Lecture 7: Pelvis II Flashcards
urethra in male hits pubic bone and ruptures
straddle injury
forms posterior wall of vagina, danger of peritonitis with abortion
peritoneal pouch (pouch of douglas)
what is directly behind prostate
rectum
orientation of bladder in male
under intestines, on top of prostate, behind pubic bone, in front of rectum
orientation of bladder in female
under uterus, on top of urethra, behind pubic bone, in front of vagina
catheter into urethra
Foley catheter
needle into bladder above pubic bone, below peritoneum
suprapubic cystotomy
herniation of bladder into vaginal wall
cystocele (possible when there is damage to perineal muscles)
form a gutter around the cervix, may disappear with age
fornices
why cancer of the vagina can affect the ureter
ureter lies next to the lateral fornix
vaginal arterial supply (3)
ovarian (from aorta), uterine and vaginal branches of internal iliac
vaginal lymph drainage
iliac, superficial inguinal
uterine arterial supply
ovarian, uterine
uterus lymph drainage
iliac, para-aortic, superficial inguinal (b/c of round ligament)
ligament supporting the uterus from the cervix to the side wall of the pelvis
cardinal ligament
ligament supporting the uterus from cervix to sacrum
uterosacral ligament
connective tissue supporting the uterus from cervix to pubic bones
pubocervical fascia
double fold of peritoneum draped over fallopian tubes connecting lateral uterus to side wall of pelvis, forms anterior (w.bladder)and posterior(w.rectum) compartments of pelvis
broad ligament
ligament from side of uterus through deep ring to labia majora
round ligament
benign tumors causing menorrhagia
uterine fibroids (Leiomyomas)
used to treat uterine fibroids
uterine artery embolization (UAE)
why certain vaginal infections can spread to the peritoneum, or bleeding from ectopic pregnancy can get to peritoneum
uterine tube communicates with peritoneal cavity
blockage of uterine tube from infection, causes infertility
salpingitis
what a ruptured right tubal pregnancy may be misdiagnosed as
appendicitis
germ cell tumor
teratoma
lymph drainage for upper 2/3 of vagina, uterus, bladder, urethra
iliac
lymph drainage for lower 1/3 of vagina, upper uterus via round ligament, urethra
superficial inguinal
lymph drainage for fundus of uterus, ovaries, uterine tubes
para-aortic
why infection in the bladder may travel to epididymis
vas joins seminal vesicles to form ejaculatory duct which joins the prostatic urethra
may be felt in a male rectal exam if enlarged
seminal vesicle
