Beruflich Dokumente
Kultur Dokumente
PELVIS B
CASE
50 YEAR OLD FEMALE WHO HAS BORNE 5 CHILDREN COMPLAIN - VAGINAL SPOTTING AFTER SEXUAL INTERCOURSE FOR THE PAST 6 MOS RECENTLY HAVE A FOUL SMELLING VAGINAL DISCHARGE LEFT LEG SEEMS LARGER THAN THE OTHER SIDE SHE HAD PREVIOUS SYPHILIS, 1 PACK OF CIGARETTES PER DAY X 20 YEARS P.E. - LEFT FLANK TENDERNESS; LEFT THIGH AND CALF CIRCUMFERENCE LARGER THAN THE RIGHT PELVIC EXAM- NORMAL EXTERNAL GENITALIA; 3CM GROWTH ON THE LIP OF THE LEFT CERVIX
DX
CERVICAL ADENOMA WITH METASTATIC EXTENSION , ILIAC LYMPH NODE AND LEFT URETER OBSTRUCTION
CERVICAL CANCER
CERVICAL CANCER
AGE[40-60] EARLY SEXUAL CONTACT MULTIPLE PARTNERS HX OF STD INFECTION SMOKER DIETARY FACTORS VIT A DEF
MGT
TX
PX- FDA APPROVED HPV VACCINE CERVARIX/ GARDASIL
DEPENDS ON STAGINGCRYOSURGERY[COOLANT GAS]; LEEP- LOOP ELECTROSURGICAL EXCISION PROCEDURE
OVARY
OVARY
ARTERIAL SUPPLY
ARTERIES
OVARIAN ARTERIES>>> ABDOMINAL AORTA ASCENDING BRANCHES OF THE UTERINE ARTERIES>>>> INTERNAL ILIAC
VENOUS
VEINS
R OVARIAN>>>IVC
LYMPH DRAINAGE
LYMPH
NERVE SUPPLY
OVARIAN CA
OVARIAN CA
ASR
UTERINE TUBES
CONVEY THE FERTILIZED OR UNFERTILIZED OOCYTES TO THE UTERINE CAVITY BY CILIARY ACTION AND MUSCULAR CONTRACTION AND TO TRANSPORT SPERM
UTERINE TUBES
PARTS
INFUNDIBULUM= FUNNEL SHAPED, FIMBRIATED, AND OPENS INTO
THE PERITONEAL CAVITY
ISTHMUS
INTRAMURAL DIVISION-OPENS INTO THE UTERINE CAVITY
ARTERIAL SUPPLY
SALPINGITIS
SALPINGITIS
PAIN OVULATION/SEXUAL INTERCOURSE
UTERUS
UTERUS
FUNDUS-SUPERIOR PART, UPPER SEGMENT, TERM
REACH XIPHOID, T9
VESSELS
UTERINE ARTERIES>>>IIA
NERVES
UTERINE SUPPORT
PELVIC DIAPHRAGM[ LEVATOR ANI MUSCLES] UROGENITAL DIAPHRAGM
URINARY BLADDER
ROUND LIGAMENT OF THE UTERUS- RMNANT OF THE GUBERNACULUM, EXITS ABDOMEN VIA DEEP INGUINAL RING, MAINTAINS POSITION OF THE UTERUS=ANTERVERSION TRANSVERSE CERVICAL LIGAMENT/ CARDINAL LIGAMENT OF MCKENRODTLATERALLY FROM CERVIX TO THE SIDE OF PELVIS, PART OF BROAD LIGAMENT, CONTAINS UTERINE ARTERY UTEROSACRAL LIGAMENT-POSTERIORLY FROM CERVIX TO THE SACRUM, MAINTAINS THE ANTERVERSION PUBOCERVICAL-ANTERIORLY FROM THE PUBIS SYMPHYSIS TO THE CERVIX, PREVENTS CYSTOCELE [BLADDER HERNIATION] INTO THE ANTERIOR VAGINAL WALL
UTERINE SUPPORT
UTERINE SUPPORT
BROAD LIGAMENT-DOUBLE FOLD OF PARIETAL
PERITONEUM, EXTENDS LATERALLY FROM THE UTERUS TO THE SIDES OF THE PELVIS MESOSALPINX-TUBES
MESOVARIUM-OVARY
MESOMETRIUM-UTERUS SUSPENSORY LIGAMENT OVARY
POSITION
POSITION
CLINICAL CONDITIONS
endometrial CA
most common CA involving Rep organs prolonged estrogen stimulation menopause DM obesity nulliparity early menarche late menopause
HYSTERECTOMY
HYSTERECTOMY
TOTAL- FUNDUS, BODY,CERVIX
LAVH
conditions
endometriosis- presence of glandular tissues outside the uterus leiomyoma- proliferation of smooth muscles in the uterus which becomes calcified
BLOCKS
BLOCKS
CERVIX
CERVIX
2.5-3CM L ;LOWER PART OF THE UTERUS DIVIDED INTO SUPRAVAGINAL- ABOVE THE VAGINAL VAULT,PORTIO VAGINALIS-PROTUDES INTO THE VAGINA INTERNAL OS- JUNCTION BETWEEN THE UTERUS AND THE CERVIX
CERVIX
PROLIFERATIVE PHASE-WATERY MUCUS
SECRETORY PHASE- VISCOUS SOFTENING AND DILATATION DURING-PREG-RELAXIN
ECTOCERVIX
OUTER EPITHELIAL SURFACE OF THE POTIO VAGINALIS ENDOCERVIX- LINING OF THE ENDOCERVICAL CANAL TRANSFORMATION ZONE- CHANGES OF THE TYPES OF EPTHELIUM[ COLUMNAR>SQUAMOUS] FROM THE ENDOCERICAL CANAL TO THE ECTOCERVIX
TRANSFORMATION
CYSTS
TRANSFORMATION
NABOTHIAN CYST- MUCUS FILLED CYST, OCCURS WHEN THE STRATIFIED SQUAMOUS EPITH.(ECTOCERVIX) COVERS THE SIMPLE COLUMNAR EPITH OF THE ENDOCERVIX SITE FOR SQUAMOUS CA IN CERVIX [CERVICAL INTRAEPITHELIAL NEOPLASIA] CERVICAL SPREAD-SIDES-URETERS OBSTRUCTED SENTNEL NODE-OBTURATOR LYMPH NODE PAPANICOLAU SMEAR-MTD OF DIAGNOSIS- CELL STUDY FROM THE ENDOCERVIX DETECT PRECANCEROUS AND CANCEROUS CELLS
PAP SMEAR
VAGINA
VAGINA
LONGEST PART OF THE BIRTH CANAL DISTENSION LIMITED BY ISCHIAL SPINE AND SACROSPINOUS LIGAMENTS; CERVIX TO THE VESTIBULE FORNIX- VAGINAL RECESS AROUND THE CERVIX
FORNIX
FORNIX
ANTERIOR FORNIX-LOCATED ANTERIOR TO THE CERVIX, RELATED TO THE VESICOUTERINE POUCH, BLADDER PALPABLE THROUGH THE ANT. FORNIX DURING DIGITAL EXAM LATERAL FORNIX- LATER TO THE CERVIX POSTERIOR TO THE CERVIX- RELATED TO THE POUCH OF DOUGLAS[RECTO UTERINE POUCH],SACRAL PROMONTORY, RECTUM, COCCYX PALPABLE SITE FOR CULDOCENTESIS CULDOCENTESIS- EXTRACTION OF FLUID FROM POSTERIOR FORNIX/ RECTOUTERINE POUCH
VASCULAR
VAGINAL BRANCHES- UTERINE AIIA-SUPERIOR PORTION
INTERNAL PUDENDAL- IIA-MIDDLE AND INFERIOR PORTION VAGINAL VEINS-UTERINE PLEXUSIIV-IVC
CONDITIONS
CYSTOCELE- BLADDER TO VAGINA RECTOCELE-RECTUM TO VAGINA