Session 2 - female anatomy Flashcards

1
Q

why might you get a sharp pain at ovulation

A

Mittelschmerz is also referred to as painful ovulation
During ovulation, the egg and the fluid, as well as some blood, are released from the ovary into the peritoneal cavity- the fluid or blood may irritate the lining of the abdominal cavity, causing pain
pain may also be caused as the ovary has to rupture the peritoneal layer to leave the ovary

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2
Q

why do nuns tend to get ovarian cancer

A

Nuns are celibate, don’t get pregnant,

receive huge amount of trauma to peritoneum lining - increases risk of cancer

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3
Q

what is an ovarian cysts

A

Fluid filled lesions/sacs, can be benign or cancerous located in the ovary

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4
Q

how might a patient with an ovarian cyst present

A

Pain due to stretching of peritoneum, pain when ovary rupture, torsion of ovarian
cyst (compartment syndrome of ovary). Present with bloating

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5
Q

how does the uterus expand as the cervix grows

and how does this explain the symptoms of pregnancy

A

Uterus has grown up to the ziphoid process of the sternum
Other organs shifted out of the way by uterus
Pregnancy can cause acid reflux as pushing on stomach
Hormones can also affect it by causing relaxation of the connective tissue that make the lower oesophageal sphincter rigid
Constipation as large intestines are compressed
Pushing on bladder so need to pee a lot
Extreme stretch of ligaments
holding uterus in place can cause pain and discomfort

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6
Q

what are the round ligament and ligament of the ovary remnants of

A

the gubernaculum

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7
Q

what is the name of the pouch between the bladder and the uterus

A

Visicouterine pouch between bladder and uterus

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8
Q

what is the name of the pouch between the uterus and the rectum

A

Rectouterine pouch between rectum and uterus

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9
Q

what happens after and egg is released from the ovary

A

Egg ruptures out of ovary, goes through peritoneum lining and is caught by fimbrae, it is guided by a specialised fimbrae which has a groove in it

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10
Q

what connects the lateral pelvic wall and the uterus

A

The mesometrium of broad ligament connects the lateral pelvic wall and uterus

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11
Q

what is the messentry of the follopian tubes

A

The mesosalpinx of broad ligament is the messentry of the follopian tubes

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12
Q

what is the name of the double fold of peritoneum that the ovary is suspended in

A

Mesovarium of broad ligament - double fold of peritoneum that the ovary is suspended in

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13
Q

what is the main blood supply to the female reproductive tract

A

uterine artery

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14
Q

what is the relation of the uterine artery to the uerter

A

the ureter passes underneath the uterine artery- the uterine and ovarian arteries anastamose so need to be careful to clip of vessels during a hysterectomy

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15
Q

what is the normal positioning of the uterus and vagina

A
Normally uterus is
antiverted and antiflexed
so uterus sits on top of
bladder, this is maintained
by the broad ligaments
that hold the uterus
anteriorly in pelvis
If you've had a few babies, the ligaments are stretched
and the uterus can move
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16
Q

what is the angle of antiflexion between

A

angle between the axis of the vagina and the axis of the uterine body

17
Q

what is the angle of antiversion between

A

between the axis of the cervix and the axis of vagina

18
Q

what epithelium lines the vagina

A

stratified squamous

19
Q

what maintains the pH in the vagina

A

lactobacilli maintain an acidic pH in the vagina