Module 1 - Lesson 2 Flashcards
what are the pelvic organs?
bladder
uterus
fallopian tubes
vagina
what is the order of pelvic organs from anterior to posterior?
front of body:
- skin
- abdominal muscles
- pubic bone
- bladder
- uterus
- vagina
- rectum
back of body
SAPBUVR
What is SAPBUVR?
the order of the pelvic organs from anterior to posterior
skin
abdomen muscles
pubic bone
bladder
uterus
vagina
rectum
what pelvic structures lie in the midline of the body?
bladder
uterus
vagina
what pelvic structures lie in the adnexa?
adnexa - R/L sides
fallopian tubes
ovaries
muscles
bones
what two pelvic structures does the bladder sit between?
Pubic bone and uterus -
it is posterior to the pubic bone
it is anterior to the uterus and vagina - kinda sits below uterus - when we fill up it pushes uterus
the _______ is a hollow, muscular organ with an internal surface of rugged ________
bladder
mucosa
what is rugae?
folds in the bladder wall - allows for it to expand
what is the capacity of the bladder?
700-800ml
what is the difference between ureters and the urethra?
ureters - to bladder - from kidney
urethra - bladder to exit
what is the trigone?
- small triangular area in the floor of the bladder with smooth mucosa
- three openings - two - receive urine from kidneys (ureters) - one - urethral opening - urine drains
the bladder fills in what directions?
descends superior and posteriorly - up and back
fluid is an excellent enhancer. T/F.
true. fluid acts as an excellent acoustic medium
In u/s the bladder acts as an _________ and why?
acoustic window - fluid is an excellent acoustic medium, allowing sound waves to efficiently travel through and enhance structures we need to see.
what does the bladder do to other pelvis organs when it expands?
- pushes the uterus back to a more superior/posterior position (flat) and echos can increase
the cervix is _______, while the uterus is _________
fixed position
flexible
draw the position of the uterus in relation to the bladder, as it fills
For U/S when is the bladder optimally full?
when the dome of the bladder extends past the superior of the uterus (fundus)
- the walls will appear thin and smooth and bladder will extend across the whole screen
In U/S when is the bladder too full?
when it compresses the uterus and you cannot distinguish between the detail
what is the appearance of the bladder in the sagittal plane?
triangular - has that nice wave on posterior wall
what is the appearance of the bladder in the transverse plane?
square appearance
How is bladder volume calculated?
length - SAG
depth - SAG or TRN
width - TRN
what are the two small tissue projections that can be seen on the posterior inferior surface of the bladder wall?
ureteral orifices - the openings of the ureters to the bladder - part of the trigone
- urine jets can be visualized with color doppler
the _____ is longer in males
urethra
how does the urethra appear in SAG and TRN U/S?
- seen as small hypoechoic structure anterior to the vagina
where does the uterus sit in relation to the other pelvic organs?
SAPBUVR
between the bladder and vagina and rectum
posterior to bladder and anterior to rectum and superior to the vagina
what are the segments of the uterus from superior to inferior?
fundus
body
isthmus
cervix
what is the widest part of the uterus?
the fundus
what is the largest part of the uterus?
body
what is the most flexible part of the uterus?
the isthmus
what meets at the isthmus?
the body and cervix
what is the most inferior part of the uterus and connects to the vagina?
the cervix
what is considered normal uterine position?
antiverted