perineum Flashcards

1
Q

the perineum is defined a the entire

A

outlet of the pelvic cavity

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2
Q

what separates the perineum from main pelvic cavity

A

pelvic diaphragm

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3
Q

anterior boundary of perineum

A

symphysis pubis

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4
Q

anteriorlateral border of perineium

A

inferior pubic rami

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5
Q

lateral bounder of perineum

A

ischial tuberosityies

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6
Q

posterolateral border of perineuum

A

sacrotuberous lig, inferior border of glut max

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7
Q

posterior border of perineum

A

tip of coccyx

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8
Q

the perineum can be broken into two parts

A

urogenital triangle and anal triangle

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9
Q

lithotomy position

A

like when give birth

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10
Q

what is the alcocks canal

A

wedge shaped space between glut max and pelvic diaphragm filled with fat (near ischial tuberosity)

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11
Q

what goes through the alcocks canal

A

the pudendal nerve and internal pudendal a, v

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12
Q

what muscle is in the anal triangle and find rectum

A

levator ani

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13
Q

contents of the anal triangle

A

anal canal: pectinate line, anal valves, anal columns

cutaneous nerves: inferior rectal n, perineal branch of s4, anococcygeal n

external anal sphincter: superficial portion, deep portion

ischioanal fossa/ischiorectal fossa: pudendal canal/alcock’s canal (contains pudendal n and vess)

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14
Q

site of () can occur at alcocks canal

A

abscesses

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15
Q

the gse fibers from the pudendal nerve supplies the

A

external anal sphincter

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16
Q

the internal anal sphincter is a layer of () muscles inntervated by () nerves

A

smooth, autonomic

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17
Q

anal columns aka

A

columns of morgagny

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18
Q

name of line where anal columns are connected forming the anal valves

A

dentate line

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19
Q

inner part of rectum is what tissue type

A

strat squamous nonk

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20
Q

lower part of rectum is what tissues type

A

strat squamous kera

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21
Q

what line separates the strat squam NK and strat sqaum ker

A

anocutaneous line or mucocutaneous line

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22
Q

what does fistula mean

A

abnormal connection b/w two cavities

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23
Q

what can cause abscesses

A

anal fissure at rectum and alcocks can communicate with iscioanal fossa

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24
Q

lower half of anal canal is from what embryo origin

A

ectoderm

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25
Q

the upper half is from what embryo orig

A

endoderm

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26
Q

the highest par tof anal canal is what tiss type

A

simple columnar

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27
Q

boundaries of urogenital tirangle

A

superficial fascia (fatty campers, membranous colles)

superficial perineal pouch/space

urogenital diaphragm

deep perineal pouch space

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28
Q

the space filled with muscles is

A

deep perineal pouch

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29
Q

what two things do u find in the deep perineal pouch

A

external urethral sphincter and deep transverse perineal muscle

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30
Q

where do u find the bulb of vestibule of vagina

A

superficial perineal space

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31
Q

the bulb of the vestibule is covered by muscle called

A

bulbospongiosus muscles

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32
Q

more lateral then the bulbospong adhering to inferior pubic rami is the () of the clit

A

crura of the clitoris/penis

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33
Q

what muscle covers the crura

A

ischiocavernosus

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34
Q

the bulb of the vestibule is the proximal end of the () in the male bulb of penis

A

corpus spongiosum

35
Q

the crura Is the proximal end of the () 2 of them

A

corpora cavernosum

36
Q

how many bulbs of vestibule are in female

A

2 (1 in male)

37
Q

the clit and penis is made of # of cylindrical erectile bodies

A

3

38
Q

what was the colles fascia called in the abdomin

A

scarpas

39
Q

what muscle contracts to squeeze the remaining drop of urine and contract during ejaculation

A

bulbos spongiosum

40
Q

what muscle contracts to prevent outflow of blood to maintain erection

A

ischio cavernosum

41
Q

the bulbospongiosum and ischio cavernosum are both

A

skeletal muscles

42
Q

how check s2-4 is working

A

reflex where pinch glans penis and it cause contraction of external sphincter

43
Q

what all meet up to make the perineal body

A

superficial transverse perineal muscle attaching to bulb of penis and external anal sphincter

44
Q

what are the contents of the urogenital triangle superficial perineal pouch

A
bulbospongiosus
ischiocavernosus
superficial transverse perineal muscle
perineal body
perineal branch of pudendal nerve
45
Q

what are the contents of the deep perineal pouch of the urogenital triangle

A
membranous urethra
sphincter uretrae m
bulbourethral glands
deep transverse perineal muscles
internal pudendal a
dorsal nerve of penis
46
Q

where does the superficial perineal pouch lie between

A

the inferior fascia of the urogenital diaphragm and the membranous laer of the superficial fascia (colles’ fascia)
external urethral sphincter

47
Q

dorsal nerve of the penis is a branch of

A

pudendal nerve

48
Q

what makes up the vulva

A
mons pubis
labia majora
labia minora
vestibule
vaginal orifice
openings of the greater vestibular glands (Bartholin's)
clitoris
49
Q

the external genitalia of the female collectively known as

A

vulva

50
Q

mound of fat that overlies the symphysis pubis covered by pubic hair

A

mons pubis

51
Q

thinner fold and hairless

A

labia minora

52
Q

space between two minora

A

vestibule

53
Q

the greater vestibular (bartholins) gland is homologus to what in the male

A

bulbourethral gland

54
Q

what gland provides lubrication during intercourse

A

greater vestibular glands

55
Q

skin fold that coverse the clitoris

A

prepuce

56
Q

what resembles the uncircumsized skni of the male

A

prepuce

57
Q

whats in the superficial perineal pouch of the female

A
bulbospongiosus
ischiocavernosus
superficial transverse perineal muscles
perineal body
perineal branch of pudendal nerve
paraurethral glands
greater vestibular glands (bartholin's glands)
58
Q

whats in the deep perineal pouch

A
part of urethra
part of vagina
sphincter urethrae muscle
deep transverse perineal muscles
internal pudendal vessels
dorsal nerve of clitoris
59
Q

what lig holds clit to symphysis pub

A

suspensory lig

60
Q

whats the additional structure of the male deep perineal pouch

A

bulbo urethral gland

61
Q

the lymphatic drainage of the perineum and external genital sturctures consists of

A

subcutaneous lymphatics networks and lymphatic channels

62
Q

what do the lymphatic channels drain into

A

superficial inguinal lymph nodes which lie on the medial side of the great saphenous vein

63
Q

whats the job of the lymph nodes

A

to drain interstitial fluid from cells

64
Q

whats a protozoa

A

a single celled microorganism

65
Q

elephantiasis what is it

A

enlarged scrotum from protozoan infection (phalaria in forests) transmitted by mosquitose that live by stagnet water.

it multiplies in lymph nodes so they obstruct lymph vessels

66
Q

dorsal nerve of the penis is a branch of

A

pudendal nerve

67
Q

what makes up the vulva

A
mons pubis
labia majora
labia minora
vestibule
vaginal orifice
openings of the greater vestibular glands (Bartholin's)
clitoris
68
Q

the external genitalia of the female collectively known as

A

vulva

69
Q

mound of fat that overlies the symphysis pubis covered by pubic hair

A

mons pubis

70
Q

thinner fold and hairless

A

labia minora

71
Q

space between two minora

A

vestibule

72
Q

the greater vestibular (bartholins) gland is homologus to what in the male

A

bulbourethral gland

73
Q

what gland provides lubrication during intercourse

A

greater vestibular glands

74
Q

skin fold that coverse the clitoris

A

prepuce

75
Q

what resembles the uncircumsized skni of the male

A

prepuce

76
Q

whats in the superficial perineal pouch of the female

A
bulbospongiosus
ischiocavernosus
superficial transverse perineal muscles
perineal body
perineal branch of pudendal nerve
paraurethral glands
greater vestibular glands (bartholin's glands)
77
Q

whats in the deep perineal pouch

A
part of urethra
part of vagina
sphincter urethrae muscle
deep transverse perineal muscles
internal pudendal vessels
dorsal nerve of clitoris
78
Q

what lig holds clit to symphysis pub

A

suspensory lig

79
Q

whats the additional structure of the male deep perineal pouch

A

bulbo urethral gland

80
Q

the lymphatic drainage of the perineum and external genital sturctures consists of

A

subcutaneous lymphatics networks and lymphatic channels

81
Q

what do the lymphatic channels drain into

A

superficial inguinal lymph nodes which lie on the medial side of the great saphenous vein

82
Q

whats the job of the lymph nodes

A

to drain interstitial fluid from cells

83
Q

whats a protozoa

A

a single celled microorganism

84
Q

elephantiasis what is it

A

enlarged scrotum from protozoan infection (phalaria in forests) transmitted by mosquitose that live by stagnet water.

it multiplies in lymph nodes so they obstruct lymph vessels