Pelvis Flashcards

1
Q

Boundaries of pelvic inlet

A

ant - symphisis pubis
post - sacral promontory
lat - iliopectineal line

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2
Q

Boundaries of pelvic outlet

A

ant - pubic arch
post - tip of coccyx
lat - ischial tuberosities

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3
Q

Boundaries of false pelvis

A

ant - anterior abdominal wall
post - lumbar vertebra
lat - iliac fossa and iliacus muscle

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4
Q

Diameter from sacral promontory to superior margin of pubic symphisis

A

True conjugate

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5
Q

Diameter from sacral promontory to inferior margin of pubic symphisis

A

Diagonal Conjugate

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6
Q

Diamater distance between 2 ischial tuberosities

A

Transverse Diameter

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7
Q

Diameter distance between 2 ischial spines

A

Interspinous diameter

< 9.5 cm may present barrier to fetus

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8
Q

funnel shaped pelvis with contracted outley

A

android

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9
Q

long, narrow and oval shaped

A

anthropoid

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10
Q

wide pelvis flattened at the brim with the promontory of the scrum pushed forward

A

platypelloid

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11
Q

Contents of pelvic cavity in male

A
  1. urinary bladder
  2. ureter
  3. vas deferens
  4. seminal vesicle
  5. prostate gland
  6. prostatic urethra
  7. sigmoid colon
  8. rectum
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12
Q

Contents of pelvic cavity in female

A
  1. urinary bladder
  2. ureter
  3. ovary
  4. uterine tube
  5. uterus
    6 .vagina
  6. sigmoid colon
  7. rectum
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13
Q

ligaments that divied the sciatic notch

A
  1. sacrotuberous ligament

2. sacrospinous ligament

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14
Q

Nerve that enters the greater sciatic foramen and goes superior to piriformis

A

superior gluteal nerve

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15
Q

Nerves that pass to greater sciatic foramen

A
  1. pedendal nerve
  2. nerve to obturator internus
  3. internal pudendal vessels
  4. piriformis
  5. superior and inferior gluteal vessels and nerves
  6. sciatic nerve
  7. posterior femoral cutaneous
  8. nerve to quadratus femoris
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16
Q

Nerves that pass to lesser sciatic foramen

A
  1. pudendal nerve
  2. nerve to obturator internus
  3. internal pudendal nerve
  4. tendon to obturator internus
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17
Q

composition of pelvic diaphragm

A
  1. levator ani

2. coccygeus muscle

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18
Q

What structure is weakened in a prolapsed uterus

A

pubococcygeus muscle

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19
Q

muslces of the levator ani

A
  1. puborectalis
  2. iliococcygues
  3. pubococcygeus
20
Q

Which structure divides the perineum into the genitourinary and anal triangles

A

line from ischial tuberosity

21
Q

composition of perineal body

A

midpoint

  1. convergence of bulbospongiosus
  2. external anal sphincter
  3. superficial/deep transverse perineal muscles
22
Q

Which structure is involved in an infection of ischiorectal fossa

A

inferior rectal nerve

23
Q

Contents of ischioanal fossa

A
  1. fats
  2. inferior rectal artery
  3. inferior rectal vein
  4. inferior rectal nerve
  5. perineal branch of the femoral cutaneous nerve
24
Q

location of sphincter urethra

A

deep perineal pouch

25
Q

Contents of superficial pernieal space

A
  1. root of penis/clitoris
  2. superficial perineal muscle
  3. bulbospongiosus
  4. ischiocavernosus
  5. perineal body
  6. perineal branch of pudendal nerve
26
Q

Contents of deep perineal space

A
  1. membranous urethra/ part of urethra
  2. bulbourethral gland/ part of vagina
  3. internal pudendal nerve
  4. dorsal nerve of penis/clitoris
  5. sphincter of urethra muscles
  6. deep transverse perineal muscle
27
Q

components of anterior division of internal iliac artery

A
  1. umbilical - superior vesical
  2. uterine
  3. vaginal or inferior vesical
  4. middle rectal
  5. obturator
  6. internal pudendal
  7. inferior gluteal
28
Q

components of posterior division of internal iliac artery

A
  1. iliolumbar
  2. lateral sacral
  3. superior gluteal
29
Q

Supplies pelvic diaphragm and gluteus maximus

A

inferior glueal artery

30
Q

This artery obliterates; superior vesical to superior part of urinary bladder

A

umbilical artery

31
Q

supplies pelvic muscles, medial compartment of thigh

A

obturator artery

32
Q

supplies anterior and posterior vagina

A

vaginal artery

33
Q

supplies fundus of urinary bladder, prostate, seminal vesicle, ductus deferens, lower ureter

A

inferior vesical artery

34
Q

supplies uterus, ovary, cervix, vagina

A

uterine artrery

35
Q

supplies rectum, anal canal

A

middle rectal artery

36
Q

Branches of internal pudendal artery

A
  1. inferior rectal artery
  2. perineal artery
    3 dorsal artery of penis/clitoris
  3. superficial perineal artery
  4. deep artery of penis/clitoris
  5. perineum, skin, muscle of anal triangle and urogenital triangle and erectile bodies
37
Q

What is the origin of pudendal nerve

A

S2 - S4

38
Q

Branches of pudendal nerve

A
  1. inferior rectal
  2. dorsal nerve to penis/clitoris
  3. perineal
39
Q

What is the origin of sciatic nerve

A

L4.L5 S1 - S3

40
Q

Branches of sciatic nerve

A

Posterior division - common peroneal nerve

Anterior Division - tibial nerve

41
Q

What is the origin of posterior femoral cutaneous nerve

A

S1 - S3

42
Q

Posterior branches of posterior femoral cutaneous nerve

A
  1. superior gluteal nerve
  2. inferior gluteal nerve
  3. piriformis
  4. perforating cutaneous nerve
43
Q

Anterior branches of posterior femoral cutaneous nerve

A
  1. nerve to quadratus femoris and inferior gemellus
  2. nerve to obturator internus and superior gemellus
  3. pudendal nerve
  4. nerve to levator ani and coccygeus
  5. perineal nerve
44
Q

What type of block is done to abolish pain from the anterior part of the perineum

A

Ilioinguinal nerve block

45
Q

What is the landmark of pudendal nerve block

A
  1. transvaginal - ischial spine

2. perineal - ischial tuberosity