Repro Flashcards
The Pelvic Outlet is also known as the
Inferior Opening of the Pelvis
Which parts of pelvis are termed true pelvis?
Pelvic Cavity and Viscera
Which parts of pelvis are termed false pelvis?
Iliac Crests, Everything Bony above Inlet
What type of joint is Sacroiliac Joint
Diarthrodial Synovial
What type of joint is Pubic Symphysis
Secondary Cartilaginous
The Greater Pelvis in Females is
Wider/Short
The Greater Pelvis in Males is
Tall/Narrow
The Lesser Pelvis in Females is
Wider
The Lesser Pelvis in Males is
Narrow
The Pelvic inlet in females is
wider and rounder
The Pelvic inlet in males is
Heart Shaped
The Pelvic Outlet in females is
Wider
The Pelvic Outlet in males is
Narrow
The subpubic angle in females is
Obtuse: Greater Than 90 Degrees
the subpubic angle in males is
Acute: Less than 90 Degrees
The Obturator Foramen in females is
Oval
The Obturator Foramen in males is
round
The acetabulum in females is
Wider
The acetabulum in males is
close together
What is the narrowest diameter of the pelvic inlet in females
13cm
What is the narrowest diameter of the pelvic outlet in females
11cm
The Pelvic Cavity has how many walls
Antero-Inferior
Two Lateral
Posterior Wall
The anterior-inferior wall of the pelvic cavity is formed by
Bodies and Rami of Pubic Bones and Pubic Sympysis
Which muscle is present in the posterior wall of the Pelvis
Piriformis
Which nerve network lies on the muscle forming the posterior wall of the pelvis?
Sacral
What are the perineal bodies?
Fibromuscular in Perineum Midline
What are the anococcygeal body?
Fibrous median raphe that lies between coccyx and anus margin
The lateral wall of the pelvis is formed by which muscles
Obturator Internus and Piriformis
The pelvic floor of pelvis is formed by which muscles
Levator Ani and Coccygeus
What is the innervation of the pelvic diaphragm/floor?
Pudental S2-4
What is a cystocele
Weakning of fascia between bladder and vaginal canal
What is a rectocele?
Bulging of rectal front wall = collapse into vaginal wall
What parts of the male urinary system are in pelvis?
Bladder and Prostate
What parts of female reproductive system are in pelvis?
Seminal Gland
What parts of female and male alimentary system are in pelvis?
Rectum
What part of female reproductive system is in pelvis
Uterus
What structures can be palpated in digital rectal exam in male?
Prostate
What structures can be palpated in digital rectal exam in female?
Cervix
Branches of which arteries distribute blood to most of the pelvic organs, perineum and gluteal region except testis, ovary and upper rectum?
Right and Left Internal Iliac Artery
The Superior and Inferior Vesical Arteries distribute blood to
Bladder, Seminal Gland and Prostate
The Superior and Inferior Vesical Arteries origin
Ant internal iliac artery
The Uterine Artery distributes blood to
Cervix and Crosses Ureters Superiorly
Uterine Artery Origin
Ant Int Iliac Artery
Gonadal Artery in Males distributes blood to
Abdominal Ureter, Testis and Epididymis
Gonadal Artery in Females distributes blood to
Ureter, Ovary and Ampullary End of Uterine Tube
Gonadal Artery origin
Abdo Aorta
Superior Rectal Artery distributes blood to
Superior Rectum
The Superior Rectal Artery is a continuation of
Inferior Mesenteric Artery
The Middle and Inferior Rectal Arteries distribute blood to
Inf Rectum, Seminal Gland and Prostate
The Middle and Inferior Rectal Arteries Origin
Continuation of Inferior Mesenteric Artery
Vaginal Artery distributes blood to (6)
Vagina, Vestibular Bulb and Adjacent Rectum, Base of Bladder, Fundus and Inferior Vesicle Branches
Vaginal Artery origin
Uterine Artery
Internal Pudental Artery Distribution
Perineum
Internal Pudental Artery origin
Ant Int Iliac Artery
Obturator Artery distributes blood to (4)
Pelvic Muscle, Nutrient Artery to Ileum, Head of Femur and Muscles of Medial Thigh
Obturator Artery Origin
Internal Iliac
Which parts of rectum drains into portal circulation?
Superior Rectal Vein
Which parts of rectum drains into systemic circulation?
Mid and Inf Rectal Veins
With which venous plexus does the prostatic venous plexus communicate with on posterior side
Int Vertebral Venous Plexuses
The Ilioinguinal Nerve originates from
L1
The Ilioinguinal nerve enters the inguinal canal at
Superficial Inguinal Ring
Which nerve supplies the skin at the root of penis and labia in females
Ilioinguinal Nerve
The genitofemoral nerve originates at
L1/2
The genitofemoral nerve enters where
Deep Inguinal Ring
What structures in the male are supplied by genital branch of genitofemoral nerve
Scrotal Skin and Cremaster
The pudental nerve arises from
Sacral Plexus
The pudental nerve innervates
Skin and muscles of perineum
The pudental nerve arises from
S2-4
What bony landmarks are used when performing pudental nerve block?
Ischial Spine
The autonomic nerve supply to pelvis originates from
Pelvic Plexus
The sympathetic fibres of autonomic nerve plexus to pelvis originates from
L1 and 2 Via Hypogastric Nerve and Terminal Sympathetic Trunk
The sympathetic fibres of autonomic nerve plexus (L1 and 2 viaHypogastric Nerve) to pelvis supplies (9)
All internal pelvic organs, vas deferens, seminal vesicles, prostate, epididymis, ovaries, uterus, fallopian tubes and vagina
Parasympathetic fibres in pelvis originate from
Pelvic Splanchic nerves (s2-4)
Parasympathetic fibres in pelvis supply
All internal pelvic organs and erectile tissues
In the thorax the greater, lesser and least splanchic nerves are
sympathetic
In the pelvis the pelvic splanchic nerves are
parasympathetic
If a man is unable to ejaculate after rectal surgery which nerve has been damaged
Pudental Nerve
How many lymph nodes are in pelvi
4
The external iliac lymph nodes drain
Inguinal Nodes, Bladder, Ext Genitalia, Vagina, Cervix and Uterus
The internal iliac lymph nodes drain
Glutes, Deep Perineum and Inferior pelvic viscera
The sacral lymph nodes drain
Posterioinferior Pelvic Viscera
The common iliac lymph nodes drain
External, Internal and Sacral Lymph Nodes
