Lec 6 Pelvic Floor Flashcards

1
Q

What happens to the diaphragms when inhaling and exhaling?

A

When you inhale, the thoracic diaphragm flattens (drops) and the pelvic diaphragm drops with it

Intra-abdominal pressure created from thoracic diaphragm pushing down on thoracic contents

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2
Q

Locate pelvic inlet, pubic symphysis and pelvic diaphragm

A
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3
Q

Pelvic inlet & outlet

A

true pelvis - (lesser pelvis) has pelvic inlet and outlet

inlet: (roof/looking birds eye view); borders are sacral promontory, arcuate line, pectineal line, pubic symphysis

outlet: (floor/bottom exit); borders are ischiopubic ramus to ischial tuberosity, to sacrotuberous ligament, to coccyx, and back around to top, the pubic symphysis

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4
Q

False pelvis

A

Location: The area superior to the pelvic brim

Boundaries: Bounded by the iliac wings laterally and the abdominal wall anteriorly.

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5
Q

True pelvis

A

Location: The area inferior to the pelvic brim, between the pelvic inlet and pelvic outlet.

Boundaries: Enclosed by the sacrum, coccyx, and lower portions of the ilium, ischium, and pubis.

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6
Q

What systems does the pelvic floor connect?

A

GI, urinary, reproductive system

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7
Q

Sacroiliac joint

A

synovial

where the sacrum meets the ilium

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8
Q

Pubic symphysis

A

cartilaginous

fibrocartilage disc between articular surfaces of pubic bones

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9
Q

sacrococcygeal

A

cartilaginous (can move little)

apex of sacrum meets base of coccyx

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10
Q

Perineum

A

surface region in both males and females between the pubic symphysis and coccyx

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11
Q

What two triangles exist in perineum

A
  • urogenital triangle
  • angle triangle
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12
Q

Superficial perineum layer

A

Ishiocavernosus
Bulbospongiosus
Superficial transverse perineal muscle
external anal sphincter

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13
Q

Main difference between penis and clit

A

penis contains urethra and clitoris does not

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14
Q

What muscle do males have the girls dont and what does it do

A

cremaster muscle

retracts the tests in low temperature

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15
Q

What muscles form the walls of the pelvic floor

A

obturator internus and piriformis

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16
Q

Functions of pelvic floor

A

support (organs)

sphincteric (fast contraction when you sneeze)

sexual

stability

stump pump - lymphatics

17
Q

Main nerves that innervate pelvic floor

A

sacral nerve roots and pudendal

18
Q

Ischiocavernosus OIN

A

Origin; ischial tuberosity and ramus

Insertion: Penis and clitoris

N: Pudendal S2-S4 (keep pee and poo off the floor)

Function; move blood from crura into erect penis/clitoris

19
Q

Bulbospongiosus OIN

A

Origin; Perineal body

Insertion; Perineal membrane & penile/clitoral aponeruosis

N: N: Pudendal S2-S4 (keep pee and poo off the floor)

Fxn:
1. move blood from clitoris/penis into glans
2. females; assist in closure around vagina
3. males; assits in emptying urethra

20
Q

Superficial Transverse perineal

A

Origin; ischial tuberosity and ramus

Insertion; perineal body

N; pudendal

Fxn; stabilize the perineal body

21
Q

Layer 2 perineal

OINs?

A

deep urogenital muscles

urogenital diaphragm = middle muscle layer

22
Q

Layer 3 Perineal

A

Levator Ani and Coccygeus,

obturator internus + primiforis (pelvic walls)

23
Q

Muscles of levator ani

A

Puborectalis
Pubococcygeus
Iliococcygeus

24
Q

Pudendal nerve branches

A

inferior rectal nerve
pudendal canal
perineal nerve
dorsal nerve of the penis

25
Q

Pediatric pelvic floor disorders

A

constipation

encopresis (fecal incontinence) pooping pants

26
Q

Pelvic blood supply

A

internal iliac artery
external iliac artery
superficial gluteal artery
obturator artery
internal pudendal artery