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1 - BB/HD > HD anatomy > Flashcards

HD anatomy Flashcards

1
Q

Obturator formane bones

A

Pubis and ischium

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2
Q

Iliac crest

A

ASIS –> PSIS

Attachment point for gluteal and iliacus muscles

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3
Q

Sacrospinous ligament

A

Separates greater and lesser sciatic foramen

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4
Q

Greater sciatic foramen

A

Formed by sacrospinous and sacrotuberous ligaments
Sciatic nerve
Piriformis
Pudendal nerve (exiting pelvis)
Superior and inferior gluteal vessels and nerves

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5
Q

Lesser sciatic foramen

A 
Formed by sacrospinous and sacrotuberous ligaments 
Obturator internus
Pudendal nerve (re-entering pelvis)
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6
Q

Male vs female pelvis

A

Female larger and broader, males narrower and taller
Iliac crests more flared in females
Pubic arch narrower in males
Female = large oval pelvic inlet and males rounder
Coccyx more posterior in females to give larger pelvic outlet

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7
Q

Pelvic floor functions

A

Supports pelvic viscera
Resists intrapelvic pressure
Maintains continence

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8
Q

Levator ani divisions

A

Levator prostate/sphincter vaginae
Puborectalis
Pubococcygeus
Iliococcygeus

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9
Q

Internal iliac brnaches

A

Superior gluteal
Inferior gluteal
Pudendal

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10
Q

Lumbar plexus

A 
L1-L4
Behind psoas major 
Femoral (L2-4) - anterior thigh 
Obturator (L2-4) - medial thigh
Genitofemoral (L1-2) - scrotum, cremaaster, labia majora
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11
Q

Sacral plexus

A 
L4-S4
Sciatic (L4-S3) 
Superior gluteal (L4-S1) 
Inferior gluteal (L5-S2) 
Pudendal (S2-4)
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12
Q

Pudendal nerve course

A

Out through greater sciatic foramen

Back in through lesser sciatic foramen

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13
Q

Piriformis

A

Sacrum –> greater trochanter

External rotation and abduction

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14
Q

Obturator internus

A

Ischiopubic ramus –> greater trochanter

External rotation and abduction

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15
Q

Perineum boundaries

A 
Pubic symphesis 
Inferior pubic rami 
Ischial tuberosites 
Sacrotuberous ligament 
Coccyx
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16
Q

Broad ligament

A

Fold of peritoneum draped over the uterus containing the round ligament, ovarian ligament and suspensory ligament of the uterus

17
Q

Round ligament

A

Uterus –> labia majora via inguinal canal

18
Q

Ovarian ligament

A

Ovary –> uterus

19
Q

Uterus position

A

Anteverted with respect to the vagina

Anteflexed with respect to the cervix

20
Q

Fallopian tube parts

A

Uterine
Isthmus
Ampulla
Infundibulum

21
Q

Uterus blood supply

A

Uterine and vesicular arteries from the internal iliac

22
Q

Ovary blood supply and venous drainage

A

Ovarian arteries from abdominal aorta

Drain via ovarian veins to IVC on the right and and renal vein on the left

23
Q

Ureter course

A

Arise from kidneys and descend retroperitoneally
Cross pelvic prim at sacroiliac joint and cross common iliac bifurcation point
Run down lateral pelvic walls
Turn anteromedial direction at ischial spines and head towards bladder
Pass close to the uterine artery at the side of the cervix
Pass close to the ovarian artery at the pelvic brim

24
Q

Perineal body

A

Levator ani, bulbospongiosus, superficial and deep transverse perineal muscles, external anal sphincter

25
Q

Vas deferens course

A

Up from epididymis through inguinal canal
Down lateral pelvic wall
Turns medially and passes between bladder and urethra
Joins duct from seminal vesicle to form the ejaculatory duct within the prostate

26
Q

Inguinal canal contents

A 
Female = round ligament of the uterus and ilioinguinal nerve
Male = vas deferens, testicular vessels and ilioinguinal nerve
27
Q

Deep inguinal ring

A

Opening in transversalis fascia at the midpoint of the inguinal ligament

28
Q

Superficial inguinal ring

A

Opening in external oblique aponeurosis above the pubic tubercle

29
Q

Male urethra parts

A

Prostatic
Membranous
Spongey

30
Q

Penis blood supply

A

Internal pudendal artery from internal iliac

31
Q

Scrotum nerve supply

A

Genitofemoral
Anterior and posterior scrotal
Posterior femoral cutaneous

32
Q

Female peritoneal pouches

A

Vesicouterine - between bladder and uterus

Rectouterine (Douglas) - between uterus and rectum

33
Q

Female deep perineal pouch contents

A

Proximal urethra
External urinary sphincter
Deep transverse perineal muscle
Vagina

34
Q

Female superficial perineal pouch

A

Clitoris and ischiocavernosus
Bulbs of vestibule and bulbospongiosus
Greater vebstivualr glands
Superficial transverse perineal muscle

35
Q

Male deep perineal pouch contents

A

Membranous urethra
External urinary sphincter
Deep transverse perineal muscle
Bulbourethral gland

36
Q

Male superficial perineal pouch contents

A

Crura of penis and ischiocavernosus
Bulb of penis and bulbospongiosus
Superficial transverse perineal muscle

37
Q

Pampiniform plexus

A

Network of veins that drains the testes

Heat exchanger system that cool arterial blood before it supplies the testes

38
Q

Suspensory ligament contents

A

Ovarian artery

Ovarian vein

39
Q

Pudendal nerve terminal branches

A

Inferior rectal
Dorsal nerve of penis/clitoris
Perineal

1 - BB/HD (4 decks)

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