Perineum Anatomy Flashcards

1
Q

What is the perineum?

A

Area of the body inferior to the pelvic diaphragm and within the pelvic outlet

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2
Q

What is contained in the perineum?

A

The external genitalia, terminal portions of the urogenital system and GI tract

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3
Q

What makes up the border of the perineum?

A

Anterior: pubic arch
Posterior: tip of coccyx
Lateral: inferior rami of pubis and ischium/sacral tubal ligaments

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4
Q

Perineal body

A

The midpoint of the transverse line that goes through the central point of the perineum (where muscles meet, important support)

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5
Q

What is the superficial fatty layer continuous with?

A

The camper’s fascia in the abdomen

The superficial fascia in the thigh and the superficial anal fascia

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6
Q

Where does the superficial fatty layer continue in the female?

A

into the labia majora and inserts into the perineal body

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7
Q

What happens to the superficial layer in the male?

A

Diminishes in the UG triangle but continues around the penis and scrotum to be replaced by the dartos muscle ( a smooth muscle)

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8
Q

what forms the dartos fascia in males?

A

The deep layer of the superficial fatty

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9
Q

How is the superficial perineal pouch formed?

A

The superficial perineal fascia attaches to the posterior border of the perineal membrane

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10
Q

Buck’s fascia

A

A deep fascial layer that is prolonged over erectile bodies of the penis in males

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11
Q

Investing layer

A

Deep perineal fascia – surrounds the muscles in the deep perineal pouch (ischiocavernosus, bulbospongiosus, superficial transverse perineal)

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12
Q

What is the perineal membrane

A

A thin sheet of deep fascia that is attached to the ischiopubic rami laterally, but does not reach the pubis anterior.
It spirals to the bladder neck – its not just a flat sheet

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13
Q

Infections can spread along…

A

fascial planes

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14
Q

The superficial pouch is located between

A

The membranous layer of the superficial perineal fascia and the perineal membrane

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15
Q

What bounds the deep perineal space?

A

the perineal membrane

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16
Q

ischiocavernosus muscles cover what?

A

cover the crua (corpus cavernosa)

17
Q

bulbospongiosus msucles cover what?

A

the bulb of the clitorus/vestibular bulb

18
Q

Perineal vessels and nerves are branches of

A

internal pudendal artery and pudendal nerve

19
Q

Bartholin glands are found in what (female)

A

superficial

20
Q

When doing a pudendal nerve block.. palpate

A

Ischial spine

21
Q

Nerve roots for pudendal nerve?

A

S 234

22
Q

urogenital fistula in third world?

A
Underdeveloped hips
Baby stuck
Ischemia
Necrosis
Vag/Urethral wall
23
Q

What surrounds the erectile tissue of the penis?

A

Bucks

24
Q

Bulbourethral (cowper’s glands) in what pouch?

A

Deep