Normal Anatomy Flashcards
What are the boundaries of the false pelvis?
- abdominal wall
- base of sacrum
- iliac wings
What are the boundaries of the true pelvis?
- pubis and pubic rami
- sacrum and coccyx
- ilium and ischium
- pelvic diaphragm
What are the Osseous Ligaments?
- Sacroiliac
- Sacrococcygeal
- Pubic
- Sacrosciatic
What is the Cardinal Ligament?
Connects to uterus at level or cervix
What is the broad ligament?
extend from lateral aspects of the uterus and attach to the lateral pelvic side wall
What is the uterosacral ligament?
posterior support
What is the round ligament?
anterior and inferior to the broad ligaments and fallopian tubes, and attach the uterine cornu to the anterior pelvic wall
What is the ovarian ligament?
attach inferior ovary to the uterine cornu
What is the mesovarium ligament?
attach the ovary to the posterior layer of the broad ligament on each side
What is the infundibulopelvic (suspensory) ligament?
attach the lateral ovary to posterolateral pelvic wall and transmit the ovarian vessels and nerves
What is the Rectus abdominus muscle?
- anterior body wall
- extends from xiphoid to pubic bone
What is the psoas major muscle?
- originates from lower thoracic and lumbar vertebrae
- laterally and anteriorly
What is the Iliacus muscle?
- arises at the iliac crest and extends inferiorly until is merges with the psoas major
- forms part of lateral margins of the pelvic basin
What is the Obturator Internus muscle?
- Triangular sheet of muscle anchored along the brim of the true pelvis
- posteriorly and medially along side wall of true pelvis
what is the Piriformis muscle?
- deeply posterior in true pelvis
- less routinely imaged to due to its deep location
What are the Abdominopelvic Muscles?
- Rectus Abdominus
- Psoas Major
What muscles are in the false pelvis?
Iliacus
What muscles are in the true pelvis?
- Obturator Internus
- Piriformis
- Coccygeous
- Levator Ani
What is the uterine size of a 2-8 year old?
33 x 7.5 mm (AP)
What is the uterine size g-menarche?
43 x 13 mm (AP)
what is the uterine size of nulliparous?
80 x 30 mm (AP)
What is the uterine size of multiparous?
90 x 40 mm (AP)
What is the Perimetrium of the uterus?
- outer serosal layer which is part of the visceral perimetrium
- laterally becomes the broad ligament
- anteriorly forms the vesicouterine pouch
- posteriorly forms the pouch of douglas
What is the myometrium of the uterus?
- muscular layer
- 3 layers of smooth muscle
- inner portion of myometrium is the junctional zone
What is the endometrium of the uterus?
- inner mucous layer which consists of superficial functional layer and deeper permanent basal layer
What is the parametrium?
tissues surrounding the uterus
What are all the uterine layers from outer to inner?
perimetrium > myometrium > basal layer endometrium > functional layer of endometrium
What is an anteverted uterus?
forward placement of the uterus at the cervix
What is an anteflexed uterus?
bending forward of the uterus at the body
What is an retroverted uterus?
tilting backward of the uterus at the cervix
What is a retroflexed uterus?
bending backward of the uterus at the body
What is the most common uterine position ?
Anteverted and Anteflexed
What is the normal ovarian size for premenopausal?
3.5 x 2.0 x 1.5 cm
What is the normal ovarian size for postmenopausal?
2.0 x 1.0 x 0.5 cm
What are the two layers of the ovaries?
- functional layer (cortex)
2. medulla
What is the interstitial/ intramural of the uterus?
narrow and relatively straight; located within uterine wall (cornu)
Ectopic can cause bleed out
What is the isthmus of the uterus?
median closest to uterus
What is the ampulla of the uterus?
longest portion; curves around ovary
Normally site of fertilization