Perineum Flashcards

1
Q

What is the perineal body?

A

anchor point for muscles between genitals and anus

central tendon that adds strength

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2
Q

What is the venous return above the pectinate line?

A

hepatic portal vein

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3
Q

What is the venous return below the pectinate line?

A

internal iliac vein (systemic)

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4
Q

What is the root of the penis in females?

A

clitoris

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5
Q

How does the female UG triangle differ from males?

A

bulb and bulbospongiosus are split by vagina

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6
Q

What is the third element that females dont have?

A

spongiosim

not in clitoris

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7
Q

Is the shaft covered in muslce and bulb?

A

No

root only

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8
Q

What is in the superficial pouch?

A

superficial transverse perineal muslces
crura and bulb
some neuro vasculature

vestibular (lubricating) glands in FEMALE ONLY

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9
Q

What is the UG diaphragm?

A

deep transverse perineus and sphincter urethra

Cowpers glands of male are here

deep pouch

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10
Q

What is the blood supply of the perineum?

A

internal pudental artery

artery and nerve give branches to rectum

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11
Q

What does the pudental nerve supply?

A

perineum and splits into perineal, inferior rectal, amd doral nerves of penis (clit)

artery supplies rectum too

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12
Q

What are the three differenes between females and males?

A

1 splitting of bulb to form vagina
2 greater vestulbar glands are in the superficial pouch in females
3 corpus spongiosum does not contribute to formation of clit

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13
Q

Where is the greater vestibular glands in males?

A

deep pouch

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14
Q

Where is the inferior rectal nerves?

A

go through canal over opturator internus muscle

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15
Q

What is straddle injury?

A

due to tear in spongey urethra that allows blood and urine to travel into the scrotum and up the abdominal wall as defined by boundaries of colles and scarpas fascia- more common in males because longer

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16
Q

What do the crus of the penis become?

A

corpora cavernosa x2

17
Q

What does the bulb of penis become?

A

1 corporus spongiosum

erectile tissue

18
Q

Muscles of male perineum?

A

bulbospongiosome covers bulb
ischiocavernosus covers corpora cavernosa
superficial transverse perinus

19
Q

where does pudental nerve go?

A
1 come off S2,3,4'
2 go out greater sciatic foramen
3 curve around sacrospinus ligament
4 reenter at lesser sciatis foramen 
5 innervates perineum and rectal
20
Q

Where does the femur fit?

A

acetebulum