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57 Cards in this Set

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Bones of the pelvis

Two hips bones


- Ilium


- Ischium


- Pubis


Sacrum


Coccyx

What divide the pelvis into the false and true pelvis?

Pelvic brim

What structures for the pelvic brim/inlet?

Sacral promontory


Ileopectineal lines


Symphysis pubis

What structures form the pelvic outlet?

Coccyx


Ischial tuberosities


Pubic arch

What structures divide the sciatic notches into the greater and lesser sciatic foramen?

Sacrotuberous ligament


Sacrspinous ligament

Joints of the pelvis

Sacroiliac


Sacrococcygeal


Symphysis pubis

Type of joint of the sacroiliac joint?

Synovial

Type of joint of Symphysis Pubis

Cartilaginous

Type of joint of Sacrococcygeal joint

Cartilaginous

Order of allowable movement among pelvic joints.

Sacrococcygeal > Sacroiliac > Symphysis pubis

Sex differences of the pelvis

False pelvis shallower in femalesPelvic inlet oval in females, heart shaped in malesPelvic cavity roomier and shorter in femalesPelvic outlet larger in femalesIschial tuberosities everted in femalesSacrum shorter, wider, flatter in femalesSubpubic angle rounder and wider in females

False pelvis


Pelvic inlet


Pelvic cavity


Pelvic outlet


Ischial tuberosities


Sacrum


Subpubic angle

Normal measure of diagonal conjugate

5 inches or 13 cm

Distance between Ischial tuberosities

4 inches or 10 cm

What forms the anterior pelvic wall?

Pubic bones


Pubic rami


Symphysis Pubis

What forms the posterior pelvic wall

Sacrum


Coccyx


Piriformis

What forms the lateral pelvic walls

Ilium


Ischiac


Obturator membrane


Sacrotuberous ligament


Sacrspinous ligament


Obturator internus muscle

1. Name of the fibrous sheet that almost completely closes the Obturator foramen.



2. Small gap in #1.



3. Structures that pass through #2.

1. Obturator membrane


2. Obturator canal


3. Obturator nerve and vessels

Extent of sacrotuberous ligament

Sacrum/coccyx


Ischial tuberosity


Posteroinferior iliac spine

Extent of sacrospinous ligament

Sacrum/coccyx


Ischial spine

Composition of the levator ani

Puborectalis


Pubococcygeus


Iliococcygeus

Muscles of the Pelvic walls and floor

Piriformis


Obturator internus


Levator ani


Coccygeus

Origin, Insertion, Action, Nerve of piriformis

O: front of sacrum


I: Greater trochanter of femur


A: lateral rotator of the femur


N: sacral plexus

Origin, Insertion, Action, Nerve of Obturator internus

O: Obturator membrane


I: Greater trochanter of the femur


A: lateral rotator of the femur


N: sacral plexus

Origin, Insertion, Action, Nerve of levator ani

O: body of Pubis, fascia of Obturator internus, spine of the Ischium


I: perineal body, anococcygeal body, prostate, vagina, rectum, anus


A: anal sphincter, supports pelvic viscera


N: pudendal nerve, 4th sacral nerve

Origin, Insertion, Action, Nerve of coccygeus

O: Ischial spine


I: lower end of the sacrum/coccyx


A: assists levator ani, flexes coccyx


N: 4th and 5th sacral nerve

Types of Pelvis

Gynecoid


Android


Anthropoid


Platypeloid

Structures that pass through the greater sciatic foramen

Pudendal nerve


Nerve to Obturator internus


Internal Pudendal vessels


Piriformis


Superior & Inferior gluteal nerves and vessels


Sciatic nerve


Posterior femoral cutaneous nerve


Nerve to quadratus femoris

Structures passing through the lesser sciatic foramen

Pudendal nerve


Nerve to Obturator internus


Tendon to Obturator internus


Internal Pudendal vessels

Define Uterine prolapse

Protrusion of uterus into the vagina

Define cystocele

Herniation of bladder into the upper part of the anterior wall of the vagina

Define rectocele

Herniation of the rectum into the lower posterior Vaginal wall

The perineum is divided into two triangles, namely:

Urogenital triangle


Anal triangle

Composition of urogenital triangle

Male: root of scrotum and penis, urogenital passages



Female: external genitalia, orifices of urethra and vagina

Composition of anal triangle

Anal canal


Extrlernal anal sphincter


Ischioanal fossae

What divides the perineum into the urogenital and anal triangles?

Perineal body



Contents of the Ischioanal fossa

Inferior rectal vessels and nerve


Perineal branch of the femoral cutaneous nerve

Contents of the superficial perineal space

Contents of deep perineal space

An episiotomy is an incision of the posterior wall of the vagina. Give two types.

Median


Mediolateral

How is a median episiotomy oriented?

Goes posteriorly and midline, through the perineal body

How is a mediolateral episiotomy oriented?

Extends obliquely posterolaterally. Extends through the bulbospongiosus and transversus perineus muscles.

Which type of episiotomy has less risk of inciting the fibers of the external anal sphincter?

Mediolateral episiotomy

Anterior Division Branches of Internal Iliac Artery

Inferior vesical (male) / Vaginal (female)


Inferior gluteal


Internal pudendal


Middle rectal


Obturator


Uterine


Umbilical / Superior Vesical

IIIMOVUU

Posterior Division Branches of Internal Iliac Artery

Iliolumbar


Lateral Sacral


Superior gluteal

Structures supplied by inferior gluteal artery

Pelvic diaphragm


Gluteus maximus

Structures supplied by umbilical artery

Obliterates, becomes superior vesical artery. Upper portion of bladder.

Structures supplied by Obturator artery

Pelvic muscles


Medial thigh

Structures supplied by Vaginal / inferior vesical

Vaginal - vagina



Inferior vesical


- body of bladder


- prostate


- seminal vesicle


- ductus deferens


- lower ureters

Structures supplied by uterine artery

Uterus, cervix, ovaries, vagina

Structures supplied by middle rectal

Rectum


Anal canal

Branches of the internal pudendal artery

Inferior rectal


Perineal


Superficial perineal


Deep artery of penis/clitoris


Dorsal artery of penis/clitoris


Skin and muscles of anal and urogenital triangles (perineum)

Which branch of the internal iliac artery has no accompanying vein?

Umbilical artery

Roots of the Sciatic Nerve

L4-S3

Roots of the posterior femoral cutaneous nerve

S1-S3

Branches of the Sciatic Nerve

Common peroneal nerve


Tibial nerve

Posterior branches of the posterior femoral cutaneous nerve

Superior gluteal L4-S1


Inferior gluteal L5-S2


Piriformis S1-S2


Perforating cutaneous S2-S3

Anterior Branches of Posterior femoral cutaneous nerve