7.28 Genitalia Flashcards
A hair‐covered fat pad overlying
the symphysis pubis;
Mons Pubus
Rounded folds of adipose tissue
Labia Majora
Thinner folds that extend anterior to form the prepuce and clitoris
Labia Minora
Boat-shaped fossa between the labia minora
Vetibule
Posterior portion in the vaginal opening, which may be covered by the hymen.
Introitus
Tissue between the introitus and anus
Perineum
Opens into the vestibule between the clitoris and the vagina
Urethral meatus
Openings of these are located posteriorly on either side of the vaginal opening, but are not usually visible. Secrete mucus to lubricate the vagina.
Bartholin’s Glands
A hollow tube extending upward and posteriorly between the urethra and rectum. It terminates in the cup‐shaped fornix.
Vagina
Mechanism for vaginal expansion
Vaginal mucosa lie in transverse folds (rugae)
A flattened fibromuscular
structure shaped like an inverted pear.
Uterus
Two parts of the uterus
Body
Cervix
Extend from each side of the uterus toward the ovary
Fallopian tubes
Almond‐shaped structures that vary in size but average 3.5 x 2 x 1.5 cm.
Ovaries
Term referring to tubes, ovaries and supporting tissues.
Adnexa
Normal cycle between periods
24-32 days
Normal length of period
3-7 days
How to assess for hernias in women
- Woman should stand
- Palpate the labia majora just upward and lateral to the pubic tubercles
How should you assess for urethritis in women
Insert your index finger into the vagina and milk the urethra gently from inside outward
3 columns of tissue in the penis
- Corpus spongiosum
- Two corpus cavernosa
Uncircumsised penis
Glans is covered by a loose “prepuce” or foreskin, where smegma (secretions of the glans) may collect)
Urethra opens up into the…
Vertical slit-like urethral meatus
Signs there is a prostrate issue (3)
- Getting up to go to the bathroom at night
- Dribbling
- Trouble getting the stream started.
How long are the testes?
4.5 cm
Testes produce (2)
Spermatazoa, Testosterone
Loose, wrinkled pouch divided into two compartments (each containing a testes)
scrotum
Location and role of epididymis
- Postlateral surface of each testes
- Provides a reservoir for storage, maturation and transport of sperm.
The ______ is aordlike structure that begins at the tail of the epididymis and goes on to become the ________ before eventually entering the urethra within the prostate gland.
Vas deferens, spermatic cord.
What is a hernia?
When part of the abdominal cavity goes through a weakened part of the abdominal wall.
When does a hernia require surgery?
When it is not reduceable.
21‐year‐old male presents complaining of a “nodule” on the back of his left testicle found during testicular self‐examination. On examination, you find both testicles to be of normal size, shape, and consistency. On the back of the left testicle in the area of the “nodule,” you find a soft, nodular, tubelike structure with no areas of abnormal tenderness. Your most likely diagnosis is:
This is the normal epididymis
Most common form of hernia
Indirect inguinal hernias
Least common form of hernias, more common in women
Femoral hernias
More common in men over 40
Direct inguinal hernias
These hernias originate above the inguinal ligament near its midpoint
Indirect inguinal hernias
Anal canal
- What is it
- Length
- Lining
- Merges with _____.
- Outlet of GI tract and is
- About 3.8 cm long in adult.
- Lined with modified skin (no hair or sebaceous
glands) - merges with rectal mucosa at anorectal junction.
Two anal sphicters
Internal: Involuntary control. ANS.
External: Surrounds internal. Voluntary control
Folds of mucosa that extend vertically down from rectum and end in anorectal junction. Has an artery and a vein; sometimes veins enlarge to form a hemmorhoid.
Anal columns.
Size and shape of the prostate
2.5 cm, heart-shaped.
What does iron do to the stool?
Makes it look very dark
Anal Winking
Done in patients with dimentia, neurological disorders
If you put your finger on the anus, it will close tightly.
In some neurological disorders, this reflex disappears.
