Pelvis 01: Overview Flashcards

1
Q

Pelvic cavity

A

The true pelvis, just below the abdomen

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2
Q

What are the superior and inferior borders of the pelvic cavity?

A

Superior: pelvic inlet
Inferior: pelvic diaphragm

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3
Q

Perineum

A

A region underneath the pelvic cavity that houses the external genitalia

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4
Q

What is the relationship of the peritoneal sac with the pelvic cavity?

A

The peritoneal sac extends down into the pelvis and drapes over the top of pelvic organs

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5
Q

Endopelvic fascia

A

A fascia found in the pelvis that is the continuation of the abdominal preperitoneal and retroperitoneal fasciae

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6
Q

Intraperitoneal

A

Mostly surrounded by peritoneum

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7
Q

Subperitoneal

A

Below the peritoneum (and thus mostly not related to it)

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8
Q

What are the female pelvic intraperitoneal structures?

A

Ovaries, uterine tubes, fundus and much of the body of the uterus

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9
Q

What are the female pelvic subperitoneal structures?

A

Bladder, lower uterus, cervix, vagina

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10
Q

Is the bladder at all related to the peritoneal?

A

The superior surface is related; however, the bladder is not intraperitoneal

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11
Q

Vesicouterine pouch

A

A small pouch found in the female pelvis between the uterus and the bladder

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12
Q

Rectouterine pouch of Douglas

A

A small pouch found in the female pelvis between the uterus and the rectum

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13
Q

What is the lowest point of the peritoneal sac?

A

Rectouterine pouch of Douglas

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14
Q

Broad Ligament

A

A ligament of peritoneum found in the pelvic cavity between the lateral sides of the uterus and the lateral pelvic walls

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15
Q

Uterosacral ligament

A

A ligament that runs between the uterus and the sacral bones; it suspends the uterus

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16
Q

Pararectal fossa

A

A hollow pouch on each side of the rectum

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17
Q

Suspensory ligament of ovary

A

A ligament that contains the ovarian vessels and the peritoneal fold

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18
Q

Pubocervical ligament

A

A ligament that runs between the pubis and the cervix

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19
Q

How does the endopelvic fascia support female reproductive structures?

A

It condenses into various ligaments that hold organs in place

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20
Q

Rectovesical pouch

A

A pouch that is found only in the male pelvis between the bladder and rectum. It is continuous with the pararectal and paravesical fossae

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21
Q

Paravesicle fossa

A

Fossa found only in the male pelvix between the blade and the vessels of the lateral pelvic wall

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22
Q

Pubic symphysis

A

The bony ligament that connects anteriorally the two sides of the pelvic bone

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23
Q

Sacrum

A

The fusion of the five sacral vertebral bodies that form the posterior spine of the pelvic bones

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24
Q

Pelvic outlet

A

The central hole in the pelvic bones

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25
Ischiopubic ramus
A bone of the pelvis that runs between the pubis and the ischium
26
Ischial tuberosity
The bony part of the ischium of the spine that is the attachment site of the sacrotuberous ligament
27
Sacrotuberous ligament
A ligament that runs from the sacrum to the ischial tuberosity
28
Pelvic diaphragm
A group of muscles that form the floor of the pelvic cavity and separates it from the perineum
29
What are the hiatuses of the male pelvis?
Urogenital hiatus and anal hiatus
30
What are the four palpable structures of the pelvis?
Public symphysis, right and left ischial tuberosity, and tip of coccyx
31
What are the hiatuses of the female pelvis?
Urogenital hiatus and anal hiatus. The urogential hiatus will contain the urethra and the vagina
32
What are the superior and inferior boundaries of the perineum?
Pelvic diaphragm is the roof; skin is the floor
33
Using anatomical terms, how is the perineum positioned relative to the pelvic diaphragm in the body?
The perineum is superficial and inferior to the pelvic diaphragm
34
Lithotomy position
Position of patient on their back and opening their legs to reveal the perineum
35
What are the two triangles formed by the palpable structures of the pelvis?
Urogenital triangle and anal triangle
36
What are the three points that define the urogenital triangle?
Public symphysis and left and right ischial tuberosities
37
What are the three points that define the anal triangle?
Tip of coccyx and right and left ischial tuberosities
38
What membrane is found at the anal triangle?
There is none!
39
Urogenital diaphragm
The perineal membrane, found in the front half of the perineum
40
How does the urogenital diaphragm differ in male and female pelvices?
In the female pelvis, the urogenital diaphragm takes up the whole space of the urogenital triangle. In the male pelvis, it is slightly smaller than the triangle
41
In the female pelvis, what are the two openings found in the urogenital hiatus? Which one is more ventral?
Urethra and vagina; urethra is more ventral
42
Ischio-anal fossae
A fossa found between the ischium and the anus, superficial to the pelvic diaphragm and deep to the deep perinal pouch and perineal membrane
43
From superficial to deep, what are the layers found in the urogenital triangle?
Skin -> fatty layer of superficial perineal fascia -> Colle's fascia -> Perineal cleft -> Superficial perineal pouch -> Perineal membrane -> Deep perineal pouch -> ischioanal fossa -> pelvic diaphragm -> Endopelvic fascia -> Peritoneum -> pertioneal cavity
44
From superficial to deep, what are the layers found in the anal triangle?
Skin -> fatty layer of superficial perineal fascia -> Colle's fascia -> Perineal cleft -> Superficial perineal pouch -> ischioanal fossa -> pelvic diaphragm -> Endopelvic fascia -> Peritoneum -> pertioneal cavity There is no peritoneal membrane or deep perineal pouch
45
Deep perineal pouch
A pelvic pouch found above and deep to the perineal membrane
46
Superficial perineal pouch
A pelvic pouch found superficial to perinal membrane and deep to the deep perineal fascia; it contains erectile tissue and associated skeletal muscles
47
What is the difference between the male and female pelvis with regards to the superficial perineal pouch?
Male: trilobar. Female: quadrilobar
48
Perineal cleft
A pelvic cleft found deep to Colle's fascia and superficial to the deep perineal fascia; also known as the subcutaneous perineal pouch
49
Levator ani
The group of muscles that make up the pelvic diaphragm, they lift up the anus
50
What are the muscles that make up the levator ani?
Iliococcygeus, pubococcygeus, puborectalis
51
What are the three bones that make up the pelvic bone?
Ilium, ischium, pubis
52
Ischial spine
A spiny part of the ischium that is the attachment site of the sacrospinous ligament
53
Greater Sciatic foramen
A foramen that is above the ischial spine
54
Lesser Scieatic forament
A forament that is below the ischial spine
55
Sacrospinous ligament
A ligament that runs from the sacrum to the sichial spine
56
Sacrotuberous ligament
A ligament that runs from the sacrum to the ischial tuberosity
57
Obtuator canal
A small canal that runs through the obturator membrane in the pelvic
58
Piriformis
A muscle that runs from the pelvic brim to the sacrum
59
Obturator internus
A muscle that spans the obturator foramen of the pelvis
60
What nerve innervates the piriformis? What spinal cord segments does it originate from?
"Nerve to piriformis"; L5, S1, S2
61
What nerve innervates the obturator internus? What spinal cord segments does it originate from?
"Nerve to obturator internus"; L5 and S1
62
Pudendal nerve
The nerve that innervates the pelvic diaphragm
63
What spinal cord segments does the pudendal nerve originate from?
S2, S3, S4
64
Puborectalis
A muscle that originates from the pubis and wraps around the rectum; it is one of the pelvic diaphragm muscles
65
What nerves innervate the pelvic diaphragm?
Pudendal nerve; S4 directly
66
How do visceral nerves get past the pelvic diaphragm?
They run through the urogenital hiatus
67
How do somatic nerves get past the pevlic diaphragm?
They go around it
68
What nerves and vessels leave the pelvic cavity from above the piriformis?
Superior gluteal
69
What nerves and vessels leave the pelvic cavity from below the piriformis?
Sciatic nerve; post femoral cutaneous nerve; nerve to quadratus femoris; inferior gluteal nerve and vessels; pudendal nerve; nerve to obturator internus
70
Sciatic nerve
The largest nerve in the body; it leaves the pelvic cavity beneath the piriformis
71
What nerves and vessels leave the pelvic cavity from the obturator canal?
Obturator nerve and vessels
72
What nerves and vessels leave the pelvic cavity from under the inguinal ligament?
Femoral nerve and vessels
73
What nerves and vessels enter the perineum from the lesser sciatic foramen?
Pudendal nerve, nerve to obturator internus, internal pudendal vessels
74
Pudendal canal
A canal found through the lesser sciatic foramen where the pudendal nerve and internal pudendal artery runs through. It runs along the surface of the obtuator internus muscle
75
External anal spinchter
A sphincter of skeletal muscle that controls the opening and closing of the anus
76
What spinal cord segments control the external anal sphincter?
S2, S3, S4
77
Gluteus maximus
The most superficial muscle of the back of the pelvis
78
Gluteus medius
A muscle that is just deep of the gluteus maximus but the most superior of the back pelvic muscles
79
Os coxae
The name of the fused bones that make up the pelvic bone