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16 Cards in this Set
- Front
- Back
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EXTERNAL GENITALIA blood supply sensory innervation lymphatic drainage |
A. EXTERNAL GENITALIA (Figure 1) • referred to collectively as the vulva • blood supply: internal pudendal artery • sensory innervation: pudendal nerve • lymphatic drainage: inguinal nodes |
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Vagina - defintion - histology - blood supply - upper vaginal components |
• muscular canal extending from cervix to vulva, anterior to rectum and posterior to bladder • lined by rugated, stratified-squamous epithelium • upper vagina separated by cervix into interior, posterior and lateral fornices • blood supply: vaginal branch of internal pudendal artery with anastamoses from uterine, inferior vesical and middle rectal arteries |
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Uterus: 2 major parts of the uterus and their blood supply |
• thick walled, muscular organ between bladder and rectum, consisting of two major parts: uterine corpus blood supply: uterine artery (branch of the internal iliac artery) cervix blood supply: cervical branch of uterine artery |
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Supporting structures of the uterus |
pelvic diaphragm pelvic organs 4 pairs of ligamanets: 1. Round ligaments 2. uterosacral ligaments 3. cardinal ligments 4. broad ligaments |
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round ligaments - function - blood supply |
round ligaments: travel from anterior surface of uterus, through broad ligaments and inguinal canals then terminate in the labia majora function: anteversion blood supply: Sampson’s artery (branch of uterine artery running through round ligament) |
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Uterosacral ligaments - function |
uterosacral ligaments: arise from sacral fascia and insert into posterior inferior uterus function: mechanical support for uterus and contain autonomic nerve fibres |
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Cardinal ligaments - function |
cardinal ligaments: extend from lateral pelvic walls and insert into lateral cervix and vagina function: mechanical support, prevent prolapse |
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Broad ligaments - contains? |
broad ligaments: pass from lateral pelvic wall to sides of uterus; contain fallopian tube, round ligament, ovarian ligament, nerves, vessels and lymphatics |
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infundibulopelvic ligament |
continuous tissue that connects ovary to pelvic wall contains the ovarian artery, ovarian vein, ovarian plexus, lymphatic vessels |
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Determining the position of the uterus on clinical examination |
• If cervix faces anteriorly, i.e. toward vaginal orifice, more likely RETROVERTED UTERUS • If cervix faces posteriorly, i.e. toward sacrum or rectum, more likely ANTERVERTED UTERUS • If uterus palpable on bimanual exam, more likely ANTEVERTED UTERUS |
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Fallopian tubes - blood supply - components - ligaments - length
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• 8-14 cm muscular tubes extending laterally from the uterus to ovary • interstitial, isthmic, ampullary and infundibular segments; terminates at fimbriae • mesosalpinx: peritoneal fold that attaches fallopian tube to broad ligament • blood supply: uterine and ovarian arteries |
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Ovaries - components (function of each) - support - blood supply |
• consist of cortex with ova and medulla with blood supply • supported by infundibulopelvic ligament (suspensory ligament of ovary) • mesovarium: peritoneal fold that attaches ovary to broad ligament • blood supply: ovarian arteries (branches off aorta), left ovarian vein (drains into left renal vein), right ovarian vein (drains into inferior vena cava) |
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The ureters run ____________ to the ovarian aa. |
posterior (water under the bridge) |