Pelvic Viscera Flashcards
As the ureters enter the bladder what crosses over it in male/female?
male: vas deferens
female: uterine artery
shape of bladder and orientation?
pyramidal and tipped forward
what is located at the base of bladder in male/female?
male: rectum
female: uterus
apex of bladder points towards?
pubic bone
what muscle in the bladder?
detrusal muscle
what part of bladder expands?
fundus
smooth mucosa of bladder is called? where is it?
trigone at base of bladder
3 accessory glands male?
prostate
seminal vesicles
bulbourethral glands
what wraps around testicle?
tunica vaginalis
seminal vesicle contributes?
alkaline fluid and fructose
which lobe of prostate enlarged with BPH?
medial/median lobe
causes obstruction of urine
3 things you can feel on prostate on a per rectal exam?
- size
- hardness: cancer - hard
- contour: lobules
uterus normal position?
anteverted over the bladder
retroverted uterus associated with what?
back pain with menstruation and childbirth
isthmus of uterus continuous with?
cervix
cervix length?
2-3 cm long
how is uterus stabilized?
cervical and vaginal ligaments
3 ligaments that stabilize cervix?
- utero-sacral (back)
- lateral cervical (middle)
- pubo cervical (front)
ovaries located where on broad ligament?
posterior surface
order of fallopian tube segments from uterus to ovary?
isthmus
ampulla
infundibulum
fimbria
ovary connected to uterus via?
ovarian ligament
round ligament of ovary does what?
forwards into deep inguinal ring (female equivalent of spermatic cord)
3 segments of fornix can feel what structures?
anterior: bladder
lateral: enlarged ovarian cyst
posterior: pouch of douglas
ovary located on side wall of pelvis where what?
common iliacs bifurcates
what demarcates rectum from sigmoid?
loss of 3 tenia
2 arteries from above that supply the pelvic viscera?
- Two ovarian arteries
2. superior rectal artery
superior rectal artery continuation of?
inferior mesenteric
what reinforces 2 superior arteries for pelvic viscera?
anterior internal iliac
bladder supplied by which artery?
superior vesical artery
uterine artey runs in which ligament?
lateral cervical ligament
vagina supplied by which artery?
vaginal artery, turn up and meets ovarian artery
nerves to pelvic viscera: 2 kinds
- parasympathetic: S2-4
2. sympathetic: thoracolumbar components
pouch of douglas importance?
any fluid, pus, ruptured appendix will collect in POD
pouch of douglas and curettage?
rigid instrument will pierce pouch of douglas, cause infection and sepsis