Female Internal Viscera Flashcards

1
Q

Ovary
* Located:

A
  • Located: near
    attachment of broad
    ligament to lateral
    pelvic wall in true pelvis
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2
Q

What is the ovary suspended by? (3)

A
  • Broad ligament –
    mesovarium
  • Suspensory ligament of
    ovaries
  • Ligament of the ovary –
    attach to uterus (runs
    within mesovarium)
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3
Q

What are the uterine tubes?

A
  • Fallopian tubes
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4
Q

Uterine tubes:
* Extends…
* Conduct

A
  • Extends laterally within broad lig.: uterine horns & open into peritoneal cavity near ovaries
  • Conduct oocyte from ovary to uterine cavity
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5
Q
  • Divide into 4 parts:
A
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6
Q

Uterine tubes
Blood supply:

A
  • Uterine arteries (IIA)
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7
Q

Uterine tubes
* Venous drainage:

A
  • Uterine veins
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8
Q

Ovary
* Blood supply:

A
  • Ovarian arteries (AA)
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9
Q

Ovary
* Venous drainage:

A
  • Pampiniform plexus merge
    to form ovarian vein
  • IVC and renal vein
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10
Q

Where does the Uterus lie? (3)

A
  • Lie btw layers of broad
    ligament
  • Body (sup. 2/3)
  • Fundus of uterus (rounded
    sup. part)
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11
Q

Uterus
* Fundus of uterus (rounded
sup. part)
* Sup:
* Demarcated from cervix:

A
  • Sup: uterine tubes
  • Demarcated from cervix:
    isthmus of uterus
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11
Q

Cervix (inf. 1/3)
* Cylindrical & narrow
* 2 parts:

A

supra-vaginal & vaginal

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12
Q
  • Supra-vaginal part
  • Btw isthmus & vagina
  • Internal os
  • Anteriorly:
  • Posteriorly:
A
  • Anteriorly: separated from
    bladder
  • Posteriorly: separated from
    rectum
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13
Q
  • Vaginal part
  • Protrudes into vagina
  • Surrounds ____ ___ of
    uterus
  • Surrounded by vaginal _____
A

external os
fornix

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14
Q

What are the ligaments of the uterus? (5)

A
  • Ligament of the ovary
  • Round ligament of the
    uterus
  • Transverse cervical
    ligament
  • Uterosacral ligament
  • Broad ligament of the
    uterus
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15
Q

Uterus
* Ligament of the ovary
- _______ to utero-
tubal junction

A

Posteroinferior

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16
Q

Uterus
* Round ligament of the
uterus
- ______ to utero-
tubal junction

A

Anteroinferior

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17
Q
  • Broad ligament of the
    uterus
  • 2x layer peritoneum:
A

extend from sides of
uterus – lateral walls &
pelvic floor

17
Q
  • Broad ligament of the
    uterus
    Assist:
A

position of uterus

18
Q
  • Broad ligament of the
    uterus
  • Laterally:
A

peritoneum of broad ligament lies over
vessels: suspensory
ligament of ovaries

18
Q

Position of uterus
* Normal Position of Uterus:

A
  • Anteflexed and anteverted
19
Q

Position of uterus
- Positions of fundus
* Retroversion:
* Anteversion:

A
  • Fundus points posterior against rectum
  • Fundus tipped forward
20
Q
  • Position of body
  • Retroflexed
A
  • Uterus tipped backwards
21
Q
  • Position of body
  • Anteflexed
A
  • Body is bent sharply forward
22
Q
  • Position of body
  • Retrocession
A
  • ‘Recede’
23
Q

Uterus relations
* Anterior:

A
  • Anterior: vesicouterine
    pouch, superior surface of
    bladder
24
Q

Uterus relations
* Lateral:

A
  • Lateral: broad ligament of
    uterus, transverse cervical
    ligaments, ureters
    (supravaginal part of cervix)
24
Q

Uterus relations
* Posterior:

A
  • Posterior: rectouterine
    pouch, rectum
25
Q

Uterus
Supporting structures
Ligaments =

A
  • Lateral: broad ligament of
    uterus, transverse cervical
    ligaments, ureters
    (supravaginal part of cervix)
26
Q

Uterus
Diaphragms associated: (2)

A
  • Pelvic diaphragm
  • Urogenital diaphragm
27
Q

Uterus
* _______ organs

A

Surrounding

28
Q

Uterus
* Blood supply:

A
  • Uterine arteries
28
Q

Uterus
* Venous drainage: (2)

A
  • Uterine veins form plexus
  • Drains into int. iliac veins
29
Q

Vagina
* Musculomembranous tube: (3)

  • cervix of uterus →
  • Form 90° angle with ______
  • Pierces ______ _______
A
  • cervix of uterus → vestibule
  • Form 90° angle with uterus
  • Pierces urogenital diaphragm
29
Q
  • Vaginal fornix
  • Anterior, laterals and posterior
  • Posterior:
A

deepest, closely related to rectouterine pouch

30
Q

Vagina
* 4 muscles compress vagina (act as sphincters) :

A
  • Pubovaginalis
  • External urethral sphincter
  • Urethrovaginal sphincter
  • Bulbospongiosus
30
Q

Vagina
* Blood supply: (2)

A
  • Uterine & vaginal arteries
    (superior)
  • Internal pudendal arteries
    (inferior)
31
Q

Vagina
* Venous drainage:

A
  • Vaginal veins – vaginal
    venous plexus continuous
    with uterine venous plexus
    (→ internal iliac veins)
32
Q

Vagina & uterus
* Inferior 1/5 – somatic innervation:

A
  • Deep perineal nerve (B: pudendal)
33
Q

Vagina & uterus
* Rest of vagina & uterus – visceral:

A
  • Uterovaginal nerve plexus
34
Q

Vagina & uterus
* Sympathetic innervation:

A
  • Inferior thoracic → lumbar
    splanchnic nerves
35
Q

Vagina & uterus
* Parasympathetic innervation
* S__-S__ nerves → pelvic splanchnic nerves

A

S2-S4

36
Q

Ovaries & uterine tubes
* Ovarian plexus & partly uterine _____.

A

Plexus

37
Q
A