Session 5 Flashcards

1
Q

Where do the ovaries develop?

A

In the mesonephric ridge, then descend into the pelvis via the abdomen

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2
Q

What is the arterial supply to the ovary?

A

Ovarian artery (A branch of the Abdominal Aorta)

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3
Q

What is the venous drainage of the ovary?

A

Right ovarian vein drains into the IVC

Left ovarian vein drains into the Left renal vein

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4
Q

What are the parts of the uterus?

A

Fundus
Body
Uterine tubes
Cervix

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5
Q

What is the anterior peritoneal pouch?

A

Uterovesicular pouch

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6
Q

What is the posterior peritoneal pouch?

A
Rectouterine pouch (Pouch of Douglas)
*Deepest recess in the peritoneum)
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7
Q

What is important about the Posterior fornix?

A

It is the deepest point of the rectouterine pouch

There is also an Anterior fornix

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8
Q

What is the broad ligament?

A

A peritoneal fold in the female pelvis. It has a large amount of neurovascular supplies in it.
It is a mesentery which allows the uterus to be mobile

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9
Q

What is the round ligament?

A

The remnant of the gubernaculum

It branches off the uterus, travels through the inguinal canal to the labia majora where it attaches

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10
Q

How can issues with the female gonads manifest themselves in the inguinal nodes?

A

Because of the course of the round ligament

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11
Q

What is the normal position of the uterus?

A

Anteverted (In relation to the axis of the vagina)

Anteflexed (In relation to the axis of the cervix)

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12
Q

Why is the uterine tube open?

A

Open at the end of the fimbrae as they need to collect the oocyte when it is released from the ovary

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13
Q

What are the sections of the uterine tube?

A
Abdominal ostium
Fimbria
Infundibulum
Ampulla
Isthmus
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14
Q

Why are females more likely to develop Pelvic Inflammatory Disease (PID)?

A

The peritoneal cavity is open via the ostium of the uterine tube. Lower reproductive tract infections can ascend then involve the peritneum

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15
Q

What are the 3 parts of the Cervix?

A

Internal os
Endocervical canal
External os

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16
Q

Why is the Ureter at risk in surgery on the female reproductive tract?

A

It passes under the uterine artery which is usually involved in the surgical procedure Especially hysterectomys

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17
Q

What is the Transverse cervical ligament?

A

Thickening at the base of the broad ligament

It supplies lateral stability of the cervix

18
Q

What is the Uterosacral ligament?

A

Opposes anterior pull of the round ligament

Assists in maintaining anteversion stability posteriorly

19
Q

Where does the Pubovesical ligament attach?

A

Bladder
Pubis bone
Aids continence

20
Q

Why is the blood supply to the female reproductive tract rich with many anastomoses?

A

To support embryogenesis

21
Q

What is the origin of the Uterine artery?

A

Anterior division of the Internal iliac artery

22
Q

What is the origin of the Internal Pudendal artery?

A

Anterior division of the Internal iliac artery

23
Q

What is the Vaginal artery a branch of?

A

The Internal iliac artery

24
Q

What group of lymph nodes does the Fundus of the Uterus drain to?

A

Aortic nodes and some superficial inguinal nodes (Due to the route of the round ligament)

25
Q

What group of lymph nodes do the Ovaries drain to?

A

Para Aortic nodes

26
Q

What group of lymph nodes does the Body of the Uterus drain to?

A

External iliac nodes

27
Q

What group of lymph nodes does the Cervix drain to?

A

External & Internal iliac nodes

Sacral nodes

28
Q

What do the Labia Majora develop from?

A

The labiosacral folds

29
Q

What do the Labia Majora enclose?

A

The pudendal cleft

30
Q

What do the Labia Minora enclose?

A

The vestibule of the vagina (Bulbs of vestibule & Clitoris)

31
Q

What does the Vestibule contain?

A

Orifices of the Urethra, vagina and greater & lesser vestibular glands

32
Q

What is another name for the greater vestibular glands?

A

Bartholin glands

33
Q

What pathology can occur in the greater vestibular glands?

A

Bartholinitis (Infection or Inflammation)

Bartholin gland cyst (Swelling in the vestibule)

34
Q

What are the vaginal fornices?

A

Recesses of the vagina around the cervix.

They project superiorly whilst the cervix projects inferiorly

35
Q

What is Culdocentesis?

A

Allows access to the peritoneal cavity (and anything that may be collecting in it) via the posterior fornix

36
Q

What innervates the inferior 1/3 of the vagina?

A

Somatic innervation from the Pudendal nerve

37
Q

What innervates the superior 4/5 of the vagina and uterus?

A

Uterovaginal plexus

38
Q

What innervates above and below the pelvic pain line?

A
Above = Inferior thoracic lumbar spinal ganglia
Below = S2-S4 spinal ganglia
39
Q

What innervates the Perineum?

A
Pudendal nerve (S2-S4 somatic)
Ilioinguinal nerve
40
Q

Where does the Pudendal nerve exit the pelvis?

A

Via the greater sciatic foramen

Then enters the perineum via the lesser sciatic foramen and travels through the Pudendal canal