ANATOMY 3 Flashcards
nerves in pelvis (above levator ani)
visceral afferents (sensory) autonomic (visceral motor)
nerves in perineum
somatic sensory and motor
what are the superior pelvic organs (touching peritoneum)
uterine tubes
uterus
ovaries
what do visceral afferents to superior pelvic organs run alongside
sympathetics
where is pain from superior pelvic organs felt
suprapubic pain (T11-L2)
what are inferior pelvic organs
cervix
superior vagina
what do visceral afferents to inferior pelvic organs run alongside
parasympathetics
where is pain from inferior pelvic organs felt
perineal pain (S2-S4)
what are the perineal organs
inferior vagina
perineal muscles, glands and skin
what nerve is sensory supply to perineum
pudendal nerve (S2-4)
where is spinal anaesthetic injected into
L3-L4 subarachnoid space
how is L4 process found
draw a straight line from most superior point of iliac crests (intercristal line)
L4 process is first palpable spinous process superiorly
onset of spinal anaesthesia and how long does it last
5 mins
wears off quickly
side effects of spinal and epidural
hypotension
decreased sweating
warm, flushed lower limbs
where is epidural anaesthetic injected into
L3-L4 epidural space
what does epidural space contain
fat and veins