PELVIS Flashcards

1
Q

Composition of pelvic brim

A

Ant- symphysis pubis
Lat- iliopectineal line
Post- sacral promontory

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2
Q

Boundaries:
Post- lumbar
Lat- iliac fossa and iliacus m
Ant- ant abd wall

A

False pelvis

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3
Q

Important in OB, baby pass through has inlet, outlet, cavity

A

True pelvis

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4
Q

Boundaries of pelvic INLET

A

Ant- symphysis pubis
Lat- iliopectineal line
Post- sacral promontory

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5
Q

Boundaries of pelvic outlet

A

Ant- pubic arch
Lat- ischial tuberosities
Post- coccyx

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6
Q

Pelvic cavity:
Shallower, oval, bigger cavity, shorter wider flatter sacrum, pubic arch rounded, EVERTED ischial spine, obturator foramen rectangular or triangle

A

Female

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7
Q

Pelvic cavity:
Heart shaped inlet, smaller cavity and outlet, larger thinner curved sacrum, inverted ischial spine, round obturator foramen

A

Male

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8
Q

Measurement of inlet:

Sacral promontory to superior margin of pubic symphysis

A

True conjugate diameter

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9
Q

Measurement of inlet:
Sacral promontory to inferior pubic symphysis
Measured during IE

A

Diagonal conjugate

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10
Q

Measurement of inlet:
Shortest pelvic diameter fetal head must pass
Sacral promontory to few mm from top of pubic symphysis

A

Obstetrics conjugate

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11
Q

Measurement of outlet:

Distance bet ischial tuberosities

A

Transverse diameter

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12
Q

Measurement of inlet:

Distance bet ischial spines

A

Interspinous diameter

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13
Q

Typical type of pelvis

A

Gynecoid

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14
Q

Male or funnel shaped pelvis with contracted outlet

A

Android

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15
Q

Long narrow oval shaped pelvis

A

Anthropoid

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16
Q

Wide pelvis flattened at brim with promontory pushed forward

A

Platypelloid

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17
Q

Divide sciatic notches to Greater and Lesser sciatic foramen

A

Sacrotuberous and sacrospinous ligament

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18
Q

Separate greater and lesser notches

A

Ischial spine

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19
Q

Exit from pelvis into gluteal region

A

Greater sciatic foramen

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20
Q

Entrance into perineum from gluteal region

A

Lesser sciatic foramen

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21
Q

Structures pass both to greater and lesser sciatic foramen

A

Pudendal nerve
Nerve to obturator internus
Internal pudendal vessels

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22
Q

Structures in urogenital diaphragm

A

Sphincter urethrae

Deep transverse perineal

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23
Q

Levator ani + coccygeus

A

Pelvic diaphragm

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24
Q

Levator ani muscles

A

Puborectalis, pubococcygeus, iliococcygeus

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25
Muscles most common torn during childbirth
Pubococcygeus and puborectalis
26
Uterine prolapse caused by
Pelvic diaphragm weakness
27
Divides perineum into genitourinary and anal triangle
Line from ischial tuberosities
28
Scrotum, penis, urogenital passages (males) | External genitalia and orifice of urethra and vagina (females)
Urogenital triangle
29
Anal canal, external anal sphincter and ischioanal fossae
Anal triangle
30
Convergence of bulbospongiosus, external anal sphincter and superficial/dee transverse perineal m.
Perineal body
31
Vascular erectile tissues of penis
2 corpora caverbosa and corpora spongiosum bundes by tunica albuginea
32
Terminal part of corpus spongosiun
Glans penis
33
Folded skin covering glans penis
Prepuce
34
Median ventral fold of prepure
Frenulum
35
Continuation of deep perineal fascia | Continuous with fascia covering eom and rectus sheath
Deep fascia of penis/ BUCKs fascia
36
Fibrous layer envelopes corpora cavernosa and corpus spongiosum
Tunica albuginea
37
Blood supply of penis
From internal pudenda arteries
38
Lymph of penis
Skin- superficial inguinal | Deep- internal iliac nodes
39
Homologous to penis
Clitoris
40
Erectile tissues in clitoris
Crura, 2 corpora cavernosa
41
Homologous to scrotum
Labia majora
42
Hairless | No fat
Labia minora
43
Contained in pudendal canal
Pudendal nerve | Internal pudendal vessels
44
Fat filled spaces, supports anal canal and allowa distention during defacation
Ischioanal fossae
45
Perineal fascia
Superficial/ Colle fascia | Deep/perineal membrane
46
Between superficial perineal fascia and perineal membrane
Superficial perineal space
47
Located deep to superficial perineal space. Extending from perineal membrane to pelvic diaphragm
Deep perineal space
48
Bulbourethral gland (males), internal pudendal vessels, sphincter urethra, deep transverse perineal muscles
Deep perineal space
49
Vessel Ends at pelvic inlet IN FRONT of SACROILIAC joint
Common iliac artery
50
Branches of internal iliac artery
Umbilical, obturator, inferior vesical (males), vaginal (females), middle rectal, internal pudendal, uterine
51
Major branches of internal pudendal artery
Inferior rectal | Perineal
52
Pudendal nerve leaves pelvic cavity through
Greater sciatic foramen
53
Pudendal nerve enters perineum through
Lesser sciatic foramen
54
Branches of pudendal nerve
Inferior rectal Dorsal nerve of penis/clitoris Perineal
55
Hallmark for pudendal block through transvaginal approach
Ischial spine
56
Landmark for pudendal nerve block perineal procedure
Ischial tuberosities
57
Urogenital sinus vesical part becomes what in male and female
Urinary bladder
58
Urogenital sinus pelvic part becomes what in males
Prostatic and membranous urethra
59
Urogenital sinus pelvic part becomes what in females
Urethra and lower vagina
60
Urogenital sinus phallic part becomes what in males and females
Genital tubercle