Pelvis and Perineum Flashcards

(42 cards)

1
Q

Borders of the anterior abdominal wall x3

A

Superior: costal cartilages 7-12, xiphoid process
Inferior: pelvic bone and iliac crest
Lateral: mid axillary line

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2
Q

Layers of the abdominal wall x8

A

Skin
Superficial fascia
External oblique muscle
Internal oblique muscle
Transverse abdominis
Transversalis fascia
Extraperitoneal fat
Parietal peritoneum

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3
Q

Two types of superficial fascia and their contents

A

Campers - fatty layer
Scarpas - membranous

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4
Q

Superficial arterial supply x3 to the abdominal wall and which artery do they come from

A

They branch from the femoral artery
Superficial epigastric
Superficial circumflex iliac
Superficial external pudendal

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5
Q

State 5 deep arteries of the abdomen

A

Superior epigastric
Musculophrenic
Inferior epigastric
Deep circumflex artery
Branches of 10th and 11th intercostal arteries

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6
Q

Which 2 branches supply the deep upper abdominal wall and which artery do they come from

A

Superior epigastric
Musculophrenic
Branches of the internal thoracic artery

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7
Q

Which 2 branches supply the deep lower abdominal wall and which artery do they come from

A

Inferior epigastric
Deep circumflex iliac
Branches of the external iliac

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8
Q

State 3 veins which drain into the femoral vein

A

Superficial epigastric vein
Superficial external pudendal
Superficial circumflex iliac

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9
Q

Where does superior epigastric vein drain

A

Brachiocephalic vein

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10
Q

Which veins drain into the external iliac veins x2

A

Inferior epigastric vein
Deep circumflex iliac

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11
Q

State 3 lymph nodes that drain the abdominal wall

A

Axillary
Parasternal
Superficial inguinal

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12
Q

Nerve supply to the abdominal wall x4

A

Thoracoabdominal aka Lower intercostal T7-T11
Subcostal T12
Ilioinguinal L1
Iliohypogastric L1

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13
Q

Functions of the anterior abdominal wall x5

A
  1. Move trunk and maintain posture
  2. Stabilize the pelvis during movement
  3. Compress abdominal contents
  4. Protect abdominal viscera
  5. Maintain intraabdominal pressure
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14
Q

State 4 bones of the pelvic skeleton

A

2 hip bones
Sacrum
Coccyx

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15
Q

Name 3 bones make up the hip bone and the cartilage between them

A

Ilium
Pubic
Ischium
Triradiate cartilage

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16
Q

Name the 4 pelvic joints

A

Lumbosacral
Sacroiliac
Sacrococcygeal
Pubic symphysis

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17
Q

State 3 boundaries of the pelvic inlet

A

Ant- pubic symphysis
Post- promontory of sacrum
Lat- ileopectineal/arcuate lines

18
Q

4 borders of the pelvis outlet

A

Ant- pubic symphysis
Post- coccyx
Anterolat- ischiopubic ramus
Posterolat- sacrotuberous ligament

19
Q

3 boundaries of the greater pelvis

A

Ant- abdominal wall
Post- L5 and S1 vertebrae
Lat- iliac fossa

20
Q

What makes the inferior part of the lesser/true pelvis

A

Musculofascial pelvic diaphragm

21
Q

4 types of pelvises

A

Gynecoid
Android
Anthropoid
Platypelloid

22
Q

State and describe 4 pelvic measurements

A
  1. True conjugate- from promontory of sacrum to sup border pubic symphysis
  2. Obstetric conjugate- promontory to most bulging point of pubic symphysis
  3. Diagonal conjugate- promontory to inf border of pubic symphysis
  4. Sub pubic angle- between inferior rami of pubic bones
23
Q

State 4 pelvic muscles

A

Levator ani
Coccygeus
Piriformis
Obturator internus

24
Q

State 3 muscles making up the levator ani

A

Puborectalis
Ilicoccygeus
Pubococcygeus

25
Where does the internal iliac artery arise and where it divides
Arises in front of sacroiliac joint Divides into ant and post at upper border of greater sciatic foramen
26
Arterial supply to the pelvis x4
Internal iliac artery Median sacral Superior rectal Ovarian
27
Vein draining the pelvis
Internal iliac vein
28
Lymph nodes of the pelvis x3
Internal, external and common iliac nodes
29
Nerve supply to the pelvis x3
Pudendal Sympathetic Parasympathetic
30
5 boundaries of the perineum
Ant- pubic symphysis Post- tip of coccyx Lat- inf pubic rami, inf ischial rami, sacrotuberous ligament Sup- pelvic floor Base- skin and fascia
31
Name 2 triangles of the perineum and their position
Anterior urogenital triangle Posterior anal triangle
32
3 boundaries of the anterior urogenital triangle
Ant- pubic symphysis Lat- ischiopubic ramus Post- line joining the ischial tuberosities
33
3 boundaries of the anal triangle
Ant- line joining the ischial tuberosities Lat- sacrotuberous ligament Post- tip of coccyx
34
3 contents of the anal triangle
Anal aperture Ischioanal fossa External anal sphincter muscle
35
Boundaries (2) of the deep perineal pouch
Sup- deep fascia of the pelvic floor Inf- perineal membrane
36
Contents(5) of the deep perineal pouch
Parts of urethra External urethral sphincter Bulbourethral glands Vagina Deep transverse perineal muscles in males
37
2 boundaries of the superficial perineal pouch
Sup- perineal membrane Inf- superficial perineal fascia
38
Contents of the superficial perineal pouch x6
Penis Clitoris Batholin glands (F) Ischiocarvenous muscle Bulbocarvenous muscle Superficial transverse perineal muscles
39
Describe the 4 degrees of vaginal tearing
I - tear of the perineal skin II- tear of the perineal muscles III- anal sphincter complex IIIa- <50% of EAS IIIb- >50% of EAS IIIc- both EAS and IAS IV- all above plus rectal mucosa
40
Indications of episiotomy x3
1. Increased risk of third degree tear from previous history 2. Breech delivery to obtain more space 3. Fetal distress in second stage of labor
41
State 5 ligaments of the pelvis
Sacrotuberous Sacrospinous Iliolumbar Iliofemoral Pubofemoral
42
3 advantages of the Joel Cohen incision
Minimal blood loss Good pain control Cosmesis- skin covers the scar