Pelvic Viscera 1 Flashcards

1
Q

What pelvic viscera is seen in both males and females

A

ureters
urethra
bladder
rectum

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2
Q

What pelvic viscera is seen only in males

A
prostate
ductus deferens
seminal vesicle
bulbourethral glands
ejaculatory ducts
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3
Q

What pelvic viscera is seen only in females

A

uterus
ovaries
uterine tubes
vagina

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4
Q

What structure will be draped over the pelvic viscera

A

peritoneum

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5
Q

What are the 3 types of pelvic fascia

A

parietal pelvic
viscera pelvic
endopelvic

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6
Q

What is pelvic fascia a continuation of

A

extraperitoneal connective tissue in the abdomen

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7
Q

What are the pelvic cavities in males

A

retropubic

rectovesical

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8
Q

Where may fluid collect in the pelvis of males

A

rectovesical

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9
Q

What are the pelvic cavities in females

A

retropubic
vesicouterine
rectouterine

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10
Q

Where does fluid most commonly collect in females

A

rectouterine pouch (of douglas)

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11
Q

Where is endopelvic fascia found

A

between visceral and parietal fascia

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12
Q

What are the thickenings of pelvic fascia that will support viscera

A

pubovesical ligament
transverse cervical
uterosacral ligament

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13
Q

What does the pubovesical ligament connect

A

bladder to pubic bone

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14
Q

What does the transverse cervical ligament connect

A

uterus to body wall

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15
Q

What does the uterosacral ligament enclose

A

rectum

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16
Q

In males, what is the pubovesicle ligament attached to

A

the prostate

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17
Q

What does the uterosacral ligament do

A

bind uterus to sacrum

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18
Q

What is the broad ligament

A

peritoneal fold that attaches the uterus, fallopian tubes, and ovaries to the pelvis

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19
Q

What are the different parts of the broad ligament

A

mesovarium
mesometrium
mesosalpinx

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20
Q

What is mesoovarium

A

peritoneum over ovaries

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21
Q

What is mesometrium

A

peritoneum closest to the body

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22
Q

What is mesosalpinx

A

peritoneum over uterine tube

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23
Q

Is the abdominal ureter intraperitoneal or retroperitoneal

A

retroperitoneal

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24
Q

What structures are associated with the ureters in males

A

crossed by ductus deferens

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25
Q

What structures are associated with the ureters in femals

A

crossed by uterine artery

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26
Q

Where do ureters enter the bladder

A

posterolateral edge

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27
Q

What is the blood supply to the ureters

A

variable; renal, gonadal, common and internal iliacs, uterine vessels

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28
Q

What is the inenrvation to the ureters

A

T10-L2

renal, aortic, hypogastric plexuses

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29
Q

What is the lymphatic drainage of the ureters

A

superior: lumbar
inferior: external internal iliac

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30
Q

What are the surfaces of the bladder

A
apex
trigone
base
inferolateral
neck
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31
Q

What is the relationship between the bladder and pubic symphysis

A

bladder can be approached over the pubic symphysis (suprapubic lithotomy)

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32
Q

What is cystitis

A

bladder infection

33
Q

Why are females more likely to experience cystitis

A

short urethra

34
Q

Where is the retropubic space found

A

anterior to bladder

behind pubic bone

35
Q

What are the structures that work to stabilize the bladder neck

A

thickening of endopelvic fascia

36
Q

What is the thickenign of endopelvic fascia in women called

A

pubovesical

37
Q

What is the thickening of endopelvic fascia in men called

A

puboprostatic

38
Q

What is the structure that works to stabilize the posterior bladder

A

rectovesical ligaments

39
Q

What is the structure to stabilize the anterior bladder

A

median umbilical ligament

40
Q

What does the median umbilical ligament attach the bladder to

A

umbilicus

41
Q

What is the trigone

A

smooth part of bladder

42
Q

What is the trigone formed from

A

incorporation of mesonephric ducts

43
Q

What is the internal surface of the bladder

A

trigone: mucosa

detrusor muscle

44
Q

What is the main muscle of the bladder and what is its function

A

detrusor muscle

expands as bladder fills and contracts by parasympathetic stimulation

45
Q

What is the blood supply to the bladder

A

superior vesicle
inferior vesicle (males)
vaginal (female)

46
Q

What is the venous drainage of the bladder

A

vesical venous plexus

prostatic venous plexus

47
Q

What is the innervation of the bladder

A

L1+L2 sympathetic
pelvic splanchnic
motor to detrusor

48
Q

What is the lymphatic drainage of the bladder

A

external and internal iliac nodes

49
Q

What are the 4 different parts of the male urethra

A

preprostatic
prostatic
membraneous
spongy

50
Q

Where is preprostatic found

A

trigone to start of prostate

surrounded by internal sphincter

51
Q

Where is the prostatic urethra found

A

inside the prostate

52
Q

Where is the membranous urethra found

A

surround by external urethral sphincter

urogenital diaphragm

53
Q

Where is the spongy urethra found

A

in corpus spongiosum

54
Q

What openings are seen in the spongy urethra

A

bulbourethral glands numerous pit-like recesses

55
Q

What does the spongy urethra widen to form

A

navicular fossa

56
Q

What is the blood supply to the male urethra

A

internal pudendal
inferior vesicle
middle rectal

57
Q

Where will the female urethra run

A

bladder through deep pouch, perineal membrane, and opens into vestibule anterior to vaginal opening

58
Q

What openings will be found in the female urethra

A

urethral glands

paraurethral ducts

59
Q

What viscera composes the male reproductive tract

A

ductus deferens
epididymis
testes
seminal vesicle

60
Q

Where does lymph from the testes drain to

A

lumbar

61
Q

What nerves innervate the scrotum

A

genital branch of genital femoral and ilioingual

pudendal nerve in posterior

62
Q

When will the ductus deferns enter the true pelvis

A

after it traverses the inguinal canal and leaves the deep ring

63
Q

What is the ductus deferens directly continuous with

A

epididymis

64
Q

What is the function of the seminal vesicle

A

provides bulk of volume to semen

65
Q

What does the seminal vesicle and ductus deferens make

A

ejaculatory ducts

66
Q

Where is the terminal opening of the ejaculatory ducts

A

seminal colliculus

67
Q

Where are the bulbourethral glands found

A

deep perineal pouch

68
Q

What lobe of the prostate is most susceptible to cancer

A

posterior lobe

69
Q

What structure is at risk of constriction in BPH

A

prostatic urethra

70
Q

What is the urethral crest

A

extension of the trigone down into the prostatic urethra

71
Q

What is the seminal colliculus

A

large bump in the middle of the prostatic urethra

72
Q

What structures are seen on the seminal colliculus

A

prostatic utricle

openings of ejaculatory ducts

73
Q

What is the prostatic utricle

A

embryologic remnant of the vagina

74
Q

Where is the prostatic sinus found

A

either side of the colliculus

75
Q

What is the prostatic sinus

A

openings of prostatic ducts

76
Q

What is the blood supply of the prostate

A

inferior vesicle, internal pudendal, middle rectal

77
Q

What is the venous drainage of the prostate

A

prostatic venous plexus
vesicular plexus
internal vertebral plexus

78
Q

What is the innervation of the prostate

A

inferior hypogastric plexus

pelvic splanchnic

79
Q

What is the lymphatic drainage of the prostate

A

internal iliac nodes

sacral nodes