Femal Reproductive Flashcards by Sally Awad

Wt of uterus for each nullipara , multi , at term ?

N 50 g
M 70 g
At term 1 kg

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Measurement of the uterus

7.5 * 5 * 2.5

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Define isthmus and body of the uterus

Isthmus : space between anatomical an histological int os ( columnar to cuboidal epithelium )
From Cornu to the int so

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Mention parts of the uterus

Fungus
Body
Isthmus
Cervix

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Describe the meaning of anteflexed and anteverred

Antefelxed anteverted Nl avf

Anteverted = angle between the cervix and vagina long axis for each 90 degrees
Anf - angle between the cervix at the level of internal OS and uterus 120-170 degrees .

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Define retro vetted retro flexed uterus

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Mention layers of the uterus , endometrium 2 layers which one shed during menstruation

Endometrium basal and functional contain glands respond to estrogen and progesterone

Myometrium
Parametrium.

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How many layers is the myometrium and what are they ? Which one made the bulk

3 layers
Inner circular
Middle oblique
Outer longitudinal

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Blood supply to the uterus in general , blood supply for each layer basilar and functional ?
Nerve supply

Uterine artery ) وبطلعه وهو داعس عل يورينا mainly + ovarian artrey
Basilar = straight atreioles
Functional = spiral arterioles
Sacral plexus

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What does the parametrium layer made of

Made of peritoneum .

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What are the true ligaments mainly

Pubocervical ligament
Cardinal ligament
uterosacral ligaments
Round ligament

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True and false ligamentts of the uterus

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Ligaments of the uterus and cervix

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What ancors the uterus anteriroly

Round ligament

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Ligaments

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Mention relation of the uterus , which part specifically is related to the uterus from the bladder

Anterior = uterovesical pouch and superior surface of the bladder
Poster pouch of Douglas and rectum
Laterally ureters and broad ligament

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False ligament of the uterus is

Broad ligament

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Uterus pierce which ligament

Cardinal ligament , mackronadts ligament

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Relation of the ligaments of the uterus

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Relations of the uterus

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Whats the lymphatic drainage of the uterus for both fund us and the body

Fundus is by the round ligament to the inguinal lLN
And by the ovarian vessels to the para aortic L. n
Body lymphatic drainage is by the broad ligament to the EXTERNAL iliac L.N

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Imagine the relation of the uterus , posterior relation to the fundus and to the body of the uterus each

Body rectum , fundus sigmoid colon

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Which arteries anastamose lateral to the uterus

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Cervix is formed from 2 portions mention them with their epithelium

Supravaginal portion columnar cells
Vaginal portion squamous epithelium

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Lymphatic drainage of both fundus and the body of the uterus and via what

Fundus. Ovarian ligaments to the paraaortic l.nodes , Round ligament to the inguinal lymph nodes Body of the uterus to the EXTErnal iliac lymph nodes via the broad ligaments .

Cervix Is formed from 2 portions mention them with each epithelium of both

Supravaginal columnar epithelium Vaginal portion st sq epithelium

Describe the Cervical mucosa

Arbor vitae Spinanbarkeit = sticky like mucous secretions .

LUS in pregnancy What’s formed of

70% isthmus 30% cervix

What’s retraction

Shortening of the upper segment

During pregnancy locate the int os

Lies on the cervix

Mention the lymphatic drainage of the cervix; lateral portion , posterolateral , posterior aspect

Lateral portion via the broad ligament to the EXternal iliac ln Postereolateral via the uterine artery to the internal iliac l n Posterior aspect to the sacral l .nodes

Define decidua , decidua is rich I. ? What does it secrete

Endometrium under the effect of progesterone High in glycogen content . Prolactin and IGF

When does Braxton hicks start

As early as 8 weeks GA

What pressure that can lead to Cervical dilatation

25 mmhg is enough for Cervical dilatation

Which part of Fallopian tubes is covered by peritoneum ?

Only the superior part is covered by peritoneum Interstitial part is not covered with peritoneum .

Fallopian tubes parts length , and which one is the widest

10 cm Isthmus 2.5 cm Ampulla 5 cm dilated Infundibilum 2.5 com Fimbrae

Layers of the f. Tubes

1 ciliated columnar epithelium endosalpinx 2 inner circular layer 3Outer longitudinal layer 4Peritoneum only it’s superior part .

Nerve supply of tubes is

Ovarian plexus .

Mention the 5 uterine ligaments and relations of each of them

Broad ligament ; double fold peritoneum Round ligament ; from Cornu to labia majors Cardinal ligament cervix to the lateral pelvic wall Uterosacral ligament cervix to the sacrum periosteum Pubocervical from the cervix to the pubic bone

Which ligament contain ovarian vessels

Ib ligament = suspensory ligament laterally between the ovary and the lateral pelvic wall .

Study this pic carefully

Mention parts of the broad ligaments and their relations

Pic relations

Study pictures in th photos كتيييير مهم to understand the relations

Mention the size , surface , shape oft the ovary

3*2*1 Irregular surface Almond in shape Wt 5-8 g

Mention the 4 layers of the ovary

1 germinal epithelium 2 tunica albugenia 3 cotex which contain the follicles 4 medulla which contain the vessels

Which layer of the ovary is affected by hormones

The cortex

Mention layers of the ovary

Posterior relation of the ovary

Ligaments that support the ovary

Ib ligament , round ligament of the ovary = ovarian ligament

Attached to the mesovarium of the broad ligament from which side

Posteriorly

Nerve supply to the ovary

T10

Ovarian epithelium is

Cuboidal

Arterial supply of the ovarian artery

Direct branch from the aorta at level of L2

Ovarian fossa contains which nerve

Obturator nerve

Define walleyes fossa

Shallow depression in the lateral wall of the pelvis

Anatomical relation of ovarian ligament

Attached to the lateral angle of the uterus inferior to the tube

Ovarian fossa boundaries

Posterior internal iliac vessels and ureter Anterior umbilical artery Superior external iliac artery Ovarian nerve inferior to the fossa

Breast definition

Sudoriferous glands which produce milk

Muscles overlie the breast

Serratours anterior Pectoral is major rectus sheath

How many lobules does the breast contain

20 lobules

How does those lobules drain into the nipple

By lactiferous ducts

Beast lies on

2nd to 6th ribs Serratous anterior Pectoral is major Rectus sheath

Ligaments of ccoper

Separate the lobules runs from the subcutaneous tissue to the fascia of the chest wal

Glands of Montgomery

Lubricate the Areola Modified Sabacous gland

Tail of Spence

Is the superior lateral quadrant of the breast that extend to the axilla

Nerve supply to the nipple

Nerve supply to the breast is

T4-T6

Arterial supply of the breast

Intercostal arteries Internal thoracic Axillay aA = 2 branches of the axillary Acromiothoracic + lateral thoracic A

Embryological origin of the breast

Ectoderm

Lymphatic drainage to the breast

Axillary L.Ns Abdominal L.Ns Parasternal L.Ns

Scenes gland I male is

Prostate

Labia majors in males

Scrotum

Clitoris in male

Penis

Prostatic utricle in females

Vagina

Cowper bulbourethral glands in female

Bartholin gland.