GYN Versions, Flexion and Positions
how long are adult ureters
25-30cm
what does pelvic pathology sometimes result in
2nd degree hydronephrosis
where does the RT ovarian vein drain into
IVC
where does the LT ovarian vein drain into
LT renal vein
what do the ureters course between (2)
anterior to internal illiacs posterior to ovaries
when there is an empty bladder, is the uterus more anteverted or retroverted
anteverted
what are the blood supplies to the ovarian artery (2)
aorta uterine artery
where does flexion occur on an anteflexed uterus
at the cervix
where does flexion occur on a retroflexed uterus
at the isthmus
what layer of the uterus does the straight artery supply
basal layer of endometrium
what parts of the uterus are bent when anteflexed
body fundus
what is the term dextroflexed uterus
body bends to right at the isthmus
what is the term levoflexed uterus
body flexes to left at the isthmus
what is the path of the uterine arteries - towards which segment - which segment do they branch
course lateral to uterus - fundus - cervix
what is the terminology for right when related to midline
dextro
what is the shape of the perineum
diamond shaped
what kind of blood supply do the ovaries have - what part gets fed into
dual blood supply - hilum
what is the name of the anal triangle - is it the upper or lower half of the diamond
episiotomy area - lower
on a female is the perineum the internal or external region
external
what covers the urogenital triangle - is it the upper or lower half of the diamond
external genitalia (vulva) - upper
what courses anterolateral to the ovaries
external illiac vessles
which way does the uterus point when anteverted
forward/towards abdominal wall
what parts of the uterus are bent when anteverted
fundus body cervix
what does the spiral/endometrial artery respond to
hormonal changes in menstral cycle
what area can the left and right internal arteries be found
hypogastric
what are the ureters anterior to
internal illiac arteries
what courses posterior to the ovaries (2)
internal illiac vessles ureters
where is the perineum bisected
ischial tuberosities
what is the path of the left common illiac artery
left internal & external ext to femoral int to pelvis (lt ut art)
what is the terminology for left when related to midline
levo
what is the path of the arcuate
loops around the uterus
how is a uterus with an empty bladder normally situated
midline
describe the ureters
muscular tubes
what is the ureter posterior to
ovary
where does a retroflexed uterus point to
posterior cul-de-sac
what are the procedures for checking ureters (2)
postvoid check kidneys
what two structures border the perineum diamond - what separates it in the middle
pubic arch (ant) coccyx (post) - ischial tuberosity
what is the path of the right common illiac artery
right internal & external ext to femoral int to pelvis (rt ut art)
define the perineum (2)
structures occupying the pelvic outlet constituting the pelvic floor
are the ureters into the true or false pelvis
true pelvis
what is the perineum divided into (2)
urogenital triangle anal triangle
what is the order of the blood supply to the uterus
uterine arteries arcuate radial straight spiral/endometrial
what is the term levoverted uterus
uterus + cervix deviates to left
what is the term dextroverted uterus mean
uterus + cervix deviates to right