female pelvis Flashcards

1
Q

ureter (pelvic part)

A

crosses the bifurcation of common illiac artery
infront of sacroilliac joint and internal illiac artery
behind ovary and fallopian tube.

crosses forward and medially under the base of the broad ligament of uterus where it crosses the uterine artery

enters the urinary bladder lateral to the lateral fornix of vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

where is the urinary bladder located

A

in lower pelvis when empty, but extends to abdominal area when its full

in children its in the abdomen either way

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

nerve supply of the bladder

A

inferior epigastric plexus

symp: L1 & L2 inhibit contraction of detrusor muscle and stimulate closure of sphincters
parasymp: S2-S4 cause contraction of detrusor muscle and stimulate opening of sphincter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

whats a detrusor muscle

A

the muscle that causes contraction to push urine through the urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

neck of bladder rests on?

A

urogenital diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

apex of the bladder

A

faces towards the upper part of pubic symphysis and forms medial umbilical ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

inferolateral surfaces of bladder

A

faces the pubic symphysis and isn’t covered by peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

superior surface of the bladder

A

covered by peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

base of infero posterior surface of bladder

A

triangular
vagina sperates it from rectum
suprolaterally -> ureter
inferior angle -> urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

vesicouterine pouch

A

between bladder and uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

rectouterine pouch

A

douglas pouch
between rectum and uterus
extension of the peritoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ligaments of bladder

A

pubovesical ligament (pubic bone to bladder)
pubovaginal ligament (pubic bone to vagina)
vesicouterine ligament
urachus (connects apex to umbilicus to form median umbilical ligament)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

interior of the bladder

A

the mucosa of bladder is thrown into folds except at trigone (smooth)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

openings of ureters and urethra form a

A

trigone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

slight elevation may be seen in posterior portion of internal urethral orifice in male subjects called

A

uvula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

uterus divided into

A

fundus, body, and cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

where is the fundus of the uterus

A

above the enterance of the uterine tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

body of the uterus

A

below entrance of uterine tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

cervix

A

continued narrowed part of the body and pierces the anterior wall of the vagina

20
Q

anteversion

A

uterus bent forward on long axis of vagina

21
Q

anteflexsion

A

long axis of the uterus is bent forward at level of internal os with the long axis of the cervix

22
Q

retroverted

A

not good for pregnancy because it blocks the rectum and causes difficulty for defecation

23
Q

retrocession

A

cervix projected backwards

24
Q

where do we drain fluid in douglass pouch

A

vagina

25
Q

ligaments supporting the uterus

A

transverse cervical
pubocervical ligaments
sacrocervical ligaments
round ligament of the uterus

26
Q

muscles and tendinous bodies supporting the uterus

A

levator ani and perineal body

27
Q

broad ligament

A

two layer folds of peritoneum

Suspensory Ligament of ovary (contains arteries, veins, and nerves)
mesoalpnix
mesoovarium
Uretrosacral ligaments

28
Q

what causes mensuration

A

endomatrium

29
Q

blood supply of uterus: branching of abdominal aorta:

A

ovarian artery

30
Q

blood supply of uterus: branching of internal illiac artery:

A

uterine artery

vaginal artery

31
Q

lymphatic supply of uterus

A

fundus: para aortic
body and cervix: internal and external
few into superficial inguinal LN

32
Q

fallopian tubes

A

consists of isthus, ampulla infundibullum and fimbriae

33
Q

site for fetrilization is

A

ampulla

34
Q

vaginal lumen

A

two lateral, posterior and anterior fornix

35
Q

blood supply of vagina

A

vaginal branch from internal illiac artery and vaginal branch of uterine artery

36
Q

lymphatic supply of vagina

A

upper third drain into external and internal iliac lymph node, middle third to internal iliac and lower third to superficial inguinal lymph node

37
Q

where do ovaries lie

A

ovarian fossa

38
Q

ovaries are surrounded by fibrous capsule called

A

tunica albuguinea

39
Q

ovaries are bound by which vessels

A

internal and external iliac vessels

40
Q

Ovaries attached to the posterior part of the broad ligament by

A

mesovarium

41
Q

function of the ovary

A

production of ova, estrogen and progestrone

42
Q

blood supply of ovary

A

ovarian artery

43
Q

veins: ovary

A

IVC on right and left renal on left side

44
Q

lymphatics: ovary

A

para aortic lymph nodes

45
Q

ovary nerve?

A

aortic plexus

46
Q

what anastomoses with uterine artery

A

vaginal artery

47
Q

cyctocele

A

bladder prolapse