Pelvic Viscera 2 Flashcards

1
Q

What are the components of the female pelvic viscera

A
ovaries
uterine tubes
uterus
cervix
vagina
greater vestibular glands
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2
Q

What are the ligaments that hold the ovaries in place

A

mesovarian
ovarian ligament
suspensory ligament of ovary

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3
Q

What is the innervation of the ovaries

A

pelvic spanchnics

T10-11

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4
Q

What is the blood supply of the ovaries

A

ovarian artery

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5
Q

What is the venous drainage of the ovaries

A

ovarian veins

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6
Q

What is the lymph drainage of the ovaries

A

lumbar

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7
Q

What will be contained within the suspensory ligament

A

ovarian arteries and veins

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8
Q

What is the function of the uterine tubes

A

transport oocyte to uterus and sperm towards oocyte

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9
Q

What are the four parts of the uterine tube

A

infundibulum
ampulla
isthmus
uterine portion

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10
Q

What are the layers of the uterine

A

serosa
muscle
epithelium

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11
Q

What part of the broad ligament is associated with the uterine tubes

A

mesosalpinx

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12
Q

What is the blood supply to the uterine tubes

A

ovarian and uterine

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13
Q

What is the venous drainage to uterine tube

A

ovarian and uterine veins

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14
Q

What is the lymph drainage of the uterine tube

A

lumbar

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15
Q

How might age affect the uterus

A

atrophies with age

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16
Q

What are the 4 parts of the uterus

A

fundus
body
isthmus
cervix

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17
Q

What is the fundus of the uterus

A

rounded part that lies above the opening of the uterine tubes; top portion

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18
Q

WHat is the body of the uterus

A

round between layers of peritoneum

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19
Q

What is the isthmus of the uterus

A

between body and cervix

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20
Q

What does the cervix of the uterus surround

A

internal opening

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21
Q

What are the 3 layers of the uterus

A

perimetrium
mesometrium
endometrium

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22
Q

What is the perimetrium

A

outer layer of uterus: peritoneum and thin layer of areolar tissue

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23
Q

What is the mesometrium

A

largest portion of wall: smooth muscle

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24
Q

What is the endometrium

A

inner lining of the uterus, mucous coat, epithelium

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25
Q

WHat surrounds the internal os of the uterus

A

cervix

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26
Q

Where does the external os of the uterus open to

A

vagina

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27
Q

What is the fornix of the vagina

A

circular recess surrounding the cervix that results because the uterus protrudes slightly into the vagina

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28
Q

What is the normal positioning of the uterus

A

anteverted

anteflexed

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29
Q

What is the position of the uterus when it sits on top of the rectum

A

retroverted and retroflexed

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30
Q

What are the ligaments that hold the uterus in place

A

transverse cervical

uterosacral

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31
Q

Where are the transverse cervical and uterosacral ligaments derived from

A

endopelvic fascia

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32
Q

What structures are most important in support of the uterus

A

Levator ani
Urogenital diaphragm
Other pelvic organs
uterine ligaments

33
Q

What do the transverse cervical ligaments attach

A

cervic/lateral fornix to lateral pelvic wall

34
Q

What do the uterosacral ligaments attach

A

cervix to middle of sacrum

35
Q

What is palpable ofn DRE of female

A

uterosacral ligament

36
Q

What are the homologues to the gubernaculum in females

A

round ligament of uterus

ovarian ligament

37
Q

What does the round ligament of the uterus connect

A

uterus to labia major

38
Q

What does the ovarian ligament connect

A

ovary to uterus

39
Q

What is the broad ligament

A

double layer of peritoneum draped over the uterus and adnexa in the pelvis

40
Q

What are the different parts of the broad ligament

A

mesovarian
mesosalpinx
mesometrium

41
Q

What is the mesovarian associated with

A

suspends ovary

42
Q

What is the mesosalpinx associated with

A

suspending uterine tube

43
Q

What is the mesometrium associated with

A

main portion below ovary and uterine tube

44
Q

What is the suspensory ligament of the ovary composed of

A

ovarian vessels covered with peritoneum

45
Q

What is the blood supply to the uterus

A

uterine and vaginal

ovarian

46
Q

Where does the ovarian artery come from

A

abdominal aorta

47
Q

Where does the uterine and vaginal come from

A

internal iliac

48
Q

What is the venous drainage of the uterus

A

uterine plexus to internal iliac veins

49
Q

What is the lymphatic drainage of the uterus

A

fundus/body: lumbar and external iliac

cervic: internal and external iliac

where suspensory ligament is goes to superficial inguinal

50
Q

What is the innervation of the uterus

A

L1+L2

pelvic splanchnics

51
Q

What are the 4 muscles that serve as vaginal sphincterrs

A

external urethral sphincter
urethrovaginal sphincter
bulbospongiosus
Pubovaginalis

52
Q

What is formed by the superior end of the vagina surrounding cervix

A

anterior, posterior, and lateral fornix

53
Q

What is the deepest fornix

A

posterior fornix

54
Q

What is the psoterior fornix related to

A

rectouterine pouch

55
Q

What pouch will fluid most likely accumulate in females

A

rectouterine pouch

56
Q

How may fluid be removed from the pouch of douglas

A

culdocentesis

57
Q

Where is culdocentesis performed

A

through posterior fornix of cervix

58
Q

What is the blood supply to the vagina

A

vaginal arteries

uterine arteries

59
Q

What is the venous drainage of the vagina

A

iliac veins

60
Q

WHat is the lymphatic drainage of the vagina

A

upper 2/3 internal and external iliac nodes

lower 1/3 superficial inguinal nodes

61
Q

What is the innervation of the vagina

A

upper 2/3 (viscera): L1+L2/ pelvic splanchnic

lower 1/3 (somatic): deep branch of internal pudendal

62
Q

What is an ectopic pregnancy

A

pregnancy that occurs anywhere but the uterus

63
Q

What is an abdominal pregnancy

A

fetus is within the abdomin outside of the uterus

64
Q

What ist eh rectum continuos with

A

sigmoid colon

65
Q

Where is the rectum found

A

S2/S3

66
Q

Where is the anorectal junction found

A

in fornt of the tip of the coccyx

67
Q

What are characteristics of the lower part of the rectum

A

dilated (ampulla)

no sacculations, appendices, or mesentery

68
Q

What are valves of houston

A

three inward foldings in the rectal walls, upper part of rectum acts as a fecal reservoir

69
Q

What is the bloody supply to the rectum

A

superior rectal
middle rectal
inferior rectal

70
Q

Where is the superior rectal a branch from

A

inferior mesenteric

71
Q

Where is the middle rectal a branch from

A

internal iliac

72
Q

Where is the inferior rectal a branch from

A

internal pudendal

73
Q

Where is the venous draiage of the rectum

A

superior, middle, and inferior rectal veins

74
Q

Where does the superior rectal vein drain to

A

the portal system

75
Q

What is the innervation to the rectum

A

L1+L2

pelvic splanchnics

76
Q

What are the different types of prolapse

A

cystocele
rectocele
prolapsed uterus

77
Q

What is a rectocele

A

rectum descends into vagina

78
Q

What is a cystocele

A

bladder procedes into vagina

79
Q

What is prolapsed uterus

A

uterus descends into vagina