Internal Female Genitalia Flashcards
Ovaries are related ant to…..& post to…….
Obliterated umbilical artery
Ureter & internal iliac artery
In nullpara, long axis of ovary is…..while in multipara it is……
Vertical
Horizontal
Uterine end of ovary is connected by…..to…..
Ligament of ovary
Supero-lateral angle of uterus just inf to entrance of uterine tube
……..forms hilum of ovary attached to broad ligament by…….
Anterior border
Mesovarium
Part of broad ligament that extends from tubal end of ovary & fibriated end of tube to side wall of pelvis is called…….
Suspensory ligament of ovary
Mention relations of the 2 ovarian surfaces
Lat surface related to parietal peitoneum of ovarian fossa separating it from obturator n & vessels
Medial surface: related to fibriated end of uterine tube
Describe relation of fimbriated end of uterine tube to ovary
TRIPLE relation, related to tubal end, posterior border & medial surface
Describe blood supply of ovary
- Ovarian artery from abdominal aorta
- Uterine artery through its ovarian branches
Veisn emerge from hilum to form paminiform plexus of veins that form ovarian vein that drains differently on rt & lt (similar to male)
Describe LD & nerve supply of ovary
-Lateral & pre-aortic LNs
-By autonomic plexus around the ovarian artery
List parts of uterine tube & their length
- Infundibulum (2 cm)
- Ampulla (3 cm)
- Isthmus (2 cm)
- Intramural (1 cm)
The uterine ostium lies at……
Junction of fundus with the body
…..is widest part of uterine tube while……is narrowest
Ampulla
Intramural part
……is the site of ferilization
Ampulla of uterine tube
Describe nerve supply, blood supply & LD of uterine tubes
-Medial 2/3 supplies by uterine nerve plexus, lateral 1/3 supplied by ovarian nerve plexus
-Medial 2/3 supplied by uterine blood vessels, lateral 1/3 supplied by ovarian nerve plexus
-Most lymphatics end in lateral aortic & pre-aortic nodes, isthmus & utero-tubal junction accompany round ligament to superficial inguinal LNs
The most common site of ectopic pregnancy is…..
Uterine tubes
Describe normal position of uterus
- Long axis of uterus forms a 90deg angle with axis of vagina (anlge of anteversion)
- At level of iternal os the body is slightly bent forward on cervix forming angle of anteflexion which is 170 deg
The part of body of uterus above entrance of tubes is…….
Fundus
Part of uterus above entry of tubes is called
Fundus
List relations of each of the following parts of uterus:
1. Fundus
2. Anterior surface
3. Posterior surface
- Coils of ileum & sigmoid colon
- Urinary bladder with uterovesical pouch in between
- Sigmoid colon & colis of terminal ileum
Describe relations of lateral border of uterus
-At their upper ends the uterine tube enters, at this level there is attachment of round ligmanet of uterus & ligament of ovary, anteroinferiorly & posteroinferiorly respectively
-The uterine tubes & two ligaments run in the broad ligament which extends from lateral uterine border to lateral plevic wall
-Along the lateral border the uterine artery ascends in tortuous course