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16 Cards in this Set

  • Front
  • Back

EXTERNAL GENITALIA


blood supply


sensory innervation


lymphatic drainage

A. EXTERNAL GENITALIA (Figure 1)


• referred to collectively as the vulva


• blood supply: internal pudendal artery


• sensory innervation: pudendal nerve


• lymphatic drainage: inguinal nodes

Vagina


- defintion


- histology


- blood supply


- upper vaginal components

• muscular canal extending from cervix to vulva, anterior to rectum and posterior to bladder


• lined by rugated, stratified-squamous epithelium


• upper vagina separated by cervix into interior, posterior and lateral fornices


• blood supply: vaginal branch of internal pudendal artery with anastamoses from uterine, inferior vesical and middle rectal arteries

Uterus:


2 major parts of the uterus and their blood supply

• thick walled, muscular organ between bladder and rectum, consisting of two major parts:


uterine corpus


blood supply: uterine artery (branch of the internal iliac artery)


cervix


blood supply: cervical branch of uterine artery

Supporting structures of the uterus

pelvic diaphragm
pelvic organs
4 pairs of ligamanets:
1. Round ligaments
2. uterosacral ligaments
3. cardinal ligments
4. broad ligaments

pelvic diaphragm


pelvic organs


4 pairs of ligamanets:


1. Round ligaments


2. uterosacral ligaments


3. cardinal ligments


4. broad ligaments

round ligaments


- function


- blood supply

round ligaments: travel from anterior surface of uterus, through broad ligaments and


inguinal canals then terminate in the labia majora


function: anteversion


blood supply: Sampson’s artery (branch of uterine artery running through round ligament)

Uterosacral ligaments


- function

uterosacral ligaments: arise from sacral fascia and insert into posterior inferior uterus


function: mechanical support for uterus and contain autonomic nerve fibres

Cardinal ligaments


- function

cardinal ligaments: extend from lateral pelvic walls and insert into lateral cervix and vagina


function: mechanical support, prevent prolapse

Broad ligaments


- contains?

broad ligaments: pass from lateral pelvic wall to sides of uterus; contain fallopian tube, round


ligament, ovarian ligament, nerves, vessels and lymphatics

infundibulopelvic ligament

continuous tissue that connects ovary to pelvic wall contains the ovarian artery, ovarian vein, ovarian plexus, lymphatic vessels

Determining the position of the uterus on clinical examination

• If cervix faces anteriorly, i.e.


toward vaginal orifice, more likely


RETROVERTED UTERUS


• If cervix faces posteriorly, i.e. toward


sacrum or rectum, more likely


ANTERVERTED UTERUS


• If uterus palpable on bimanual exam,


more likely ANTEVERTED UTERUS

Fallopian tubes


- blood supply


- components


- ligaments


- length


• 8-14 cm muscular tubes extending laterally from the uterus to ovary


• interstitial, isthmic, ampullary and infundibular segments; terminates at fimbriae


• mesosalpinx: peritoneal fold that attaches fallopian tube to broad ligament


• blood supply: uterine and ovarian arteries

Ovaries


- components (function of each)


- support


- blood supply

• consist of cortex with ova and medulla with blood supply


• supported by infundibulopelvic ligament (suspensory ligament of ovary)


• mesovarium: peritoneal fold that attaches ovary to broad ligament


• blood supply: ovarian arteries (branches off aorta), left ovarian vein (drains into left renal vein), right ovarian vein (drains into inferior vena cava)

The ureters run ____________ to the ovarian aa.

posterior


(water under the bridge)