Pelvis - Lecture 5 Flashcards

1
Q

What are the Bones of the Pelvic Cavity?

A
  1. Pelvic Bones (2)
  2. Sacrum
  3. Coccyx
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2
Q

What fused bones make up each Pelvic Bone?

A
  1. Ilium (Superior)
  2. Ischium (Inferior Posterior)
  3. Pubis (Inferior Anterior)
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3
Q

Acetabulum

A

Cup-shaped depression on the lateral surface of the pelvic bones where the head of the femur articulates

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4
Q

Which two parts of the Pelvis are located Anteriorly in the same plane?

A
  1. Anterior Superior Iliac Spine

2. Pubic Tubercle

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5
Q

What is the name of the Anterior vertical plane on the Pelvis that joins the two Pelvic Bones?

A

Pubic Symphysis

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6
Q

What pats of the Ilium are palpable?

A
  1. Anterior Superior Iliac Spine (ASIS)

2. Iliac Crest

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7
Q

What is the name of the thickened ridge at the top of the Ilium?

A

Iliac Crest

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8
Q

Name the Components of the Pelvis

A
  1. Iliac Spine
  2. Anterior Superior Iliac Spine
  3. Anterior Inferior Iliac Spine
  4. Posterior Superior Iliac Spine
  5. Posterior Inferior Iliac Spine
  6. Iliac Fossa
  7. Greater Sciatic Notch
  8. Lesser Sciatic Notch
  9. Ischial Spine
  10. Ischial Tuberosity
  11. Obturator Foramen
  12. Superior Pubic Ramus
  13. Inferior Pubic Ramus (Ischia Pubic Ramus)
  14. Pubic Tubercle
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9
Q

Where does the Sacrum articulate with the Pelvic bones?

A

Between the Posterior Superior Iliac Spine and the Posterior Inferior Iliac Spine

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10
Q

Which muscle originates on the Iliac Fossa?

A

Iliacus

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11
Q

What is the Greater Sciatic Notch used for?

A

Space allowing structures to pass from inside Pelvis to the Gluteal region

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12
Q

What does the Ischial Spine separate?

A

Ischial Spine separates the Greater Sciatic Notch from the Lesser Sciatic Notch

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13
Q

Which bone you sit down on?

A

Ischial Tuberosity

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14
Q

What is the Obturator Foramen?

A

An opening in the inferior portion of the Pelvis that is mostly covered by a membrane, but has space for the Obturator Artery, Vein, and Nerve to pass through

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15
Q

What innervates the Medial Thigh?

A

Obturator Nerve

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16
Q

What innervates the Anterior Thigh?

A

Femoral Nerve

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17
Q

What structures surround the Obturator Foramen?

A
  1. Superior Pubic Ramus

2. Inferior Pubic Ramus (AKA Ishia Pubic Ramus

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18
Q

What attaches to the ASIS and the Pubic Tubercle?

A

Inguinal Ligament

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19
Q

Where does the Inguinal Ligament come from?

A

Extension of the External Oblique Aponeurosis

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20
Q

Sacro-Iliac Joint

A

Posteriorly where the medial side of the two pelvic bones are connected to the Sacrum

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21
Q

Pubic Symphysis

A

Anteriorly where the two Pelvic Bones are connected by dense fibrocartilage

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22
Q

Which direction is the Pelvis tilted and why?

A

It is tilted anteriorly so the ASIS and the Pubic Tubercles are located in the same plane

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23
Q

Pubic Angle

A

Angle formed by the two pubic bones ANTERIORLY

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24
Q

Pelvic Inlet

A

The imaginary Plane formed if you were to draw a “Circle” inside of the bones of the Pelvis and Sacrum

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25
Q

What is demarcated by the Pelvic Inlet?

A

The plane of the Pelvic Inlet separates the False Pelvis and Abdomen (Superior) from the True Pelvic Cavity (Inferior)

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26
Q

What is the Pelvic Brim?

A

This is the “Circle” around the bones that indicates the Pelvic Inlet using:

  1. Sacral Promontory (Top of S1)
  2. Ala (wings) of Sacrum
  3. Linea Terminalis of the Pelvis
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27
Q

Female Pelvis Characteristics

A
  1. Wider Pubic Angle (80º-85º like making an L with your index and thumb)
  2. Rounder Pelvic Inlet
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28
Q

Male Pelvis Characteristics

A
  1. Smaller Pubic Angle (50º-60º like making a peace sign)

2. Heart/Oval shaped Pelvic Inlet

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29
Q

False Pelvis (Greater Pelvis)

A
  1. Larger Pelvic Are
  2. Area Superior to the plane of the Pelvic Inlet that is still is surrounded by the wings of the Ilium
  3. in ABDOMINAL CAVITY
  4. Contains Digestive Organs
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30
Q

What is the Linea Terminalis?

A

Ridge on the Pelvic bones that forms the outline of the Pelvic Inlet

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31
Q

True Pelvis (Lesser Pelvis)

A
  1. Smaller Pelvis area
  2. Area Inferior to the plane of the Pelvic Inlet
  3. in Pelvic Cavity
  4. Contains Pelvic Outlet
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32
Q

Pelvic Outlet

A
  1. Inferior border of the Pelvic Cavity
  2. Plane formed by ligaments and muscles
  3. Open aside from the barrier formed by the muscles of the Pelvic Floor
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33
Q

What does the Pelvic Floor do?

A
  1. Separates the Pelvic Cavity from Perineum and covers the Pelvic outlet
  2. Synonymous with Pelvic Diaphragm Muscles
  3. Bowl shaped
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34
Q

What are the boundaries of the True Pelvis?

A
  1. Pelvic Inlet (Superior)
  2. Pelvic Wall (Circumferential)
  3. Pelvic Outlet (Inferior)
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35
Q

What makes up the Pelvic Wall and provides the Circumferential/Lateral boundaries of the Pelvis?

A
  1. Obturator Internus Muscle (Lateral)
  2. Piriformis Muscle (Lateral)
  3. Sacrotuberous Ligament
  4. Sacrospinous Ligament
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36
Q

What is the Sacrotuberous Ligament?

A

A very strong supportive ligament that attaches the Sacrum to the Ischial Tuberosity

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37
Q

What is the Sacrospinous Ligament?

A

A ligament that runs perpendicular to the Sacrotuberous ligament attaching the Sacrum to the Ischial Spine

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38
Q

The perpendicular way that the Sacrotuberous and Sacrospinous Ligaments causes the formation of

A
  1. Greater Sciatic Foramen
  2. Lesser Sciatic Foramen
    FROM the Greater and Lesser Sciatic Notches
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39
Q

How does the Piriformis Muscle pass from the Pelvic region to the Gluteal region?

A

Passes through Greater Sciatic Foramen

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40
Q

How does the Obturator Internus Muscle pass from the Pelvic region to the Gluteal region?

A

Passes through Lesser Sciatic Foramen

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41
Q

What are the boundaries of the Pelvic Outlet?

A
  1. Pubic Symphysis (Anteriorly)
  2. Inferior Pubic Ramus (Anteriorly)
  3. Ischial Tuberosities (Laterally)
  4. Sacrotuberous Ligament (Posteriorly)
  5. Coccyx (Posteriorly)
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42
Q

Lithotomy Position

A

Patient laying on their back with legs up like birthing position

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43
Q

What are the Pelvic Diaphragm Muscles (Pelvic floor muscles)?

A
  1. Levator Ani (bigger)

2. Coccygeus

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44
Q

What is the Levator Ani?

A
  1. Largest of the Pelvic Diaphragm Muscles

2. Sling-like muscle with multiple parts called Kegels

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45
Q

Where are the origin and insertion of the Levator Ani?

A

Origin: Coccyx
Insertion: Pubic Bone

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46
Q

What openings are in the Levator Ani?

A
  1. Anal Aperture (Anal Canal)

2. Urogenital Hiatus (Vagina)

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47
Q

What is the Coccygeus?

A

Smaller Pelvic Diaphragm Muscle that originates at the Ischial Spine and inserts on the Lateral Coccyx

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48
Q

What are the functions of the Pelvic Diaphragm Muscles?

A
  1. Supporting and keeping Pelvic Organs inside of the Pelvis
  2. Supporting Sphincters for passing through organs (Anus and Vagina)
  3. Rectal Flexion (keeps shape)
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49
Q

What Urinary Organs are in the Pelvic Cavity?

A
  1. Bladder
  2. Distal Ends of the Ureters
  3. Urethra
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50
Q

What Digestive Organs are in the Pelvic Cavity?

A
  1. Terminal end of Digestive Tract
  2. Rectum
  3. Anal Canal
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51
Q

What is the Perineum?

A

Anything Inferior and Superficial to the Pelvic Floor:

  1. External Genitalia
  2. Opening of Urinary, Digestive, and Reproductive Tracts
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52
Q

What is the Rectum?

A

Most posterior structure of the Pelvis that can expand to store feces

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53
Q

Rectum is a continuation of the…

A

Sigmoid Colon

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54
Q

Where is the Rectum?

A

Resting on the curve of the Sacrum in the Sigmoid Colon

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55
Q

Rectum terminates at the…

A

Anal Canal

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56
Q

What does the Anal Canal pass through?

A

Pelvic Floor Muscles of the Pelvic Diaphragm

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57
Q

Constriction of the Pelvic Floor Muscles does what to the Anal Canal?

A

Constriction helps close off the Anal Canal to maintain continence

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58
Q

Pelvic Floor Muscles orientation with the Rectum causes what?

A

A Flexure Point (curve) in the Rectum that angles the Anal Canal

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59
Q

Opening from Anal Canal to the outside world is called the…

A

Anus

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60
Q

What are the sphincters of the Anal Canal?

A
  1. Internal Anal Sphincter (Smooth Muscle)

2. External Anal Sphincter (Skeletal Muscle)

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61
Q

What are the Parasympathetic and Sympathetic controls of the Internal Anal Canal?

A
  1. Paraympathetic relaxes Anal Canal muscles allowing defecation
  2. Sympathetic contracts Anal Canal muscles, NO defecation
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62
Q

Anal Canal goes through what muscle of the Pelvic Floor?

A

Levator Ani

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63
Q

What is the Pectinate Line?

A

Demarcation of the Digestive Tract that splits the Rectum in terms of Embryologic Division

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64
Q

What is superior to Pectinate line?

A

Parts of the Embryologic Hindgut

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65
Q

Why is the Pectinate Line important?

A

It signifies different:

  1. Lymph Drainage
  2. Blood Supply
  3. Embryonic Origin
  4. Associated Pathology
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66
Q

What supplies blood to the Rectum SUPERIOR to the Pectinate Line (Hindgut)?

A

Superior Rectal Artery

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67
Q

Where does blood go from the Rectum SUPERIOR to the Pectinate Line (Hindgut)?

A

Portal System (Liver) via the Portal Vein

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68
Q

Where does blood go from the Rectum INFERIOR to the Pectinate Line?

A

Caval System (IVC)

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69
Q

Name the sites of Portal-Systemic Anastomosis and why this is important

A

These are the places blood goes back to the IVC but does NOT enter the Hepatic Portal System (Liver):

  1. Esophagus
  2. Inferior Rectum/Anus
  3. Paraumbilical Are
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70
Q

What supplies blood to the Rectum INFERIOR to the Pectinate Line?

A

Middle and Inferior Rectal (Anal) Arteries

71
Q

Where do Lymphatics go for parts of the Rectum SUPERIOR to the Pectinate Line (Hindgut)?

A

Internal Nodes

72
Q

Where do Lymphatics go for parts of the Rectum INFERIOR to the Pectinate Line?

A

Superficial Nodes

73
Q

Where does Autonomic Innervation of the Rectum SUPERIOR to the Pectinate Line (Hindgut)?

A
  1. Parasympathetic by Pelvic Splanchnic

2. Sympathetic by Lumbar Splanchnic

74
Q

What provides Somatic (Skeletal) Innervation to the Rectum INFERIOR to the Pectinate Line?

A

Pudendal Nerve

75
Q

What is the Bladder and where is it located?

A

Hollow Organ that serves as a reservoir for urine located most Anteriorly in the Pelvis

76
Q

What is the Trigone?

A

A smooth walled triangular region at the base (back) of the Bladder between the 2 Ureters (entry) and the Urethra (exit)

77
Q

What is the Embryological Origin of the Median Umbilical Ligament?

A

The Urachus which was a connection between the bladder and the Umbilical Cord in the Fetus

78
Q

Describe the Superior Portion of the Bladder when empty and full

A

Empty- Flat and completely in the Pelvis

Full- Balloons upward into the Abdominal Cavity

79
Q

The Apex of the Bladder points over the…

A

Pubic Symphysis

80
Q

Where do the Testes develop in males?

A

Posterior Wall of the Abdominal Cavity

81
Q

How do the Testes descend and what do they descend with?

A

They descend through the Inguinal Canal with:

  1. Nerves
  2. Vessels
  3. Lymphatics
  4. Vas Deferens
82
Q

What are the Seminiferous Tubules?

A

Highly coiled vessels in the Testes that produce Sperm

83
Q

What is the Epididymis?

A

A coiled tube on the posterior side of the Testes where sperm gain motility and are stored or sent to the Vas Deferens

84
Q

Sperm Transport

A

“SEVN UP”

  1. Produced in Seminiferous Tubules
  2. Stored in Epididymis
  3. Vas Deferens
  4. Ejaculatory Duct
  5. Urethra
  6. Penis
85
Q

What surrounds the Testes in the Scrotum?

A
  1. Tunica Albuginea (Capsule)

2. Tunica Vaginalis (anterior sac of Peritoneum

86
Q

What do the Testes bring during descent through the Inguinal Canal from the Anterior Abdominal Wall?

A
  1. Vas Deferens (drains sperm)
  2. Venous Plexus (drains blood)
  3. Testicular Artery (supplies blood)
  4. Genitofemoral Nerve
  5. Cremaster Muscle
87
Q

Where does the Cremaster Muscle come from?

A

Extension of the Internal Oblique

88
Q

What does the Cremaster Muscle do?

A

It is around the Scrotum and Cord and controls the position of the Testes within the Scrotum

89
Q

Why is the Ilioinguinal Nerve unique?

A

It is not present through entire Inguinal Canal

2. Sneaks in from the side and has some anterior sensory

90
Q

What is the pathway of the Vas Deferens through the Pelvic Cavity?

A
  1. Exits Scrotum
  2. Travels through Inguinal Canal
  3. Enters Pelvic Cavity
  4. Travels behind the Bladder
  5. Joins Seminal Vesicles to become Ejaculatory Ducts
91
Q

What is the Seminal Vesicle?

A
  1. 2 Bilateral Glands located Posteriorly to the Bladder that secrete Alkaline Seminal Fluid
  2. Joins Vas Deferens to form the Ejaculatory Ducts in Prostate
92
Q

Where do the Ejaculatory Ducts join the MALE Urethra?

A

In the Prostate they join the Prostatic Urethra

93
Q

What do you call the Sphincter at the base of the Bladder and start of the MALE Urethra?

A

Internal Urethral Sphincter

94
Q

Why CAN’T Urination and Ejaculation occur simultaneously?

A

The Internal Urethral Sphincter is located at the base of the bladder and when it is Sympathetically Activate, the muscles contract which closes the sphincter

95
Q

How does the Vas Deferens cross over the Ureter in the Pelvic Cavity?

A

“Water Under the Bridge”

Ureter with Water passes under the Vas Deferens

96
Q

The Perineum is…

A

Everything INFERIOR and SUPERFICIAL to the Pelvic Cavity

97
Q

What is the function of the MALE Bulbourethral (Cowper’s) Glands?

A

Secrete Lubricant and Pre-Ejaculate into Penile Urethra

98
Q

Where are the MALE Bulbourethral (Cowper’s) Glands located?

A

Underneath the prostate in the Deep Pouch of the Perineum

99
Q

What are the FEMALE Reproductive Organs located in the Pelvic Cavity?

A
  1. Ovaries
  2. Uterine/Fallopian Tubes
  3. Uterus
100
Q

Where is the embryological origin of the Ovaries?

A

Abdominal Cavity before they descend to the Lateral Pelvis

101
Q

Is there a connection between the Peritoneal Cavity and the Reproductive system in men and women?

A

Men- NO

Women- Yes, the Fallopian Tube

102
Q

Describe the relationship between the Ovary and the Fallopian Tube

A

NOT attached, but the Fimbriae sweep the eggs into the Fallopian Tube

103
Q

What action does the Ovary perform?

A
  1. Produce the Ovum (egg) and release it into the peritoneal cavity
  2. In close contact with but not attached to the Fallopian Tube
104
Q

What is the Ovarian Ligament?

A
  1. Attaches the Ovaries to the Uterus

2. Caused the descent of Ovaries from the Abdomen to the Pelvis in the Embryo

105
Q

What are the parts of the Fallopian (Uterine) Tubes?

A
  1. Infundibulum
  2. Ampulla
  3. Isthmus
106
Q

What is the Infundibulum?

A

Wide portion of the Fallopian Tube with Fimbriae that sweep the Ovum into the Fallopian Tube

107
Q

What is the Ampulla?

A

The narrow middle portion of the Fallopian Tube where the egg is fertilized by sperm

108
Q

What is the Isthmus?

A

The narrowest part at the end of the Fallopian Tube connected to the Uterus

109
Q

What structures connects the Uterus to the Labia Majora?

A

Round Ligament

110
Q

What structure guides the descent of the Male Testes into the Scrotum?

A

Gubernaculum

111
Q

What structure in Male and Female reproductive systems are embryologically equivalent and came from the same precursor tissue?

A

Scrotum in Males

Labia Majora in Females

112
Q

What is the Round Ligament?

A
  1. Connects Uterus to the Labia Majora

2. Runs through the Inguinal Canal

113
Q

What structure goes through the Inguinal Canal in Males?

A

Spermatic Cord

114
Q

What are the 3 areas of the Uterus?

A
  1. Fundus
  2. Body
  3. Cervix
115
Q

What is the Uterus?

A

Muscular Hollow structure located between the Bladder and Rectum

116
Q

What are the parts of the Cervix called?

A
  1. Internal Os (faces the Uterus)
  2. Cervical Canal
  3. External Os (faces the Vagina)
117
Q

What are the 3 areas of the Uterine Wall called? (Superficial to Deep)

A
  1. Perimetrium
  2. Myometrium
  3. Endometrium
118
Q

In females, what is the Perimetrium?

A
  1. Outermost Uterine Wall layer

2. Serous Membrane covering that comes from the Peritoneum

119
Q

In females, what is the Myometrium?

A
  1. Middle layer of the Uterine Wall
  2. Thick layer of Smooth Muscle
  3. Contracts during menstrual cycle and birth
120
Q

In females, what is the Endometrium?

A
  1. Innermost layer of the Uterine Wall

2. Responds to hormonal activity

121
Q

What is the position of the Uterus?

A

Anteverted (Tipped forward) and it sits on top of the Bladder

122
Q

How does the Vaginal Canal travel in reference to the Urethra?

A

Vaginal Canal travels POSTERIORLY to the Urethra

123
Q

How is the Vaginal Canal angled?

A

Posteriorly

124
Q

What is Effacement?

A

When the Cervix dilates and thins out during childbirth making the Internal and External Os become one

125
Q

What is the point of a Speculum Exam?

A

Using the Vaginal Canal to observe the External Os of the Cervix

126
Q

How can you remember the angles of the Uterus, the Cervix, and the Vaginal Canal?

A

The 3 axes of the Uterus, Cervix, and Vaginal Canal make an “A” around the Bladder

127
Q

What is the Introitus?

A

External opening of the Vaginal Canal posterior to the Urethral Opening

128
Q

What is the pathway of the Vaginal Canal?

A
  1. Vaginal Canal travels through the Pelvic Floor into the Perinum
  2. Posterior to the Urethra and Bladder
  3. Anterior to the Rectum
129
Q

What is the Vaginal Vault?

A

The junction where the wider Internal End of the Vagina meets the narrower External Cervix

130
Q

What are the Internal Vaginal Fornix and the External Vaginal Fornix?

A

Recesses (pockets) around the External Cervix at the Vaginal Vault due to the Internal Vagina being wider

131
Q

Describe the Abdominal Peritoneum and how it relates to the Pelvis

A

Peritoneum that covers the organs of the Abdominal Cavity drapes down into the Pelvis and covers the tops of the Pelvic organs

132
Q

What Pelvic Organs does the Abdominal Peritoneum drape onto?

A
  1. Anterior Portion of Superior Rectum
  2. Top of Uterus
  3. Top of the Bladder
133
Q

What are the names of the Pouches in the FEMALE Pelvis that are outlined by Abdominal Peritoneum?

A
  1. Rectouterine Pouch (larger)

2. Vesicouterine Pouch

134
Q

What is the Rectouterine Pouch in Females?

A
  1. AKA Pouch of Douglas

2. Space Posterior to Uterus and Anterior to the Rectum outlined by the Peritoneum

135
Q

What is the Vesicouterine Pouch?

A

Space Posterior to Bladder and Anterior to the Uterus outlined by the Peritoneum

136
Q

When a FEMALE is UPRIGHT, what is the most INFERIOR space in the Abdomino-Pelvic Cavity?

A

Rectouterine Pouch

137
Q

What is the name of the Pouch in the MALE Pelvis that is outlined by Abdominal Peritoneum?

A

Rectovesical Pouch

138
Q

What are the FEMALE Peritoneal Ligaments?

A
  1. Broad Ligament
  2. Suspensory Ligament of the Ovary
  3. Ovarian Ligament
  4. Cardinal Ligament
139
Q

What is the Broad Ligament?

A

Main ligament formed by the draping of the Abdominal Peritoneum over the top and sides of the Uterus, Fallopian Tubes, and Ovaries

140
Q

What is the Mesometrium?

A
  1. The part of the Broad Ligament that is in contact with the Uterus
  2. Same as the Perimetrium
141
Q

What is the Mesosalpinx?

A
  1. The part of the Broad Ligament that is in contact with the Fallopian Tubes
  2. Folds of Peritoneum
142
Q

What is the Mesovarium?

A
  1. The part of the Broad Ligament that is in contact with the Ovaries
  2. Folds of Peritoneum
143
Q

What is the Suspensory Ligament of the Ovary?

A

Folds of Peritoneum that contain the Ovarian Blood Vessels coming from the Abdominal Wall

144
Q

What is the Cardinal Ligament (Transverse Cervical Ligament)?

A
  1. Layer of Fascia that supports the Cervix by connecting it to the Lateral Walls of the Pelvis
  2. Contains Uterine Artery and Vein
145
Q

Which Female Peritoneal Ligaments are formed by the folding of Peritoneum?

A
  1. Broad Ligament

2. Suspensory Ligament

146
Q

Nothing in the Pelvic Cavity has…

A

Somatic Innervation because they are all Visceral organs

147
Q

What kind of Innervation do the Pelvic Floor Muscles have?

A

Somatic Innervation

148
Q

What kind of Innervation to the structures of the Perineum have?

A

Somatic Innervation

149
Q

What is the major Somatic Nerve to the Perineal Structures?

A

Pudendal Nerve

150
Q

What Plexuses travel through the Posterior Lateral Wall of the Pelvic Cavity to innervate the muscles that move the lower limb?

A

Lumbar, Sacral, and Coccygeal Plexuses

151
Q

What do the Sacral Splanchnic Nerves do?

A

Innervate Visceral Organs and the Perineum

152
Q

What are Pelvic Plexuses?

A

The way that Visceral Innervation is organized to carry Autonomic innervation

  1. Inferior Hypogastric Plexus
  2. Subplexus
153
Q

What is the main branch that supplies blood to the Pelvis?

A

Internal Iliac Artery

154
Q

What are the divisions of the Internal Iliac Artery?

A
  1. Anterior Trunk

2. Posterior Trunk

155
Q

What structures get their blood supply from the Anterior Trunk?

A
  1. Pelvic Viscera
  2. Perineum
  3. Gluteal Region
  4. Inner Thigh
156
Q

What structures get their blood supply from the Posterior Trunk?

A
  1. Pelvic Wall

2. Gluteal Region

157
Q

What are the branches of the Anterior Trunk in the Pelvic Cavity?

A
  1. Umbilical Artery
  2. Inferior Vesicular Artery (Male) or Vaginal Artery (Females)
  3. Middle Rectal Artery
  4. Obturator Artery
  5. Internal Pudendal Artery
  6. Inferior Gluteal Artery
  7. Uterine Artery (Females)
158
Q

What is the Umbilical Artery?

A
  1. Gives rise to the Superior Vesicular Artery (goes to Bladder)
  2. Important to the Fetus but not the adult
  3. Gives rise to the Medial Umbilical Ligament
159
Q

What is the Medial Umbilical Ligament?

A

Remnant of the Umbilical Artery that travels up to the belly button

160
Q

What does the Superior Vesicular Artery supply blood to?

A

Bladder

161
Q

What does the Inferior Vesicular Artery (Males) supply blood to?

A
  1. Bladder
  2. Seminal Vesicle
  3. Prostate
162
Q

What does the Vaginal Artery supply blood to?

A
  1. Bottom of the bladder

2. Vagina

163
Q

What arteries provide blood to the Rectum?

A
  1. Medial Rectal Artery (AT)

2. Superior Rectal Artery (IMA)

164
Q

What is the Internal Pudendal Artery?

A

Major Artery of the Perineum

165
Q

Which artery is larger in pregnant females opposed to non-pregnant?

A

Uterine Artery

166
Q

Where do the Gonadal Arteries come from?

A

Abdominal Aorta

167
Q

Describe pathway of the Testicular Arteries

A

Branches off of the Abdominal Aorta and travels through the Inguinal Canal in the Spermatic Cord

168
Q

Describe the pathway of the Ovarian Arteries

A

Branches off of the Abdominal Aorta into the pelvis traveling with the Suspensory Ligament of the Ovary

169
Q

Right Gonadal Vein drains…

A

Directly into the IVC

170
Q

Left Gonadal Vein drains…

A

Into the Left Renal Vein

171
Q

Where do the Pelvic Lymphatics drain?

A
  1. Superficial and Deep Inguinal Nodes
  2. Internal and External Iliac Nodes
  3. Abdominal Nodes
172
Q

Where does Gonadal Lymphatic Drainage go?

A

Abdominal Nodes

173
Q

Where does the Lymphatic Drainage of structures of the Perineum such as skin go?

A

Superficial Inguinal Nodes

174
Q

Where does the Lymphatic Drainage of structures inside of the Pelvis go?

A

Internal (mostly) and External Iliac Nodes