OBGYN Anatomy Flashcards
Branches of pudendal nerve 3
Inferior rectal Dorsal nerve to penis or clitoris Perineal
Pudendal block
done to Pudendal noerve as is crosses the ischial spine
Block to abolish pain on the anterior part of perineum
Ilioinguinal block
Pain of chilbirth dermatome
S2 to S5
Functions of pudendal 4
1urinary continence 2fecal continence 3erection 4expulsion urine or sperm
Indifferent stage of sexual devt ie INDIFFERENT GONADS
no gonadal sex until 7th wk
MENsonephric vs Faramesonephric
M for MALE Mesonephric ducts and F for FEMALE Paramesonephrict ducts
Urogenital Sinus and derivatives 3 parts
VESICAL PART urinary bladder PELVIC PART urethra prostate PHALLIC PART genital tubercle that becomes the PENIS
Wolffian duct derivatives MALE REPRODUCTIVE ORGANS
MENsonephric duct 1 Seminal vesicle 2 Ejaculatory duc 3 Vas deferens 4 Epididymis
Mullerian duct derivatives FEMALE REPRODUCTIVE ORGANS
Faramesonephric dct 1 Uterine tubes 2 Uterus 3 Cervix 4 Vagina upper part one fourth
Vasectomy ligates
Vas deferens
Contents of spermatic cord 6
1Pampiniform plexus 2Ductus deferens 3Cremasteric ms 4Testicular a 5Artery to ductus deferens 6Genital branch 7Sympathetic n 8Lymphatics
Capacitation of sperm cell
Epididymis
Fertilization time
Fertilization time 12-24 hrs post ovulation
2 cell stage
2 cell stage 30 hours post FERTILIZATION
Morula Morula
3 days
Blastocyst Blastocyst
5 days
Implantation in endometrium
7 days post FERTILIZATION secretory phase
Ejaculatory ducts
seminal vesicle plus vas deferens
BS to vagina
vaginal a from internal iliac
Genital tubercle derivative M or F
M Glans penis Corpus cavernosum and spongiosum Bulbourethral or Cowpers glans F Clitoris Vestibular glands Greater vestibular gland or Bartholin
Glans penis
Clitoris GENITAL TUBERCLE
Corpus spongiosum and cavernosum
Vestibular bulbs GENITAL TUBERCLE
Bulbourethral glands or Cowper in Males
Greater vestibular glands or Bartholin glans or Vulvovaginal glands UROGENITAL SINUS
Prostate glandS
Lesser vestibular glands or Urethral andn paraurethral glands OR SKENEs glands UROGENITAL SINUS
Ventral shaft or portion of the penis
Labia minora UROGENITAL FOLDS
Scrotum
Labia Major UROGENITAL SINUS
Contents of cardinal ligament
Uterine artery and vein
Prostatic utricle
Vagina
Seminal collilucus
Hymen
Paramesonephric duct in Males
Appendix of testes
Ductus deferens Ejaculatory duct and Seminal vesicle in females
Gartners duct
Gubernaculum testis in males
Round ligament of uterus containing ARTERY OF SAMPSON
Urogenital sunus derivates in Females
1 Lower three fourths of vagina 2 Vestibule 3 Bladder 4 Urethra
Wollfian duct in females
Gartners duct
Urogenital Sinus derivatives males
1 Urinary bladder 2 Prostate gland 3 Bulbourethral glands
Ureteric bud or metanephric duct derivative
1 ureter 2 renal pelvis 3 calyces 4 collecting system
Metanephric mesenchyme derivatives
1 renal tubules 2 glomerulos
Parts of vulva 5
1 mons pubis 2 clitoris 3 urinary meatus 4 labia majora and minora 5 vestibule
Openings of the vestibule
6 1 hymen in vaginal opening 2 urethral opening 3 paired paraurehtral opening 4 paired Bartholin glands
Vagina epithelium
stratified squamos non keratinized epithelium without glands
Pouch of Douglas
separates upper one fourth of vagina from rectum
Surgical access to pelvic cavity
Posterior fornix
BS upper one third vagina
branch of internal iliacn artery INTERNAL ILIAC A UTERINE A which becomes vaginal artery
BS lower one third of vagina
middle rectal and internal pudendal artery
BS to perineum
Internal iliac artery
Epithelium of endocervix
Mucous secreting highly ciliated COLUMNAR epith
epithelium of ectocervix
Non keratinized stratified squamos epithelium
Layers of the uterus 3
1 endometrium 2 myometrium 3 serosa
Layers of the endometrium 2
1 stratum functionale SPIRAL ARTERIES 2 stratum basale STRAIGHT ARTERIES
Layers of the stratum functionale
1 sona spongiosa 2 zona compacta
Broad ligament contents 6
1 fallopian tubes 2 ovaries 3 ovarian vessels 4 uterine vessels 5 ovarian ligament 6 round ligament
Major support of uterus and cervix
cardinal ligament
eponyms of cardinal ligament
transverse cervical ligament or mackenrodt ligament
Keeps uterus in anteversion round ligament
umaabot ito hanggang labia majora
ectopic pregnancy at 8 to 12 weeks presentation
ampulla
Ovary found at
at common ilian bifurcation
Location of primodial and graffian follcles
in ovary outer cortex
branches of uterine artery
Vaginal a and Cervicovaginal a
Injured during radical hysterectomy
Genitofemoral nerve and obturator nerve
Injured during prolonged dorsal lithotomy position or improper placement of legs in stirrups
Peroneal n
Injured during dissection of obturator fossa
external iliac artery
Injured during inguinal node dissection
femoral n
injured due to to straddle or giving anesthetic for second stage of labor
pudendal artery producing large hematoma
Damaged due to pressure form lateral blade of a self retaining retractor during abdominal histerectomy
femoral n
separates indirect hernia from femoral hernia
pubic tubercle
Borders of false pelvis
ANT lower abdomen POST lumbar vertebra LATERAL iliac fossa
Boundaries of pelvic inlet
POST promontory and alae of sacrum LATERAL linea terminalis ANTERIOR symphysis pubis and pubic rami
true pelvis boundaries
SUPERIOR pelvic inlet INFERIOR pelvic outlet ANTERIOR 1pubic bones 2 ascending rami of ischial bones 3 obturator foramina LATERAL 1 ischial bones 2 sacrosciatic notch
Shortest distance between the sacral promontory to the UPPER margin of symphysis pubis
True or Anatomic conjugate 11cm
Shortest distance between the sacral promontory to the LOWER margin of symphysis pubis
Diagonal conjugate This is the only one mesured clinically ADEQUATE greater than 11.5
Obstetric conjugate
DC minus 1.5 or 2 ADEQUATE IS greater than 10
Smallest plane in through which the baby must pass
Midpelvis OR Interspinous diameter ADEQUATE is greater than 10 This is found between the ischial spines
ISCHIAL SPINE
answer to ANY anatomical question if no idea
Pelvic type Face delivery
Anthropoid
Pelvic type Poor prognosis for Vaginal delivery
Android
transverse arrest during delivery Pelvic type
Android
No difficulties in vaginal birth
gynecoid and anthropoid
male pelvis
Android
ape like pelvis
Android
Injured during oophorectomy
SUSPENSORY LIGAMENT OF OVARIES containing ovarian vessels
Broad ligament components
Mesosalphinx Mesovarium Mesometrium
Location of ovarian vessels
SUSPENSORY LIGAMENT OF OVARIES containing ovarian vessels