Pelvis Flashcards
What bones make up the os coxae
Pubis, ilium, ishcium
What is the perineum
Inferior floor of pelvic cavity contains external genitalia and openings
What is the false pelvis
Ilium and lower lumbar
Part of abdomen
Sigmoid colon
What is the true pelvis
Pubis, ischium, sacrum
Bounded by inlet and outlet
Contains urine and reproductive organs
What are the differences between male and female pelvis
Women- circular, 80-85 degree pubis angle
Men- heart shaped, 50-60 degree pubis angle
The sacrospinous ligament attaches to what
Sacrum and ischial spine
What exits greater sciatic foramen
Piriformis Superior gluteal n Sciatic n Inferior gluteal n Pudendal n
What exits lesser sciatic foramen
Obturator internus
What enters the lesser sciatic foramen
Pudendal n
Describe the arrangement of the pudendal n in relation to ligaments and sciatic foramen
Exits greater
Under sacrospinous ligament
Enters lesser
Over sacrotuberous
What muscles for the lateral wall of pelvis
Piriformis and obturator internus
What muscles line the internal surface of sacrotuberous ligament
Coccygeus muscle
Function of coccygeus muscle
Form pelvic floor
Support pelvic viscera
Pull coccyx forward after defecation
Function of obturator internus
ER of hip
Function of Piriformis
ER of hip
ABD hip
What makes up Levator ani
Puborectalis
Pubococcygeus
Iliococcygeus
What makes up the pelvic diaphragm
Levator ani and coccygeus
What is the innervation of pelvic diaphragm
Pudendal n S2-4
Injury to pelvic floor and diaphragm can lead to what
Weakness of floor which decreases support
Urinary incontinence
What does the perineum divide
Urogenital triangle and anal triangle
What is the perineal body
Between UG and anal triangle
Center point of perineum
What muscles are in the superficial space of UG triangle
Ischiocavernous
Bulbospongiosus
Superficial transverse peritoneal
What erector tissues are in the superficial UG triangle
Crus of clit or penis
Bulb of clit or penis
Vestibular glands- females
What is in the deep space of the UG triangle
External urethra sphincter muscle
Deep transverse peritoneal
Bulbourethral glands- males
What does the anal triangle contain
Anal aperture
External anal sphincter
Ischio-anal fossae
What divides the superficial and deep UG triangle
Peritoneal membrane
Weakness of what muscle might lead to urinary incontinence
External urethra sphincter muscle
The pudendal n provides motor innervation to what
External urethra sphincter
External anal sphincter and perineal muscle
The pudendal n provides cutaneous innervation to what
Perineum and clitoris/penis
Where is the pudendal canal and what is the contents
Located between the fascia and obturator internus muscle
Contains pudendal n/a/v
What are the 4 branches of the pudendal n
Inferior rectal m/s
Perineal m/s
Dorsal n of penis or clitoris s
Posterior scrotal or labial s
What does the inferior rectal n innervate
External anal sphincter
Skin of anus
What does the perineal n innervate
All superficial/deep muscles
Perineum
What is the bulbocavernous reflex
Contraction of rectal sphincter (anal wink) response to pressure on bulbocavernous
Method of evaluating pudendal n
What are the sympathetic n of pelvis and their functions
Sacral splanchnic n and hypogastric n
Vasoconstriction, contract internal urethra/anal sphincters, and ejaculation
What is the parasympathetic n of the pelvis and their functions
Pelvic splanchnic S2-4
Vasodilation stimulate bladder contraction for urination, defecation, and erection
What are the branches of anterior trunk of internal iliac artery
Umbilical, superior vessical branches, obturator, middle rectal, inferior rectal, internal pudendal
What are the functions of anterior trunk of internal iliac artery
Supply pelvic viscera, perineum, gluteal region, and adductor region
What are the branches of the posterior trunk of internal iliac artery
Iliolumbar, superior gluteal, lateral sacral
What is the function of the posterior trunk of internal iliac artery
Supply posterior pelvic wall, lower posterior abdominal wall, gluteal region
Inferior vessical artery is equivalent to what in females? It gives off what to males
Females- vaginal a
Males- ductus deferens
What is the path of urine
Renal tubules of nephron Collecting ducts Papillary ducts Minor calyx Major calyx Pelvis Ureter Bladder Urethra
Compare the male and female urethra
Males is longer
Females is shorter, the reason for more frequent UTI
Rounded adipose tissue area overlying the pubic symphysis
Mons pubis
Pulled ridges of skin inferior and posterior to moms pubis, outer surface covered with hair
Labia majora
Paired hairless skin ridges flanking the midline space (vestibule)
Labia minor
Space between labia major containing urethra, vagina, and greater vestibular glands
Vestibule
Erectile tissue
Clitoris
Erectile tissue on either side of vestibule
Bulb of vestibule
Mucus secreting glands on either side of vestibule
Greater vestibular glands- Bartholin
What is the difference between ovarian ligament and the suspensory ligament of ovary
The suspensory ligament contains ovarian a (from AA) and vein
Connects uterus and ovaries
Ovarian ligament
Connects uterus and labia majora
Round ligament
Connects cervix to sacrum
Uterosacral ligament
What are the 3 parts of the broad ligament
Mesosalpinx
Mesovarium
Mesometrium
Suspends uterine tube
Mesosalpinx
Attaches to ovary and covers ovarian ligament
Mesovarium
Extends from lateral pelvic wall to body of uterus
Mesometrium
What is the most common site of fertilization
Ampulla
What is the normal position of uterus
Anterverted
What is the erectile tissue in the penis
Corpus cavernosum (2 eyes) Corpus spongiosum (mouth)
What takes place in the testes
Development of spermatozoa and sex hormones
What takes place in the epididymis
Site of maturation for sperm
What is the ductus deferens
Tube in spermatic cord
Transports sperm from epididymis to ejaculatory ducts in prostate glands
What is the function of seminal vesicles
Gland in superior base of bladder
Secretes fructose rich seminal fluid which is 60% of semen
What are ejaculatory ducts
Union of ductus deferent and ducts of seminal vesicles
What is the prostate gland
Located inferior to the bladder, secretes acidic components of semen
What is the bulbourethra (Cowper) gland
Posterior to urethra
Secretes alkaline mucus that lubricates the urethra and increases velocity during ejaculation
What is the innervation of the superficial space of UG in the penis
Pudendal n
The roots of the external genitalia are anchored to what
Perineal membrane
What is the path of the sperm
Testes, seminiferous tubules, epididymis, vas deferens, ejaculatory duct, nothing, urethra, penis
SEVEN UP
Where does the ductus deferens run
Through inguinal canal
Over epigastric vessels
Over ureter
In prostate it joins with ejaculatory duct
What is cut during a vasectomy
Vas deferens
What is the homologous of clitoris in men
Penis
What is the homologue of the glans clitoris in men
Glans penis
What is the homologue of the corps cavernosa clitoris in men
Corpa cavernosa
What is the homologue of the bulb of vestibule in men
Corpus spongiosum
What is the homologue of labia majora in men
Scrotum
What is the homologue of the ovarian and round ligaments in men
Gubernaculum testis
The functional and structural unit of the kidney is
Nephron
Potent vasoconstrictor, triggers aldosterone, stimulates ADH, increase blood volume and pressure
Angiotensin II