VII + VIII: The Pelvis I + II Flashcards

1
Q

what forms the pelvic brim/inlet?

A

pectineal line of pubis
arcuate line of ilium
sacral promnotory

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2
Q

what is the greater pelvis aka false pelvis

A

lower part of abdominal cavity

anything superior to the pelvic inlet

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3
Q

what is the lesser pelvis aka true pelvis

A

inferior to pelvic inlet and superior to the pelvic outlet

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4
Q

what joint helps transfer the weight of the top half of the body

A

sacroiliac

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5
Q

what type of joint is the sacroiliac

A

synovial joint

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6
Q

what types of joint are the lumbosacral, sacroccoygeal, and pubic symphysis?

A

secondary cartilaginous

pubic symphysis is the only one without an IV disc

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7
Q

sacrospinous ligament

A

sacrum to ischial spine

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8
Q

sacrotuberous ligament

A

sacrum to ischial tuberosity

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9
Q

describe the pelvic inlet m vs. f

A

m: heart shaped
f: rounded/oval

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10
Q

describe the pelvic canal m vs. f

A

m: long and funnel-shaped
f: short with parallel walls

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11
Q

everted ischial tuberosities and spines

A

female

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12
Q

broader greater sciatic notch

A

female

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13
Q

pubic arch and subpubic angle less than 70 degrees

A

male

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14
Q

long and narrow sacrum

A

male

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15
Q

short and broad sacrum

A

female

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16
Q

lateral pelvic wall

A

obturator internus

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17
Q

arises within lesser pelvis
passes through lesser sciatic foramen
attaches to greater trochanter

A

obturator internus

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18
Q

forms the tendinous arch medially

A

obturator membrane (lines obturator internus m.)

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19
Q

posterior muscular pelvic wall

A

piriformis

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20
Q

bed for sacral nerve plexus

A

piriformis

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21
Q

passes through lesser sciatic foramen

passes through greater sciatic foramen

A

lesser- obturator internus

greater- piriformis

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22
Q

attaches to sacrum within lesser pelvis
passes through greater sciatic foramen
attaches to greater trochanter

A

piriformis

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23
Q

pelvic diaphragm =

A

levator ani + coccygeus

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24
Q

function of the pelvic diaphragm

A

functions to support viscera (particularly when increased intraabdominal pressure) and aids voluntary control of urination and fecal continence

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25
3 muscles of levator ani
puborectalis pubococcygeus iliococcygeus
26
muscular sling arising from pubis; maintains fecal continence
puborectalis
27
arises from pubis and tendinous arch, attaches to coccygeus
pubococcygeus
28
arises from tendinuous arch and ischial spine and blends with pubococcygeus
iliococcygeus
29
coccygeus aka ischiococcygeus
ischial spin to cocygeus/sacrum
30
kidneys are considered _______ organs, although embryologically __________
abdominal | pelvic
31
classification of ureters
retroperitoneal
32
what prevents urinary reflux into ureters
ureters enter bladder obliquely, forming flap valves so muscular contractions of bladder act as sphincters preventing reflux
33
ureters pass _______-- to uterine arteries orgins
medial
34
blood supply to ureters
male: inferior vesicular female: uterine a.
35
what is the trigone
triangle between ureteric and urethral opening
36
uvula
projection of trigone visible in older men
37
what are the walls of the bladder
detrusor muscle
38
muscle of baldders neck continuous with urethra muscle
female
39
muscle of bladders neck continuous iwht prostates fibromuscular tissue
male
40
involuntar internal urethral sphincter found...
male only | prevents semen from entering bladder
41
4 parts of male urethra
preprostatic postatic intermediate/membranous spongy
42
where is a stone most likely to be lodged
membranous urethra (thinnest point)
43
urethral crest
median ridge of prostatic urethra
44
seminal colliculus
rounded eminence of urethral crest
45
prostatic utricle
remnant of uterovaginal canal in seminal colliculus
46
location of ejaculatory ducts, prostatic ducts in prostatic urethra
ejaculatoory: inferior to prostatic utricle prostatic: lateral to seminal colliculus
47
4 parts of uterine tube
infundibulum ampulla isthmus uterine part
48
ovarian ligament
ovary to uterus
49
round ligament
uterus to labia majora
50
ovarian v round which is more anterior
round
51
mesentery of uterus
broad ligament
52
suspensory ligament
conveys ovarian vessels, lymphatics and nerves
53
suspends ovary
mesovarium
54
suspends uterine tube
mesosalpinx
55
mesometrium
suspends most of uterus
56
what is the typical position of the uterus?
anteverted and anteflexed
57
innervation to the vagina
lower 1/4: somatic (deep perineal branch of pudendal) | upper 3/4: autonomic
58
ducts formed by the joining of seminal vesicle and ductus deferens, converging upon the seminal colliculus of prostatic urethra
ejaculatory ducts
59
where are the bulbourethral glands located
posterolateral to membranous urethra
60
prostate, seminal vesicles, and vas deferens classification
primarily retroperitoneal
61
uterus, ovaries and uterine tube classification
intraperitoneal
62
retropubic space
behind the pubic bone, | accomodates bladder distension
63
retrorectal space
beind rectum, accomodates retal expansion
64
rectovesical pouch
MALES | between bladder and rectum
65
vesicouterine pouch
FEMALES | between bladder and uterus
66
rectouterine pouch (of Douglas)
between uterus and rectum | *can be accessed via posterior fornix in vagina
67
arteries of the anterior divison of internal iliac (7)
``` umbilical obturator inferior vesicular middle rectal intenal pudenal inferior gluteal uterine ```
68
superior vesicular is a branch off of
umbilical
69
what artery sits between S1 and S2
inferior gluteal
70
vaginal artery is a branch off of
uterine a.
71
arteries of posterior divison of ext. iliac (3)
iliolumbar lateral sacral superior gluteal
72
what artery is usually between L5 and S1
superior gluteal
73
nerves of the sacral plexus (4)
sciatic pudendal superior gluteal inferior gluteal
74
sciatic n.
L4-S3 | anterior and posterior division
75
what n. exits pelvis via greater sciatic foramen
sciatic n. pudendal superior gluteal inferior gluteal
76
pudendal n.
S2-4 | anterior division
77
what n. exits pelvis via greater sciatic foramen, then enters perineum via lesser sciatic foramen
pudendal n.
78
supplies skin and muscles of peineum | main sensory nerve for external genitalia
pudendal n.
79
superior gluteal n.
L4-S1 | posterior division
80
supplies gluteus medius, minimus, and tensor fascia latae
superior gluteal n.
81
inferior gluteal n.
L5-S2 | posterior division
82
supplies gluteus maximus
inferior gluteal
83
samll plexus from ventral rami of S4-5 and coccygeal n
coccygeal plexus
84
where do the sympathetics converge and unite
ganglion impar