounded by internal sphincter
51
Where is the prostatic urethra found
inside the prostate
52
Where is the membranous urethra found
surround by external urethral sphincter urogenital diaphragm
53
Where is the spongy urethra found
in corpus spongiosum
54
What openings are seen in the spongy urethra
bulbourethral glands numerous pit-like recesses
55
What does the spongy urethra widen to form
navicular fossa
56
What is the blood supply to the male urethra
internal pudendal inferior vesicle middle rectal
57
Where will the female urethra run
bladder through deep pouch, perineal membrane, and opens into vestibule anterior to vaginal opening
58
What openings will be found in the female urethra
urethral glands | paraurethral ducts
59
What viscera composes the male reproductive tract
ductus deferens epididymis testes seminal vesicle
60
Where does lymph from the testes drain to
lumbar
61
What nerves innervate the scrotum
genital branch of genital femoral and ilioingual pudendal nerve in posterior
62
When will the ductus deferns enter the true pelvis
after it traverses the inguinal canal and leaves the deep ring
63
What is the ductus deferens directly continuous with
epididymis
64
What is the function of the seminal vesicle
provides bulk of volume to semen
65
What does the seminal vesicle and ductus deferens make
ejaculatory ducts
66
Where is the terminal opening of the ejaculatory ducts
seminal colliculus
67
Where are the bulbourethral glands found
deep perineal pouch
68
What lobe of the prostate is most susceptible to cancer
posterior lobe
69
What structure is at risk of constriction in BPH
prostatic urethra
70
What is the urethral crest
extension of the trigone down into the prostatic urethra
71
What is the seminal colliculus
large bump in the middle of the prostatic urethra
72
What structures are seen on the seminal colliculus
prostatic utricle | openings of ejaculatory ducts
73
What is the prostatic utricle
embryologic remnant of the vagina
74
Where is the prostatic sinus found
either side of the colliculus
75
What is the prostatic sinus
openings of prostatic ducts
76
What is the blood supply of the prostate
inferior vesicle, internal pudendal, middle rectal
77
What is the venous drainage of the prostate
prostatic venous plexus vesicular plexus internal vertebral plexus
78
What is the innervation of the prostate
inferior hypogastric plexus | pelvic splanchnic
79
What is the lymphatic drainage of the prostate
internal iliac nodes | sacral nodes