Rectum, bladder, female urethra Flashcards

1
Q

Depression superior to the bladder

A

Supravesical fossa, elevates when bladder is filled

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2
Q

Depression b/t the rectum and bladder in males

A

Rectovesical pouch

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3
Q

Depression b/t the bladder and uterus in females

A

Uterovesical pouch

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4
Q

Depression b/t the rectum and uterus in females

A

Rectouterine pouch

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5
Q

Where “things” collect in the peritoneal cavity?

A

Males: rectovesical pouch, Females: rectouterine pouch

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6
Q

At what level does the abdominal aorta bifurcate?

A

L4

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7
Q

When does the common iliac artery bifurcate and into what?

A

Internal and external iliac arteries b/t L5 and S1

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8
Q

Branches of the internal iliac POSTERIOR division

A

Iliolumbar, lateral sacral, superior gluteal arteries

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9
Q

Exits lesser pelvis into iliac fossa (artery)

A

Iliolumbar a.

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10
Q

Passes thru sacral foramina to provide sacral spinal arteries and branches to erector spinae muscles

A

Lateral sacral artery

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11
Q

What nerves does the superior gluteal artery usually pass thru?

A

Lumbosacral trunk (L4/L5) and S1. Exits superior to piriformis

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12
Q

Branches of the internal iliac ANTERIOR division

A

Umbilical, obturator, Inferior vesical, uterine, middle rectal, internalpudendal/gluteal arteries

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13
Q

What does the obliterated part form with the medial umbilical fold?

A

Medial umbilical ligament

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14
Q

What other place can the obturator artery arise from?

A

Inferior epigastric A. making it susceptible to damage during hernia repairs

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15
Q

Supplies blood to the roof of the bladder

A

Superior vesical artery

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16
Q

Supplies blood to the fundus of the bladder, seminal vesicles, and prostate in males

A

Inferior vesicle arteries

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17
Q

Path of uterine artery

A

Passes superior to the ureter near the lateral edge of vagina, so is in danger during pelvic proceedures

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18
Q

Branches of the uterine artery

A

Vaginal branch (cervix/vagina), Uterine a. proper (uterine tubes/ovaries), vaginal artery

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19
Q

Artery that usually passes b/t S2/S3 to exit pelvis via greater sciatic foramen, inferior to piriformis

A

Inferior gluteal artery

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20
Q

Paired arteries off of the abdominal aorta to the gonads

A

Ovarian or Testicular arteries

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21
Q

Unpaired artery off posterior surface of AA just superior to the bifurcation

A

Median sacral artery

22
Q

Terminal branch of inferior mesenteric artery that supplies the rectum

A

Superior rectal artery

23
Q

Where do the pelvic venous plexuses mainly drain into?

A

Internal iliac veins

24
Q

Lumbar plexus branches

25
L2-L4 nerve that traverses pelvis and exits vis the obturator canal to supply the medial thigh
Obturator nerve
26
Lumbosacral trunk
L4-L5 to join sacral plexus
27
Nerves and levels of the sacral plexus
L4-S4, Sciate, pudendal, superior/inferior gluteal nerve
28
Exits pelvis via greater sciatic foramen inferior to piriformis to supply posterior thigh, entire leg, and foot
Sciatic Nerve (L4-S3)
29
Supplies nerves to the perineum/external gentialia
Pudendal nerve (S2-S4)
30
Nerve to gluteus medius/minimus and TFL
Superior gluteal nerve
31
Nerve to glutes maximus
Inferior gluteal nerve
32
Inferior sympathetic trunks that usually fuse together to form ganglion anterior to the coccyx
Sacral sympathetic trunks
33
Continuation of prevertebral plexus below the bifurcation of the aorta
Hypogastric plexuses
34
Where are the pelvis splanchnic nerves and what do they supply?
Presynaptic parasymp to viscera distal to the left colic flexure
35
General area of pelvic pain line
Lower limit of peritoneum
36
Above the pelvic pain line
Sympath to T11-L2/3
37
Below the pelvis pain line
Parasymp to S2-S4
38
Path of ureters in males
Pass inferior to the ductus deferens & enter the bladder superior to the seminal vesicles
39
Path of ureters in females
Directly inferior to uterine artery
40
5 parts of the bladder
Apex, fundus, Body, neck, trigone
41
Location of external urethral orifice in females
Vestibule of the vagina
42
Do females have an internal urethral sphincter?
No
43
Portion of the rectum that can dilate and distend
Rectal ampulla
44
Extends from the anorectal flexure to the anus
Anal canal
45
Surrounds the upper 2/3 of the anal canal
Internal anal sphincter (symp maintainance)
46
Surrounds the lower 1/3 of anal canal
External anal sphincter (inferior rectal nerve via pudendal)
47
Supplies the superior portion inf the rectum
Superior rectal artery
48
Supplies the lower part of the rectum
middle rectal arteries
49
Supply the anal canal
Inferior rectal arteries
50
What is important about the drainage of the superior rectal vein?
Portocaval venous anastomosis into the portal venous system
51
Pain in the rectum is conveyed via what?
Parasymp to S2-S4
52
What type of hemorrhoids are painful?
External