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47 Cards in this Set

  • Front
  • Back

Components of the external genitalia

Aka Vulva


•Mons pubis


•Clitoris


•Urethral orifice


•Labia majora and minora


•Vestibule


Vaginal orifice or introitus


•Hymen


•Greater vestibular gland

Internal reproductive organs

Vagina


Cervix


Uterus


Fallopian tubes


Ovaries

Lower genital tract

Vulva


Vagina

Upper genital tract

Cervix


Uterus


Fallopian tubes


Ovaries

Blood supply to the vulva

Internal pudendal artery

Nerve supply to the vulva

Ilioinguinal & genital branch of the genitofemoral nerve

The greater vestibular gland is aka

Bartholin's gland

Epithelial lining of Bartholin's gland

Columnar or Cuboidal

Function of the Bartholin's gland

Secretes mucoid substance for lubrication

Bartholin's cyst

Obstruction of the Bartholin's gland without infection

Bartholin's abscess

Infection of the Bartholin's gland

Length of the vagina

7cm anteriorly


9cm posteriorly

Relations of the vagina

Anterior: urethra & bladder


Posterior: rectum


Superior: cervix

Epithelial lining of the vagina

Stratified squamous epithelium

Blood supply to the vagina

Vaginal artery, branches of the uterine, branches of the internal pudendal, middle and inferior rectal arteries

Lymphatic drainage of the vagina

Inguinal, internal Iliad, obturator, sacral nodes

Parts of the uterus

Fundus


Body


Isthmus


Cervix

Location of the isthmus

Lies between the histological os and the Anatomical os

___ forms the lower uterine segment

Isthmus

Diameter of the uterus

9cm in length


6cm transversely


4cm anterior posterior



Wall is 1-2cm thick

Relations of the uterus

Anterior : bladder


Posterior: coils of intestine & pouch of Douglas

At what site does the fallopian tube insert into the uterus

Cornu

Ligaments of the uterus

Round


Broad


Ovarian

Length of the cervix

3cm

Parts of the cervix

Supravaginal & portiovaginalis


Internal os & external os

Epithelial lining of the cervix

Endocervix - columnar


Vaginal cervix - squamous

Arbor vitae

The wall of the canal presents an anterior and a posterior longitudinal ridge, from each of which proceed a number of small oblique columns, the palmate folds, giving the appearance of branches from the stem of a tree; to this arrangement the name arbor vitae uteri is applied

Relations between the uterine artery and the ureter

the ureter runs posterior to the ovary and then deep to the broad ligament and through the cardinal ligament. The uterine artery crosses anteriorly in the rectouterine fold of peritoneum.

Components of the endometrium

1. Stratum functionalis


Stratum compactum


•Stratum spongiosum


2. Stratum basalis

Blood supply to the uterus

Uterine & ovarian arteries

Venous drainage of the uterus

Pampiniform plexus in the broad ligament, uterine vein, ovarian vein, vaginal plexus, vertebral plexus

Lymphatic drainage of the uterus

Paracervical plexus, external and internal Iliad nodes, obturator and sacral nodes

Length of fallopian tube

10cm

Clinical significance of fallopian tube

Site of fertilization


Site of tubal gestation

Parts of the fallopian tube

Interstitial (1-2cm)


Isthmus (2-3cm)


Ampulla (5cm)


Infundibulum

Relations of the fallopian tube

Superior: coils of intestine and omentum. The appendix and caecum on the right and the pelvic colon to the left



Inferior: broad ligaments and contents. Epoophoron, paroophoron & Gartner's cysts - remnants of the mesonephric duct



Posterior: Ovary & POD



Anterior: Top of the bladder

Epithelial lining of the fallopian tube

Ciliated columnar epithelium (endosalpinx) with thin stroma

Diameter of the ovary

3.5cm in length


1.5-2.5cm in thickness

Weight of the ovary

Each - 4 to 8 grams



Right tends to be larger than left

Adnexa (adnexium) comprise

Fallopian tubes


Ovaries


Their mesenteries



Aka appendages

Functions of the ovary

Steroidogenesis


Follicular development

Blood supply to the ovaries

Ovarian and uterine arteries

Venous drainage of the ovaries

Pampiniform plexus, ovarian and uterine veins

Lymphatic drainage of the ovary

Aortic nodes, external iliac nodes

Pelvic floor is made up of

Pelvic peritoneum


•Extraperitoneal fat & cellular tissue


•Levator ani and their fascial coats


•Urogenital diaphragm (triangular ligament)


•Muscles of the perineum and their aponeuroses


•Subcutaneous fascia & fat


•Skin

Supports of the uterus

Mainly cardinal ligament



Others: uterosacral, round, broad ligament, vagina

Parts of the elevator ani muscle

Pubococcygeus


Iliococcygeus


Ischiococcygeus (coccygeus)



Sometimes the pelvic part of the Piriformis muscle is included