10/04/18 Flashcards
What is the relation of the pudendal nerve to the internal pudendal artery as it pases the ischial spine?
medial
What nerve is the anterior labial nerve a division of?
ilioinguinal nerve
What are the 2 terminal branches of the pudendal nerve?
dorsal nerve of penis/clitoris and perineal nerve
Where does the internal pudendal vein drain?
internal iliac vein
What lines the upper 2/3rds of the anal canal?
cuboidal epithelium
What lines the lower 1/3rd of hte anal canal?
non-keratinisedsquamous epithelium
What is Hilton’s line?
junction of the keratinised and non-keratinised epithelium
What is the pectinate line?
junction of the upper 2/3rds and lower 1/3rd
What muscle of the pelvic floor blends with the internal anal sphincter?
pubococcygeus
Where does pyramidalis lie?
anterior to rectus abdominus within the rectus sheath
What is found in the pudendal canal?
pudendal nerve, artery and vein
How does the pudendal nerve pass the ischial spine?
just lateral to
Where is the lylmphatic drainage of hte bladder?
internal iliac nodes
What is found below the tunica vaginalis?
fibrous layer-tunica albuginea
What does the tunica albuginea form?
septa that divide the testis to form lobules where the seminifierous tubules are located
What is the hydatid of morgani?
remnant of the mullerian ducts
What is the relation of the ureters to the peritoneum?
retroperitoneal
What do the ureters derive from embryogically?
ureteric buds
Waht provides lubrication to the vagina?
Bartholin’s glands
What is the emrbyological origin of the vagina?
mesoderm- paramesonephric duct and urogential sinus
What is the lymphatic drainage of the superior part of hte vagina?
internal iliac nodes
What is the lymphatic drainage of the lwoer part of the vagina?
superficial inguinal nodes
What are the 3 muscular layers of the uterus?
endometrium; myometrium and epimetrium
What is the blood supply to the bladder?
superior and inferior vesical arteries derived from teh pudendal artery
What pelvic organ is found intraperitoneallu?
uterine tubes
Where does lymph from the superior part of hte bladder travel?
external iliac
Where does lymph from inferior bladder drain?
internal iliac
Where does the clitoris drain?
deep inguinal nodes
What antivonculsant can cause hyperammonaemia?
valproate- encephalopathy
What muscle is classically wasted in diabetic amyotrophy?
quadriceps
What types of leuakaemia might have raised RBCs and platelets?
myeloid leuakemia
What are cells going to stain positive for in ALL?
TdT
What are cells going to stain for in CML?
philidelphia chromosome (9;22)
What are cells going to stain for in AML?
myeloperoxide; auer rods
What is a drug that is an tyrosine kinase inhibitor?
imatinib
What is the treatment for the M3 variant of AML?
all-trans retinoic acid (vitamin A)
What will the M3 variant of AML stain for?
myeloperoxidase and auer rods
When do you treat CLL?
only if symptomatic
In order of age what are the leukaemias?
ALL–CML–AML–CLL
How do auer rods look?
flat crystals in the cytoplasm
What can CML progress to?
AML- blast crisis
Waht is a blast crisis?
> 20% blast cells in smear
What is the baby able to do at 6 months?
six= S’s- sit; switches (transfers between hands); shmooze (babbles); stranger anxiety
What is the baby able to do at 12 months?
Twelve = T’s : two-legs; track (object permanence); two-words; two-of us( separation and anxiety)
What is the baby able to do at 9 months?
9 = P’s (9 inch penis) : pull (to stand); pincer grasp ; papa (and mamma) ; play
Waht is the baby able to do at 3 months?
before everything else- roll; laugh; smile
What does a cohort study give you?
relative risk: relatives are the same (two O’s in cohort)
What is the direction of study in cohort?
prospective: two O’s are eyes- looking forward
What statistic does a case control study give you?
odds ratio (a and an o- at odds with one another)
What is the direction of study in a case control study?
backwards- A forms a backwards arrow
What are the most common bacterial groups to cause cerebral abscesses?
staphylococcus; streptococcus; bacteroides; enterbacteria