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125 Cards in this Set

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What are the functions of the False Pelvis?
It's bounded by Iliac Wings & Supports Intestines.
List the 4 bones of the Pelvic Girdle.
Sacrum
Coccyx
2 Innominate bones
Acetabulum (hip bone): Ilium, Ishium, & pubic bone
What's another name for the "True Pelvis"?
"Lesser Pelvis"
What are functions of the Female Pelvis?
Weight bearing bridge
Directs pathway for fetal head
Protects organs of reproduction
What's another name for "The greater Pelvis" and is it above or below the imaginary plane?
False Pelvis: It's above the imaginary plane
What is another name for the female pelvis & how many bones is it composed of?
"Osseous Pelvis" or Pelvic Girdle
It's made up of 4 bones.
List the 4 Pelvic Ligaments.
Cardinal Ligament
Broad (lateral)
Sacro-Uterine Ligament
Round Ligament
What bones form the posterior wall of the pelvis?
Tailbone or "Sacrum & Coccyx"
Which pelvic ligament provides bilateral support for the uterus? Is like bilateral wings for uterus?
Broad (lateral) ligament
Which pelvic ligament attaches the broad ligament to the ovary?
Mesovarium
What is the "lesser ligament" and list its function/location?
Cardinal Ligament: Primary support for the uterus, located in the lower part of the uterus.
Which pelvic ligament is located anterior to the tubes, btwn the layers of the broad ligament, & give anterior support to the uterus?
Round ligament
Which pelvic ligament surrounds tubes, ovaries, blood vessels and nerves?
Broad ligament
Which ligament attaches the uterus to the pelvic sidewall?
Broad (lateral) ligament
What is the primary support for the uterus at the vagina level?
Cardinal LIgament
List the 3 Abdominopelvic Muscles.
(includes abd & false pelvic muscles)
Rectus Abdominus, Psoas Major, & Iliacus.
Which muscle merges with the Psoas Major Muscle to form the Pelvic Sidewall
Iliacus Muscle
What are the "Hammock" muscles and what muscles form this?
Levator Ani Muscles:
Coccygeus, Ileococcygeus, & Pubococcygeus.
Which pelvic muscle forms the anterior abd/pelvic wall?
Rectus Abdominus
This True pelvis muscle is found along the pelvic sidewall, is posterior/lateral in position, & originates at the sacrum inserting into Femur.
Piriformis - one of hammock muscles.
What is a triangular muscle that forms the lateral wall of the pelvis, is seen with Cephalic Angulation, & is often mistaken for ovaries transversly?
OIMS: Obturator Internus Muscle
Which pelvic muscle forms the Anterior & lateral pelvic wall?
Psoas Major Muscle
What 3 vessels make up the Pelvic Vasculature?
Common Iliac Arteries (IIA),
Uterine Arteries
Ovarian (gonadal) Arteries
What accessory organ is surrounded by the "Internal Urethral Sphincter" and allows for urine excretion?
The Urethra
What inserts posterior to the bladder wall?
Ureters
What is the muscular tube extending from the cervix to the external opening of the vagina?
The Vagina
List the functions of the bladder.
To collect & store urine emptying through the urethra.
List the 3 layers of the bladder wall.
Epithelial, Muscularis, & Mucosal
Blood supply to the pelvic cavity primarily through this artery.
IIA: Common/Internal Iliac Arteries
What is a saclike structure that lies btwn the Vagina & Pubic Symphasis?
Urinary Bladder
List the 3 main Pelvic Organs.
Urinary Bladder, Uterus, & Vagina.
Blood supply to the uterus, vagina, & cervix & originates at the IIA. Usually can't see due to gas.
Uterine Arteries
Blood supply to the ovaries & merges with the uterine artery.
Ovarian (gonadal) arteries
What type muscles is the Vagina composed of?
Smooth & elastic muscle
Anterior to the rectum, posterior to pubic bone, bladder, & Urethra.
Vagina
List the 2 regions of the Vagina.
Anterior & Posterior Fornix
(anterior & posterior to internal cervix)
A pear-shaped organ suspended by ligaments & covered by peritoneum.
(also has alot of Arcuate arteries, very vascular)
The Uterus
Is the Uterus in the True Pelvis or False Pelvis?
True Pelvis
What are the 4 sections of the Uterus?
Fundus, Body, Isthmus (LUS), & Cervix.
Size varies, Smooth outer contour.
The Uterus
bordered anteriorly by the bladder, & Posteriorly by the Colon/Rectum.
The Uterus
What is the size of the Uterus?
7x5x2cm, 1.2cm in full term preg.;
PreMenarche: 3cm (length), Cervix 2/3 uterine length.
Menarche: 8cm (length)
Menopause: 3.5-5.5cm (length)
What are the 4 positions of the Uterus.
Anteverted, Anteflexed, Retroverted, & Retroflexed.
Posterior to bladder; Anchored to bladder by parametrium.
Cervix
Distal to uterus; continuous with Vaginal Canal from cervix.
External Os of cervix
Another name for Corpus.
Body of uterus
(largest part of the Uterus)
Superior Aspect of the uterus above the insertion of the tubes
Fundus of Uterus
Is measured to test for pre-term delivery
Cervix
Proximal to Uterus, continuous with uterine cavity
Internal Os of Cervix
This part of the uterus contains the endometrium, widest part of the cervix, and the narrowest part of the cervix.
Body or Corpus
What is the most common position of the uterus where the uterus and cervix form a 90 degree angle to the vagina anteriorly?
Anteverted
What is the opening from the uterine cavity to the Fallopian Tubes?
Cornu
Located in uterus where it narrows between the body and cervix.
Isthmus Transition
The bending posteriorly of the body of the uterus towards the cervix but the cervix is in a normal position.
Retroflexed
Tilting forward of both the Uterus & Cervix; bending of an organ, Angulation or curvature of the cervix is seen.
Anteflexed Uterus
With this position of the uterus you can visualize "dropout Phenomenon" simulating a fibroid.
Retroverted Uterus
This layer of the uterus has the Zona Functionalis & basilis.
Endometrium
(Mucous layer)
What are the 3 layers of the Uterus?
Endometrium (Mucous Layer)
Myometrium (Muscularis)Perimetrium (Serosa Layer)
Forward tipping of the uterus, not bent.
Anteverted Uterus
Tipping of the entire uterus posteriorly & cannot visualize the endometrium TAS very well.
Retroverted UTerus.
This layer of the uterus forms 3 pouches or potential spaces.. what are they?
Vesico Uterine Pouch (Anterior cul-de-sac),
Recto-Uterine Pouch (Poster cds),
Space of Rezius (potential space for fluid to collect)
Extends into the fallopian tubes varying btwn 1-7mm in a menarchal uterus.
Endometrium
Continous with the fallopian tubes, vagina, ovarian, & round ligaments, contains arcuate arteries, is contractile, and the bulk of the uterus.
Myometrium
Inner layer in Endometrium that varies in thickness as cycle runs and is expelled each month.
Zona Functionalis.
Oval or almond shaped intraperitoneal organs
Ovaries
Inner layer of the Ovary that contains vessels/connective tissue.
Stroma or Medulla
What are microscopic egg sacs that develop to produce 1 single egg?
Follicles
Outer layer of Endometrium that stays the same not changing with the cycle. It has a white outer rim.
Zona Basilis
Pelvic organ that is medial to the IIA & anterior to the ureters?
Ovaries
What is "Waldeyer Epithelium"?
Cortex of the ovaries
(outer layer of ovaries that contain follicles)
The outermost peritoneal covering of the uterus which encases the fundus and most of the uterine body.
Perimetrium or Serosal layer of Uterus.
What's the only organ of the pelvis NOT covered by peritoneum?
The ovary
(nude ovary,. it's suspended in peritoneal cavity but has no lining)
What are the size of maturing follicles in women of childbearing age?
<10-15mm
What's a double layer of peritoneum that attaches the ovaries to the broad ligament?
Mesovarium
(the blood supply is provided by the ovarian artery)
What are the size of mature follicles in women of childbearing age?
18-25mm
What has dimensions 4cm x 2cmx 1cm and varies with the menstrual cycle?
(volume measurement may be taken)
Ovaries
What are the size of immature follicles in women of childbearing age?
<10mm
a.k.a. "Reproductive Cell"?
Ovum or Oocyte
How many mm a day should the dominant follicle grow and how large will it get by ovulation?
2mm per day to reach 2.0 to 2.5cm in size
How many mature follicles are released each cycle?
1
Name 3 functions of the Ovary.
To produce an Ovum, To produce hormones that prepare the uterus for implantation or fertilized egg, Development of Mammary glands.
What kind of hormone injections help hormones to release the egg from the ovary?
Projesterone Injections
What size follicle is a dominant follicle that becomes the Corpus Luteum?
>11mm
What is the name of the follicle that is destined to ovulate?
Graafian Follicle
("The dominant Follicle")
What ovarian hormone is secreted by the Corpus Luteum?
Progesterone
What hormone released by the follicles in the ovary increase as you ovulate & decrease after ovulation?
Estrogen
Trumpet shaped open end of the tube into the peritoneal cavity, adjacent to ovary.
Infundibulum
An ectopic is usually implanted here and is less then 1cm long.
Intramural or Interstitial part of fallopian tube.
Part of f.tube that is 2cm long.
Isthmus
Extends from the Cornua of uterus laterally to the ovary.
Fallopian Tubes
The fallopian tubes are covered with what and how are they seen on ultrasound?
F.Tubes are covered with peritoneum and are seen on u/s only if hydro-, pyo-, and hematoSalpinx.
List the 4 regions of the fallopian tubes.
Intramural (Interstitial), Isthmus, Ampulla, Infundibulum.
When the ovaries become stress depreived what does this cause the ovaries to do?
Become smaller/denser,
loss of folliculogenesis,
More difficult to see on u/s.
Narrowest part of tube where it passes into the uterine wall?
Intramural or Interstitial
8-14cm in length, 1-4mm in diameter
Size of Fallopian Tubes
What are the 3 layers of the fallopian tube?
Serosal, Muscularis, Mucosal
Another name for Cornis?
Horn
Another name for Collis?
Cervix
What causes Cervical Stenosis?
Radiation, Old age, scar tissue
What uterine malformation causes mild indentation of uterine fundus?
Arcuate Uterus
"trapped blood" in uterus in postmenopausal & preteens. Cervix cannot open.
Hematometra
2 seperate uterine cavities with extra tissue on the myometrium & highest incidence of fertility problems.
Subseptate or septate Uterus
(normal uterine contour, no cleft)
A birth defect when the uterine cervix is closed or absent & may or may not have a vagina?
Cervical Atrasia
Complete duplication of uterus
Didelphic Uterus
A collection of watery or mucoid fluid in the uterus.
Hematometra
Cigar shaped uterus deviated to 1 side that's related to infertility; the cervix gives out from weight of the uterus.
Unicornate Uterus
What causes Hematometra?
Cervical Stenosis & Imperforate Hymen
Fluid trapped in the vaginal canal with septum-like closures.
Hematocolpos
Normal uterine size seen externally but internally very narrow, irreg endo contour.
T-shaped uterus
Born without a uterus?
Uterine Agenesis
What are 4 vaginal anomolies?
Vaginal Atresia, Septa, duplication, Hermaphroditism, and Precocious Puberty.
a.k.a "fundal cleft" "heart shaped" uterus. Fundus dips down into abnormal shape.
Bicornuate uterus
(related to infertility)
creates abnormal outer shape to uterus.
Allows top of uterus to fuse with cervix.
a.k.a. "Hermaphroditism" thats caused by "congenital adrenal hyperplasia"
Ambiguous Genitalia
How is vaginal atresia diagnosed?
hydrocolpos, hydrometrocolpos, & hematometrocolpos
What occurs with ovulation b4 age 8, caused by problems with the pituitary or hypothalamus?
Precocious Puberty
The pituitary gland releases what hormones & what days of the cycle?
FSH & LH
(days 8-14)
What does Estrogen cause to occur during Menstruation?
Proliferation of endometrium, secretion of mucous near ovulation, breast growth, female body contour, libido, bone growth, heart health.
What hormones are stimulated by the Hypothalamus for the Endocrine Cycle?
FSHRF & LHRF
(days 1-7, starts the cycle)
When is the 3-line sign evident in the endometrium?
Just before ovulation in the late proliferative phase.
What are the 2 ovarian phases of the Menstrual cycle?
Follicular & Luteal
What hormones are released by the ovaries in the menstrual cycle?
Estrogen & Progesterone
(days 15-28, after ovulation)
Why is Progesterone needed in the menstrual cycle?
Secreted by the Corpus Luteum, prepares the endo- for implantation of the fertilized egg, cervical/vaginal mucus, increases body temp.
What hormone causes ovulation,. or maturation of follicle & Ovum?
LH
What stimulates follicular growth causing estrogen levels to rise?
FSH
What does the term Luteinization mean?
Formation of Corpus Luteum (yellow body)