pelvis ct
this is a bony protuberance of the inferior portion of the ischium which the body rest upon when seated
ischial tuberosity
what composes the pelvic girdle
two innominate bones
what is the length of the rectum
8 inches
where does the sartorious extend from and to
ASIS to the proximal medial tibia
at the level of the crest this vessel is to the right; these vessels are to the left
IVC; right and left common iliac arteries
this is a cup shaped point of union of the ilium, ischium, and pubic bones that serves as a cavity to contain the head of the femur
acetabulum
this is the flared portion of the ilium
ala
in females where is the uterus found
along the posterosuperior aspect of the bladder
what direction di the ureters head in
an anterior and medial direction
in reference to the vagina the urethra is (anterior or posterior)
anterior
inferior to the asis and psis are these
anterior inferior iliac spine, posterior inferior iliac spine
the superior portion of ilium ends anteriorly as the
asis
why might ureters with administration of contrast not be evident on every image of the pelvis
bc of peristalsis
where is the vagina situated
between the rectum posteriorly and the bladder anteriorly
this is the hollow reservoir for urine
bladder
this is the central region of the uterus
body
this is the midline anterior surface of the sacrum
body
what makes up the upper two-fifths of the acetabulum
body of the ilium
what forms the posterior inferior two fifths of the acetabulum
body of the ishium
this is a structure that encloses the pelvic organs
bony pelvis
these are two peas sized glands that are inferior to the prostate glands that have ducts leading into the urethra
bulbourethral or cowpers gland
this is the inferior and narrowed portion of the uterus
cervix
which are more anterior the common iliac arteries or common iliac veins
common iliac arteries
the internal and external iliac veins join and form this
common iliac veins
what is the function of cowpers glands
contribute to seminal fluid and lubricate the end of the penis during intercourse
this is a continuation of the transverse colon
descending colon
what portion of the small intestine is in the pelvic region
distal portion of the pelvic region
which arteries are more anterior external iliac or internal iliac arteries, this particular artery continues to ascend anteriorly
external iliac arteries
the femoral veins enter the anterior pelvic area and become this
external iliac veins
everything above and or anterior to the pelvic inlet is this (true or false pelvis)
false
this is the upper portion of the lower extremity
femur
these are fingerlike processes the extend from the edge of the infundibulum
fimbrae
this is the superior dome shape of the uterus
fundus
what are the three regions of the uterus
fundus, body, cervix
this muscle originates from the iliac crest, sacrum, and coccyx and inserts on the greater trochanter and linea alba of femur
gluteal maximus
these muscles originate from the ilium and insert on the greater trochanter
gluteal medius and gluteal minimus
muscles unique to the pelvic region include
gluteal, iliacus, and piriformis muscles
what do the internal iliac arteries mainly supply
gonadal organs
this is a large notch beneath the posterior inferiror iliac spine
greater sciatic notch
when fo the external iliac arteries turn in to the femoral arteries
half way between ASIS and pubis symphysis (when they enter the thighs)
the cervix is located at approx. what level
hip
this is the junction of the small intestine with the large intestine
ileocecal valve
what does the sacrum articulate with bilaterally?
ilia
the descending colon becomes the sigmoid colon at this level
iliac crest
this muscle originates from the iliac fossa&crest, and sacrum. it inserts into the psoas tendon
iliacus
at the level of the hip what muscle is medial to the sartorius
iliopsoas
the psoas muscle merge with the iliac to form this
iliopsoas
what is the upper most section of the hip bone
ilium
what three bones compose the hip and eventually fuse
ilium, ischium, and pubic bones
where is sperm & testosterone produced
in the testes
the appendix commonly extends in this direction
inferior and posteriorly to the cecum
this is the part of the ischium that extends anteriorly from the inferior tuberosity
inferior ramus of the ischium
what part of the pubic bone articulates with the inferior ramus of the ischial bone
inferior ramus of the pubis bone
this is a posteromedial extension of the ischium
ischial spine
what structures are involved in the urinary system
kidneys, bladder, urethra, ureters
where does the aorta bifurcate into the right and left common iliac arteries
l4
what does the sacrum articulate with superiorly?
l5
what are lateral to the sacral foramina
lateral masses
this muscle originates at symphysis pubis and inserts at the coccyx
levator ani
which level do the erector spina disappear
level of inferior sacrum
where is the bladder situated in males
posterior to symphysis pubis and anterior to the rectum
what are adnexa (adjoining parts) of the uterus
the ovaries and fallopian tubes
what are the borders of the pelvic inlet
the superior aspect of symphysis pubis and the superior anterior rim of the sacrum
the ascending colon turns into this
the transverse colon
what join together to form the ejaculatory duct
the vas deferens and the seminal vesicals
what is the dual function of the prostate gland
to prevent urine from mixing with seminal fluid during ejaculation and contribute 25% of fluid to semen
what is the function of the seminal vesicles that are located on either side of the posterior lower bladder
to produce 60% of the fluid in semen
what is the function of the ovaries
to secrete estrogen and progesterone and to bring to maturation and release the female ovum
where is the descending aorta seen
to the left of and slightly anterior to the vertebrae
true or false the ilium fkares outward in an anterior direction
true
true or false the vas deferens ascend within the pelvic cavity anterior to the bladder and then pass along the upper lateral aspect of the bladder and bend to descend on either side of the posterior bladder
true
everything below and or posterior to the pelvic inlet is this (true or false pelvis)
true pelvis
the urethra in a male is a passage way for what two systems
urinary and reproductive (passage for seminal fluid)
these are tubular structures the extend from the superior lateral aspect of the uterus in a lateral direction and terminate in the infundibulum
uterine tubes
in a femal this is an irregular shaped area of opacity anterior to the rectum and appears to indent the posterior bladder
uterus
this is similar in size and shape to an inverted pair
uterus
this is the receptacle for the penis during intercourse and the passage way for blood flow during menses and the infant during child birth
vagina
what separates the bladder from the rectum in females
vagina
the distal end of the vagina has an external opeing called this
vaginal orifice
what are considered part of the vuvla
vaginal orifice and urethral orifice
these are seen as linear opacities on either side of the posterior bladder in males
vas deferens
this is the external female genitalia
vulva
what forms the IVC; at what level
when the right and left common iliac veins join;l5
how long are the ureters
10-12 in
the appendix averages this length
3 inches
how many gluteal muscles are there; what are they
3; gluteal maximus, gluteal mediaus, and gluteal minimus
how many bones fuse together to form the coccyx
4
these are small branches off the common iliac veins that become the azygos and hemiazygo veins
lumbar veins
what are the femal reproductive organs (one is not in the pelvis region)
mammary glands, uterus, ovaries, uterine tubesm vagina, vulva
this is the sloughing off of the lining of the uterus at the end of a menstrual cycle
menstration
are th cowpers glands visible on ct axial images
no
do the fimbrae touch the ovaries
no
the acetabulum and rami of the pubic bone and ischium encircle an opening called this
obturator foramen
these appear as small rounded areas of opacity on either side of the uterus on axial ct images
ovaries
what are lateral to the uterus
ovaries
these bilateral muscles are lateral to the rami and originate from the pubic bone and insert between the lesser trochanter and linea alba of the femur
pectineus muscle
the transverse colon may swoom down to this level of the pelvis
pelvic brim
this is a large aperture central to the hip bone
pelvic inlet
this muscle originates at the anterior sacrum and inserts at the greater trochanter
pirifomis
is the prostate gland posterior or anterior to symphysis pubis
posterior
this is the largest accessory gland of the male reproductive system
prostate gland
the ejaculatory ducts empty into this part of the urethra
prostatic urethra
this section of the urethra is encircled by the prostate gland
prostatic urethra
the superior portion of the ilium ends posteriorly
psis
what muscles are in both the pelvic and abdomen
rectus abdominus, erector spinae, bilateral psoas
this muscle originates from the anterior inferior iliac spine & superior to the acetabulum. it inserts on the patella
rectus femoris
what is immediately posterior to the sartorius
rectus femorus
peritoneal or retroperitoneal: ascending colon
retroperitoneal
peritoneal or retroperitoneal: descending colon
retroperitoneal
these return deoxygenated blood from the lower extremities
right and left femoral veins
these are the 8 opeinings bilaterally on the sacrum
sacral foramina
this is the upper broad edge of the sacrum
sacral promontory
the medial edge of the ilium joins with the lateral edge of the sacrum to create this
sacroiliac joint
this is a triangulated bone made of five fused vertebrae with a concave anterior surface
sacrum
what is the bony pelvis composed of
sacrum, coccyx, 2 innominate bones
this is the longest muscle in the body
sartorius
what is the most anterior muscle of the hip
sartorius
these are seen as oval areas of opacity directly behind the bladder in males
seminal vesicles
where is the IVC located
slightly to the right of and anterior to the vertebrae
this makes up the remaining one fifth of the acetabulum
superior ramus of the pubic bone
the bodies of the right and left pubic bones join anteriorly to form this slightly moveable joint
symphysis pubis
what allows for better visualization of the vagina during a axial ct
tampon insertion
these are muscles that originate from the iliac crest bilaterally and insert on proximal lateral femur
tensors
what is the male reproductive system composed of
testis in the scrotum, epididymis, ductus van deferens, seminal vesivals, ejaculatory duct, prostate gland, bulbourethral glands & urethra
where does the rectum begin and end
the brim of the pelvis; ends at the distal coccyx
what does the sacrum articulate with inferiorly
the coccyx
where does the vagina begin
the distal end of the uterus (cervix)
what do the common iliac arteries bifurcate into; at what level does this occur
the external and interal iliac arteries; at the level of the lumbosacral joint
this is where the cervix and vagina meet and there is a recess
the fornix