23. Pelvic Contents Flashcards

1
Q

What are the 2 peritoneal pouches in the female pelvis?

A

Vesicouterine

Rectouterine

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2
Q

What is the peritoneal pouch in the male pelvis?

A

Vesicorectal

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3
Q

What type of epithelium is found in the bladder? And what is the function of this epithelium?

A

Transitional

Protection against chemicals

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4
Q

What piece of tissue is found on the apex of the bladder, posterior to the pubic symphysis?

A

Urachus

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5
Q

What structures enter and exit the trigone of the bladder?

A

Urethra exit

Ureters enter

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6
Q

What smooth muscle makes up the coat of the trigone of the bladder?

A

Detrusor

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7
Q

What ligaments hold the neck of the bladder in place?

A

Male - puboprostatic

Female - pubovesical

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8
Q

What is the arterial supply of the bladder?

A
Superior vesical (x2)
Inferior vesical (male)/ vaginal artery (female)
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9
Q

Which artery do the superior and inferior vesical arteries branch from?

A

Internal iliac

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10
Q

What is the venous drainage of the bladder?

A

Vesical plexus to internal iliac

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11
Q

What is the nerve supply of the bladder?

A

ANS inferior hypogastric plexus

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12
Q

Lymphatic drainage of ureter?

A

Lumbar, common iliac, external iliac, internal iliac nodes as they descend towards the bladder

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13
Q

Lymphatic drainage of bladder?

A
Internal iliac 
(some superior to external iliac and some lymph from neck of bladder to sacral nodes)
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14
Q

Lymphatic drainage of urethra?

A

Internal iliac
Males - spongy urethra to deep inguinal nodes
Female - some to sacral nodes

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15
Q

Describe the peritoneal coverings of the rectum

A

Upper 1/3rd - covered by visceral peritoneum
Middle 1/3rd - peritoneum on anterior surface
Lower 1/3rd - infraperitoneal

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16
Q

What anatomical landmarks describe the start and end of the rectum?

A

From 3rd sacral vertebra to tip of coccyx

17
Q

Arterial supply of rectum?

A
Superior rectal artery (inf mesenteric)
Middle rectal (internal iliac)
Inferior rectal (internal pudendal)
18
Q

Venous drainage of rectum?

A

Superior (portal)
Middle (internal iliac)
Inferior (internal pudendal)

19
Q

Lymphatic drainage of rectum?

A

Superior - pararectal to inferior mesenteric

Inferior - internal iliac

20
Q

Nerve supply of the rectum?

A

Inferior hypogastric plexus

21
Q

Lymphatic drainage of anal canal?

A

Superior to pectinate line - internal iliac

Inferior to pectinate line - superficial inguinal

22
Q

What are the 3 areas of the broad ligament?

A

Mesosalpinx
Mesovarium
Mesometrium (largest bit)

23
Q

Be able to label the features of the uterus

A

Slide 17

24
Q

Arterial supply of uterus?

A

Ovarian artery - ovaries, fundus, fallopian tubes

Uterine artery - main body of uterus, vaginal branches

25
Q

Where do the ovarian artery and uterine artery arise from?

A

Ovarian - direct from aorta at L2

Uterine - branch of internal iliac

26
Q

What ligament arises from the fallopian tube and heads towards the inguinal ring?

A

Round ligament of uterus

27
Q

Function of round ligament of uterus?

A

Creates a lymph pathway

Some support

28
Q

What ligaments attach to cervix?

A

Uterosacral (sacrocervical)
Transverse cervical
Pubocervical (pubovesical)

29
Q

What is the normal anatomical position of the uterus?

A

Anteversion

Anteflexion

30
Q

Arterial supply of ovaries?

A

Ovarian artery from abdo aorta at L2

31
Q

Venous drainage of ovaries?

A

Ovarian vein to IVC on right

Left renal vein on L

32
Q

Nerve supply of ovaries?

A

Aortic plexus

33
Q

Lymphatic drainage of uterus?

A

Look at slide 26 - there are several different lymphatic pathways in this area