Posterior Abdominal Wall and Pelvic Cavity Flashcards
Nerve to Transversus Abdominis
Iliohypogastric
Nerve to Quadratus Lumborum
Ventral Rami of T12-L4
Nerve to Psoas Major
Lumbar Plexus L1-L3
Nerve to Iliacus
Femoral
Nerve that runs on ANT surface of QL
T12/Subcostal
Name the two nerves that arise from L1 Nerve
Iliohypogastric (larger) & Ilioinguinal
Nerve associated with Meralgia paresthetica?
Lateral Femoral Cutaneous Nerve (L2-L3)
Name the two nerves that arise from Genitofemoral Nerve?
Genital branch (passes through inguinal ring) & Femoral branch (passes under inguinal ring)
Destination of genital branch of genitofemoral nerve?
Males= cremaster m.
Females= skin of mons, labia majora
Name the two nerves arising from L2-L4
Obturator N. and Femoral N.
True pelvis is…
below the pelvic brim/inlet
True pelvis wall muscles
Obturator internus (covered by obturator fascia) & Piriformis
Obturator fascia creates what line
Arcus tendineus (gives rise to levator ani)
Other names for pelvic floor
Pelvic diaphragm and levator ani
Innervation of Levator ani
Pudendal Plexus (S3, sometimes S3&5)
Levator ani is subdivided into what muscles
Pubococcygeus, puborectalis, iliococcygeus, and pubovaginalis in females
Pelvic diaphragm components
Levator ani & coccygeus
Common iliac artery bifurcates into internal and external iliac arteries, Internal iliac artery bifurcates into anterior and posterior trunks. What are the branches off posterior iliac A.?
Iliolumbar (further divides to lumbar branches, psoas and QL branches and iliac branches), Lateral sacral (branches enter sacral foramina to vertebral canal), Superior gluteal (terminal branch leaving via greater sciatic foramen to piriformis, obturator internus and all gluteal muscles)
The anterior trunk of internal iliac artery branches into…
Obturator, umbilical (sup and middle vesical to bladder), uterine, vaginal, inferior vesical, middle rectal, internal pudendal and inferior gluteal arteries
What are the two terminating branches of the anterior trunk of internal iliac artery?
Internal pudendal and Inferior gluteal (larger of the two)
Venous return of internal iliac
iliolumbar veins participate in formation of ascending lumbar veins, to azygos (right) or hemiazygos (left), to IVC
Cruciate anastomosis of lower extremities include…
Inferior gluteal a., 1st perforating branch, lateral and medial femoral circumflex a.
Perineum boarders
pubis, coccyx, Sacrotuberous ligament, ischiopubic rami/tuberosities
Anal triangle + Urogenital triangle =
Perineum
Leaving through the greater sciatic foramen, across the ischial spine and through the lesser sciatic foramen is what?
Pudendal/ Alcocks’s canal
Contents of pudendal canal?
Internal pudendal a. & v. & pudendal n.
(inferior rectal a. ,perineal a. & deep/dorsal a. to clitoris/penis)
Internal pudendal a. branches to…
inferior rectal a. and perineal a.
Perineal a. (branch from internal pudendal) branches into…
Transverse perineal a. and posterior scrotal/ labial
Nevers of Anal triangle come from what 3 sources…
Pudendal never (S2-S4), Perineal branch of S4, and Perineal branches of posterior femoral cutaneous n.
Urogenital triangle contains…
Superficial and deep perineal fascia, perineal membrane and the superficial and deep perineal pouches
Muscles of the deep perineal pouch
external urethral sphincter, compressor urethrae and deep transverse perineal muscles
Where are the Bulbourethral glands found and what do they secret?
Deep transverse perineal m. and secret precum
Components of superficial perineal pouch
Erectile tissue. Crura, bulb, vestibular bulb, ischiocavernosus and bulbospongiosus. Also transverse perineal m.
Roll of ischiocavernosus and bulbospongiosus
restrict blood return during erection
Penile components in the superficial perineal pouch…
corpus spongiosum (bulb), corpora cavernosa (crura), suspensory ligament, and fundiform ligament, bulbospongiosus, ischiocavernosus
Another name for fundiform ligament
Scarpa’s fascia
What form the crura of the clitoris?
Corpora cavernosa
Other name for “hood of clitoris”
prepuce
Clitoral components in the superficial perineal pouch…
vestibular bulbs, corpora cavernosa, prepuce, suspensory ligament, bulbospongiosus, ischiocavernosus, superficial transverse perineal
What separates the superficial and deep perineal pouches?
Perineal membrane
Another name for the superficial layer of the superficial perineal fascia
Campers fascia
Another name for the deep layer of the superficial perineal fascia
Colles fascia
Another name for the deep perineal fascia
Bucks = deep fascia of clitoris/penis
Nerves of urogenital triangle
Pudendal n. (perineal n. and dorsal nerve to clitoris/penis)
Homologous structure to Labia majora
Scrotom
Homologous structure to vestibular bulbs
corpora spongiosa
Homologous structure to Dartos muscle of scrotum
subcutaneous smooth muscles of labia majora
Homologous structure to labia minora
spongy urethra
Homologous structure to Bartholin’s gland (greater vestibular)
Cowper’s gland (bulbourethral)
Homologous structure to crus of penis
crura
Homologous structure to clitoris
penis
Homologous structure to clitoral hood
foreskin
Homologous structure to clitoral glans
glans penis
Homologous structure to prostate gland
Skene’s gland (urethral & paraurethral)
Homologous structure to ovary
testis
Where is the dartos, labia majora found
Superficial perineal fascia