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GROSS ANATOMY 2 > Pelvic Contents > Flashcards

Pelvic Contents Flashcards

1
Q

Where does the vesicouterine pouch lie?

A

Between the uterus and bladder

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2
Q

Where does the rectouterine pouch lie?

A

Between the uterus and rectum

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3
Q

What forms the broad ligament?

A

Peritoneum as it passes over the uterus

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4
Q

Where does the vesicorectal pouch lie?

A

Between the rectum and the bladder

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5
Q

What epithelium is present in the bladder?

A

Transitional

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6
Q

How is the bladder attached to the pubic symphysis?

A

Via the urachus

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7
Q

Are there rugae present in the bladder?

A

Yes but disappear as the bladder fills

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8
Q

What happens to the bladder as it fills?

A
  • Rugae disappear
  • Rises to suprapubic region
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9
Q

What is the Trigone?

A
  • Internal base of bladder
  • Area of smooth mucous membrane
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10
Q

What enters at the trigone?

A

Ureters

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11
Q

What exits the trigone?

A

Urethra

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12
Q

Muscular coats of smooth muscle are located where?

A
  • Detrusor muscle
  • Neck circular sphincter vesicae
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13
Q

What type of innervation is present at the sphincter vesicae?

A

Autonomic innervation

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14
Q

What holds the neck of the bladder in place?

A
  • Puboprostatic ligament (males)
  • Pubovesical ligaments (females)
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15
Q

What passes through the urogenital diaphragm?

A

The urethra

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16
Q

Describe arterial supply to the bladder.

A
  • 2 Superior vesical arteries
  • 1 Inferior vesical artery
  • From internal iliac artery
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17
Q

What does the inferior vesical artery in males correspond to in females?

A

Vaginal artery

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18
Q

What division of the internal iliac artery gives the inferior vesical artery (vaginal artery)?

A

Anterior division

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19
Q

Describe the venous drainage of the bladder.

A

Vesical plexus drains to internal iliac veins

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20
Q

Describe the innervation of the bladder.

A

ANS from inferior hypogastric plexus

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21
Q

Where does lymph from the ureter drain to?

A
  • Lumbar
  • Common iliac
  • Ext/Int iliac nodes
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22
Q

Where does lymph from the urinary bladder drain to?

A

Main drainage to internal iliac nodes
- some to superior and sacral nodes

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23
Q

Where does lymph from the urethra drain to? (MALE)

A
  • Main drainage to internal iliac
  • Spongy urethra to deep inguinal nodes
24
Q

Where does lymph from the urethra drain to? (FEMALE)

A
  • Main drainage to internal iliac
  • Some to sacral nodes
25
Q

What portion of the rectum is covered by visceral peritoneum?

A

Upper 1/3rd

26
Q

What portion of the rectum is located on the anterior surface?

A

Middle 1/3rd

27
Q

What portion of the rectum is infraperitoneal?

A

Lower 1/3rd

28
Q

Where is the rectum located?

A
  • 3rd Sacral vertebra to tip of coccyx
  • Extension of sigmoid colon
29
Q

What is the function of the rectal ampulla?

A

Stores faeces.

30
Q

What is the function of the puborectalis muscle?

A

Bends wall of rectum (continence)

31
Q

What is the function of the levator ani muscles?

A

Support the rectum

32
Q

Describe the arterial supply of the rectum.

A
  • Superior rectal artery (inf mesenteric)
  • Middle rectal artery (int iliac)
  • Inferior rectal artery (int pudendal)
33
Q

Describe the venous drainage of the rectum.

A
  • Superior rectal vein (portal vein)
  • Middle rectal vein (int iliac vein)
  • Inferior rectal vein (int pudendal vein)
34
Q

Where does lymph from the rectum drain to?

A

Superior rectum - aortic nodes L3
Inferior rectum - int. iliac nodes
Anal canal sup. to pectinate line - int. iliac nodes
Anal canal inf. to pectinate line - superficial inguinal nodes

35
Q

Describe the innervation of the rectum.

A

Inferior hypogastric plexus

36
Q

What covers the uterus?

A

Broad ligament

37
Q

Describe the broad ligament.

A
  • Peritoneum folds
  • Small degree of support
  • Neurovascular
38
Q

What are the 3 parts of the broad ligament?

A
  • Mesometrium
  • Mesosalpinx
  • Mesovarium
39
Q

What is the mesometrium?

A

Main part of the broad ligament

40
Q

What is the mesosalpinx?

A

Supports the uterine tubes

41
Q

What is the mesovarium?

A

Holds ovaries to posterior surface of the broad ligament

42
Q

Features of the uterus

A
43
Q

What are the main ligaments of the uterus?

A
  • Broad ligament
  • Round ligament
44
Q

What is the function of the broad ligament?

A

Carries vessels, nerves and lymphatics

45
Q

What is the function of the round ligament?

A

Creates potential lymph pathways

46
Q

What are the 3 support ligaments attached to the cervix?

A
  • Uterosacral
  • Pubocervical
  • Transverse cervical
47
Q

Identify the 3 cervical support ligaments

A
48
Q

Describe anteversion.

A

Long axis of uterus bent forward on the long axis of the vagina

49
Q

Describe anteflexion.

A

Long axis of uterus bent forward at internal os with long axis of vagina

50
Q

What is the function of the ovaries?

A

Ova and hormone production

51
Q

How are the ovaries attached to the broad ligament?

A

Attached at the mesovarium

52
Q

Describe the arterial supply of the ovaries.

A

Abdominal aorta
- ovarian artery L2

53
Q

Describe the venous drainage of the ovaries.

A
  • Ovarian vein to IVC on R
  • Ovarian vein to left renal vein on L
54
Q

Describe the innervation of the ovaries

A

Aortic plexus

55
Q

What are the 2 ligaments of the ovary?

A
  • Ligament of the ovary
  • Suspensory ligament of the ovary

GROSS ANATOMY 2 (19 decks)

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