Gynec Anot Flashcards
On per speculum examination exocervix and endocervix , respectively appears in
Pink colour and red colour
Lining of
1 endocervix
2 exocervix
1columnar epithelium
2 stratified squamous epithelium
Body of uterus called as
Corpus
Identification landmarks for hysteroscopy
Ostia
Fallopian tube + ovary
Adnexa
Sampson artery
Blood supply of round ligament
Size of uterus
3x2x1 inch
Increase in size and weight of uterus during pregnancy mostly by
Hypertrophy >hyperplasia
Length of isthmus in non pregnant female
0.5cm
At term pregnancy 5cm
During labour 10 cm
In pregnancy it forms the lower uterine segment
Cervix: Corpus ratio
At birth 1:1
Before puberty 2:1
At puberty 1:2
Reproductive age group 1:3/1:4
Menopause 1:1
Layers of Corpus from outside to inside
Serious
myometrium
Endometrium
Layers of myometrium
Outer longitudinal
Middle mesh wire fibres
Inner circular
What is living ligature
Middle layer of myometrium called as mesh wire fibres/ criss cross fibers
Most common type of endometrial carcinoma
Adenocarcinoma
Hysteroscopy process
While doing it distension media is needed to look inside the uterus
Ex co2 dextrose, mannitol etc
Vigorous curretage of uterus cavity leads to
Ashermann’s syndrome
VigorousCurretage Leads to raw surface then adhesion occurs
There by ashermann’s syndrome
In uterus , peritoneum covers
Upper and posterior wall
In vagina peritoneum covers only
Posterior upper part
Anterior to uterus , reflection of peritoneum forms ————- pouch
Uterovesical pouch
Posterior to uterus ,peritoneum forms———— pouch
Douglas pouch/ cul de sac
Clinical importance of Douglas pouch
In PID, fluid collected in this post
In ectopic pregnancy blood is collected
Culdoscentasis
Aspiration of the collection of fluid from POD by passing syringe through posterior fornix
Draining of pus of pelvic abscess through opening in POD is called
Colpotomy
