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43 Cards in this Set

  • Front
  • Back

Blood Supply of Anterior Abdominal Wall

Femoral Artery


External Iliac Vessel

Nerve supply of Abdominal Wall

Intercostal Nerve


Subcostal Nerve


Iliohypogastric Nerve


Ilioinguinal Nerve

This is where the round ligaments terminate

Labia majora

Layer of endometrium not responsive to hormones

Stratum basale

Round ligament

Extend from lateral portion of uterus below oviducts and terminates at labia majora

Uterosacral ligament

Supravaginal portion of cervix and encircles the rectum and teminated at S2-S3

Lymphatics of Cervix

Internal iliac nodes

Lymphatics of body of uterus

Periaortic nodes

Sensory fibers that transmit painful contractions

T11-T12

Sensory nerves of the cervix

S2-S4

Ectopic pregnancy in this site leads to severe bleeding

Interstitial

Narrowest portion of fallopian tube

Isthmus

Widest portion of fallopian tube where fertilization occurs

Ampulla

Fimbria ovarica

Longer than other fimbrae forms shallow gutter that reaches the ovary

Outermost portion of the cortex of ovary

Tunica albuginea

Germinal epithelium of Waldeyer

Surface single layer cuboidal epithelium

Infundibulopelvic ligament

Feom upper tubal pole to pelvic wall

Obstetrical conjugate

Shortest distance between promontory of the sacrum to the pubic symphysis



At least 10 cm

Diagonal conjugate

Distance from lower margin of pubic symphysis to sacral promontory



> 11.5 cm

Anatomic conjugate

Shortest distance between the promontory of the sacrum to the symphysis



11 cm

Adequate Midpelvis

Non prominent ischial spined


Non convergent sidewalls


Non shallow sacrum


Wide sacroiliac notch

What cardinal movement happens when the occiput is at the ischial spines?

Internal rotation

Muscle for clitoral erection

Ischiocavernous muscle

Bulbocavernosus muscle

Bartholin gland secretiom


Clitoral erection

Terminal branches of pudendal nervet

Dorsal nerve of clitoris


Perineal nerve


Inferior rectal (eas, mucous membrane of anal canal, perineal skin)


Vaginal length

Anterior wall: 6-8 cm


Posterior wall: 7-10 cm

Blood supply of vagina

Upper 1/3: cervicovaginal branch of uterine artery



Mid 1/3: Inferior vesical artery



Lower 1/3: middle rectal amd internal pudendal

Pelvic diaphragm

Levator ani muscles


-Pubococcygeus


-Puborectalis


-Iliococcygeus



Coccygeus

Mullerian Duct derivatives

Fallopian tubes


Uterus


Cervix


Upper 1/4 of vagina

Urogenital sinus derivatives

Lower 1/3 vagina


Vestibule


Bladder


Urethra

Number of oocytes at birth

2 million

Number of oocytes at puberty

400,000

Number of oocytes at reproductive age

400

Hormone produced in the thecs cells

Androstenedione

Hormone formed in the granulosa cell

Estradiol

Oocyte transforming growth factors

GDF 9


BMP-15

Exclusive site of fsh receptor expression

Granulosa cells

17-B estradiol

Most biologically potent naturally occuring estrogen

Early Proliferative Phase

Glands are straight and narrow


Arteries Straight


Basal layer completely restored

Late Proliferative

Signs of coiling of arteries


Glands begin to coil

Early secretory

Marked coiled glands


Spiral arteried

Late Secretory

Glands appear serrated


Marked coiling of arteries

Window of implantation

Days 21-24