Pelvic Viscera Flashcards
What systems can be found in the pelvic region
urinary tract
distal GIT
reproductive system
What structure does the ureter cross in the pelvis
vas deferens in male
uterine artery in female
What is the potential space anterior to the bladder called
retropubic space
Where is the apex of bladder pointing?
towards the pubic bone
Can we differentiate the trigone from the rest of the bladder macroscopically?
Yes, the trigone is smooth and doesn’t have detrusor muscle ridges
Which part of the bladder is fixed in position?
the neck, fixed by pubovesical ligament and lateral pelvic ligament
What’s the name of the peritoneal covering of testes
tunica vaginalis
T/F Vas deferens is posterior to the ureter on the posterior surface of the bladder
True, VD enters posterior to the ureter
Which prostate lobe is most likely to have benign hypertrophy
Medial lobe
What information of the prostate can we get with a PR exam
size, hardness, and contour
What’s the normal position of uterus in relation to bladder
ante-verted and anti-flexed
What are the two parts of female cervix
internal and external os
What ligaments stabilise the cervix?
lateral cervical ligament
utero-sacral ligament
pubo-cervical ligament
What happens if the cervical ligaments are lax
prolapse can occur
uterus falls inferiorly
bladder falls posteriorly
rectum falls anteriorly
What is the ligament covering the uterine tubes
broad ligament, extension of peritoneum
T/F Isthmus is the part of the uterine tube directly adjacent to the ovary
False, infundibulum is the part close to the ovary. Isthmus is closest to the uterus
Which part of the uterine tube is broadest
ampulla
What’s the name of the ovary’s mesentery, formed as part of the broad ligament?
suspensory ligament, to the posterior wall
What is the ligament that connects the ovary to the uterus?
ovarian ligament
What is the round ligament analogous to in male?
it’s analogous to spermatic cord, the part that travels within the inguinal canal
Why is the anterior wall of the vagina shorter than the posterior wall?
Because there is an angulation backwards
Which part of the vagina is directly related to the pouch of douglas?
posterior fornix
Where might we feel enlarged ovarian cysts?
the lateral fornix of the vagina, on either side of the cervix
Which spinal segment does the rectum begin?
S3
Which two arteries enter the pelvic from above?
Ovarian arteries
Superior rectal artery, continuation of IMA
In male, there is an additional inferior vesical artery. Which structures does it supply?
vas deferen
prostate
seminal vesicle
What is the uterine artery stabilised by?
endovascular condensation that forms the lateral cervical ligament
Which artery does the uterine artery anastamose with?
ovarian artery from above
T/F Inferior hypogastric plexus has both SNS and PNS fibres
True, S2-S4 for PNS
SNS from superior hypogastric plexus, forming a pair of hypogastric nerves
