Class 2 - Station 1 Flashcards
3 layers of uterus
endometrium, myometrium and perimetrium
normal position of the uterus
anteverted and anteflexed
what is the broad ligament formed from
the peritoneum folding over and around the uterus and tubes
attachments of ovarian ligament
connects ovary to side of uterus
attachments of suspensory ligament of the ovary
ovary to lateral abdominal wall
structure of suspensory ligament of ovary
it’s also a fold of peritoneum and contains ovarian vessels and nerves
4 ligaments of the uterus
round, cardinal, pubocervical and uterosacral
round ligament
embryonic remnant of gubernaculum. Goes from uterine horns to labia majora
cardinal ligament
side of cervix to lateral pelvic wall
pubocervical ligament
bilateral ligaments
cervix to posterior surface of pubic symphysis
uterosacral ligament
bilateral ligaments
cervix to sacrum
peritoneal spaces in front and behind the uterus
rectouterine and uterovesical
fornices of the vagina
anterior, posterior and lateral
through which fornix can you access the rectouterine pouch
posterior fornix
4 parts of uterine tubes
infundibulum, ampulla, isthmus and intramural/uterine
where does fertilisation mostly occur in the uterine tube
the ampulla
where do ectopic pregnancies occur most often
the ampulla
what is a cornual ectopic
one that penetrates the muscle layer
arterial supply of ovaries
ovarian arteries off abdominal aorta at L2
what ligament does the ovarian artery descend in
suspensory ligament
what artery does the ovarian artery anastomose with
uterine artery
drainage of ovarian veins
right vein –> IVC
left vein –> left renal vein
relation of uterine artery and ureter and its significance
artery over ureter - damage to ureter in a hysterectomy
lymphatic drainage of the labia and distal vagina
superficial inguinal
lymphatic drainage of ovaries
lumbar
surface marking of breasts
2nd to 6th rib from lateral sternal border to midaxillary line
structure of the breast
15-25 lobules with tubulo-acinar glands(parenchyma) and stroma (connective tissue)
muscles which the breast sits on top of
pectoralis major, pectoralis minor and the intercostals
arterial supply of breasts
subclavian –> medial mammary branches
axillary –> lateral thoracic mammary branches and thoracoacromial
which major vessel does the breast drain into
axillary vein
3 lymphatic groups of breast
axillary, parasternal a nd supraclavicular
which group of lymph nodes first reciees lymph from the lateral quadrant of the breast
axillary
