Lecture 41 - The Pelvic Viscera Flashcards

1
Q

forms posterolateral wall of the pelvic diaphragm

A

piriformis

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2
Q

forms anterolateral wall of the pelvic diaphragm

A

obturator internus

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3
Q

smallest muscle of the floor of the pelvic diaphragm

A

coccygeus

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4
Q

“the” pelvic diaphragm

A

levator ani

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5
Q

3 parts of the levator ani

A

iliococcygeus (most posterior), pubococcygeus (most central), and puborectalis (most anterior)

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6
Q

a part of the levator ani is termed the ___ in males or ___ in females

A

levator prostate

sphincter vaginae

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7
Q

blend of parietal and visceral pelvic fascia

A

endopelvic fascia

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8
Q

aponeurosis between levator ani and obturator internus

A

tendinous arch

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9
Q

fibrous band between coccyx and anal canal

A

anococcygeal body

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10
Q

inferior ligament in the pubic arch

A

arcuate pubic ligament

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11
Q

behind arcuate pubic ligament

A

superior fascia of urogenital diaphragm

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12
Q

contains lower abdominal viscera

A

false pelvis

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13
Q

contains pelvic viscera

A

true pelvis

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14
Q

blood supply of sigmoid colon

A

inferior mesenteric artery

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15
Q

venous drainage of sigmoid colon

A

inferior mesenteric vein

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16
Q

sigmoid colon ends at

A

S3

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17
Q

sigmoid colon innervation

A

super and inferior hypogastric plexi (sympa/parasympa)

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18
Q

blood supply of rectum

A

superior, middle, and inferior rectal arteries

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19
Q

venous drainage of rectum

A

superior, middle, and inferior rectal veins

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20
Q

innervation of rectum

A

inferior hypogastric plexus (sympa/parasympa)

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21
Q

other name for transverse rectal folds

A

Houston’s valves

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22
Q

dilated rectal veins

A

hemorrhoids

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23
Q

below the pectinate line

A

external hemorrhoids

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24
Q

above pectinate line

A

internal hemorrhoids

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25
Q

found posterior to pubic bone and anterior to rectum (and below uterus in females)

A

urinary bladder

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26
Q

the neck of the bladder is held in place by the

A

puboprostatic ligaments (males) and pubovesical ligaments (females)

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27
Q

the walls of the bladder are made of the ___ muscle

A

detrusor

28
Q

the area between the openings of the two ureters and urethra is called the

A

trigone

29
Q

the neck of the bladder

A

internal sphincter

30
Q

innervation of bladder

A

inferior hypogastric plexus (sympa/parasympa)

31
Q

pelvic viscera in males

A

prostate, seminal vesicles, ductus (vas) deferens, bladder, rectum/anal canal

32
Q

the prostate is found __ to the bladder and __ to the urogenital diaphragm

A

posterior, superior

33
Q

secretes part of the seminal fluid into the prostatic ducts and urethra

A

prostate

34
Q

connective tissue lying between the prostate and the rectum

A

rectoprostatic fascia (of Denonviller)

35
Q

coiled glands lying on the posterior aspect of the bladder and secrete most of the ejaculate

A

seminal vesicles

36
Q

fold of peritoneum between rectum and bladder (in males)

A

rectovesicular pouch

37
Q

thick-walled tube that carries sperm from the epididymis to the ejaculatory ducts (where it meets the ducts of seminal vesicles)

A

vas deferens

38
Q

the ejaculatory ducts enter the urethra in the portion engulfed by the prostate, called the

A

prostatic urethra

39
Q

the terminal part of the vas deferent is dilated and is called the

A

ampulla of the vas deferens

40
Q

after the ductus deferens leaves the deep inguinal ring, it

A

runs lateral to the inferior epigastric artery, crosses the external iliac vessels, and enters urethra

41
Q

lie below the prostate in the urogenital diaphragm and open into the spongy urethra

A

Bulbourethral or Cowper’s Glands

42
Q

3 parts of male urethra

A

prostatic, membranous, and penile/spongy urethra

43
Q

just below bladder, runs through the prostate

A

prostatic urethra

44
Q

runs through the urogenital diaphragm

A

membranous urethra

45
Q

longest part, starts just below urogenital diaphragm

A

penile or spongy urethra

46
Q

pelvic viscera - females

A

uterus, broad and round ligaments, ovaries, fallopian tubes, vagina, bladder, rectum/anal canal

47
Q

a allow, pear-shaped organ with thick muscular walls

A

uterus

48
Q

uterus is anterior to the

A

rectouterine pouch (of Douglas)

49
Q

uterus is posterior to the

A

uterovesical pouch

50
Q

uterus is bound laterally by the

A

broad ligament

51
Q

the uterus can be found normally in __ and sometimes in __

A

anteversion (90 deg angle with vagina)

retroversion (170 deg angle with vagina)

52
Q

parts of the uterus

A

body, fungus, cervix, os, cavity, isthmus

53
Q

embryological remnant, runs through deep inguinal ring to the labia majora

A

round ligament of uterus

54
Q

3 layers of muscular walls

A

endometrium, myometrium, perimetrium

55
Q

folds of peritoneum that suspend the uterus bilaterally

A

broad ligaments

56
Q

the ovaries are attached to the broad ligament by the __ and are suspended in the pelvic cavity by the __

A

mesovarium

suspensory ligament

57
Q

the broad ligament between the mesovarium and uterine tubes is called the

A

mesoalpinx

58
Q

ligament to the levator ani laterally from cervix

A

transverse cervical

59
Q

ligament to the pubis from cervix

A

pubocervical

60
Q

ligament to the lower end of the sacrum from the cervix

A

sacrocervical

61
Q

responsible for the formation of the ova and female hormones

A

ovaries

62
Q

attaches the ovary to the uterus

A

ligament of the ovary

63
Q

uterine tubes are composed of

A

fimbria, infundibulum, ampulla, and isthmus

64
Q

function of uterine tubes

A

allow maturation of sperm, fertilization of ovum by sperm, transport egg back to uterus for implantation

65
Q

found at the distal end of the uterus, a muscular tube piercing the urogenital diaphragm

A

vagina

66
Q

parts of vagina

A

4 fornices surrounding the lumen of the uterus, vestibule, introits (opening)

67
Q

in females, the bladder is separated by the vagina from the

A

rectum