Test2 Flashcards
aka vesicouterine recess. potential space between the uterus and urinary bladder
anterior cul-de-sac
on the opposite side
contralateral
on the same side
ipsilateral
aka greater or major pelvis. area superior to and anterior to the pelvic brim
false pelvis
aka lesser or minor pelvis. portion of the pelvis cavity interior and posterior to the pelvic brim
true pelvis
aka pelvic brim or linea terminalis. the inner surface of the pubic and iluim bones contains a bony ridge, which serves as the line dividing the true and false pelvis
iliopectineal line
combination of the psoas major, psoas minor and iliacus muscle
iliopsoas muscle
increase in size
hypertrophy
aka innominate line. line drawn from the pubic crest to the arcuate line dividing the true and false pelvis
linea terminalis
aka posterior cul-da-sac or retrounterine recess. potential space between rectum and uterus
pouch of douglas
aka properitoneal space. space between the pubic symphysis and urinary bladder
space of retzius
a ring composed of four bones
osseous pelvis
sacrum,coccyx, and two innomitate bones form
osseous pelvis
how many sacral vertebrae are in the sacrum
5
how many fused coccygeal vertebrea compose the coccyx?
4
three main functions of the female pelvis
protects reproductive organs
directs pathway for fetus
weight bearing bridge between spine and lower limbs
what lines above linea terminalis
false pelvis
made up of the pectineal line and the arcuate line
linea terminalis
abdominanopelvic region contains what muscles
rectus abdominis
psoas major
what muscles lie within the false pelvis
iliacus
what muscles lie within the true pelvis
obturator internus
piriformis
coccygeus
levator ani
urinary bladder is anterior to
uterus
what is posterior to uterus
rectum
contraindications for transvag
prepuberty
rupture of membranes in pregnancy
TV and EV advantages
higher frequency = better detail
better res
proximal to area of interest
TV and EV disadvantages
small field of view
discomfort for pt
limited pt population
Trans abdominal advantages
global view
can be preformed on everyone
trans abdominal disadvantages
lower frequency req for penitration
less anatomic res
discomfort due to extremely full bladder
pelvic organs include
external genitalia urinary bladder and urethra uterus, FT, and vagina ovaries colon and rectum
organs of false pelvis
illeum
sigmoid colon
organs of true pelvis
pelic colon rectum bladder uterus ovaries fallopian tubes vagina suspensory ligaments
4 segments of the uterus
fundus
corpus (body)
isthmus
cervix
most cephalad portion of the uterus
fundus
largest part of the uterus
body
waist of uterus
isthmus
cylindrical/ barrel shaped neck of the uterus the projects to the vagina
cervix
rounded dome shaped
narrows at outer/lateral margins to form the cornu ie horn of the uterus
fundus
uterine cavity within this portion
cylindrical and slightly tapered
corpus
area between corpus and cervix
most flexible portion
isthmus
contains more fiberous and less mescular tissue and has distinctive endothelium
2-3cm in nulliparous female
cervix
bending of the fundus toward the abdominal wall
anteflexion
tipping of the uterus toward the anterior abdominal wall.
antevered
flexed to the right
dextoflexed
displacement to the right
dextroposition
flexed to the left
levoflexed
displacement to the left
levoposition
dropping of the uterus into the vaginal canal
prolapse
bending of the fundus toward rectum
retroflexed
tipping of the entire uterus toward the sacrum
retroverted
backwards displacement of entire uterus
retrocession
what supplies the functional endometrium with blood supply
spiral and radial arteries
abnormal connection between veins and arteries
AVM
arterial venous malformation
AVM is caused by
trauma
surgery
gestational trophoblasic disease
congenital malformation
condition were he color Doppler would show abundant turbulent flow, high velocity, low resistance
AVM
treatment of AVM
embolic therapy
where does the left ovarian vein drain into
the left renal vein
where does the right ovarian vein drain into
the ivc
ovarian vein diameter during nulliparous
2.6mm
ovarian vein diameter during parous
3.4mm
rotation of ovary on vascular pedicle
ovarian torsion
large, edematous ovary with multiple small peripheral follicles, no vascular flow, and free fluid in pelvis cold all be signs of
ovarian torsion
treatment of ovarian torsion
oophorectomy
corpus luteam flow may mimic what
neoplasm flow
because tumors lack a muscular layer the usually have
low resistance flow
techniques to help classify benign or malignant
ovarian volume
complexity of cyst
fluid noted posterior to the uterus would most likely be located within the
pouch of Douglas
the anterior cul-da-sac is also referred to as
vesicouterine pouch
uterus is located ______ to the rectum
anterior
pelvic muscles appear
hypoechoic
peritoneal space located posterior to the broad ligament is called
adnexa
fluid noted anterior to the uterus would most likely be located within the
vesicouterine pouch
the bilateral muscles that are located posterior to and extend from the sacrum to the femoral greater trochanter are the
piriformis muscle
the pelvic muscle group that is located between the coccyx and the pubis is the
levator ani muscles
the space of retzius is located
between the bladder and pubic bone
the right ovarian artery branches off the
aorta
the muscle located lateral to the ovaries is the
obturator internus muscle
weakening of these muscles may lead to prolapse of the pelvic organs
levator ani and the coocygeus muscle
the arteries that directly supply blood to the functional layer of the endometrium r the
spiral arteries
another name for the rectouterine pouch is the
pouch of douglas
the pelvic ligament that extends from the lateral aspect of the uterus to the side walls of pelvis are
broad ligament
the uterine artery branches of the
interior iliac artery
the peripheral arteries of the uterus are the
arcuate arteries
the urinary bladder uterus and ovaries are located in the
true pelvis
the pelvic ligament the provides support to the ovary and extends from the to the lateral surface of the uterus is the
ovarian ligament
pelvic bones when visualized on sonography will apear
hyperechoic
the ligament the houses the vasculature of the uterus is the
cardinal ligament
the ovary is supplied blood
ovarian artery and uterine artery
