Lab XI Flashcards
Blood supply of the rectum
inferior mesenteric artery-> superior rectal artery-> proximal rectum
internal iliac-> middle rectal artery -> middle and inferior rectum
internal pudendal arteries-> inferior rectal -> anorectal junction
what can be palpated during a rectal exam
male: prostate gland and bladder
female: uterus
both: bleeding, masses, lymphadenopathy
anal triangle
- posterior
- ischialtuberosities (lat) and tip of coccyx (Post)
internal anal sphincter vs external anal sphincter
internal: more medial, closer to rectum
- > involuntary
- > continuous with smooth muscle of rectum
- > parasympathetic innervation via pelvis splanchnic nerves
external: more lat
- > voluntary skeletal muscle
- > can be controlled
- > innervation: inferior rectal nerve (branch of pudendal)
internal vs external hemorrhoids
I: enlargement of veins in rectum
- > SUPERIOR to pectinate line
- more dangerous, autonomic nerves -> generalized pain, and not as a wave
E: enlargement of veins in rectum
- > INFERIOR to pectinate line
- somatic innervation -> more painful and localized pain
above pectinate line
blood supply: superior and middle rectal arteries
innervation: autonomic sensory and motor
AKA endoderm
veinous return-> liver (portal system)
below pectinate line
blood supply: inferior rectal arteries
innervation: somatic motor and sensory from inferior rectal nerves (branches of pudendal)
AKA ectoderm
-venous return directly to cardiac system (systemic)
ischioanal fossae
- space between ischial tuberosity and external iliac sphincter
- contains far and inferior rectal nerves (pudendal nerve branches) and vessels (internal pudendal vessels)
- provides cushion/protection for nerves and vessels
- allows rectum to expand and contract
urogenital triangle
- ischial tuberosities (lat) and pubis symphysis (ant)
- perineum/external genitalia
corpus spongiosum
- tissue that makes up the bulb of the penis
- male erection tissue
- homologous to bulbs of the vestibule in females
- spongey urethra runs through this tissue
- glans penis also made up of this tissue
glans penis
-distal enlargement of corpus spongiosum of penis
corpus cavernosum
- tissue that makes up the crura
- erectile tissue
- ears in mickey mouse or “buns”
- on the dorsum of the penis
ischiocavernosus muscle
- muscle!
- surrounds the crura of the corpora cavernosa along the inferior pubic rami and help maintain an erection by forcing blood from the crura into the body of the penis
- superficial to crura
- male and female
- lateral to bulbospongiosus muscle
bulbospongiosus
- muscle!
- surround the bulb of the penis and bulb of the vestibule
- aid in expelling urine and semen from the urethra in addition to erection
- male and female
labia majora vs minora
- female external genitalia
- majora: outer layer/lips, thick skin folds
- minora: thin folds, contains external urethral orifice and opening of vagina