Pelvis Flashcards
Pelvis separated into two parts by what structure?
Pelvic brim
Separates true & false pelvis
Most common type of pelvis in females?
Gynecoid
Most common type of pelvis in Males?
Android
Becomes visceral pelvic fascia around the cervix?
Parametrium
Supports the pelvic viscera? (2)
Levator ani muscles & Coccygeus ( Pelvic Diaphragm)
Describe Pelvic Floor Structure? (4)
- Funnel shaped
- Attaches to walls of lesser pelvis
- Separates pelvic cavity from perineum
- Gaps in pelvic floor: Urogenital hiatus and Rectal hiatus
Structures that pass both lesser and greater sciatic foramen? (3)
Pudendal Nerve
Internal pudendal vessel
Nerve to obturator internus
PIN
Structure that only pass thru the Lesser Sciatic foramen?
Tendon of Obturator Internus
TOI
Joint that transmits the weight of the body from the vertebral column to the bony pelvis?
Sacroiliac Joints
Structures constitutes the pelvic diaphragm ? (2)
Levator Ani muscle
Coccygeus muscle
Innervation of the levator ani? (2)
Pudendal Nerve ( Sensory) and S4 (Motor)
Divides perineum into genitourinary and anal triangle ?
Line from ischial tuberosities
Dense fibrous layer that envelops both the corpora cavernosa and corpus spongiusom ?
Tunica Albuginea
Renal pain is commonly referred to?
Lower back and Anterior Abdominal wall
Shape of urinary bladder ?
Full - Ovoid / Oval
Empty - Pyramidal
Kidney stones usually lodged in what areas of the ureter? (3)
- Ureteropelvic junction
- Where it crosses the pelvic brim and common iliac artery
- Where it pierce the bladder wall
Ureter in relation to vascular structures? (4)
- Posterior to Gonadal vessels
- Anterior to common iliac and internal iliac vessels
- Medial to external iliac vessels
- Inferior to uterine artery
itlog sa PoGo + ACIn MEx InU
Adrenal cells secreting catecholamines?
Chromaffin cells
Blood supply of the prostate gland? (2)
Inferior vesical & Middle rectal arteries
MR IV
Lymphatic drainage of the gonads?
Paraaortic nodes at the L1 level
Lymphatic drainage of the prostate ?
Internal Iliac Node
(ProsIn )
Lymphatic drainage of the vulva?
Superficial inguinal nodes
Lymphatic drainage of the skin of the penis?
Superficial inguinal nodes
All are included in the deep perineal space except?
Root of Penis
Pudendal block landmark through a transvaginal approach ?
Ischial spine
Gonadal sex is determined by?
Testes Determining Factor
Secretes testosterone and androstenedione ?
Leydig / Interstitial cells
Epithelial lining of growing follicle ?
Stratified cuboidal
Epithelial lining of growing follicle ?
Stratified cuboidal
Primary Oocyte arrested at what stage until puberty?
Prophase I
Rudimentary ovaries , webbed neck , short stature , widely spaced nipples?
Turner Syndrome ( 45 XO )
Implantation happens in how many days?
Day 7 after fertilization
Delayed menstruation , abdominal pain , vaginal spotting classic s/sx of what case?
Ectopic pregnancy
Guides testis in its descent ?
Gubernaculum testis
Damage to these vessels during surgeries of the prostate may cause severe hemorrhage?
Prostatic Venous Plexus
Adenocarcinoma of the prostate occurs commonly at what zone?
Peripheral zone
Left ovarian vein drains into what vein?
Left renal vein
Phase of menstrual cycle influenced by Progesterone secretions?
Secretory Phase
External urethral orifice on the ventral side of glans penis?
Hypospadias
Supplies the external genitalia and perineum , gives rise to inferior rectal artery.
Internal Pudendal Artery
Supplies the external genitalia and perineum , gives rise to inferior rectal artery.
Internal Pudendal Artery
Contents of inguinal canal in males? (2)
Spermatic cord
Iliounguinal nerve
Receives lymph from glans penis/ glans clitoris ?
Deep inguinal lymph node
Supplies the external genitalia and perineum , gives rise to inferior rectal artery.
Internal Pudendal Artery
Contents of inguinal canal in Males (2)
Spermatic cord
Ilioinguinal nerve
Receives lymph from glans penis/ glans clitoris.
Deep inguinal lymph node
Structures found in the superficial perineal space? (7)
- Root of penis/ clitoris
- Superficial perineal muscle
- Bulbospongiosus
- Ischiocavernosus
- Perineal body
- Perineal branch of pudendal nerve
- Greater vestibular glands (F)
Kidney blood flow (17)
Heart to
Aorta to
Renal artery to
Segmental arteries to
Interlobar arteries to
Arcuate arteries to
Interlobular arteries to
Afferent arterioles to
Glomerulus to
Efferent arterioles to
Peritubular capillaries to
Interlobular vein to
Arcuate vein to
Interlobar vein to
Renal vein to
IVC to
Heart
Describe Cowper gland / Bulbourethral gland. (3)
- Pear shaped glands in males
- Beneath the prostate at the beginning of internal portion of penis
- Provide mucus proteins that lubricate urethra and counteract acidity
Tributaries of the Left Renal Vein? (4)
- Left suprarenal vein
- Left gonadal vein
- Left inferior phrenic vein
- Capsular veins of the Left Kidney
SuGo In Phre Cap
SuGo Ni Pre Capitan
Structures found in the deep perineal space? (7)
- Membranous urethra (M)
- Bulbourethral gland (M)
- Part of Urethra & Vagina (F)
- Internal pudendal vessels
- Dorsal nerve of penis / Clitoris
- Sphincter urethra muscle
- Deep transverse perineal muscle
Smaller bones that makes up the hip bone? (3)
Ilium
Ischium
Pubis
Vas deferens emerge from ?
Epididymis
Normal lengths of urethra?
Female urethra : 1.5 inches
Male urethra: 8 inches
Widest and most dilatable part where ejaculatory ducts open into?
Prostatic urethra
Parasympathetic effect in the male sexual response?
Penile erection
Veins affected by the internal hemorrhoids?
Internal rectal venous plexus
Branches of nerves and vessels in the ischioanal fossa? (2)
Pudendal nerve
Internal pudendal vessels
Vulnerable to injury during evacuation of pus in the ischioanal fossa?
Inferior rectal veins
Characteristics of Internal Hemorrhoids ?
Located above the dentate line
Painless
Hemorrhoids are not varicosities of the anal canal, but are clusters of vessels, muscles and connective tissue lined by normal epithelium.
Muscles supplied by the Pudendal nerve? (2)
External anal sphincter
Muscles of the Perineum
Lymphatic drainage of ureter? (2)
Lateral aortic nodes
Iliac nodes
IL LA
Testicular malignancy drainage?
Para-aortic lymph nodes ( Lumbar)
Drainage:
Posterior abdominal wall
Kidney
Ureter
Gonads
Uterus
Uterine tubes
Bartholin’s gland definition.
Greater vestibular glands of vagina.