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

A

L1-L4

25
Q

L2-L4 nerve that traverses pelvis and exits vis the obturator canal to supply the medial thigh

A

Obturator nerve

26
Q

Lumbosacral trunk

A

L4-L5 to join sacral plexus

27
Q

Nerves and levels of the sacral plexus

A

L4-S4, Sciate, pudendal, superior/inferior gluteal nerve

28
Q

Exits pelvis via greater sciatic foramen inferior to piriformis to supply posterior thigh, entire leg, and foot

A

Sciatic Nerve (L4-S3)

29
Q

Supplies nerves to the perineum/external gentialia

A

Pudendal nerve (S2-S4)

30
Q

Nerve to gluteus medius/minimus and TFL

A

Superior gluteal nerve

31
Q

Nerve to glutes maximus

A

Inferior gluteal nerve

32
Q

Inferior sympathetic trunks that usually fuse together to form ganglion anterior to the coccyx

A

Sacral sympathetic trunks

33
Q

Continuation of prevertebral plexus below the bifurcation of the aorta

A

Hypogastric plexuses

34
Q

Where are the pelvis splanchnic nerves and what do they supply?

A

Presynaptic parasymp to viscera distal to the left colic flexure

35
Q

General area of pelvic pain line

A

Lower limit of peritoneum

36
Q

Above the pelvic pain line

A

Sympath to T11-L2/3

37
Q

Below the pelvis pain line

A

Parasymp to S2-S4

38
Q

Path of ureters in males

A

Pass inferior to the ductus deferens & enter the bladder superior to the seminal vesicles

39
Q

Path of ureters in females

A

Directly inferior to uterine artery

40
Q

5 parts of the bladder

A

Apex, fundus, Body, neck, trigone

41
Q

Location of external urethral orifice in females

A

Vestibule of the vagina

42
Q

Do females have an internal urethral sphincter?

A

No

43
Q

Portion of the rectum that can dilate and distend

A

Rectal ampulla

44
Q

Extends from the anorectal flexure to the anus

A

Anal canal

45
Q

Surrounds the upper 2/3 of the anal canal

A

Internal anal sphincter (symp maintainance)

46
Q

Surrounds the lower 1/3 of anal canal

A

External anal sphincter (inferior rectal nerve via pudendal)

47
Q

Supplies the superior portion inf the rectum

A

Superior rectal artery

48
Q

Supplies the lower part of the rectum

A

middle rectal arteries

49
Q

Supply the anal canal

A

Inferior rectal arteries

50
Q

What is important about the drainage of the superior rectal vein?

A

Portocaval venous anastomosis into the portal venous system

51
Q

Pain in the rectum is conveyed via what?

A

Parasymp to S2-S4

52
Q

What type of hemorrhoids are painful?

A

External