Pelvic Viscera 2 Flashcards

(79 cards)

1
Q

What are the components of the female pelvic viscera

A
ovaries
uterine tubes
uterus
cervix
vagina
greater vestibular glands
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2
Q

What are the ligaments that hold the ovaries in place

A

mesovarian
ovarian ligament
suspensory ligament of ovary

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3
Q

What is the innervation of the ovaries

A

pelvic spanchnics

T10-11

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4
Q

What is the blood supply of the ovaries

A

ovarian artery

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5
Q

What is the venous drainage of the ovaries

A

ovarian veins

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6
Q

What is the lymph drainage of the ovaries

A

lumbar

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7
Q

What will be contained within the suspensory ligament

A

ovarian arteries and veins

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8
Q

What is the function of the uterine tubes

A

transport oocyte to uterus and sperm towards oocyte

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9
Q

What are the four parts of the uterine tube

A

infundibulum
ampulla
isthmus
uterine portion

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10
Q

What are the layers of the uterine

A

serosa
muscle
epithelium

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11
Q

What part of the broad ligament is associated with the uterine tubes

A

mesosalpinx

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12
Q

What is the blood supply to the uterine tubes

A

ovarian and uterine

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13
Q

What is the venous drainage to uterine tube

A

ovarian and uterine veins

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14
Q

What is the lymph drainage of the uterine tube

A

lumbar

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15
Q

How might age affect the uterus

A

atrophies with age

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16
Q

What are the 4 parts of the uterus

A

fundus
body
isthmus
cervix

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17
Q

What is the fundus of the uterus

A

rounded part that lies above the opening of the uterine tubes; top portion

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18
Q

WHat is the body of the uterus

A

round between layers of peritoneum

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19
Q

What is the isthmus of the uterus

A

between body and cervix

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20
Q

What does the cervix of the uterus surround

A

internal opening

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21
Q

What are the 3 layers of the uterus

A

perimetrium
mesometrium
endometrium

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22
Q

What is the perimetrium

A

outer layer of uterus: peritoneum and thin layer of areolar tissue

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23
Q

What is the mesometrium

A

largest portion of wall: smooth muscle

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24
Q

What is the endometrium

A

inner lining of the uterus, mucous coat, epithelium

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25
WHat surrounds the internal os of the uterus
cervix
26
Where does the external os of the uterus open to
vagina
27
What is the fornix of the vagina
circular recess surrounding the cervix that results because the uterus protrudes slightly into the vagina
28
What is the normal positioning of the uterus
anteverted | anteflexed
29
What is the position of the uterus when it sits on top of the rectum
retroverted and retroflexed
30
What are the ligaments that hold the uterus in place
transverse cervical | uterosacral
31
Where are the transverse cervical and uterosacral ligaments derived from
endopelvic fascia
32
What structures are most important in support of the uterus
Levator ani Urogenital diaphragm Other pelvic organs uterine ligaments
33
What do the transverse cervical ligaments attach
cervic/lateral fornix to lateral pelvic wall
34
What do the uterosacral ligaments attach
cervix to middle of sacrum
35
What is palpable ofn DRE of female
uterosacral ligament
36
What are the homologues to the gubernaculum in females
round ligament of uterus | ovarian ligament
37
What does the round ligament of the uterus connect
uterus to labia major
38
What does the ovarian ligament connect
ovary to uterus
39
What is the broad ligament
double layer of peritoneum draped over the uterus and adnexa in the pelvis
40
What are the different parts of the broad ligament
mesovarian mesosalpinx mesometrium
41
What is the mesovarian associated with
suspends ovary
42
What is the mesosalpinx associated with
suspending uterine tube
43
What is the mesometrium associated with
main portion below ovary and uterine tube
44
What is the suspensory ligament of the ovary composed of
ovarian vessels covered with peritoneum
45
What is the blood supply to the uterus
uterine and vaginal | ovarian
46
Where does the ovarian artery come from
abdominal aorta
47
Where does the uterine and vaginal come from
internal iliac
48
What is the venous drainage of the uterus
uterine plexus to internal iliac veins
49
What is the lymphatic drainage of the uterus
fundus/body: lumbar and external iliac cervic: internal and external iliac where suspensory ligament is goes to superficial inguinal
50
What is the innervation of the uterus
L1+L2 | pelvic splanchnics
51
What are the 4 muscles that serve as vaginal sphincterrs
external urethral sphincter urethrovaginal sphincter bulbospongiosus Pubovaginalis
52
What is formed by the superior end of the vagina surrounding cervix
anterior, posterior, and lateral fornix
53
What is the deepest fornix
posterior fornix
54
What is the psoterior fornix related to
rectouterine pouch
55
What pouch will fluid most likely accumulate in females
rectouterine pouch
56
How may fluid be removed from the pouch of douglas
culdocentesis
57
Where is culdocentesis performed
through posterior fornix of cervix
58
What is the blood supply to the vagina
vaginal arteries | uterine arteries
59
What is the venous drainage of the vagina
iliac veins
60
WHat is the lymphatic drainage of the vagina
upper 2/3 internal and external iliac nodes lower 1/3 superficial inguinal nodes
61
What is the innervation of the vagina
upper 2/3 (viscera): L1+L2/ pelvic splanchnic lower 1/3 (somatic): deep branch of internal pudendal
62
What is an ectopic pregnancy
pregnancy that occurs anywhere but the uterus
63
What is an abdominal pregnancy
fetus is within the abdomin outside of the uterus
64
What ist eh rectum continuos with
sigmoid colon
65
Where is the rectum found
S2/S3
66
Where is the anorectal junction found
in fornt of the tip of the coccyx
67
What are characteristics of the lower part of the rectum
dilated (ampulla) | no sacculations, appendices, or mesentery
68
What are valves of houston
three inward foldings in the rectal walls, upper part of rectum acts as a fecal reservoir
69
What is the bloody supply to the rectum
superior rectal middle rectal inferior rectal
70
Where is the superior rectal a branch from
inferior mesenteric
71
Where is the middle rectal a branch from
internal iliac
72
Where is the inferior rectal a branch from
internal pudendal
73
Where is the venous draiage of the rectum
superior, middle, and inferior rectal veins
74
Where does the superior rectal vein drain to
the portal system
75
What is the innervation to the rectum
L1+L2 | pelvic splanchnics
76
What are the different types of prolapse
cystocele rectocele prolapsed uterus
77
What is a rectocele
rectum descends into vagina
78
What is a cystocele
bladder procedes into vagina
79
What is prolapsed uterus
uterus descends into vagina