Male and Female Pelvic Innervation and Blood Supply Flashcards

1
Q

What are the divisions off the external iliac artery?

A

Inferior epigastric artery

Deep circumflex iliac artery

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2
Q

What branches off the internal iliac artery posterior division?

A

Iliolumbar artery
Lateral sacral artery
Superior gluteal artery

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3
Q

What are the branches off the internal iliac artery anterior division?

A
Umbilical artery
Obturator artery
Uterine artery (Females)
Inferior vesicle artery (Males)
Middle rectal artery
Inferior gluteal artery
Internal pudendal artery
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4
Q

What does the uterine artery branch into in females?

A

Vaginal artery-> inferior vesical artery

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5
Q

What does the inferior vesical artery branch into in males?

A

Artery to vas deferens-> prostatic artery

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6
Q

What runs across over the external iliac artery/vein?

A

Gonadal vessels

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7
Q

Where does the uterine artery run?

A

Inside the cardinal ligament and over the ureter

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8
Q

What are the major venous plexus?

A
Vesical venous plexus
Prostatic venous plexus
Uterine venous plexus
Vaginal venous plexus
Rectal venous plexus
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9
Q

Nerves in the sacral plexus?

A
Superior gluteal 
Inferior gluteal
Nerve to quadratus femoris
Nerve to obturator internus
Piriformis
Common fibular nerve
Tibial nerve
Posterior femoral cutaneous
Pudendal nerve
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10
Q

Spinal levels of sacral plexus?

A

L4-S4

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11
Q

Levels of superior gluteal and nerve to quadratus femoris?

A

L4, L5, S1

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12
Q

Levels of inferior gluteal nerve and nerve to obturator internus?

A

L5, S1, S2

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13
Q

Levels of posterior femoral cutaneous nerve?

A

S1, S2, S3

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14
Q

Levels of pudendal nerve?

A

S2, S3, S4

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15
Q

Levels of piriformis nerve?

A

S1, S2

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16
Q

Levels of tibial nerve?

A

L4-S3

17
Q

Levels of common fibular nerve?

A

L4-S2

18
Q

Sciatic nerve levels?

A

L4-S3

19
Q

Where does perineum surgical anesthesia occur?

A

Medial to ischial tuberosity

20
Q

Is the pudendal nerve efferent or afferent?

A

Both

21
Q

What are the efferent sympathetic presynaptic structures?

A

Thoracic nerves

Lumbar spinal nerves

22
Q

What are the efferent presynaptic parasympathetic structures?

A

Sacral spinal nerve

Pelvic splanchnic nerve

23
Q

What are the efferent sympathetic postsynaptic structures?

A

Lumbar nerve
Sacral splanchnic nerve
Intermesenteric plexus
Hypogastric plexus

24
Q

Where does above the pectinate line drain?

A

Superior rectal vein into the inferior mesenteric vein to the hepatic portal system

25
Q

Where does below the pectinate line drain?

A

Middle and inferior rectal veins to IVC