Anatomy Flashcards
What separates the pelvic cavity from the perineum?
The pelvic floor
What components of the female reproductive system are found in the pelvic cavity?
Ovaries
Uterine tubes
Uterus
Superior aspect of the vagina
What components of the female reproductive system are found in the perineum?
Inferior aspect of the vagina Perineal muscles Bartholin's glands Clitoris Labia
What are the only primary organs of the female reproductive system?
The ovaries
What forms the floor of the peritoneal cavity, and also the roof of the pelvic cavity?
Parietal peritoneum
In females, where does fluid collect in the peritoneal cavity?
Pouch of Douglas (when in the anatomical position).
How many peritoneal pouches exist in females?
2
Rectouterine pouch
Uterovesical pouch
What is the only peritoneal pouch found in males?
Rectovesical pouch
What is the name of the procedure through which fluid in the pouch of Douglas is collected?
Culdocentesis
The double layer of parietal peritoneum found anterior and posterior to the uterine tubes is called what?
Broad ligament
What is the role of the broad ligament?
To maintain the uterus in a midline position.
What is the round ligament?
An embryological remnant that attaches to the uterine horns (found laterally).
What are the 3 layers of the uterus?
Perimetrium
Myometrium
Endometrium
Implantation of a zygote outwith the uterus is referred to as what?
Ectopic pregnancy
What is the most common position observed for the uterus?
Anteverted and anteflexed.
What 3 components support the uterus position?
Strong ligaments
Endopelvic fascia
Muscles of the pelvic fascia
Weakness of the uterine support may lead to what?
Uterine prolapse
What change occurs at the transformation zone of the cervix?
Squamous epithelium changes to columnar epithelium.
This is a squamo-columnar junction.
What is the opening of the uterine tube at the ovary called?
The osteum
This is where the egg enters the tube.
What is the role of the fimbriae?
As the osteum is also open to the peritoneal cavity, the fimbriae are present in order to ensure the egg enters the uterine tube.
Where does fertilisation occur?
Ampulla (this is the middle of the uterine tube).
Radio-opaque dye can be passed through the uterine tubes, if it is observed to reach the peritoneal cavity, what can be assumed?
Uterine tubes are patent.
What is the function of the ovary?
To secrete oestrogen and progesterone in response to the anterior pituitary hormones.
Releases ova.
How many fornices exist?
4
Drainage of the pouch of Douglas can be achieved through which fornix?
Posterior fornix
Which nerves supply the levator ani muscles?
Nerve to levator ani (S3, S4 and S5) Pudendal nerve (S2, S3 and S4)
What forms the floor of the pelvic cavity and the roof of the perineum?
Levator ani
Which nerve supplies the most of the perineum?
Pudendal nerve
What is the perineal body?
A bundle collagen and elastic tissue where all perineal muscle fibres attach.
What is the female erectile tissue?
Bartholin’s glands
These secrete a lubricating fluid.
What is found between the breast tissue and deep fascia?
Retromammary space
What is the role of the retromammary space?
To allow the breast tissue to move relative to the underlying muscle.
What is the functional unit of the breast?
Terminal ductal lobular units (TDLU)
Where does the lymph from the inner breast quadrants drain to?
Parasternal lymph nodes with some drainage to the abdominal lymph nodes.
Where is most lymph from the breast drained to?
Ipsilateral axillary lymph nodes
Axillary lymph nodes, in addition to the breast, supply which part of the body?
The upper limb.
If lymph node clearance needed, this can cause lymphoedema of the upper limb.
What arteries supply the breast?
Internal thoracic artery (also called the internal mammary artery)
Thoracic/Thoracoacromial arteries
What is the main route of venous drainage from the breast?
Axillary vein
What is the 3 layers of the pelvic floor?
Pelvic diaphragm
Muscles of perineal pouches
Perineal membrane
What is the deepest layer of the pelvic floor?
Pelvic diaphragm
What 2 muscles are involved in the pelvic diaphragm?
Levator ani
Coccygeus
At the anterior aspect of the levator ani muscles, a gap exists - what is this called?
Urogenital hiatus
What passes through the urogenital hiatus?
Urinary tract
Genital tract