Repro: Female Flashcards
Boundary of the ovarian fossa
Iliac vessels
Fold of peritoneum that encloses the uterus. Extends from sideofr uterus to lateral pelvic wall and floor. Uterine tubes found in _______.
Broad ligament. Free edge.
Measurement of iliac vessels
1.5 x 0.75
Ligaments attached in the ovaries
Broad, Round & Suspensory “BRS”
Blood supply of ovaries
Ovarian artery (L2)
Venous drainage of the ovaries
IVC & Renal
Clinical notes in ovary, check for:
Position & Cyst ( benign, malignant)
Other name for broad ligament in the ovaries
Mesovarium
Diagnostic test/technology used for ovaries
Ultrasound, Laparoscopy & In vitro fertilization “ULI”
Carry oocytes from ovaries. Carry sperms from uterus to _______. Conveys dividing zygote to uterus.
Uterine tube. Ampulla.
Measurement of the Uterine tubes
10-12cm long
Part of the uterine tube: abdominal ostium. _______ fimbrae.
Infundibulum. 20-30.
Part of the uterine tube: widest & longest.
Ampulla
Part of the uterine tube: narrowest part.
Isthmus
Part of the uterine tube: interstitial part.
Intramural
Blood supply of the uterine tube
Ovarian arteries
Venous drainage of the uterine tubes
Uterine veins
Lymph drainage of the uterine tube
Internal iliac/para aortic
Nerve supply of the uterine tube
Autonomics of the inferior hypogastric plexus
Problems associated with uterine tubes
PID & Ectopic pregnancy
Diagnostic test/technologies for uterine tube
Laparoscopy(chromotubation), In vitro fertilization & Tubal ligation.
Uterine tube came from what origin
Paramesonephric ducts
Lymph drainage of the ovaries
Para aortic nodes (L1)
Nerve supply of the ovaries
Aortic plexus
Located between the bladder and rectum
Uterus
Anterior to the uterus
Bladder
Posterior to the uterus
Rectum
Lateral to the uterus
Adnexae
Portion of uterus: body
Superior 2/3
Portion of uterus: cervix
Inferior 3rd
Junction between the body and cervix
Isthmus
the development of a fertilized ovum outside the uterus, as in a fallopian tube. Implantation and subsequent development of a fertilized ovum outside the cavity of the uterus.
Eccyesis/Ectopic pregnancy
one of two uterine horns, located near the entry of the Fallopian tube
Cornua
Part of the uterus which is at the top portion, opposite from the cervix
Fundus
Parts of the Fundus
Body, Isthmus, Fundus, Cornua & Cervix “BIF CC”
For reception, retention & nutrition. Pear shaped. Thick muscular wall & inside triangular cavity.
Uterus
Arterial supply & Venous drainage of the Uterus
Uterine veins & arteries
Lymph drainage of the uterine fundus
Para aortic nodes
Lymph drainage of the Body & Cervix
Int. & Ext. Iliac and Superficial Inguinal nodes
Nerve supply of the uterus
Autonomics of the inferior hypogastric plexus
Uterine supports
Cardinal ligament, Urogenital Diaphragm, Pubocervical ligament, Uterosacral ligament & Pelvic diaphragm. “CUP UP”
Pelvic diaphragm composition
Levator ani muscle & Coccygeus
More superficial muscular sheet that spans the outlet of the pelvis
Urogenital diaphragm
support or act as a “ floor” for the abdominal viscera including the rectum and constrictor or continence mechanism to the urethral, anal and vaginal orifices (in females)
Pelvic diaphragm
Major ligament of the uterus
Cardinal ligament
a fibrous fascial band on each side of the uterus that passes along the lateral wall of the pelvis from the uterine cervix to the sacrum and that serves to support the uterus and hold it in place
Uterosacral ligament
a condensation of fascia that extends from the cervix to the anterior pelvic wall. It is thought to help stabilize the uterus in the pelvic cavity.
Pubocervical ligament
Conditions associated with the uterine support
Proloase/Procidentia, Leiomyoma, Embryological & Malignancy “PLEM”
Downward movement of the uterus due to laxity and atony of the muscular and fascial structures of the pelvic floor, usually resulting from injuries of childbirth or advanced age.
Prolapse/Procidentia
A benign tumor derived from smooth muscle.
Leiomyoma
Blood supply of Vagina
Vaginal artery & Internal Pudendal nerve
Blood supply of Uterus
Ovarian & Uterine arteries
Blood supply of Ovary
Ovarian artery
Blood supply of Uterine tubes
Uterine & Ovarian arteries
Anastomoses of venous plexuses
Vaginal, Uterine, Rectal & Pampiniform “VURP”
Venous drainage of the female reproductive organs
Internal iliac veins & Ovarian vein
Right ovarian vein drains where
IVC
Left ovarian vein drains where
Left renal vein
______ in number. Drain bladder, male internal organs & uterus.
External iliac nodes
From all pelvic viscera. Drains deep part of peritoneum.
Internal iliac nodes
From posterior pelvic wall, rectum & prostate/cervix.
Sacral lymph nodes
Common iliac vessels. Lymph from external and internal nodes.
Lateral group of common iliac nodes
Angle between vessels. Lymph directly from pelvic viscera.
Median group of common iliac nodes
Along abdominal aorta. Lymph from common iliac nodes, fundus of uterus, ovary and tubes.
Lumbar aortic nodes
Lymphatic drainage flow
Lumbar aortic nodes-> Lumbar trunk-> Cisterna Chyli-> Thoracic duct
Anterior to bifurcation of aorta. Inferior prolongation of intermesenteric plexus.
Superior hypogastric plexus
Mingle with pelvic splanchnic nerves.
R&L hypogastric nerves
Superior hypogastric plexus and pelvic splanchnic nerves. Surrounds internal iliac artery.
Inferior hypogastric plexus
Flow of Pelvic Autonomic System
Superior hypogastric plexus-> R&L hypogastric nerves-> Inferior hypogastric plexus-> Pelvic plexus
Innervates rectum
Middle rectal plexus
Innervates urinary bladder
Vesical plexus
Innervates male internal reproductive organs
Prostatic plexus
the subdivision of the inferior hypogastric plexus that supplies nerve fibers to the uterus, ovary, vagina, urethra, and erectile tissue of the vestibule.
Uterovaginal plexus
