reproanatomy

Question 1

pain from the superior aspect of pelvic organs that touch the peritoneum travel along what fibres and enter at what spinal levels?

Answer 1

travel long side sympathetic fibres to the spinal level of T11-L2

Question 2

pain from inferior aspect of the pelvic organs that dont touch the perineum run along what fibres and enter at what spinal level ? where is pain percieved ?

Answer 2

travel along by paraympathetic fibres and enter at s2,3,4.

pain percieved in this dermatome so percieved in perineum

Question 3

pain from perineum is felt by what nerve and enters at what spinal level?

Answer 3

pudendal and S2,3,4

Question 4

what sympathetic plexus innervates the pelvis and what spinal level does it originated from ?

Answer 4

superior hypogastric plexus from T11-L2

Question 5

what parasymp plexis innervates pelvis and what are its spinal levels

Answer 5

inferior hypogastric plexus and s2,3,4

Question 6

what level is an epidural inserted

Answer 6

L3,4

Question 7

what does an epidural needle pass through before hitting the epidural fat ?

Answer 7

skin, sub cut fat , supraspinous lig., interspinous lig. , ligamentum flavum

Question 8

a side effect of a spinal anaesthetic can be hypotension- explain how this happens

Answer 8

all spinal nerves and named nerves contain sympathetic fibres. symp fibres supply arterioles, blocking of this causes vasodilation

Question 9

through what foramen does the pudendal nerve exit and re-enter the pelvis

Answer 9

exits via greater sciatic foramen and re-enters via the lesser sciatic foramen