Pelvic Contents Flashcards
What lines the abdominal cavity
The peritoneum
Structures that lie under the peritoneum are known as
Subperitoneum/infraperitoneum strutcures
What pouch lies between the bladder and the uterus
The vesico-uterine pouch
Where is the vesico-uterine pouch found
Between the bladder and the uterus
What pouch is found between the uterus and the rectum
The recto-uterine pouch
Where is the recto-uterine pouch found
Between the uterus and the rectum
As the bladder fills what does it rise above
The pelvic bone
What covers the bladder
A parietal covering of peritoneum
Whatis the function of the peritoneum covering the bladder
To adhere the bladder to the pubic bones
What is the bladder composed of
Transitional epithelium and rugae
What is the function of transitional epithelium
It protects against bacteria
When the bladder fills what region does it extend into
The suprapubic region
What part of the bladder is posterior to the pubic symphysis
The apex of the bladder
What is the ligament attached to the corner of the bladder called
Urachus
What is the shape and name of the base of the bladder
It is triangular and is known as the trigone
What exits the bladder at the trigone
The urethra
What is the trigone composed of
Smooth mucous membrane
What enters the bladder at the trigone
The ureters
What is the muscular coat of smooth muscle of the bladder known as
The detrusor muscle
What is at the neck of the bladder
The circular sphincter vesicae
Is the sphincter vesicae complete
No
Where is voluntary control of the bladder found
Further down the urethra
What holds the neck of the bladder in place
Puboprostatic ligament - males
Pubovesical ligament - females
What is underneath the bladder
Males - prostate gland
Females - cervix
What supplies the bladder with blood
Two superior vesical arteries and an inferior vesical artery
Where do the vesical arteries originate from
The internal iliac artery
What is the inferior vesical artery in females
The vaginal artery
What drains the blood from the bladder
The vesical plexus
Where does the vesical plexus drain into
The internal iliac vein
What provides nerve innervation for the bladder
The ANS inferior hypogastric plexus
Where does lymph from the ureters drain
Lumbar, common iliac, external iliac and internal iliac nodes
Where does lymph from the urethra drain into
Internal iliac nodes
Where does lymph from the spongy urethra drain (males)
Deep inguinal nodes
Where does lymph from the female urethra drain into
Some sacral nodes
What is the peritoneum like on the rectum
Upper 1/3rd - visceral peritoneum
Middle 1/3rd - peritoneum of the anterior surface
Lower 1/3rd - infraperitoneal
where does the rectum run from/to
The 3rd sacral vertebra to the tip of the coccyx
What supplies blood to the rectum
The superior rectal artery, middle rectal artery and the inferior rectal artery
Where does the superior rectal artery originate from
Inferior mesenteric artery
Where does the middle rectal artery originate from
Internal iliac artery
Where does the inferior rectal artery originate from
Internal pudendal artery
What drains blood from the rectum
The superior rectal, middle rectal and inferior rectal veins
Where does the superior rectal vein originate from
Portal vein
Where does the middle rectal vein originate from
Internal iliac vein
Where does the inferior rectal vein originate from
Internal pudendal vein
Where does lymph drain to from the superior rectum
inferior mesenteric nodes at L3
Where does lymph drain to from the inferior rectum
Internal iliac nodes
Where does lymph drain to from the anal canal
Superior to pectinate line - Internal iliac nodes
Inferior to pectinate line - Superficial inguinal nodes
What provides the nerve innervation fo the rectum
Inferior hypogastric plexus
What does the broad ligament cover
The uterus, uterine tubes and ovaries
What is the area of the broad ligament covering the uterus called
Mesometrium
What is the area of the broad ligament covering the uterine tubes called
Mesosalpinx
What is the area of the broad ligament covering the ovaries called
Mesovarium
What is the uterus composed of
Fimbriae, fundus, uterine tubes, body, cervix and vagina
What is the uterine tube composed of
Fimbriae, infundibulum, ampulla and the isthmus
What are the ligaments of the uterus
The broad ligament, round ligament of the uterus, uterosacral, transverse cervical and pubocervical
What does the broad ligament carry
Vessels, nerves and lymphatics
What does the round ligament of the uterus create
A potential pathway for lymph
What supports the uterus
Ligaments attached to the cervix
What is anteversion
Where the long axis of the uterus bends forwards on the long axis of the vagina
What is antiflexion
Where the long axis of the uterus bends forwards at the internal os with the long axis of the vagina
What supplies blood to the uterus
Ovarian, uterine, vaginal and internal pudendal arteries
What are the ovaries involved in
Ova and hormone production
What are the ovaries attached to
The back of the broad ligament by the mesovarium
What supplies the ovaries with blood
The ovarian artery
Where does the ovarian artery originate from
The abdominal aorta at L2
What drains blood from the ovaries
The ovarian vein
Where does the ovarian vein drain into
Right - IVC
Left - Left renal vein
What supplies the nerve innervation to the ovaries
The aortic plexus
What are the ligaments related to the ovaries
The ligament of the ovary and the suspensatory ligament of the ovary
What contains the ovarian vessels
The suspensatory ligament of the ovary