Anatomy 2 Flashcards

1
Q

the boundaries of the perineum

A

anterior angle: inferior pubic ligament
posterior: tip of coccyx
lateral: ischial tuberosities
Sides: pubic arch(Ant.), sacrotuberous ligament (Pos.)

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2
Q

Boundaries of the urogenital diaphragm

A

Anteriorly: Symphysis pubis
Posteriorly: Transverse line passing through the 2
ischial tuberosities.
Laterally: Ischiopubic rami & ischial tuberosities.

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3
Q

the layer of the pelvic diaphragm from upper to lower

A
  1. superior fascia of Uro D
  2. Deep Perineal Pouch
  3. inferior Fascia of Uro D (Perineal membrane)
  4. superficial perineal pouch
  5. membranous layer of te superficial fascia
  6. fatty layer of superficial fascia

Uro D for urogenital diaphragm

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4
Q

the other name of
1. superficial fatty layer of superficial fascia
2. deep membranous layer of superficial fascia

A
  1. camper fascia
  2. colle’s fascia

كوليز مكمبر يعني كوليز جوا و كامبر برا

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5
Q

fused with the posterior margin of the perineal membrane

A
  1. deep membranous layer of superficial fascia
  2. superior fascia of urogenital diaphragm
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6
Q

Boundaries of superficial pouch

A

Inferiorly:Membranous layer of superficial fascia.
Superiorly: Perineal membrane.
Laterally: Pubic arch.
Posteriorly: Fusion of the membranous layer of superficial fascia with the posterior border of
the perineal membrane.
Anteriorly: The pouch is open and is continuous with the interval between the membranous layer of superficial fascia of the anterior abdominal wall (external oblique aponeurosis).

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7
Q

contents of superficial perineal pouch in females

A
  1. bulb of vestibule
  2. crura of clitoris
  3. greater vestibular gland
  4. bulbspongiosus
  5. ischiocavernosus
  6. superficial traverse perineal muscle
  7. perineal branch of pudendal nerve

تلاته عليهم تلاته و نيرف

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8
Q

Boundaries of DEEP PERINEAL POUCH

A

-Inferiorly : Perineal membrane.
-Superiorly: Pelvic fascia.
-Laterally : Pubic arch.
-Anteriorly: Fusion of the pelvic fascia with the anterior border of
perineal membrane.
-Posteriorly: fusion of the pelvic fascia with the posterior border of
the perineal membrane

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9
Q

Contents of Deep Perineal Pouch in female

A
  1. part of urethra
  2. part of vagina
  3. spincter urethrae muscle
  4. deep tranverse perineal muscle
  5. internal pudnedal vessels
  6. dorsal nerve of clitoris
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10
Q

CONTENTS OF DEEP PERINEAL POUCH IN MALE

A

1.Membranous part of urethra.
2.Sphincter urethrae muscle
3.Deep transversus perinei muscle.
4.Bulbourethral gland.
5.Internal pudendal vessels.
6.Dorsal nerves of the penis.
7.Vessels of the bulb

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11
Q

greater vestibular gland are located in?

A

superficial perineal pouch in females

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12
Q

bulbourethral gland are located in?

A

deep perineal pouch in males

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13
Q

dorsal nerves of penis and clitoris in?

A

deep perineal pouch

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14
Q

Boundaries of ischiorectal fossa

A

Boundaries:
* Base: Skin of the perineum.
* Medial wall: Levator ani & anal canal.
* Lateral wall: Obturator internus, covered with fascia

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15
Q

contents of of ischiorectal fossa

A
  • Dense fat.
  • Pudendal nerve & internal pudendal vessels within the pudendal canal
  • Inferior rectal nerve & vessels crossing the fossa to reach anal canal
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16
Q

inferior rectal nerve crosss…. to go anal canal

A

ischorectal fossa

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17
Q

other name of the pudendal canal

A

alcock’s canal

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18
Q

origin of the pudendal nerve

A

S2 3 4

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19
Q

branches of the pudendal nerve

A
  1. inferior rectal nerve
  2. Perineal nerve
  3. dorsal nerve of penis/clitoris

IPD

20
Q

origin of the internal pudendal artery

A

Anterior division of the internal iliac artery

21
Q

branches of the internal pudendal artery

A
  1. inferior rectal
  2. perineal
  3. dorsal artery
  4. urethral
  5. bulb of penis/vestibule
  6. deep artery of penis/clitoris

IPD+UBD

22
Q

Pierces deep fascia at lower border of
Pectoralis major

A

axillary tail of mammary gland

23
Q

deep lymphatics of the mammary gland

A

lateral: anterior axillary, subscabular , apical
medial: parasternal
upper: apical axillary
lower: subdiaphragmatic and retroperitoneal

24
Q

a groove lies between testis and epididymis

A

sinus of epididymis

25
Q

arterial supply supply of testis and epididymis

A

Testicular artery is the branch of abdominal aorta

26
Q

venous drainage of testis and epididymis

A

pampiniform plexus
then right testicular to IVC and left testicular to left renal vein

27
Q

L drainage of testes and epididymis and ovaries

A

para aortic lymph nodes at L1

28
Q

course of vas deferense

A

inguinal canal»deep inguinal ring»lateral margin of inferior epigastric vessels»Passes downward and backward on lateral
wall of the pelvis»crosses ureter»posterior surface of bladder» ejaculatory duct

29
Q

Terminal part of vas deferens dilated to
form

A

ampulla of cas deferens

30
Q

covering of the spermatic cord

A

external spermatic fascia: external oblique aponeurosis and attached to the superficial inguinal ring
cremastric muscle and fascia: internal oblique
internal spermatic fascia: fascia transversalis and attached to deep inguinal ring

31
Q

Venous drainage of the prostate

A

Prostatic venous plexus:Situated between capsule of prostate and
fibrous sheath, receives deep dorsal vein of penis and numerous vesical veins
Drain into: Internal iliac vein

32
Q

L drainage of prostate

A

External and internal iliac LN

33
Q

Nerve supply of the prostate:

A

Inferior hypogastric plexuses:
Sympathetic nerves: Stimulate smooth muscle of prostate during ejaculation

34
Q

Arterial supply of scrotum

A

external pudendal branches of femoral artery
scrotal branches of internal pudendal arteries

35
Q

Veins of scrotum

A

1.External pudendal veins: Tributaries of great saphenous and
femoral veins
2.Scrotal veins: Tributaries of internal pudendal veins

36
Q

LYMPH DRAINAGE OF SCROTUM

A

Medial group of superficial inguinal nodes

37
Q

They are homologous to the bulbourethral (Cowper’s) glands in males

A

Bartholin glands (greater vestibular gland)

38
Q

homologous to the male prostate

A

Skene’s gland

39
Q

Lymphatic drainage of urethra

A

proximal: internal iliac
distal: superficial inguinal

40
Q

Supply parietal peritoneum on lateral pelvic wall

A

Sensory branches of of obturator nerve in the pelvis

41
Q

Nerve supply the cremaster muscle

A

genital branch of genitofemoral nerve

42
Q

the ejaculatory ducts open to

A
  • pierce upper part of posterior surface of prostate
  • Open into posterior part of urethra at lateral margins of prostatic utricle
43
Q

RELATIONS OF PROSTATE

A

Superiorly (Base of prostate):
Continuous with neck of the bladder
Urethra enters centre of base of prostate
Inferiorly (Apex of prostate):
Upper surface of urogenital diaphragm
Urethra leaves prostate just above apex on anterior surface
Laterally (lateral surface of prostate):
Anterior fibers of levator ani muscles (levator prostate)
Anteriorly (Anterior surface of prostate):
Symphysis pubis
Extraperitoneal fat in retropubic space (cave
of Retzius)
Puboprostatic ligament
Posteriorly:
Anterior surface of rectal ampulla
Rectovesical septum (fascia of Denonvillier);
formed in fetal life by fusion of walls of lower
end of rectovesical pouch

44
Q

Venous drainage of the prostate

A

Prostatic venous plexus :Situated between capsule of prostate and fibrous sheath, receives deep dorsal
vein of penis and numerous vesical veins
Drain into: Internal iliac vein

45
Q

position of ovary :
1)before prgenancy
2)during pregnancy

A

1)hanging down in rectouterine pouch
2)pulls ovary up due to enlargment of uterus

46
Q

Supports of uterus

A

1.Tone of levator ani muscles.
2. Condensations of pelvic
fascia; ligaments: Transverse cervical (cardinal), pubocervical and sacrocervical ligaments
3. Round ligament of uterus

47
Q

two mucous glands that lie
either side of the urethra

A

Skene’s gland