Femal Reproductive Flashcards
Wt of uterus for each nullipara , multi , at term ?
N 50 g
M 70 g
At term 1 kg
Measurement of the uterus
7.5 * 5 * 2.5
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
Mention parts of the uterus
Fungus
Body
Isthmus
Cervix
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 .
Define retro vetted retro flexed uterus
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.
How many layers is the myometrium and what are they ? Which one made the bulk
3 layers
Inner circular
Middle oblique
Outer longitudinal
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
What does the parametrium layer made of
Made of peritoneum .
What are the true ligaments mainly
Pubocervical ligament
Cardinal ligament
uterosacral ligaments
Round ligament
True and false ligamentts of the uterus
Ligaments of the uterus and cervix
What ancors the uterus anteriroly
Round ligament
Ligaments
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
False ligament of the uterus is
Broad ligament
Uterus pierce which ligament
Cardinal ligament , mackronadts ligament
Relation of the ligaments of the uterus
Relations of the uterus
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
Imagine the relation of the uterus , posterior relation to the fundus and to the body of the uterus each
Body rectum , fundus sigmoid colon
Which arteries anastamose lateral to the uterus
Cervix is formed from 2 portions mention them with their epithelium
Supravaginal portion columnar cells
Vaginal portion squamous epithelium
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