Pelvic Viscera 2 Flashcards
What are the components of the female pelvic viscera
ovaries uterine tubes uterus cervix vagina greater vestibular glands
What are the ligaments that hold the ovaries in place
mesovarian
ovarian ligament
suspensory ligament of ovary
What is the innervation of the ovaries
pelvic spanchnics
T10-11
What is the blood supply of the ovaries
ovarian artery
What is the venous drainage of the ovaries
ovarian veins
What is the lymph drainage of the ovaries
lumbar
What will be contained within the suspensory ligament
ovarian arteries and veins
What is the function of the uterine tubes
transport oocyte to uterus and sperm towards oocyte
What are the four parts of the uterine tube
infundibulum
ampulla
isthmus
uterine portion
What are the layers of the uterine
serosa
muscle
epithelium
What part of the broad ligament is associated with the uterine tubes
mesosalpinx
What is the blood supply to the uterine tubes
ovarian and uterine
What is the venous drainage to uterine tube
ovarian and uterine veins
What is the lymph drainage of the uterine tube
lumbar
How might age affect the uterus
atrophies with age
What are the 4 parts of the uterus
fundus
body
isthmus
cervix
What is the fundus of the uterus
rounded part that lies above the opening of the uterine tubes; top portion
WHat is the body of the uterus
round between layers of peritoneum
What is the isthmus of the uterus
between body and cervix
What does the cervix of the uterus surround
internal opening
What are the 3 layers of the uterus
perimetrium
mesometrium
endometrium
What is the perimetrium
outer layer of uterus: peritoneum and thin layer of areolar tissue
What is the mesometrium
largest portion of wall: smooth muscle
What is the endometrium
inner lining of the uterus, mucous coat, epithelium
WHat surrounds the internal os of the uterus
cervix
Where does the external os of the uterus open to
vagina
What is the fornix of the vagina
circular recess surrounding the cervix that results because the uterus protrudes slightly into the vagina
What is the normal positioning of the uterus
anteverted
anteflexed
What is the position of the uterus when it sits on top of the rectum
retroverted and retroflexed
What are the ligaments that hold the uterus in place
transverse cervical
uterosacral
Where are the transverse cervical and uterosacral ligaments derived from
endopelvic fascia
What structures are most important in support of the uterus
Levator ani
Urogenital diaphragm
Other pelvic organs
uterine ligaments
What do the transverse cervical ligaments attach
cervic/lateral fornix to lateral pelvic wall
What do the uterosacral ligaments attach
cervix to middle of sacrum
What is palpable ofn DRE of female
uterosacral ligament
What are the homologues to the gubernaculum in females
round ligament of uterus
ovarian ligament
What does the round ligament of the uterus connect
uterus to labia major
What does the ovarian ligament connect
ovary to uterus
What is the broad ligament
double layer of peritoneum draped over the uterus and adnexa in the pelvis
What are the different parts of the broad ligament
mesovarian
mesosalpinx
mesometrium
What is the mesovarian associated with
suspends ovary
What is the mesosalpinx associated with
suspending uterine tube
What is the mesometrium associated with
main portion below ovary and uterine tube
What is the suspensory ligament of the ovary composed of
ovarian vessels covered with peritoneum
What is the blood supply to the uterus
uterine and vaginal
ovarian
Where does the ovarian artery come from
abdominal aorta
Where does the uterine and vaginal come from
internal iliac
What is the venous drainage of the uterus
uterine plexus to internal iliac veins
What is the lymphatic drainage of the uterus
fundus/body: lumbar and external iliac
cervic: internal and external iliac
where suspensory ligament is goes to superficial inguinal
What is the innervation of the uterus
L1+L2
pelvic splanchnics
What are the 4 muscles that serve as vaginal sphincterrs
external urethral sphincter
urethrovaginal sphincter
bulbospongiosus
Pubovaginalis
What is formed by the superior end of the vagina surrounding cervix
anterior, posterior, and lateral fornix
What is the deepest fornix
posterior fornix
What is the psoterior fornix related to
rectouterine pouch
What pouch will fluid most likely accumulate in females
rectouterine pouch
How may fluid be removed from the pouch of douglas
culdocentesis
Where is culdocentesis performed
through posterior fornix of cervix
What is the blood supply to the vagina
vaginal arteries
uterine arteries
What is the venous drainage of the vagina
iliac veins
WHat is the lymphatic drainage of the vagina
upper 2/3 internal and external iliac nodes
lower 1/3 superficial inguinal nodes
What is the innervation of the vagina
upper 2/3 (viscera): L1+L2/ pelvic splanchnic
lower 1/3 (somatic): deep branch of internal pudendal
What is an ectopic pregnancy
pregnancy that occurs anywhere but the uterus
What is an abdominal pregnancy
fetus is within the abdomin outside of the uterus
What ist eh rectum continuos with
sigmoid colon
Where is the rectum found
S2/S3
Where is the anorectal junction found
in fornt of the tip of the coccyx
What are characteristics of the lower part of the rectum
dilated (ampulla)
no sacculations, appendices, or mesentery
What are valves of houston
three inward foldings in the rectal walls, upper part of rectum acts as a fecal reservoir
What is the bloody supply to the rectum
superior rectal
middle rectal
inferior rectal
Where is the superior rectal a branch from
inferior mesenteric
Where is the middle rectal a branch from
internal iliac
Where is the inferior rectal a branch from
internal pudendal
Where is the venous draiage of the rectum
superior, middle, and inferior rectal veins
Where does the superior rectal vein drain to
the portal system
What is the innervation to the rectum
L1+L2
pelvic splanchnics
What are the different types of prolapse
cystocele
rectocele
prolapsed uterus
What is a rectocele
rectum descends into vagina
What is a cystocele
bladder procedes into vagina
What is prolapsed uterus
uterus descends into vagina
