Anatomy of Pelvic Side Wall Flashcards

1
Q

What ligaments make up the lateral pelvic wall?

A

sacrospinous and sacrotuberous and obturator membraen

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2
Q

What muscles make up the lateral pelvic wall?

A

levator ani; coccygeus; piriformis; obturator internus

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3
Q

Where do the majority of arteries of pelvis and perineum arise from?

A

internal iliac artery

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4
Q

What does the gonadal artery arise from?

A

abdo aorta

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5
Q

What level does the gonadal artery branch fro mthe aorta?

A

L2

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6
Q

What is the superior rectal artery a continuation of?

A

inferior mesenteric

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7
Q

What does internal iliac artery bifurcate into?

A

anterior and posteiorr divisons

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8
Q

What is the general rule reagrding the anterior nad posterior divisons of the internal iliac artery?

A

anterior- usually visceral and posteiror-usually parietal

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9
Q

Waht is the median umbilical ligament ?

A

remnant of the umbilica artery

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10
Q

What is the function of the umbilical arery?

A

connects the internal iliac to the placenta through the umbilical cord

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11
Q

What is the name for the inferior vesical artery in females?

A

vaginal artery

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12
Q

What vessesls arise from the anterior divison of the internal ilaic?

A

obturator; superior and inf. vesical arteries; internal pudendal; middle rectal

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13
Q

What arteries arise from the posteiror divison?

A

gluteal arteries

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14
Q

What is found within the lateral umbilical fold?

A

inferior epigastric vessels

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15
Q

What is the difference between the medial umbilical fold and the median umbilical fold?

A

medial umbilical fold is a remnant of hte umbilical artery whereas the median umbilical fold is derived from the urachus

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16
Q

What si the urachus

A

fibrou remnant of hte allantois, a structure which drains the urinary bladder of the fetus and drains it though the umbilical cord

17
Q

What does the anteiror scrotal artery come from?

A

external iliac

18
Q

What are the terminating branches of the internal pudendal in males?

A

dorsal artery and deep artery of penis

19
Q

What artery is the posteiror scrotal artery a continuation of?

A

perineal artery

20
Q

What is the uterine artery a homolog of ?

A

artery to the vas deferens

21
Q

Which arteries in the female anastamose together?

A

uterine artery; vaginal artery and ovarian artery

22
Q

What are the 2 branches of hte ovarian artery?

A

ovarian and tubal branches

23
Q

What artery is the perineal artery a branch of?

A

internal pudendal

24
Q

What artereis a continuation of the pernieal artery?

A

labial arteries

25
Q

Waht are the terminating arteries of the internal pudendal in the female?

A

labial arteries and dorsal artery of clitoris

26
Q

What is the main vneous draininage in the pelvis?

A

internal iliac vein

27
Q

What is the otehr venous drainage of hte pelvis aside from the internal iliac vein?

A

superior rectal—hepatic portal system; lateral sacral veins–internal vertebral venous plexus

28
Q

Why does ureter damage occur more on the left than the right?

A

right is constant and usually crosses the external ilaic whereas the left ismore medial and crosses the common iliac

29
Q

Where do superior pelvic viscera generally drain lympahtics to?

A

external iliac nodes

30
Q

Where does the inferior pelvic viscera drain its lymphatics?

A

internal iliac nodes

31
Q

Where does lymphatics travel after the internal iliac nodes?

A

common iliac–aortix–thoracic duct–venous system

32
Q

Where does lymph from the superificial perineum drain?

A

superficial inguinal nodes

33
Q

Where does lymph from the clitoris and glans penis drain?

A

deep inguinal nodes

34
Q

Where does lymph from the rest of hte penis (not glans) drain?

A

superifical inguinal nodes

35
Q

What do nerves on the lateral wall of the pelvis generally supply?

A

lower limb

36
Q

How does venous drainage of the pelvis generally work?

A

follow the arteries and are named similarly