anatomy Flashcards

1
Q

fluid tends to collect in?

A

pouch of douglas (rectouterine pouch) - this is the most inferior part of the peritoneum)

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2
Q

which ligament maintains uterus in midline position, contains uterine tubes and round ligament?

A

broad ligament

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3
Q

the round ligament is proximally contained within the broad ligament

A

y

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4
Q

describe uterus position in most women?

A

anteverted and anteflexed

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5
Q

what does anteverted mean?

A

tipped anteriorly relaive to the vagina

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6
Q

antiflexed?

A

tipped anteriorly relative to the axis of the cervix

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7
Q

another name for the transformation zone

A

squamocolmnar junction

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8
Q

how could infection spread between the uterine tunes and peritoneum?

A

the fimbrae are open

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9
Q

therefore PID can cause peritonitis

A

in theory an ectopic pregnancy can develop in the peritoneal cavity

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10
Q

ovaries - where do they develop?

A

posterior abdominal wall

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11
Q

what is the fornix?

A

space around the vagina?

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12
Q

s3,4,5 keep pelvic contents in the hive

A

bartholins gland on each side of the vagina

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13
Q

perineal body?

A

bundle of collagenous and elastc tissue to which the peroneal muscles attach

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14
Q

what ribs do the breasts lie over?

A

2-6

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15
Q

3 layers of muscle on the abdomen?

A

external oblique, internal oblique, transversus abdominos

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16
Q

what is the linea alba?

A

midline blending of aponeurosis

17
Q

attaches between lower ribs, iliac crest, pubic tubercle and linea alba?

A

external oblique

18
Q

what direction do the internal oblique fibres run?

A

middle upper to lower outer.

19
Q

hands in pockets fibres>=?

A

external obliques

20
Q

rectus abdominis muscle split into 6/8 by?

A

tendinous intersections

21
Q

rectus sheath?

A

combined aponeurosis of all wall msuscles, surrounds rectus abdominus muscles, strong fibrous layer

22
Q

7th-11th intercostal nerves become?

A

thoracoabdominal nerves

23
Q

t12?

A

subcostal

24
Q

L1/

A

iliohypogastric

25
Q

ilioinguinal ?

A

L1

26
Q

TSii

A

TSii

27
Q

blood supply to the anterolateral abdominal wall?

A

superior and inferior epigastric

28
Q

continuation of?

A

internal thoracic

29
Q

ceasarian section - layers to open?

A

skin and fascia, rectus sheath, rectus abdominis (separate laterally), fascia and peritoneum, retract bladder, uterine wall, amniotic sac

30
Q

layers to stitch closed?

A

uterine wall and visceral peritoneum, rectus sheath, skin

31
Q

layers to open on a laparotomy

A

skin and fascia, linea alba, peritoneum

32
Q

in a laparoscopy, a sub umbilical incision may be all that is required. care should be taken to avoid which artery?

A

inferior epigastric

33
Q

where does the inferior epigastric pass?

A

posterior to the rectus abdominis

34
Q

inferior epigastric is branch of the ?

A

externa iliac

35
Q

layers go through for spinal anaesthetic>

A

SILEDA supraspinous, inrterspinous, ligamentum flavum, epidural space, dura, aracnoid (subaracnoid space)

36
Q

layers go through fr epidural?

A

SILE supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space