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Gyn Anatomy
Gynecologic Anatomy
| Question | Answer |
|---|---|
| Hormone that allows for Symphysis pubis ligament stretching | Relaxin |
| Evaluation of ____ is the best indicator whether a woman will be able to have a vaginal birth | Plane of outlet (adequate space and wide angle). But other factors that influence: size of baby, stretching extent |
| CPD: cephalopelvic disproportion | doesn't accomodate baby coming out. |
| Which pelvic type is flat? | Plattpelloid |
| Prepuce | hood on the clitoris |
| ____ extends anteriorly to form prepuce and clitoris | labia minora |
| General length of vagina | 2-4 inches, expands under hormonal changes, sexual activity |
| 4th degree laceration | all the way through the perineum/ above and rectal mucosa (causes: may be a fast precipitous labor, big baby with bad rotation, inaccurate diagonal conjugate measurement, connective tissue disorder) |
| 3rd degree tea | above and ext. anal sphincter |
| 1st degree | vaginal epithelium/perineal skin |
| 2nd degree | perineal body (fascia + muscle) |
| Skene's glands | periuretheral glands 10 and 2o'clock in vestibule |
| Bartholin's glands | 4 and 8 o'clock: prone to abscess. Lateral to vagina. |
| First line of therapy for Bartholin Abscess | Sitz baths. Get in the tub with warm water, may provide local reduction. (unless it's large/larger than a fifty cent piece, then send to urgent care/OR) |
| Kegel exercises may be prescribed for | incontinence |
| levator ani muscles, coccygeal muscles, insert around vagina and rectum | Pelvic Diaphragm |
| levator ani muscles and coccygeal muscles are exercised during | kegel exercises. Practice at home, may make you go to the bathroom. Have her practice when you are doing your exam. Slowly and ten sets of ten during the day |
| Urogenital diaphragm | deep transverse perineal muscle |
| bladder hernia through vagina | cystocele |
| rectal hernia through vagina | rectocele |
| enterocele | small intestine hernia through posterior vagina |
| cornua | where the fallopian tubes come out of the uterus |
| Top of the uterus | Fundus |
| components of the cervix | internal os, canal, external os. |
| Nabothian cysts | cervical glands can form these retention cysts |
| Ovarian arteries | branches of the aorta |
| Uterine arteries | branch of the hypogastric = internal iliac artery |
| Where does most labor pain come from? | 11th and 12th thoracic nerve roots, sacral roots 2,3,4, Pudendal nerve |
| Mullerian ducts | female ducts |
Created by:
ltm12