Pelvic Anatomy Flashcards

1
Q

where do the ovarian A & V come from on the right?

A

IVC & Aorta

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2
Q

where do the ovarian A & V come from on the left?

A

Aorta & Renal Vein

*just like in men

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3
Q

what vessels are in the suspensitory ligmanets?

A

ovarian A & V

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4
Q

Where does the uterus get its blood supply from?

A

Internal iliac A. gives off uterine A.

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5
Q

What is post partum hemorrhage?

A

vaginal delivery = 500 cc

C-section = 1000 cc

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6
Q

What can you do to stop post partum hemorrage?

A
  1. Uterine Massage
  2. Meds(OXYTOSIN)
  3. Balloon Tamponade
  4. Surgery = ligate Uterine A then Internal Iliac and if that doesnt work do TAH.
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7
Q

What is the Uterosacral Ligament?

A

connects uterus to the sacrum. need to be removed with TAH. Be careful bc they might look like Ureters

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8
Q

What is the Cardinal Ligament?

A

connects the uterus to the side wall + covers front and back of the uterus & connects the uterus to the bladder & rectum

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9
Q

what ligament is weak in…rectocele, cystocele & uterine prolapse?

A

weak cardinal ligament + pelvic floor relaxation

*increased risk with large multiple births

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10
Q

Grading of Uterine Prolapse. how do you dx? tx?

A
  1. lower
  2. almost to vaginal opening
  3. right at vaginal opening
  4. prolapsed out of vagina.
    dx w/PE. tx w/ hysterectomy or sling
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11
Q

How do you dx cystocele?

A

PE will show mass @ the roof of vagina; presents w/incontence

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12
Q

how do you dx rectocele?

A

PE will show mass at back of vagina; constipation relieved by inserting fingers into the vagina

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