Pelvic Anatomy Flashcards
where do the ovarian A & V come from on the right?
IVC & Aorta
where do the ovarian A & V come from on the left?
Aorta & Renal Vein
*just like in men
what vessels are in the suspensitory ligmanets?
ovarian A & V
Where does the uterus get its blood supply from?
Internal iliac A. gives off uterine A.
What is post partum hemorrhage?
vaginal delivery = 500 cc
C-section = 1000 cc
What can you do to stop post partum hemorrage?
- Uterine Massage
- Meds(OXYTOSIN)
- Balloon Tamponade
- Surgery = ligate Uterine A then Internal Iliac and if that doesnt work do TAH.
What is the Uterosacral Ligament?
connects uterus to the sacrum. need to be removed with TAH. Be careful bc they might look like Ureters
What is the Cardinal Ligament?
connects the uterus to the side wall + covers front and back of the uterus & connects the uterus to the bladder & rectum
what ligament is weak in…rectocele, cystocele & uterine prolapse?
weak cardinal ligament + pelvic floor relaxation
*increased risk with large multiple births
Grading of Uterine Prolapse. how do you dx? tx?
- lower
- almost to vaginal opening
- right at vaginal opening
- prolapsed out of vagina.
dx w/PE. tx w/ hysterectomy or sling
How do you dx cystocele?
PE will show mass @ the roof of vagina; presents w/incontence
how do you dx rectocele?
PE will show mass at back of vagina; constipation relieved by inserting fingers into the vagina