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32 Cards in this Set
- Front
- Back
What are the three divisions of the Pelvis bone?
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ILEUM
ISCHIUM PUBIS |
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What runs through the OBTURATOR CANAL?
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The Obturator VAN
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What is another name for the INFERIOR PUBIC RAMUS?
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The ISCHIAL-PUBIC RAMUS
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What is the Anterior Boundary of the PERINEUM?
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PUBIC SYMPHYSIS
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What is the Anterolateral Boundary of the PERINEUM?
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INFERIOR PUBIC RAMI
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What is the Posterior Boundary of the PERINEUM?
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Tip of the COCCYX
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What is the Posterolateral Boundary of the PERINEUM?
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SACROTUBEROUS LIGAMENT reinforced by GLUTEUS MAXIMUS
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What two triangles may the PERINEUM be divided into?
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Anteriorly: Urogenital
Posteriorly: Anal |
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What feature divides the PERINEUM into two triangles?
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An imaginary line drawn between the two Ischial Tuberosities.
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What are the roles of the PELVIC DIAPHRAGM?
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1. Separate pelvic cavity from Perineum
2. Support Pelvic viscera 3. Sphincteric action at anorectal junction 4. Resist increased intraabdominal pressure (coughing/defacating) |
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What makes up the Pelvic Diaphragm?
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Levator Ani: Puborectalis, Pubococcygeus, Iliococcygeus
(Ischio) Coccygeus |
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What is the band-like thickening on the fascia of obturator internus called?
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ARCUS TENDINEUS (Tendinous Arch of Levator Ani)
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What innervates the Pelvic Diaphragm?
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Perineal branch of S4
Pudendal nerve (S2, S3, S4) |
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What is the correct name for the ISCHIORECTAL FOSSA?
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ISCHIOANAL FOSSA
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What is the ISCHIOANAL FOSSA?
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Wedge-shaped fat-filled regions lying between the skin of anal region & pelvic diaphragm
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What is the base of the ISCHIOANAL FOSSA?
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Skin & Fascia
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What is the apex of the ISCHIOANAL FOSSA?
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Meeting point of obturator internus & levator ani muscles
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What forms the lateral wall of ISCHIOANAL FOSSA?
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Inferior part of Obturator Internus and fascia along the Ischium.
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What forms the Medial Wall of the ISCHIOANAL FOSSA?
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Anal Canal
External Anal Sphincter Levator Ani Muscle |
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What forms the Anterior boundary of the ISCHIOANAL FOSSA?
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Urogenital Diaphragm
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What forms the Posterior boundary of the ISCHIOANAL FOSSA?
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Gluteus Maximus M.
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What structure encloses the Pudendal nerves?
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Pudendal (Alcock's) Canal
(Useful for blocking for regional anesthesia in obstetrical procedures) |
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Where are the anal sphincters found?
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Internal Anal Sphincter = Upper 2/3 of Anal Canal
External Anal Sphincter = Lower 2/3 of Anal Canal They Overlap. |
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What are the three parts of the EXTERNAL ANAL SPHINCTER?
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Subcutaneous -- no bony attachments
Superficial -- Attaches to coccyx & perineal body Deep -- No bony attachments |
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What kind of inervation does the EXTERNAL ANAL SPHINCTER exhibit?
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Voluntary
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What kind of inervation does the INTERNAL ANAL SPHINCTER exhibit?
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Involuntary
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Where does the INTERNAL ANAL SPHINCTER end?
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White line of Hilton
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What are the features of the superior 2/3 of the Anal Canal?
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-Lined by Columnar Epithelium (Endodermal)
-Responsive to Stretch -Anal Columns -Adenocarcinomas -Lymphatic: Internal & Common Iliac |
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What are the features of the Inferior 1/3 of the Anal Canal?
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-Lined by Stratified Squamous Epithelium (Ectoderm)
-Somatic Innervation (Inferior rectal nerves) -Responsive to Pain, Touch, Temp -Squamous Cell Carcinoma -Lymphatic: Superficial Inguinal Nodes |
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What are the features of Internal Hemorrhoids?
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-Tributaries of Superior Rectal Vein (Portal System)
-Occur Above Pectinate Line (Painless) -3, 7, 11 o'clock |
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What are the features of External Hemorrhoids?
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-Inferior Rectal Veins (Systemic)
-Below Pectinate Line (Extremely Painful) |
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Where do most Fissure in Ano occur?
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Posteriorly in the midline.
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