Pre Lab Sauderland Flashcards
What is a culdoscopy?
endoscopy for vewing recto-uterine pouch
How do you perform a culdoscopy?
go through posterior part of vaginal fornix to view ovaries.
can also use laparoscopy where you go through abdomin and few
What do you call a needle aspiration of fluid from the cul-de-sac (rectouterine pouch)?
culdocentesis
What is an ectopic pregnancy?
where the embryo doesnt implant in the uterus :(
can you get an ectopic pregnancy in the fallopian tubes and what can this cause?
yes you can it is called tubal pregnancy
2 things can happen: tubual abortion or it can rupture broad ligament and cause abdominal bleeding
How should a women undergoing tubal pregnancy not position herself?
she should not lay on her back, it can cause shock and death
What is the most rare kind of ectopic pregnancy?
abdominal pregnancy
What does the uterus compress when a women is at full term?
bladder, rectum, vagina
What can a women do to her perineum during labor?
laceration of perineum and perineal musculature extending into external sphincter ani
What can a women do to her levator ani during labor?
laceration of levator ani
Due to brith injuries to the pelvic floor, many women have problems with urination do the fact that the (blank) has moved.
bladder
What are the two ways you can do an episiotomy? What is this for
medial (rare, only when necessary) and lateral
to reduce birth injuries
What is an episiotomy?
Surgical incision of the vulva to prevent laceration
at the time of delivery
What do you call a bladder prolapase?
a cystocele
How can you tell it is a bladder prolapse rather than a rectal prolapse?
the bladder will be anterior to the vagina
What is a rectocele?
rectal prolapse that is posterior to vagina
What is an enterocele?
intestinal prolapse
What must be relaxed to pee, and what must be contracted to pee?
Relax the muscle fibers of bladder neck, circle muscle fiber of urethra and external sphincter in the UG diaphragm
Contract the detrusor muscle
What does urinary continence depend on?
sealed urethra
Where do you find the circular fibers of the internal spincter?
Where do you find the circular muscle fibers?
Where do you find the circular muscle fibers of the external sphincter?
bladder neck
throughout urethra
UG diaphrag
A firm and muscular (blank) supports the rectum, the vagina with the attached uterus, and the bladder.
pelvic floor
The bladder and the initial portion of the urethra lie well above the (blank)
pelvic floor.
What will a bladder prolapse block>
it will block the vagina