Unit 10 - 1 Anatomy

Front 1

where do testicle cancers drain?

Back 1

to the abdominal aorta lymph nodes (not palpable)

Front 2

where do prostate cancers drain?

Back 2

internal iliac lymph nodes

Front 3

where does the SKIN of the scrotum drain?

Back 3

superficial inguinal nodes (can be palpated)

Front 4

balanitis

Back 4

swelling of the foreskin and head of the penis w rash, foul discharge, painful

Front 5

paraphimosis

Back 5

foreskin stuck behind glans penis; often occurs during catherization or cleaning of foreskin

Front 6

phimosis

Back 6

foreskin cant be retracred due to metatal stenosis or scarring

Front 7

blue dot sign

Back 7

caused by torsion of the testicular appendix;

Front 8

positive transillumination

Back 8

hydrocele

Front 9

negative transillumination w swelling

Back 9

varicocele (widening of penis veins)

Front 10

conjugates

Back 10

= pelvic diameter, diagonal conjugate can be approximated during pelvic examination

Front 11

cervix

Back 11

the NECK of the uterus; the uterine cavity is farther bacl

cervix is 2.5 cm long, external os extends down into vagina while internal os is 2.5cm away which leads into a narrow

Front 12

Back 12

Uterus anatomy

Front 13

pelvic pain line significance

Back 13

anything touched by the peritoneum is above the pelvic pain line; anything inferior is below

if above, pain fibers are carried through the lubar splanmchnics along w sympathetics bc dome of uterus is covered by peritoneum, so pain flows with the lumbar nerves

in contrast the vagina is below the pelvic pain line so those fibers flow into the sacral splanchnics along w parasyp fibers as well as w pudendal nerve w external genitalia

if pudendal nerve is blocked woman w feel contractions + pain in birth canal

epideral will block everything below pelvic pain line (wont numb uterus so woman can feel her contractions)

if it's a spinal block at the lumbar level it blocks EVERYTHING

Front 14

Back 14

drain in same range as blood supply

Front 15

broad ligament

Back 15

connects uterus, fallopian tubes and ovaries to pelvic side wall

Front 16

round ligament

Back 16

connects uterine fundus to labia majora; round like the number of structures it carries (ZERO); derived from gubernaculum, travels through ROUND inguinal canal

Front 17

ligament of the ovary

Back 17

connects ovary to uterus

Front 18

suspensaory ligament of the ovaries

Back 18

connects ovaries to lateral pelvic wall; contains ovarian vessels (not a true ligament since its made up of vessels)

Front 19

where does one find the artery and urterine vein?

Back 19

cardinal ligament; connects cervix to side wall of the pelvis

Front 20

cardinal ligament

Back 20

connects cervix to side wall of the pelvis

Front 21

space between two diaphragms

Back 21

ischoanal fossa

Front 22

three corpi of penis

Back 22

2 corpus cavernosum and corpus spongiosum (bottom)

Front 23

mons pubis

Back 23

mountain

Front 24

innervation of perineum (region around genitals and anus)

Back 24

pudendal nerve; also provides motor innervation to the urogenital diaphragm

Front 25

innervation of ilioinguinal nerve

Back 25

mons pubis

Front 26

lymphatic drainage for vag

Back 26

learn the arterial supply of blood and reverse it

Front 27

dihydrotestosterone

Back 27

hormone that causes masculinization of the external genitalia

Front 28

raphe

Back 28

line of fusion on the bottom of the penis

Front 29

no 5 alpha reductase

Back 29

have no DHT;

Front 30

gonads and ducts derive from..

Back 30

intermediate mesoderm

Front 31

remnant of gubernaculum

Back 31

testicular ligament; anchors testis to inferior part of scrotum limiting movement

Front 32

if no gubernaculum

Back 32

no descent of testes or ovaries

Front 33

remnants of gubernaculum in females

Back 33

ovarian ligament and round ligament which both support

Front 34

mcc of hydronephrosis in infants and children

Back 34

ureteropelvic junction obstruction; more common in boys, ass w other cong abnor,

Front 35

sclerosing retroperitoneal fibrosis

Back 35

fibrous proliferativ einflam process that encases the retrop structures resulting in hydronephrosis

Front 36

mcc of acquired bladder diverticula

Back 36

prostatic enlargement resulting in increased intravesical pressure/muscle thickening

most asymtomatic but predispose to infx and bladder calculi

Front 37

extrophy

Back 37

dev failure of ant wall o fbladder and abdomen

exposed mucosaincreased risk of adenocarcinoma oin the balder remnant

Front 38

urine coming out of umbilicus

Back 38

urachal fistula (canal that connets fetal bladder w the allantois

urachal cyst = small remnant
urachal sinus = larger remnant, can still connect bladder to umbilicus