Anatomy Flashcards
Left ovary/testis venous drainage
Left gonadal vein to left renal vein to IVC
Right ovary/testis venous drainage
Right gonadal vein to IVC
Lymphatic drainage of ovary/testes
Para-aortic lymph nodes
Lymphatic drainage of distal vagina, vulva, scrotum
superficial inguinal nodes
Lymphatic drainage of proximal vagina/uterus
obturator, external iliac and hypogastric nodes
Structures in the infundibulopelvic ligament (suspensory ligament of ovaries)
Ovarian vessel (clamp this during oopherectomy)
Connect crevix to side wall of pelvis, contains uterine vessels
Cardinal Ligament
Uterine fundus to labia majora
Round ligament, remnant of gubernaculum
Contains ovaries, fallopian tubes, and round ligaments of uterus
Broad ligament
Medial pole of ovary to lateral uterus
Ovarian ligament
Histology of Vagina
Stratified squamous epithelium, non keratinized
Histology of Ectocervix
Stratified squamous epithelium, nonkeratinized
Histology of Endocervix
Simple columnar epithelium
Histology of Transformation zone
Squamocolumnar jx (most common area of cervical cancer)
Histology of Uterus
Simple columnar epithelium, long tubular glands
Histology of Fallopian tube
Simple columnar epithelium, many ciliated cells, fwe secretory (peg) cells
Histology of Ovary, outer surface
Simple cuboidal epithelium (germinal epithelium covering surface of ovary)
Pathway of sperm during ejaculation
SEVEN UP
seminiferous tubules > epididymis > vas deferens > ejaculatory ducts > nothing > Urethra > Penis
Erection
Parasympathetic, pelvic nerve
Emission
Sympathetic, hypogastric nerve
Ejaculation
Vsiceral and somatic nerves, pudendal nerve
Inhibit cGMP break down
Sildenafil and Vardenafil
Line seminiferous tubules
Spermatogonia (germ cells) & Sertoli cells
Maintin germ pool and produce primary spermatocytes
Spermatogonia
Secrete inhibin to inhibit FSH
Sertoli Cells
Support and nourish developing spermatozoa
Sertoli Cells
Produce MIF
Sertoli Cells
Secrete testosterone in the presence of LH
Leydig Cells
17beta-estradiol
Ovary estrogen
estriol
Placenta estrogen
Estrone via aromatization
Adipose estrogen
Desmolase
LH activates this in Theca cells to make cholesterol into androstenedione
Aromatase
FSH stimulates this in Granulosa Cell to make androstenedione into estrogens
Source of Progesterone
Corpus luteum, placenta, adrenal cortex and testes
Produces thick cervical mucus which inhibits sperm entry into the uterus
Progesterone
Decrease estrogen expressivity; prevents endometrial hyperplasia
Progesterone
Stimulates endometrial glandular secretions and spiral artery development
Progesterone
Tanner Stage I
Childhood (prepubertal)
Tanner Stage II
Pubic hair appearance (pubarche); breast buds form (thelarche)
Tanner Stage III
Pubic hair darkens and becomes curly; penis size and length inreases; breasts enlarge
Tanner Stage IV
Penis width increases; darker scrotal skin; development of glans; raised areolae
Tanner Stage V
Adult; areolae are no longer raised