Term
what two boundries segregate the pelvic cavity |
|
Definition
pelvic inlet and pelvic outlet |
|
|
Term
what divides the pelvic cavity into two |
|
Definition
|
|
Term
what are the two divisions of the pelvic cavity |
|
Definition
main pelvic cavity and perinerium |
|
|
Term
|
Definition
another name for the pelvic cavity |
|
|
Term
what are the contents of the pelvic cavity, in general |
|
Definition
intestines, urinary, reproductive, blood, nerves, lymph |
|
|
Term
describe the origin of the pelvic organs in relation to the perineum, how does this affect the location of the perinerum around them |
|
Definition
the form upwards so it drapes over the organs |
|
|
Term
why does the perineum draping over the organs cause peoblems sometimes |
|
Definition
fluid can build up leading to blood or puss build up, pelvic disease |
|
|
Term
in general, how is the sigmoud colon in the pelvic cavity, wasn't it in the abdominal?? |
|
Definition
its loop hangs down into it |
|
|
Term
what vertebra marks the transition from the sigmoid colon to the rectum |
|
Definition
|
|
Term
is the sigmoid colon mobile? does it having any binding? |
|
Definition
yes, but it does have the sigmoid mesocolon |
|
|
Term
what is anterior to the sigmoid colon in males |
|
Definition
|
|
Term
what is anterior to the sigmoid colon in females |
|
Definition
posterior uterus, upper vagina |
|
|
Term
what is posterior to the sigmoid colon |
|
Definition
rectum, saccrum, lower ileum |
|
|
Term
what arteries supply the sigmoid colon |
|
Definition
sigmoid branches of the inferior mesenteric |
|
|
Term
what veins supply the sigmoid colon, where do they drain into |
|
Definition
inferior mesenteric vein drains into portal system |
|
|
Term
where is the sigmoid colon lymph located, where does it drain to |
|
Definition
it is in nodes along the arteries and drains into the inferior mesenteric veins |
|
|
Term
what nerves supply the sigmoid colon, what kind of innervation |
|
Definition
the hypogastic plexus provides parasympathetic and sympathetic |
|
|
Term
what is posterior to the rectum |
|
Definition
|
|
Term
where is the begining of the rectum? how did it get into the pelvic cavity? |
|
Definition
it states at S3 and pierces the pelvic diaphragm |
|
|
Term
when the rectum ends, what does it turn into |
|
Definition
|
|
Term
what is the rectal ampulla |
|
Definition
the lower part of the rectum that is dilated |
|
|
Term
describe the perineum covering of the rectum |
|
Definition
first 1/3: anterior and lateral covered second 1/3: anterior covered last 1/3: has none |
|
|
Term
how is the muscular coat of the rectum arranged |
|
Definition
outer: longitudinal inner: circular layers |
|
|
Term
what are the transverse folds of the rectum |
|
Definition
musous membrane and the circular muscle layers form two or three semicircular permanent folds |
|
|
Term
what is posterior to the rectum |
|
Definition
sacrum, coccyx, piriformis muscle, coccygeus, levator ani, sacral plexus, sympathetic trunk |
|
|
Term
what is anterior to the rectum in males |
|
Definition
sigmid colon, lower lieum, posterior bladder |
|
|
Term
what is anterior to the rectum in females |
|
Definition
sigmoid colon, lower ileum, lower 1/2 of the posterior vagina |
|
|
Term
what is the retrouterine pouch between |
|
Definition
|
|
Term
what is another name for the rectouterine pouch |
|
Definition
|
|
Term
what arteries supply the rectum (also, where do they come from) |
|
Definition
superior rectal (inferior mesenteric), middle rectal (internal iliac), inferior rectal 9internal pudenal) |
|
|
Term
what veins drain the rectum (also, where do they drain to) |
|
Definition
superior rectal (inferior mesenteric), middle rectal (internal iliac), inferior rectal (internal pudenal) |
|
|
Term
what is in the posterior pelvis |
|
Definition
same in both sexes, rectum, sigmoid colon, ileum |
|
|
Term
what is in the anterior pelvis |
|
Definition
bladder, ureter, vas deferens, seminal vesicle, prostate, ovaries, uterus, uterine tube, vagina |
|
|
Term
what is anterior to the bladder |
|
Definition
|
|
Term
what shape is the bladder when empty |
|
Definition
|
|
Term
what is the apex of the bladder connected to |
|
Definition
umbilicus via median umbilical ligament (urachus remnent) |
|
|
Term
in what way is the base of the bladder oriented |
|
Definition
|
|
Term
what are the surfaces of the bladder |
|
Definition
posterior, superior, 1 infra lateral (sides) |
|
|
Term
what surface is the neck of the bladder located on |
|
Definition
|
|
Term
what is the neck of the bladder on in males |
|
Definition
|
|
Term
what is the neck of the bladder held up by in makes |
|
Definition
|
|
Term
what is the neck of the bladder held by up in females |
|
Definition
|
|
Term
what are the ligaments that hold up the neck of the bladder, what are they made of |
|
Definition
puboprostatic ligemant, pubovesical ligament. made of thickened pelvic fascia |
|
|
Term
what lines the inside of the bladder |
|
Definition
folds of mucus membrane everywhere but the base which is smooth |
|
|
Term
what is another name for the base of the bladder |
|
Definition
|
|
Term
what enters the superior points of the trigone |
|
Definition
|
|
Term
what enters the inferior point of the trigone |
|
Definition
|
|
Term
describe the coverings of the bladder |
|
Definition
muscular coat of smooth detrusor muscle in 3 layers of interlacing bundles |
|
|
Term
what is the spinchter vesicae |
|
Definition
thickening of the detrusor muscle of the bladder |
|
|
Term
describe the path of the ureter to the bladder |
|
Definition
cross the bifurcation of the common iliac, enters laterally |
|
|
Term
what does the ureter cross in males, on what side |
|
Definition
|
|
Term
what does the ureter cross in females, on what side, describe the path of how it got there |
|
Definition
behind ovary to ischial spine, turns forward and goes beneath the broad ligament and goes under the unterine artery, enters the bladder laterally |
|
|
Term
what is a complication of overfilling the bladder |
|
Definition
pulls the perinerium that lines the top of it from the body wall |
|
|
Term
what arteries supply the bladder, where did it come from |
|
Definition
superior and inferior vesical, came from internal iliac |
|
|
Term
what veins drain the bladder, where do they drain to |
|
Definition
the vesical venous plexus drains to the internal iliac |
|
|
Term
where does the lymph from the bladder drain to |
|
Definition
internal and external iliac nodes |
|
|
Term
what types of innervation does the bladder recieve |
|
Definition
sympathetic and parasympathetic |
|
|
Term
where does the sympathetic stimulation for the bladder come from, where is the ganglia located |
|
Definition
splanchnic nerves from the 1-2 lumbar ganglia send postganglionic fibers to the bladder |
|
|
Term
where does the parasympathetic stimulation for the bladder come from, where is the ganglia located |
|
Definition
S2-4 sacral nerves send preganglionic fibers to the bladder that go to the interanural genglia in the bladder and give off postganglonic fibers |
|
|
Term
what type of pain can the bladder relay |
|
Definition
visceral pain, distension |
|
|
Term
what is sympathetic stimulation important in the bladder |
|
Definition
spinctor vesicle constricts to stop the flow of semen into the bladder in ejaculation |
|
|
Term
what do all the nerves of the bladder pass through |
|
Definition
the inferior hypogastric plexus |
|
|
Term
explain the steps of micturition |
|
Definition
1. stretch receptors in the bladder are stimulated (~300mL) 2. impulses transmitted to CNS give concous desire to mictrate? (i made that up) 3. efferent parasympathetics cause smooth muscle of the bladder to contract and spinchter vesicae to relax and pass to urethral spincter via the pudendal nerve causing relaxation 4. voluntary control develops at 2/3 yrs |
|
|
Term
what is the vas deferens made of |
|
Definition
|
|
Term
where does the vas deferens from from and to |
|
Definition
spididymis tail through inguinal canal to the urethra |
|
|
Term
in what order does the vas deferens go through the inguinal ring |
|
Definition
|
|
Term
describe the path of the vas deferens |
|
Definition
deep inguinal ring > lateral to inferior epigastric artery > down and back on lateral wall of pelvis > crosses ureter by ischial spine > runs medially down on the posterior surface of the bladder > dilates > joins seminal vesicle > is not ejaculatory duct |
|
|
Term
what is the dilated part of the vas deferens inferior to what is it called |
|
Definition
the ampulla is inferior to the bladder |
|
|
Term
what is anterior to the seminal vesicles |
|
Definition
|
|
Term
what do the seminal vesicles make |
|
Definition
|
|
Term
describe the location of the seminal vesicle in relation to the vas deferens |
|
Definition
the vas deferens is on the medial side of each vesicle |
|
|
Term
what happens right before the seminal vesicle joins the vas deferens |
|
Definition
|
|
Term
how does the seminal vesicle end |
|
Definition
it joins the vas deferns make the ejaculatory duct |
|
|
Term
where does the ejaculatory duct join the urethra |
|
Definition
prostatic urethra close to the prostatic urticle |
|
|
Term
what travels from the seminal vesicles to the urethra |
|
Definition
|
|
Term
what arteries supply the seminal vesicles |
|
Definition
inferior vesicle, middle rectal |
|
|
Term
what veins drain the seminal vesicles |
|
Definition
|
|
Term
where does seminal vesicle lymph go to |
|
Definition
|
|
Term
what is the purpose of the postrate |
|
Definition
|
|
Term
what is the prostate between |
|
Definition
bladder neck and urogenital diaphragm |
|
|
Term
what is the prostate made of |
|
Definition
glands embedded in smooth muscle and connective tissue |
|
|
Term
where do the glands of the prostate lead to |
|
Definition
|
|
Term
what are the lobes of the prostate |
|
Definition
median, anterior, posterior, r lateral, l lateral |
|
|
Term
what arteries supply the prostate |
|
Definition
inferior and middle rectal |
|
|
Term
what veins drain the prostate |
|
Definition
|
|
Term
where is the prostatic venous plexus located |
|
Definition
outside the prostate capsule |
|
|
Term
|
Definition
|
|
Term
what veins does the prostatic venous plexus recieve |
|
Definition
dorsal vein of penis and other |
|
|
Term
what does the prostatic venous plexus drain into |
|
Definition
|
|
Term
where does the prostate lymph drain to |
|
Definition
internal iliac lymph nodes |
|
|
Term
where do the nerves of the prostate come from |
|
Definition
inferior hypogastric plexus |
|
|
Term
what does sympathetic stimulation do to the prostate |
|
Definition
controls smooth muscle during ejaculation |
|
|
Term
what do the ovaries produce |
|
Definition
|
|
Term
what are the parts of the broad ligament |
|
Definition
suspensitory ligament and mesovarium |
|
|
Term
what does the suspensiroty ligament connect |
|
Definition
mesovarium to lateral pelvic wall |
|
|
Term
what does the mesovarium connect |
|
Definition
ovary to suspensitory ligament |
|
|
Term
what does the suspensitory ligament contain |
|
Definition
|
|
Term
what is the thunica abalguina |
|
Definition
thin fibrous capsule of the ovaries |
|
|
Term
what is the germinal epithelium |
|
Definition
capsule that covers the tunica albalguia of the ovaries |
|
|
Term
where is the common site for ovarian cancer |
|
Definition
|
|
Term
what happens to the ovaries due to many ovulations |
|
Definition
|
|
Term
what arteries supply the ovary |
|
Definition
|
|
Term
why does the ovarian artery bein at L1 |
|
Definition
because it is where the ovary started off during development |
|
|
Term
where does the right ovarian vein drain to |
|
Definition
|
|
Term
where does the left ovarian vein drain to |
|
Definition
|
|
Term
where does ovary lymph go |
|
Definition
|
|
Term
what nerves supply the ovary |
|
Definition
|
|
Term
what do the nerves of the ovary run along |
|
Definition
|
|
Term
what is the uterine tube in |
|
Definition
|
|
Term
what does the uterine tube connect |
|
Definition
peritoneal cavity in region of ovary to the cavity of the uterus |
|
|
Term
what are the parts of the uterine tube |
|
Definition
infundibulum, ampula, isthmus, intramural, |
|
|
Term
where is the infundibulum |
|
Definition
funnel, overlays ovary has fimbrae |
|
|
Term
|
Definition
widest part of uterine tube |
|
|
Term
|
Definition
most narrow part of the uterine tube |
|
|
Term
|
Definition
part of uterine tube the pierces uterine wall |
|
|
Term
what arteries supply the uterine tube |
|
Definition
|
|
Term
what veins drain the uterine tube |
|
Definition
|
|
Term
where does uterine tube lymph drain to |
|
Definition
para-aortic lymph nodes and internal iliac nodes |
|
|
Term
where do the nerves for the uterine tube come from, what type of innervation |
|
Definition
from hypogastric plexus, sympathetic and parasympathetic |
|
|
Term
what is the shape of the uterus |
|
Definition
|
|
Term
what are the walls of the uterus made of |
|
Definition
|
|
Term
what is the fundus of the uterus |
|
Definition
part above uterine tube enterance |
|
|
Term
what is the body of the uterus |
|
Definition
part below enterance of the uterine tube |
|
|
Term
what is the cervix of the uterus |
|
Definition
|
|
Term
what is the cervical cavity |
|
Definition
the triangular cavity of the cervix |
|
|
Term
what are the two barriers of cervical cvity communication to the uterus |
|
Definition
|
|
Term
what does the external OS look like in someone who has kids |
|
Definition
|
|
Term
what does the external OS look like in someone who has no kids |
|
Definition
|
|
Term
what is anterior to the uterus |
|
Definition
bladder, uterovesical pouch |
|
|
Term
what is the uterovesical pouch between |
|
Definition
|
|
Term
what is posterior to the uterus |
|
Definition
rectouterine pouch, ileum, sigmoid colon |
|
|
Term
what is lateral to the uterus |
|
Definition
broad ligament, uterine arteries and veins, uterine tubes |
|
|
Term
what is the antiverted position |
|
Definition
position of the uterus that is normal, 90 deg to vagina |
|
|
Term
what is the antiflexed position |
|
Definition
position of the uterus that is not normal, less than 90 deg to vagina |
|
|
Term
|
Definition
|
|
Term
where is the uterus not covered |
|
Definition
anterior and below bladder |
|
|
Term
|
Definition
muscular wall of the uterus |
|
|
Term
|
Definition
mucus membrane of the uterus |
|
|
Term
|
Definition
supravaginal part of the uterus with a visceral pelvic fascia |
|
|
Term
what does the round ligament connect |
|
Definition
|
|
Term
|
Definition
that part of the broad ligament on the uterus |
|
|
Term
what are the "mini mesentaries" of the uterus |
|
Definition
mesovarium and mesosalpinx |
|
|
Term
|
Definition
area of uterus devoid of peritonieum |
|
|
Term
what artery supplies the uterus, where does it come from |
|
Definition
uterine a comes from internal iliac |
|
|
Term
describe the path of the uterine a |
|
Definition
in base of broad ligament above ureter, reaches cervix lateral to internal OS and branches |
|
|
Term
what are the branches of the uterine artery |
|
Definition
|
|
Term
what do the branches of the uterine artery anastamose with |
|
Definition
|
|
Term
what vein drains the uterus, where does it drain to |
|
Definition
uterine vein drains to internal iliac |
|
|
Term
where does the lymph from the fundus of the uterus go to |
|
Definition
accompanies ovarian vein and then to para aortic nodes at L1 |
|
|
Term
where does the lymph from the body and cervix of the uterus go to |
|
Definition
internal and external iliac nodes |
|
|
Term
where does the "other" lymph of the uterus go to |
|
Definition
follows round ligament to inguinal canal then superificial inguinal nodes |
|
|
Term
where do the nerves of the uterus come from, what type of innervation |
|
Definition
hypogastric plexus, sympathetic and parasympathetic |
|
|
Term
what is the perineal body |
|
Definition
in both sexes but bigger in female, fibromuscular glob that maintains the pelvic floor |
|
|
Term
how can the perineal body be damaged |
|
Definition
|
|
Term
what happens if the perineal body is damaged |
|
Definition
prolapse of the pelvic viscera (bascally anything in the pelvis can kinda fall out) |
|
|
Term
what msucle supports the uterus |
|
Definition
|
|
Term
where does the levator ani attach to support the uterus |
|
Definition
|
|
Term
what is the levator ani composed of when it attaches to the cervix and perineal body |
|
Definition
|
|
Term
what does the pelvic fascia do to support the uterus |
|
Definition
keeps cervix in the right spot |
|
|
Term
what are the parts of the pelvic fascia that support the uterus |
|
Definition
transverse cervical, pubocervical, sacralcervical |
|
|
Term
describe the location of the transverse cervical fascia |
|
Definition
laterally comes to cervic and upper vagina |
|
|
Term
what is another name for the transverse cervical fascia |
|
Definition
|
|
Term
what is the transverse cervical fascia made of |
|
Definition
|
|
Term
describe the location of the pubocervical fascia |
|
Definition
connects posterior pubis to cervix and bladder, also supports bladder |
|
|
Term
what does the sacralcervical fascia connect |
|
Definition
lower sacrum to cervic and upper vagin |
|
|
Term
what is on either side of the sacralcarvical fascia |
|
Definition
|
|
Term
describe the location of the round ligament |
|
Definition
through deep inguinal ring, through supralateral angle, and to labia majora subcutanous tissue |
|
|
Term
what happens to the round ligament during pregnacy |
|
Definition
|
|
Term
what is the vagina made of |
|
Definition
|
|
Term
what is the general direction of the vagina |
|
Definition
|
|
Term
what are the walls of the vagina, where are the usually located in relation to eachother |
|
Definition
anterior and posterior, usually apposed |
|
|
Term
where does the vervix pierce the vagina |
|
Definition
|
|
Term
what are the parts of the vaginal lumen |
|
Definition
anterior, lateral, and posterior fornices |
|
|
Term
in whom is the hyman located and where |
|
Definition
virgins, at the vaginal oriface |
|
|
Term
what is lateral to the vagina |
|
Definition
upper: ureter middle: levator ani lower: urogenital diaphgram, bulb of vestibule |
|
|
Term
what is anterior to the vagina |
|
Definition
|
|
Term
what is poster to the vagina |
|
Definition
upper 1/3: rectouterine pouch middle 1/3: ampulla of rectum lower 1/3: perineal body |
|
|