Chapter 39 reverse Flashcards
reverse
mons pubis
labia majora
labia minora
clitoris
urethral opening
vestibule of vagina
Pelvic landmarks
reverse
2 coxal bones
sacrum
coccyx
true and flase pelvis
Bony pelvis
reverse
situated inferior to caudal portion of parietal peritoneum
condisered pelvic cavity
true pelvis
reverse
posterior wall formed by sacrum and coccyx
posterolateral wall formed by piriformis and coccygeus muscles
anteriolateral walls formed by hip bones and obturator internus muscles, which rim ischium and pubis
lower margin formed by levator ani and coccygeus muscles
known as pelvic diapraghm
pelvic cavity
reverse
area below pelvic floor
perineum
reverse
posterior: rectum, colon and ileum
anterior: bladder, ureters, ovaries, fallopian tubes, uterus, vagina
pelvic cavity
reverse
psoas major: sidewall
iliacus: sidewall
Piriformis: posterolateral wall
Obturator internus: anterolateral pelvic sidewall
Levator ani: pelvic floor (diaphragm)
Coccygeus: posterior pelvic floor (diaphragm)
muscles of pelvis
reverse
muscles extend superiorly from xyphoid process to symphysis pubis inferiorly
paried rectus abdominis anteriorly
external obliques
internal obliques
transvers abdominis anteriolaterally
Abdominal wall
reverse
Psoas major
iliacus muscles
psoas muscles join with iliacus muscles to form iliopsoas muscles
muscles of false pelvis
reverse
Piriformis muscles
obturator internus muscles
muscles of the pelvic diaphragm
Muscles of true pelvis
reverse
Levator ani (pubococcygeus, iliococcygeus and puborectalis muscles)
Coccygeus muscles
muscles of pelvic diaphragm
reverse
apex: located posterior to pubic bones
Base: anterior to vagina, superior surface related to uterus
Neck: rests on upper surface of urogenital diaphragm; inferiolateral surfaces relate to retropubic fat, obturator internus, levator ani muscles, pubic bone
Bladder
reverse
cross pelvic inlet anterior to bifurcation of common iliac arteries
run anterior to internal iliac arteries and posterior to the ovaries
coarse anteriorly and medially under base of broad ligament where crossed by uterine artery
run anterior and lateral to upper vagina to ender posteroinferior bladder
Ureters
reverse
collapsed musclular tube that extends from external genitalia to cervix of uterus
approx 9cm in length
l
Vagina physical description
reverse
normally directed up and back fromning 90 with uterine cervix
extends up and back from vulva
upper half lies above pelvic floor
lower half lies within perineum
vaginal lumen surrounding cervix divided into 4 fornices
Vagina landmarks
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from vaginal and uterine arteries
drains into internal iliac vein
Vaginal blood supply
reverse
projects into vaginal canal
endocervix
exocervix
protrudes into upper portion of vaginal canal forming 4 recess (fornices)
continuous ring shaped space with posterior fornix running deeper than ints anterior counterpart
Cervix
reverse
cervical canal
communicates with uterine cavity by internal os
with vagina by external os
Endocervix
reverse
continuous with vagina
exocervix
reverse
hollow pear shaped organ
fundus
body
cervix
usually anteflexed and anteverted
covered with peritoneum except anteriorly below os where peritoneum reflected onto bladder
supported by levator ani muscles, cardinal and uterosacral ligaments
round ligaments hold uterus in anteverted position
Uterus
reverse
premenarchal: 1-3 cm long by .5-1 cm wide
menarchal: 6-8 cm long by 3-5 cm wide
w/multiparity: increases by 1-2 cm
postmenapausal: 3.5-5.5 cm long by 2-3 cm wide
Uterine size
reverse
posterior to vesicouterine pouch and superior surface of bladder
anterior to rectouterine pouch (of Douglas), ilium, colon
medial to broad ligaments and uterine vessels
uterine cavity is funnel shaped in coronal plane, slitlike in sagital plane
uterine body
reverse
perimetrium
myometrium
endometrium
layers of uterus
reverse
serous outer layer of uterous
serosa
perimetrium
reverse
muscular middle layer of uterus composed of thick smooth muschle supported by connective tissue
myometrium
reverse
inner mucous membrane
glandular portion of uterine body
endometrium
reverse
broad
mesovarium
mesosalpinx
round
cardinal
uterosacral
suspensory
ovarian
uterine ligaments
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lateral aspect of uterus to pelvic sidewall
broad uterine ligament
reverse
posterior fold of broad ligament
encloses ovary
mesovarium uterine ligament
reverse
upper fold of broad ligament
encloses fallopian tube
mesosalpinx uterine ligament
reverse
fundus to anterior pelvic sidewalls
holds uterus forward
Round uterine ligament
reverse
extend across pelvic floor laterally
firmly supporst cervix
cardinal uterine ligament
reverse
extend from uterine isthmus downward
along side rectum to sacrum
firmly supports cervix
uterosacral ligament
reverse
extends from lateral aspect of ovary to pelvic sidewall
suspensatory uterine ligament