Blackcloud Body Wall and Thorax p.78-90 Flashcards
arterial supply to ductus deferens
artery to ductus deferens, from superior vesical artery
nerve to ductus deferens, seminal vesicle, prostate
inferior hypogastric plexus
blood to seminal vesicle, prostate
prostatic branches of inferior vesical artery
2/3 glandular, 1/3 fibromuscular, makes significant portion of semen volume
prostate
venous drainage of prostate
forms prostatic plexus between fibrous capsule ans sheath, drains into internal iliac veins
enlarged prostate causes bladder to
hypertrophy, if urethra is constricted
first division of urethra, after internal urethral sphincter
prostatic, within prostate
within deep perineal pouch, surrounded by external urethral sphincter
intermediate urethra
within the bulb, corpus spongiosum and glans of penis
spongy urethra
male urethra is ____ in prostate gland, ____ in deep perineal pouch
wider, narrower
male urethra makes ninety degree turn
as it goes through the bulb of the penis
part of urethra vulnerable in catheterization, would cause leak into superficial perineal pouch
posterior wall within bulb
the bladder is ____ and covered with parietal peritoneum on its ____ surface
subperitonreal, superior
blood supply to bladder
vesical arteries (branches of umbilical artery) and interior vesical artery
shape formed by ureteral opening and urethra
trigone
do trigone and detrusor have same blood supply and innervation?
no
during fillings, detrusor ___ and trigone ____
expands, contracts
filling the bladder is a ____ response
sympathetic
during urination, detrusor ____ and trigone
contracts, relaxes
urinating is a ____ response
parasympathetic
what prevents retrograde flow of urine?
ureters contracting
levator ani, external urethra sphincter and abdominal wall musculature
voluntary control over urination
ligament holding neck of bladder in place (males)
puboprostatic ligament
ligament holding neck of bladder in place (females)
pubovesical ligament
inferior border of anal columns
pectinate line
tissue superior to pectinate line is derived from
endoderm
tissue inferior to pectinate line is derived from
ectoderm
blood above pectinate line
superior rectal artery and vein
nerve above pectinate line
inferior hypogastric plexus
pain above pectinate line
diffuse, poorly localized near S2-S4
lymph above pectinate line
internal iliac lymph nodes, inferior mesenteric lymph nodes
blood below pectinate line
middle and inferior rectal arteries and veins
nerve below pectinate line
inferior rectal nerves
pain below pectinate line
sharp and localized to the area
lymph below pectinate line
superficial inguinal lymph nodes
iliolumbar, lateral sacral, obturator arteries
parietal branches of internal iliac, supply body wall
superior and inferior gluteal, internal pudendal arteries
branches of internal iliac that pass through greater sciatic foramen, supply gluteal region
receive lymph from inguinal lymph nodes and drain into common iliac nodes
external iliac lymph nodes
receive drainage from inferior pelvic viscera, deep perineum and gluteal regions, drain into common iliac nodes
internal iliac lymph nodes
receive lymph from posterioinferior pelvic viscera and drain into internal or common ilia nodes
sacral lymph nodes
receive drainage from external, internal iliac and sacral lymph nodes, drains to lumbar (caval/aortic) nodes
common iliac lymph nodes
mesentery of the uterus, 2 layers of parietal perinoteum, contains blood vessels and nerves
broad ligament
fingers of the uterine tubes
fimbraie
two constrictions of uterine lumen
internal and external os
trough surrounding cervix
fornix
fornix in direct contact with pareital peritoneum in rectouterine pouch
posterior fornix (good needle entry to remove fluid)
ovarian artery reaches the ovary by traveling in
the suspensory ligament of the ovary
uterine artery reaches cervix ____ and then ascends to ____ to supply superior uterus
subperinoteally, broad ligament
uterine artery anastomoses with
ovarian artery
the vaginal artery is entirely
subperitoneal
ovaries drain into
pampiniform plexus of veins in broad ligament
uterine tubes drain into
uterine veins in broad ligament, draining to uterine plexus on either side of uterus and vagina.
uterine plexus drains into
internal iliac veins
vagina drains into
vaginal venous plexus, which merges with uterine plexus to drain into internal iliac vein.
vessesls exit the greater sciatic foramen to reach
the gluteal region
vessels exit the lesser sciatic foramen to reach
perineum
Nerve to skin of leg, muscles on the back of thigh, muscles of leg and foot
sciatic nerve
sciatic nerve levels
L4-S3
chief nerve of perineum and chief senosry nerve external genitalia
pudendal
pudendal nerve levels
anterior rami S2-S4
nerve glut medius and minimus, tensor fascia latae
superior gluteal nerve
superior gluteal nerve levels
L4-S1
supplies gluteus maximus
inferior gluteal nerve
inferior gluteal nerve levels
L5-S2
pain from pelvic viscera refers to
dermatomes L1 and L2
afferent/sensory nerves for gonads travel only with
sympathetics
afferent/sensory nerves for gonads have cell bodies located
DRGs and T10-11
pain from gonads refers to dermatomes
T10-11