Anatomy (Pelvis) Flashcards
False vs True Pelvis
False - (greater pelvis) above pelvis inlet
True - (lesser pelvis) between pelvic inlet & outlet
- Rectum goes from Flase to True across Inlet
Pelvis Outlet
- Keeps organs from squirting out of pelvis
Male vs Female Pelvis
Inlet - Heart (male) vs Oval (female)
Outlet - Narrow (male) vs Rounded (female)
Cavity - Cone (male) vs Column (female)
Subpelvic Angle - Less broad like 2nd & 3rd fingers vs More broad like 1st & 2nd fingers
Obstetric (true) vs Diagonal Conjugate Lines vs Midpelvic (transverse) Diameter
Obstertric - from sacral promontory to pubic symphysis & 2cm shorter than diagonal due to width of pubic symphysis
Diagonal - from sacral promontory to inferior aspect of pubic symphysis & measured with fingers
Midpelvic - between ischial spines & shortest
Perineal Body
- Anchoring strucutre that stuff attaches to so no organs prolapse
- Between anterior & posterior gap
Pelvic Diaphragm & Its Deficits
- Closes off most of the pelvic outlet
- Deficits allow passage of urogenital & digestive structures into perineum
Systems from Anterior to Posterior in Pelvis
- Urinary
- Reproductive
- Digestive
- True for males & females
Anal Canal
- Passes pelvic diaphragm
- In perineum, not pelvis
Blood Supply for Perineum
- Internal Pudendal Artery
Superior vs Middle vs Inferior Rectal Vein Drainage
Hepatic Portal Venous System - Superior
Internal Iliac into Inferior Vena Cava - Middle & Inferior
Parasympathetic vs Sympathetic Innervation of Rectum
Parasympathetic - preganglionic fibers from S2, S3, S4 to postganglionic fibers in organ wall
Sympathetic - preganglionic fibers from IML to internal anal sphincter & prevertebral ganglion in lumbrosacral plexus
Anal Canal Innervation
- Somatomotor & somatosensory
- Pudenal nerve innervates anal canal & external anal sphincter
Controlling Defication (3)
Internal anal sphicter - smooth muscle controlled by sympathetic NS
External anal sphincter - skeletal muscle controlled by pudendal nerve
Puborectalis muscle - contracts to kink rectum
Female vs Male Ureter
Female - crossed superiorly by uterine artery
Male - crossed superiorly by ductus deferens
Trigone
- only portion of interior bladder walls with smooth muscle