Practical class 2 Flashcards
Female internal reproductive organs
uterus - fallopian tubes - vagina - ovaries
3 structures of the birth canal
cervix - vagina - uterus
3 layers of the uterus
perimetrium
myometrium
endometrium
Normal position of uterus
anteflexed and anteverted
Problems with retroverted, retroflexed uterus (pregnancy)
urinating problems - catch on sacrum and incarcerated uterus (blood)
Fornices of vagina
the recess around the protruding cervix
vaginal fornix and rectouterine pouch
posterior fornix communicates - route of infection
Cardinal ligament - other name and function
transverse cervical ligaments
main supports of uterus
Apart from pelvic fascia what other structure us important for support of uterus?
pelvic floor
4 parts of uterine tube
ampulla
isthmus
intramural
infundibulum
fertilisation occurs in what part of tube?
ampulla - longest and widest
ectopic pregnancy
blastocyst implants in mucosa of uterine tube
cornual ectopic
blastocyst implants between fallopian tube and uterus
2 ligaments associated with ovary and attachments
suspensory - ovary to lateral pelvic wall
ovarian - ovary to uterus
blood supply to gonads and genitalia
gonadal and internal iliac arteries
Vertebral level of gonadal arteries
L2
Pathway of ovarian artery
descends with suspensory ligament to supply ovaries via the broad ligament
What vessel does the ovarian artery anastamose with?
uterine artery
Where does the uterine artery cross the ureter?
level of ischial spine at junction of cervix
LN for labia and external part of vagina
superficial inguinal LN
ovary LN
para-aortic L2
Fundus and upper uterine body LN
pre-aortic
most part of uterine body LN
external iliac
uterine cervix and upper vagina LN
Internal iliac and sacral
