Lecture 29: Pelvic Viscera Flashcards

1
Q

Describe the ureter.

A

Retroperitoneal structure

  • from kidney to bladder
  • has valves to prevent retro flow of urine
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2
Q

What makes up the trigone?

A

Floor of bladder:

  • 1 internal urethral orifice
  • 2 ureteric orifices
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3
Q

Where is the vesicouterine pouch found?

A

Between bladder and uterus

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4
Q

What are the four parts of the male urethra?

A

1) Intramural portion of bladder: internal urethral sphincter
2) Prostatic urethra
3) Membranous urethra: external urethral sphincter
4) Spongy/penile urethra

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5
Q

Where is the external urethral orifice found?

A

Vestibule of vagina anterior to vaginal orifice

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6
Q

In females, what glands are located on either side of the urethra?

A

Paraurethral glands

-homologous to prostate gland

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7
Q

The vas deferens and seminal vesicles form what?

A

Ejaculatory duct

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8
Q

Where do ejaculatory ducts open?

A

Seminal colliculus

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9
Q

What is bening prostatic hyperplasia?

A

Narrowing of prostatic urethra

-enlarged prostate

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10
Q

Where are bulbourethral glands located?

A

Male urogenital diaphragm

-can pentetrate bulb of penis

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11
Q

What are the three flexures of the rectum?

A
  • Superior
  • Intermediate
  • Inferior
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12
Q

Where does the rectum being?

A

S3

-80 deg posterior-inferior flexure

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13
Q

In the rectume, what does the peritoneum cover?

A
  • Upper ⅓ anterior and lateral surfaces

- Middle ⅓ anterior surface only

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14
Q

What is the purpose of the pararectal fossae?

A

To expand as it fills with feces

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15
Q

Where is the vagina located?

A
  • Posterior to bladder and urethra
  • Anterior to rectum
  • Inferior to uterus
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16
Q

Where is the vaginal orifice located?

A

Between labia minora

-posterior to urethra

17
Q

What are the three layers of tissue in the uterus?

A
  • Endometrium
  • Myometrium
  • Perimetrium
18
Q

What does the round ligament do?

A

Maintains anterior part of uterus

19
Q

What does the uterosacral ligament do?

A

Supports structures that typically keep the cervix and uterus in the pelvis - posterior

20
Q

What does the broad ligament do?

A

Extends from side of uterus to lateral pelvic wall and floor of pelvis

21
Q

What composes the broad ligament?

A

Mesometrium: attached to uterus
Mesosalpinx: attached to uterine tube
Mesovarium: attached to ovary

22
Q

What does the uterine ligament connect?

A

Sacrum to uterine body

23
Q

What structures are anesthetized during epidural anesthesia?

A

Below pain line:

  • distal rectum
  • anal canal
  • uterine cervix
  • vagina
  • bladder