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S&F IV: Exam Two- European Gigalo > Pelvic Viscera > Flashcards

Pelvic Viscera Flashcards

1
Q

Trigone of the bladder

A

Smooth area on posterior surface of bladder w/ openings for the ureters

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2
Q

Detrusor muscles

A

Three-layered smooth muscle of the bladder wall that are parasympathetically innervated by the pelvic splanchnic nerves (S2-S4)

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3
Q

Internal Sphincter of Bladder

A

Involuntary sphincter muscle surrounding the neck of the bladder that is sympathetically innervated

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4
Q

Microtuition

A

Is a result of parasympathetic stimulation => Relaxation of internal sphincter of bladder and contraction of detrusor muscles

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5
Q

Suprapubic Cystostomy

A

Removal of urine from the bladder thru the anterior abdominal wall; performed if there is a blockage in the urethra and normal catheterization is not possible

*Distended bladder is reached above the pubis w/o breaching the peritoneal cavity

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6
Q

Referred pain of the bladder

A

S2-S4 = tip of the penis

L1= hypogastric region

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7
Q

Rectal Relations

A

Posterior: Coccyx, sacrum, piriformis, sympathetic trunk

Anterior: (M) prostate, urinary bladder, seminal vesicles
(F) Cervix, Uterus

Lateral : Ischial spine, ischial tuberosity, sacrospinous ligament,

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8
Q

Rectovesical Pouch

A

Lowest part of male peritoneal cavity; exudates will drain to here when sitting down

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9
Q

Rectouterine pouch

A

Lowest part of female peritoneal cavity; acid from duodenal ulcer or ruptured ectopic pregnancy leads to fluid accumulation here

=>Abdominal tenderness

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10
Q

Transverse rectal folds

A

2 to the left and middle to the right

*Hard stool or probe can tear these folds => infxn

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11
Q

Ejaculatory Duct

A

Formed by the distal part of the vas deferens and the seminal vesicle tube

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12
Q

Lobes of the prostate gland

A

Anterior: Secretes alkaline fluid to counter acidic environment of vagina (other lobes do this too)

Median: Primary site of BPH; causes nocturia

Posterior Lobe: Common site of carcinoma

Lateral lobes: May develop BPH

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13
Q

Route for metastatic prostate caricnoma

A

Prostate venous plexus => Vesical venous plexus => Internal iliac vein => Lateral sacral vein => internal vertebral plexus and radicular veins

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14
Q

Seminal colliculus

A

Rounded eminence on the urethral crest in the prostatic urethra; *contains openings for the ejaculation duct

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15
Q

Iatrogenically induced sterility

A

Disruption to sympathetic fibers of the prostate, vas deferens, and the seminal vesicles resulting in reduced emission

*Occurs during pelvic surgery

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16
Q

Parts of the uterus

A
  1. Fundus (superior)
  2. Body (thick walled)
  3. Cervix (opening to vagina is the external os)
17
Q

Normal position of the uterus

A

Anteverted (90 degrees to vagina) and anteflexed (slight angle from cervix to fundus)

18
Q

Broad ligament of the uterus

A

Two-layered reflection of peritoneum covering the uterus which includes the:

  1. Mesosalpinx
  2. Mesovarium
  3. Mesometrium (majority of ligament)
  4. Suspensory ligament of the ovary (contains NAV to ovary)
19
Q

Contents of broad ligament of the uterus

A

Round ligament of the uterus (remnant of the gubernaculum)

Round ligament of ovary

Uterine and ovarian artery and vein

Uterine Tube

20
Q

Lymphatic drainage of the uterus

A

Fundus => lumbar para-aortic nodes

Body and Cervix => Internal iliac nodes

21
Q

Cervical ligaments

A

Consists of the transverse, pubocervical, and uterosacral ligaments; fnxns to prevent prolapse of uterus into vagina during childbirth

*Are thickenings of endopelvic fascia

22
Q

Components of the uterine tube

A
  1. Fimbria
  2. Infundibulum
  3. Ampulla (widest part; where fertilization takes place)
  4. Isthmus
  5. Intramural
    * Has pre-aortic lumbar drainage
23
Q

Ectopic tubal pregnancy

A

Occurs during blockage of the uterine tube; can lead to fatal hemorrhage after rupture

*Test for w/ a hysterosalpingogram

24
Q

Boundaries of the ovarian fossa

A

Superior: External illiac vessels

Inferior: Internal illiac vessels and ureter

*Obturator nerve passes along obturator internus; diseased ovary can compress causing pain

25
Q

Ovariectomy

A

Ovarian vessels ligated as they cross the external iliac

26
Q

Coverings of the ovary

A

Tunica albuginea and peritoneum

27
Q

Hymen

A

Mucosal covering of the inferior vagina; found BELOW the pelvic diaphragm

28
Q

Culdocentesis

A

Drainage of the rectouterine pouch by piercing the posterior fornix of the vagina

*Unqualified abortionists can accidentally puncture this wall and enter the peritoneal cavity => peritonitis

29
Q

Cystocele

A

Prolapse of part of the urinary bladder into the vagina

30
Q

Blood vessels that must be ligated during hysterectomy

A

Uterine and ovarian arteries

31
Q

Landmark felt in transvaginal approach for pudendal anesthesia

A

Ischial spine thru the posterior fornix

*If going thru the skin, will be the ischial tuberosity

32
Q

Structure incised and restitched during episiotomy

A

Perineal body

33
Q

Only layer of abdominal wall not pierced by suprapubic cystotomy

A

Parietal peritoneum

34
Q

What are anal columns derived from?

A

The embryonic hindgut

35
Q

What do lumbar splanchnic nerves contain?

A

Preganglionic sympathetic fibers

36
Q

Region of the uterine tube located w/ an opening to the peritoneal cavity

A

Infundibulum

37
Q

Peritoneal coverings of the rectum

A

Top 1/3: both sides

Middle 1/3: Only anterior

Bottom 1/3: Nada

38
Q

Seminal vesicle origin

A

Embryological Outgrowth of the ductus deferens

39
Q

Ovarian arteries

A

Arise from the AORTA at level L2; cross over external iliac vessels to enter the Suspensory ligament of the ovary

S&F IV: Exam Two- European Gigalo (14 decks)

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