Emily Matthews ([email protected])[email protected].

17
Female Repro Anatomy Emily Matthews ([email protected] )

Transcript of Emily Matthews ([email protected])[email protected].

Page 1: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Female Repro Anatomy

Emily Matthews ([email protected])

Page 6: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

The cervix has two openings. What are they called?

External os

Ampulla

Infundibulum

Isthmus

Internal os

Fimbriae

Name the parts of the fallopian tube

Page 7: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Describe the blood supply to the female reproductive tract

Rich anastamoses from following arteries:

Ovarian artery

Aorta at L2 level

Uterine artery

Vaginal artery

From internal iliac artery

From uterine artery OR From internal iliac artery

Page 8: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Now we understand the blood supply, describe the lymphatic drainage

Organ Lymph drainage

Ovaries Para-aortic nodes around L2 level

UterusFundus and upper bodyLower bodyCervix

Para-aortic nodesExternal iliacInternal and external iliac and sacral

Page 9: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Pick out the normal uterine alignment and name it

* ***

Anteverted anteflexed

Name this alignmentAnteverted retroflexed

Page 10: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries

Name these reflections of peritoneum of the ovary and uterus

Page 11: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries

Name these reflections of peritoneum of the ovary and uterus

Page 12: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries

Name these reflections of peritoneum of the ovary and uterus

Page 13: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries

Name these reflections of peritoneum of the ovary and uterus

Page 14: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries

Name these reflections of peritoneum of the ovary and uterus

Page 15: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries

Name these reflections of peritoneum of the ovary and uterus

mesometrium, mesosalpinx, mesovarium

Page 16: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Pelvic Organ Pain Referral

Organs covered in peritoneum

Organs not covered in peritonuem

Organs UterusBladderColon

Lower 1/3 rectum

Refer pain to which dermatome?

T10-12 S2-4

Via which nerves? Sympathetic Parasympathetic

Pain blocked by which method?

Spinal or epidural Caudal anaesthesia

Remember the diarrhoea!

Hypogastric pain Faeces in the rectum, pain in the ass!

Page 17: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk.

Pelvic Organ Pain Referral

Organs covered in peritoneum

Organs not covered in peritonuem

Organs UterusBladderColon

Lower 1/3 rectum

Refer pain to which dermatome?

T10-12 S2-4

Via which nerves? Sympathetic Parasympathetic

Pain blocked by which method?

Spinal or epidural Caudal anaesthesia

Remember the diarrhoea!

Hypogastric pain Faeces in the rectum, pain in the ass!

Pudendal nerve block blocks the somatic innervation (S2-4) of the perineum, distal vagina and anal canal