perineum Flashcards

1
Q

location of perineum

A

inferior to the pelvic diaphragm and is bounded by the pelvic outlet

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2
Q

boundaries of perineum include

A
anteriorly  : pubic symphysis   
posteriorly : coccyx   
lateral : ischial tuberosities 
anterolateral : schiopubic ramus

posterolateral : sacrotuberous ligament
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3
Q

division of perineum

A

divide into two by line connected between the tuberosities making anterior urogenital triangle and posterior anal triangle

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4
Q

contents of anterior urogenital triangle

A

bladder internal genitalia urethra

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5
Q

contents of posterior anal triangle

A

rectum anus coccyx

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6
Q

tunnel found in the obturator internus fascia located on the lateral wall of the ischiorectal fossa

A

pudendal canal

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7
Q

wedge shaped fat filled space situated on each side of anal canal

A

ischioanal fossa

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8
Q

medial to ischial tuberosities

A

ischioanal fossa

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9
Q

contents of pudendal canal include

A

pudendal nerve internal pudendal vessels

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10
Q

pudendal nerve arises from

A

ventral rami of S2, S3 & S4

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11
Q

principal nerve supply to the perineum

A

pudendal nerve

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12
Q

branches of pudendal nerve

A

inferior rectal nerve
perineal nerve
dorsal nerve of penis or clitoris

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13
Q

inferior rectal nerve supplies

A

external anal sphincter and anal skin

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14
Q

perineal nerve supplies

A

muscles of the urogenital triangle and scortum or labia majora

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15
Q

dorsal nerve of penis or clitoris

A

supplies the body prepuce & glans of penis or clitoris

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16
Q

internal pudendal artery arises from

A

the anterior division of the internal iliac artery

17
Q

principal arterial supply of the perineum

A

internal pudendal artery

18
Q

branches of internal pedundal artery

A
inferior rectal artery 
perineal artery 
artery of the bulb of the penis or clitoris
deep artery of the penis or clitoris
dorsal artery of penis or clitoris
19
Q

blood supply to the skin & muscle of lower anal canal

A

inferior rectal artery

20
Q

blood supply to the perineal body & scrotum

A

perineal artery

21
Q

superficial fascia of urogenital triangle is divided into

A
  • fatty layer and membraneous layer
22
Q

fatty layer of urogenital triangle

A

fascia of camper

23
Q

membraneous layer of urogenital triangle

A

colles fascia

24
Q

muscles that form the urogenital diaphragm

A

sphincter urethrae and deep transverse perineal

25
location of the muscles of the urogenital diaphragm
enclosed between a superior and an inferior layer of fascia of the urogenital diaphragm(perineal membrane)
26
laterally the layers of fascia are attached to the
pubic arch
27
It is a fibromuscular mass located below the pelvic diaphragm between the anal canal & bulb of the penis or vagina
perineal body
28
innervation of perineum
``` somatic nerves Pudendal Ilioinguinal Genitofemoral Posterior femoral cutaneous. ```
29
visceral nerve of the perineum
- postganglionic sympathetic fibers along the pudendal nerve - inferior hypogastric plexus - via pelvic splanchnic nerves from spinal cord levels of S2 to S4
30
bloody supply the perineum
internal pedundal artery inferior rectal artery perineal artery superficial and deep branches of the external artery
31
branches of the internal pedundal artery
- artery of bulb of penis - urethral artery - two terminal branches deep artery of penis & dorsal artery of penis
32
branches of the perineal artery
- transverse perineal branch | - posterior scrotal
33
venous drainage of perineum
deep dorsal vein of the penis goes to prostatic venous plexus superficial dorsal vein goes to superficial external pudendal vein