lect 9 pelvis (perineum) Flashcards

1
Q

what muscles form the pelvic diaphragm

A

levator ani and coccygeus muscles

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2
Q

what is the anterior border of the perineum

A

pubic symphysis

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3
Q

what bounds the perineum laterally

A

ischial tuberosities

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4
Q

what bounds the perineum posteriolaterally

A

sacrotuberous ligaments

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5
Q

what bounds the perineum posteriorly

A

inferior most sacrum and coccyx

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6
Q

what is the final support of the pelvic viscera

A

perineal body

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7
Q

what is the surgical incision of the perineum and inferoposterior vaginal wall

A

episiotomy

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8
Q

what is the major structure incised during a median episiotomy

A

perineal body

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9
Q

what is the fatty layer of subcutaneous tissue of the perineum continuous with posteriorly

A

sischioanal fat pad in the anal region

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10
Q

what does the (deep) perineal fascia intimately invest

A

ischiocavernosus, bulbospongiosus, superficial transverse perineal muscles

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11
Q

what does the (deep) perineal fascia attach to laterally

A

ischiopubic rami

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12
Q

what is the (deep) perineal fascia fused with anteriorly

A

suspensory ligament of the penis

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13
Q

what part of the urethra is often ruptured with fracture of the pelvic girdle (especially those resulting from separation of the pubic symphysis and puboprostatic ligaments)

A

intermediate part

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14
Q

what is the common site of rupture of the spongy urethra and extravasation of urine

A

in the bulb of the penis

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15
Q

what does rupture of the corpus spongiosum and spongy urethra result in

A

urine passing from it into the superficial perineal space

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16
Q

what are the ischioanal fossa filled with

A

fat and loose connective tissue

17
Q

how do the 2 ischioanal fossa communicate

A

by means of the deep postanal space over the anococcygeal ligament

18
Q

where is the anococcygeal ligament located

A

between the anal canal and the tip of the coccyx

19
Q

what fascia is the pudendal canal within

A

obturator fascia

20
Q

what fat reserves of the fatty tissue are the last to disappear with starvation

A

fat bodies of the sischioanal fossa along with the buccal fat pads

21
Q

what typically occurs with absence of the support provided by ischioanal fat

A

rectal prolapse