Lecture 9: Pelvis and Perineum Flashcards

1
Q

What two muscles line the lateral wall of the true pelvis

A
  1. obturator

2. piriformis

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2
Q

Unstable pelvic fractures (3)

A
  1. straddle
  2. open book
  3. vertical shear
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3
Q

Stable pelvic fractures

A
  1. transverse fracture of the sacrum
  2. fracture of the iliac wing
  3. fracture of the ipsilateral inferior and superior pubic rami
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4
Q

2 muscles the form the pelvic floor

A
  1. levator ani
    a. pubococcygeus
    b. iliococcygeus
    c. puborectalis
  2. coccygeus muscles
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5
Q

3 muscles that form the elevator ani

A
  1. puboccygeus
  2. iliococygeus
  3. puborectalis
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6
Q

Nerve roots obturator internis

A
  1. L5-S1

obturator nerve

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7
Q

Nerve roots piriformis

A
  1. S1-S2
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8
Q

Nerve roots levator ani

A
  1. S3-S4

perineal nerve

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9
Q

Nerve roots Cocygeus

A
  1. S4-S5
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10
Q

Function of pelvic diaphragm (2)

A
  1. support structure for pelvic viscera

2. supports closure of rectum and vagina

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11
Q

Factors of stress incontinence in women

A
  1. weakening of levator ani
  2. weakening of external urethral sphincter
  3. wearing pubovesicular ligaments
  4. weakening pubovesicular fascia
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12
Q

Tx stress incontinence in women

A

Keggle exercises

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13
Q

Lumbar splanchnic roots

A
  1. T10-L2
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14
Q

Sacral Splanchnic roots

A
  1. L1-L3
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15
Q

Pelvic Plexus nerve roots

A

S2-S4

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16
Q

Pudential Nerve roots

A

S2-S4

17
Q

lumbar splanchnic innervation

A

PARASYMPATHETIC

Hind gut, pelvic floor

18
Q

Sacral Splanchnic innervation

A

PARASYMPATHETIC

synapses in plexus

19
Q

Pelvic Splanchnic

A

SYMPATHETIC

Hind gut, pelvic reproductive viscera

20
Q

Pudential nerve

A

somatic

skin, skeletal muscle of pelvic diaphragm and perineum

21
Q

3 components pelvic viscera

A
  1. Distal GI
  2. Distal urinary
  3. male and female reproductive tracts
22
Q

Female Rectal Continence components (3)

A
  1. internal and external sphincter
  2. anorectal flexure
  3. pelvic diaphragm