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
Q

location of the muscles of the urogenital diaphragm

A

enclosed between a superior and an inferior layer of fascia of the urogenital diaphragm(perineal membrane)

26
Q

laterally the layers of fascia are attached to the

A

pubic arch

27
Q

It is a fibromuscular mass located below the pelvic diaphragm between the anal canal & bulb of the penis or vagina

A

perineal body

28
Q

innervation of perineum

A
somatic nerves
Pudendal 
Ilioinguinal 
Genitofemoral 
Posterior femoral cutaneous.
29
Q

visceral nerve of the perineum

A
  • postganglionic sympathetic fibers along the pudendal
    nerve
  • inferior hypogastric plexus
  • via pelvic splanchnic nerves from spinal cord levels of
    S2 to S4
30
Q

bloody supply the perineum

A

internal pedundal artery
inferior rectal artery
perineal artery
superficial and deep branches of the external artery

31
Q

branches of the internal pedundal artery

A
  • artery of bulb of penis
  • urethral artery
  • two terminal branches
    deep artery of penis & dorsal artery of penis
32
Q

branches of the perineal artery

A
  • transverse perineal branch

- posterior scrotal

33
Q

venous drainage of perineum

A

deep dorsal vein of the penis goes to prostatic venous plexus
superficial dorsal vein goes to superficial external pudendal vein