Anatomy Flashcards
This is the “pelvis” that is the superior region related to upper parts of the pelvic bones and lower vertebrae, and is generally considered part of the abdomen.
False pelvis (greater pelvis)
What are the 3 parts of the pelvic cavity?
Pelvic inlet
Walls
Floor
What is the thign that is inferior to the floor of the pelvic cavity and its boundaries form the pelvic outet?
Perineum
What are the 2 anchoring points for the roots of the external genitalia?
- Bony margin of the anterior half of the pelvic outlet
2. A thick, fibrous, perineal membrane, which fills the area.
What is the relationship between the uterine a and the ureter?
Ureter passes under the uterine a.
water under the bridge
What does the ureter pass over in men (don’t say uterine a)?
Vas deferens
What are the 2 angles that are part opf the penile part of the urethera?
- Fixed angle where the urethra enters the root of the penis after passing through the perineal membrane
- when the penis curves when limp.
What is the posterior, lateral, and anterior boundaries of the pelvic inlet?
Post- sacral promontory
Laterally- alae
Anteriorly- pubic synphysis
Which ligament divides the greater and lesser sciatic foramen?
sacrospinous
What are the 2 muscles that form the walls of the pelvis?
Obturator internus and piriformis
What is the course of the pudendal n in the pelvis?
exits greater sciatic foramen –> hooks AROUND the ischial spine –> re-enters lesser sciatic foramen –> pudendal canal
What are the boundaries to the pelvic outlet?
Anterior- pubic symphysis
laterally- ischial tubes (ischiopubic ramus connects to symphysis)
posteriorly- coccyx (sacrotuberous connects it to tubes)
This is the muscle group that attaches peripherally to the pelvic walls and joins in the midline by a connective tissue raphe.
Levator ani mm.
Pelvic diaphragm = levator ani + ____________
coccygeus
What divides the urogenital and anal triangle of the perineum?
An imaginary line beetween the 2 tubes.
What are the sacral spinal cord segements that innervate the dermatomes of the perineum?
S3-5
What are the spinal segements for the pudendal n?
S2-4
Where do you aim your needle during a transvaginal block of the pudendal n?
Ischial spine
Which nn controls erection in both men and women?
PANS innervation from S2-4 to inferior hypogastric plexus
What is the gap in the levator ani that allows the urethra and the vagina to pass through?
Urogenital hiatus
What are the 3 parts of the levator ani, from medial –> lateral?
Puborectalis (PR)
Pubococcygeus (PC)
Iliococcygeus (IC)
(see how they go alphabetical?)
Which levator ani muscle is the poop sling and tightens to not let poop out by keeping the rectum at a 90 degree angle?
PR
This is when there is a collapse of the bladder into the anterior wall of the vagina; can occur also with injury to the supportive structures of the vagina.
Cystocele
This is the anterior and inferior protrusion of the rectum through the vaginal wall
Rectocele
This is the anterior and inferior protrusion of the rectovaginal pouch through the vaginal wall
Enterocele
Which 4 muscles are contained in the deep pouch for women?
External urethral sphincter
Sphincter urethrovaginalis (SUV)
Compressor urethrae
Deep transverse perineal muscle
What is the function of the SUV and the compressor urethrae?
Close the urethra
What 6 structures conenct to the perineal body?
Perineal membrane Levator ani SUV (in women) External anal sphincter Superficial transverse perineal m. Bulbospingiosus m.
What surgical procedure can cut the perineal body if done midline?
episiotomy
Where does lymp drain to from the testes?
Lumbar nodes
What is made in the seminiferous tubules?
Spermatozoa
What is the network from seminiferous tubules to the ehad of the epididymus?
Seminiferous tubules –> straight tubules –> rete testis –> efferent ductules –> head of epididymus
What happens to the spermatozoa as they pass through the epididymus?
They mature and get their flagella
What does the vas deferens cross over after leaving the deep inguinal ring?
The external iliac a/v
What does the ejaculatory duct connect to in the prostate?
Prostatic urethra
Where in the uterus does the blastocyst normally impant?
the body of the uterus