More pelvis Flashcards
2 cell stage - how many hours after fertilization?
30 hrs
At what stage does the embryo implant?
Blastocyst
Morula - how long after fertilization?
3 days
Blastocyst - how long after fertilization?
5 days
Oophorectomy - where are the ovarian vessels and ureters?
Each ureter is medial to ovarian vessels within the suspensory ligament of the ovary
Hysterectomy - where are the vessels and ureter?
Passing inferiorly to uterine vessels or adjacent to the transverse cervical ligament
Version
Uterus and vagina
Flexion
Body of uterus and cervix
Parts of stratum functionalis
Stratum compactum and stratum spongiosum
Cells are arrested at various stages of oogenesis. This follicle is classified as ?
Primary follicle
Chromosome count of normal sperm
22x or 22y
Origin of ovarian arteries
Aorta
Drainage of R ovarian vein
IVC
Drainage of L ovarian vein
L renal vein
Divides genitourinary and anal triangles
Line between two ischial tuberosities
8cm
Ischiorectal fossa infection. Which is likely injured?
Inferior rectal nerve
- it is inside the ischiorectal fossa
Lateral border of ischiorectal fossa
Obturator internus
Manifestation of pudendal nerve injury
Weakness of voluntary muscle sphincter
Landmark for pudendal nerve block
Ischial spine
Weakness of voluntary sphincter - what nerve injured?
Pudendal nerve
Strongest support of pelvic viscera
Levator Ani
Mass in anterior vaginal wall
Cystocele
Mass in posterior vaginal wall
Rectocele
Compressed common iliac arteries - will not affect what artery?
Testicular a - from abdominal aorta
What part of the prostate is palpable during DRE
Posterior
Part enlarged in BPH
Periurethral
Part enlarged in prostatic adenoCA
Peripheral
Lymphatic drainage of prostatic CA
Obturator - perivesicular - hypogastric - iliac - paraaortic
Prostate CA mets
Lumbar vertebra
Finasteride MOA
5 alpha reductase inhibitor
Alkalinity of semen comes from?
Prostate glans
Sperm formation
Seminiferous tubules
Sperm motility
Epididymis
Sperm storage
Vas deferens
Products of seminal vesicle
Fructose
Prostaglandin
Supplies mucus to semen
Bulbourethral/ Cowper’s glands
Normal semen pH
7.5
Normal vaginal pH
3.5-4
Determines gonadal sex
TDF
Induces masculine differentiation of mesonephric duct
Testosterone
Vestigial remnants of cortex of indifferent gonads in males develop into the?
Rete testis
Urogenital sinus - cranial vesical derivatives?
Urinary bladder
UG sinus - middle pelvic derivatives ?
Urethra (prostatic, membranous)
Lower vagina
UG sinus - caudal phallic derivatives?
Genital tubercle
To incise testicular parenchyma, one must incise?
Tunica albuginea
Testicular CA - first nodes involved?
Lumbar
Most likely location of cryptorchid testes
Within inguinal canal
When do the testes descend?
26-28 wks
Hypospadia
Ventral
Epidpadia
Dorsal
Nerve root of cremasteric reflex
L1
Sensory inn of cremasteric reflex
Femoral of genitofemoral
Motor inn of cremasteric reflex
Genital of genito femoral
Ovarian and testicular arteries branch from abdominal aorta at what level?
L2
Epispadia - what failed to fuse?
Spongy urethra
Hypospadia - what failed to fuse?
Urethral folds
Lumbar puncture - level? Structures?
SSSILED
L3-L4 or L4- L5
Termination of spinal cord in adults and kids
Adult - L1 lower, L2 upper
Pedia - L3
Nerve root involved - sensation of pain on lateral thigh, worsens with sitting and coughing
L4, L5
Pain on pelvic wall - what spinal nerves?
Obturator nerve (L2,3,4)
With guarding and rebound tenderness, what is inflamed?
Parietal peritoneum
Colic is a form of what pain?
Visceral pain
Main function of the bony pelvis
Transmit the weight of the body from the vertebral column to the femurs
Lateral border of the pelvis
Iliopectineal line
Posterior boundary of pelvic inlet
Sacral promontory (anterior and upper margin of S1)
Posterior boundary of the pelvic outlet
Coccyx
What convert the greater and lesser sciatic notches into Foramen?
Sacrotuberus ligament
Sacrospinous ligament
Nerves that enter the lesser Sciatic Foramen
Pudendal nerve
Internal pudendal vessels
Lateral border of the pelvic outlet
Ischial tuberosities
Anterior part of the hip bone
Pubis
Nerve supply of levator ani
4th sacral nerve
Pudendal nerve
Insertion of piriformis and obturator internus
Greater trochanter of femur
Lateral rotators of femur at hip joint
Piriformis
Obturator internus
Sacral plexus lies in front of what muscle?
Piriformis
Lumbosacral trunk
L4 and L5
Largest branch of sacral plexus
Sciatic nerve (L4, L5, S1,2,3)
Nerve supply to tensor fascia lata
Superior gluteal nerve
Nerve supply to skin of buttocks
Posterior cutaneous nerve of thigh
Pudendal nerve roots
S2, S3, S4
Obturator nerve roots
L2, L3, L4
Branches of external iliac artery
Inferior epigastric
Deep circumflex iliac
External iliac in relation to femoral artery
It leaves the false pelvis by passing under the inguinal ligament to become the femoral artery
Blood supply to prostate and seminal vesicles
Inferior vesical
Blood supply to vas deferens
Inferior vesical
Blood vessel to anal canal and skin and muscles of perineum
Internal pudendal
Blood supply to vagina
Vaginal artery from internal iliac
Does the testicular artery enter the pelvis?
No. It enters the inguinal canal
Origin of ovarian arteries? Vertebral level?
Abdominal aorta - L1
Continuation of the femoral vein
External iliac vein
Branches of pudendal nerve
Dorsal nerve of penis/ clitoris
Peroneal
Inferior rectal