gyn uterus

vagina

*extends from vulva to uterus *runs anterior and caudal between the rectum and bladder *7 to 10 cm long *can't evaulate well with trans vag because probe is in there

divisions of fallopian tubes

*interstitial portion (cornua) shortest portion 1 cm *isthmus, medial part, 2cm in length *ampulla widest and longest 5 cm *infundibulum most lateral portion with fimbrae 2 cm

uterine size in prepuberty

2 - 3 cm long .5 - 1.0 ap and this always includes the cervix

post menopausal size of endometrium

3 - 5 should never measure more than 5 unless they're one hormones

size of endometrium in menstruating female

4 - 14 mm

uterine size in nulliparous female

6 - 8 cm long 3 - 5 cm ap or height

verted

angulation of the cervix

vagina sonographically

appears as a collapsed hypoechoic tubular structure with a central linear echo representing the vaginal mucosa

where are fallopian tubes attached

at the conjunction of the fundus and body, called the cornua

anteflexion

body and fundus folded anteriorly toward the cervix

retroflexion

body and fundus folded posteriorly upon the cervix

external os

connects cervical canal to vagina

internal os

connects uterus to cervix

uterine size in multiparous female

dimensions increase by 1 to 2 cm in each direction

retroversion with reflexion

entire uterus folded backwards with fundus and body folded posteriorly upon the cervix

anteversion

entire uterus is tipped forward

retroversion

entire uterus tilted backwards

what are the four divisions of the uterus

fundus at very top body (corpus) midsection isthmus is the part where it starts to funnel down toward the cervix is 1/3 of the total size (length) of the uterus

what does the endometrium cover

its continuous with the fallopian tubes through the lining of the vagina

uterine size in newborn

may have larger uterus and cysts on ovaries because they still have moms hormones

myometrium

muscular middle layer, bulk of the uterine wall

flexed or flexion

refers to bending in the body of the uterus

ante and retro

refers to uterus tendency to be slightly bent one way or the other--anteverted and retroverted, anteflexed and retroflexed

gartner's duct cyst

remnants of mesonephric duct, usually an incidental finding

hematocolops

result of imperforate hymen when fluids have not been able to escape and have backed up

perimetrium

serous coat, part of the peritoneum

length of cervix

should measure > 3 cm long its 1/3 of length of the uterus--always measure vaginally

endometrium

thin mucosal lining, inner most sanctum of the uterus, part that sheds every month

posed

tilted or bent to right or left--leviposed is to the left and dextriposed is to the right

major blood supply

uterine artery that comes off the anterior trunk of the internal iliac

neurofibroma

very rare, solid malignant tumor

imperforate hymen

when the hymen remains closed after puberty doesn't allow cycle to come out

cornua

where the fallopian tubes are attached to the uterus