Perineal Anatomy Flashcards
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Know IDs in green and what they branch to in yellow

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area contained within labia minora
vestibule
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structures found within vestibule
external urethral orifice
vaginal orifice
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boundaries of UG triangle
pubic symphysis, ischeal tuberosities
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innervation and function of bulbospongious
fx: maintain erection (F/M), ejaculation (M)
innervation: perineal n. (deep branch); S2,3,4
para-pre, symp pre/post
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innervation and function of ischeocavernosus
fx: maintain erection (F/M), ejaculation (M)
innervation: perineal n. (deep br.); S2,3,4
para-pre, symp pre/post
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innervation and function of superficial transverse perineus
fx: support perineal body
innervation: perineal n. (deep br.)
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perineal body fx
central stabilizing point of perineum
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bulb of vestibule fx, innervation
fx: erection, sensation, forms glans of clitoris
innervation: cavernous nerves (uterovaginal and vesical plexi)
para post
homologous to bulb of the penis
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crura of corpora cavernosa fx, innervation
fx: maintain erection, sensation
innervation: cavernous nerves (uterovaginal and vesical plexi)
parasympathetic
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body of clitoris fx, innervation
fx: sensation, erection
innervation: cavernous nerves (uterovaginal and vesicular plexi)
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glans of clitoris is formed by tissue of which erectile body?
bulb of the vestibule
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greater vestibular glands fx, homology
fx: secrete mucus into vestibule during sexual arousal
homology: bulbourethral glands
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perineal membrane is superior boundary of ___ pouch and inferior boundary of ___ pouch
superior boundary of **deep pouch** (below it)
inferior boundary of **superficial perineal pouch** (above it)
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muscles of UG diaphragm
sphincter urethrae
deep transverse perineus
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fx of muscle of UG diaphragm
sphincter urethrae: control exit of urine
deep transverse perineus: support pelvic floor, ejaculation (M)
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contents of ischioanal fossa
adipose, inferior rectal vessels and nerves
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pudental nerve branches
1. inferior rectal n.s (SA, SE)
2. perineal n.
--\> superficial br --\> posterior scrotal (M) or posterior labial n.s
--\> deep br --\> UG triangle muscles
3. dorsal n. of clitoris (F) or penis (M)
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pudental nerve origin
sacral plexus
S2,3,4
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course pudental n.
thru greater sciatic foramen --\> lesser sciatic foramen --\> pudental canal --\> perineum
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internal pudendal a. branches
inferior rectal a.s
perineal a.
posterior labial a.s / posterior scrotal a.s
a. to the bulb
deep a. of clitoris / penis
dorsal a. of clitoris / penis
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internal pudendal a. origin
internal iliac a.
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internal pudendal v. tributary to...
internal iliac v.
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dartos reflex
temperature sensitive wrinkling of the skin, shrinking
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external spermatic fascia corresponds to which abd wall layer
ext. abd. oblique aponeurosis
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cremaster reflex
elevate testis upward for warmth and protection
can be induced by gently stroking internal thigh
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cremaster fascia corresponds to which abd wall layer
int. abd. oblique
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epididymus fx
conduct sperm from testis to vas deferens
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erectile bodies comprising body of penis
corpora cavernosa
corpus spongiosum
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erectile body forming glans of penis
corpus spongiosum
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inguinal triangle boundaries
lateral edge of **rectus abdominis**
medial half of **inguinal ligament**
position of **inferior epigastric vessels**
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superficial inguinal ring transmits ... in M and ... in F
spermatic cord (M)
round ligament (F)
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walls, floor, roof of inguinal canal
anterior wall: abdominal oblique aponeurosis
posterior wall: transversalis fascia
roof: internal abdominal oblique and transversus abdominus m.s
floor: inguinal ligament
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conjoint tendon is formed by aponeurosis of which two layers
fusion of aponeuroses of int abd oblique and transverse abdominis
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inguinal ligament forms which boundary of inguinal canal
floor
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deep inguinal ring is formed in which layer
transfersalis fascia (makes up posterior wall)
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attachments round ligament
gubernaculum and uterus
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landmarks of perineum
coccyx
ischeal tuberositis
pubic symphysis
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muscles comprising pelvic diaphragm
levator ani
coccygeus
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greater sciatic foramen connects which 2 regions
pelvic cavity to gluteal region
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lesser sciatic foramen connects which 2 regions
gluteal region to perineum region