Pelvic Content- Female Flashcards

1
Q

Vagina

A

From the cervix to the vestibule of vagina

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2
Q

The function of the Vagina

A
  • Excretory duct for menstrual fluid
  • Inferior part of the birth cancal
  • Sexual interocourse
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3
Q

Vaginal Fornix

A
  • The recess around the cervix
  • Anterior, posterior, and lateral parts
  • Posterior part (deepest): rectouterine pouch
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4
Q

Relations of the Vagina

A
  • Anterior: posterolateral surface of the bladder and proximal urethra
  • Posterior: anal canal, mid-portion of rectum, rectouterine pouch
  • Lateral: levator ani, pelvic visceralfascia, and ireters
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5
Q

Muscles that compress the vagina (sphincter)

A
  • Pubovaginalis muscle
  • External urtrhal sphincter
  • Urethrovaginal sphincter
  • Bulbosponginosus muscle
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6
Q

Arterial Supply of Vagina

A
  • Superior portion: Uterine artery
  • Middle and inferior part of the vagina: Vaginal arteries from the middle rectal and internal pudendal arteries
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7
Q

Veins of the vagina

A
  • Vaginal venous plexus to
  • Uterovaginal venous plexus to
  • Uterine veins to
  • Internal iliac vein
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8
Q

Lymphatic drainage of the vagina

A
  • Superior: internal and external iliac lymph node
  • Middle: internal iliac
  • Inferior: sacral, common iliac, and superficial inguinal lymph nodes
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9
Q

Nerves of the Vagina

A
  • Uterovaginal plexus from the inferior hypogastric plexus
  • Have both sympathetic and parasympathetic nerves

Sympathetic portion

  • Lower thoracoespinal cord to lumbar splanchnic nerves and hypogastric plexus

Parasympathetic

  • S2-S4 to pelvic splanchinic nerve to hypogastric plexus

Lower 1/5th of the vagina is somatic: from deep perineal branch of the pudendal nerve S2-S2 (Patient can feel pain)

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10
Q

Parts of the Uterus

A
  1. Body: Fundus and Isthmus
  2. Cervix
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11
Q

Wall of uterus

A

Perimetrium - External (covers the serosa of the uterus

Myometrium - Thickest and a muscular portion of the uterus

Endometrium - Functional part of the uterus, responsible for the menstrual contents in females

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12
Q

Surfaces of the body of uterus

A
  1. Vesical
  2. Intestinal
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13
Q

Uterine horns

A

Entrances of the uterine (fallopian) tubes

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14
Q

Ligaments of the Uterus

A

Proper ovarian ligament (posteroinferior)

Round ligament (anterinferior)

Broad ligament (mesometrium) contents: largest

  • Double layer of peritoneum
  • Suspensory ligament of ovary
  • Mesovarium, Mesosalpinx
  • Transverse cervical (cardinal) ligament: ligament at the level of the cervix
  • Utererosscral ligament: runs from the posterior surface of the uterus close to the sacrum
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15
Q

Cervix Part

A
  • Suprvaginal part (rectouterine pouch)
  • Vaginal part
  • Internal os
  • Cervical canal: presents an internal and external os
  • External os
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16
Q

Relations of the Uterus

A

Anterior: Vesicouterine p0uch, superior surface of the bladder

Posterior: rectouterine pouch, anterior to the rectumm

Lateral: broad ligament, transverse cervical (cardinal ligament); ureters (2cm)

17
Q

Arterial Supply of the uterus

A

Uterine and Ovarian arteries

Branches: large superior (body and fundus of the uterus); vaginal (cervix and vagina)

18
Q

Veins of the Uterus

A

Uterine venous plexus (with the broad ligament)

Drains in to internal iliac vein

19
Q

Lymphatic Drainage of the Uterus

A

Fundus: Lumbar lymph nodes, external iliac lymph nodes

Body: external iliac lymph nodes

Cervix: Internal iliac and sacral lymph nodes

20
Q

Nerves of the Uterus

A

Uterovaginal plexus from the inferior hypogastric plexus

Sympathetic

  • Lower thoracospinal cord to lumbar splanchnic nerves and hypogastric plexus

Parasympathetic

  • S2-S4 to pelvic splanchinc nerve to hypogastric plexus
21
Q

Uterine Tubes

A

Tubal structure that runs from the lateral pole of the ovary into the peritoneal cavity

22
Q

Parts of the Uterine (Fallopian) Tubes

A

Infundibulum (distal): opens to the abdominal cavity and presents digit like structures (fimbriae)

Ampulla: *oocytes fertilization

Isthmus: uterine horn; segment close to the uterine body

Uterine Part: intramural (runs within the myometrium); uterine ostium

23
Q

Ligaments of the Uterine Tubes

A

Mesosalpinx

24
Q

Arterial Supply of the Uterine Tube

A

Uterine and ovarian artery

25
Q

Veins of the Uterine Tubes

A

Uterine venous plexus

26
Q

Lymphatic drainage of the Uterine tubes

A

Lumbar lymph nodes

27
Q

Innervation of the Uterin Tube

A

Subplexus of the Ovarian and Uterine plexus

28
Q

Ovaries

A

Main glandular structure in females

29
Q

Ligaments of the Ovary

A

Suspensory ligament (distal end): attaches to the lateral wall of the pelvis

Proper ovarian ligament: A part of the broad ligament and runs from the lateral border of the uterus to the medial pole

Mesovarim: double layer of peritoneum

30
Q

Arterial supply of the Ovaries

A

Uterine (medial portion of the ovary) and Ovarian arteries (lateral portion of the ovary)

31
Q

Veins of Ovaries

A

Pampiniform plexus at the broad ligament to ovarian vein

Right: ends at IVC

Left: ends at left renal vein

32
Q

Lymphatic drainage of the Ovaries

A

Lumbar lymph nodes