anatomy Flashcards
fluid tends to collect in?
pouch of douglas (rectouterine pouch) - this is the most inferior part of the peritoneum)
which ligament maintains uterus in midline position, contains uterine tubes and round ligament?
broad ligament
the round ligament is proximally contained within the broad ligament
y
describe uterus position in most women?
anteverted and anteflexed
what does anteverted mean?
tipped anteriorly relaive to the vagina
antiflexed?
tipped anteriorly relative to the axis of the cervix
another name for the transformation zone
squamocolmnar junction
how could infection spread between the uterine tunes and peritoneum?
the fimbrae are open
therefore PID can cause peritonitis
in theory an ectopic pregnancy can develop in the peritoneal cavity
ovaries - where do they develop?
posterior abdominal wall
what is the fornix?
space around the vagina?
s3,4,5 keep pelvic contents in the hive
bartholins gland on each side of the vagina
perineal body?
bundle of collagenous and elastc tissue to which the peroneal muscles attach
what ribs do the breasts lie over?
2-6
3 layers of muscle on the abdomen?
external oblique, internal oblique, transversus abdominos
what is the linea alba?
midline blending of aponeurosis
attaches between lower ribs, iliac crest, pubic tubercle and linea alba?
external oblique
what direction do the internal oblique fibres run?
middle upper to lower outer.
hands in pockets fibres>=?
external obliques
rectus abdominis muscle split into 6/8 by?
tendinous intersections
rectus sheath?
combined aponeurosis of all wall msuscles, surrounds rectus abdominus muscles, strong fibrous layer
7th-11th intercostal nerves become?
thoracoabdominal nerves
t12?
subcostal
L1/
iliohypogastric
ilioinguinal ?
L1
TSii
TSii
blood supply to the anterolateral abdominal wall?
superior and inferior epigastric
continuation of?
internal thoracic
ceasarian section - layers to open?
skin and fascia, rectus sheath, rectus abdominis (separate laterally), fascia and peritoneum, retract bladder, uterine wall, amniotic sac
layers to stitch closed?
uterine wall and visceral peritoneum, rectus sheath, skin
layers to open on a laparotomy
skin and fascia, linea alba, peritoneum
in a laparoscopy, a sub umbilical incision may be all that is required. care should be taken to avoid which artery?
inferior epigastric
where does the inferior epigastric pass?
posterior to the rectus abdominis
inferior epigastric is branch of the ?
externa iliac
layers go through for spinal anaesthetic>
SILEDA supraspinous, inrterspinous, ligamentum flavum, epidural space, dura, aracnoid (subaracnoid space)
layers go through fr epidural?
SILE supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space