Gynecologic Anatomy
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| Hormone that allows for Symphysis pubis ligament stretching | Relaxin
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| 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
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| CPD: cephalopelvic disproportion | doesn't accomodate baby coming out.
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| Which pelvic type is flat? | Plattpelloid
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| Prepuce | hood on the clitoris
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| ____ extends anteriorly to form prepuce and clitoris | labia minora
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| General length of vagina | 2-4 inches, expands under hormonal changes, sexual activity
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| 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)
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| 3rd degree tea | above and ext. anal sphincter
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| 1st degree | vaginal epithelium/perineal skin
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| 2nd degree | perineal body (fascia + muscle)
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| Skene's glands | periuretheral glands 10 and 2o'clock in vestibule
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| Bartholin's glands | 4 and 8 o'clock: prone to abscess. Lateral to vagina.
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| 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)
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| Kegel exercises may be prescribed for | incontinence
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| levator ani muscles, coccygeal muscles, insert around vagina and rectum | Pelvic Diaphragm
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| 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
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| Urogenital diaphragm | deep transverse perineal muscle
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| bladder hernia through vagina | cystocele
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| rectal hernia through vagina | rectocele
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| enterocele | small intestine hernia through posterior vagina
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| cornua | where the fallopian tubes come out of the uterus
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| Top of the uterus | Fundus
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| components of the cervix | internal os, canal, external os.
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| Nabothian cysts | cervical glands can form these retention cysts
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| Ovarian arteries | branches of the aorta
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| Uterine arteries | branch of the hypogastric = internal iliac artery
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| Where does most labor pain come from? | 11th and 12th thoracic nerve roots, sacral roots 2,3,4, Pudendal nerve
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| Mullerian ducts | female ducts
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Created by:
ltm12