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What is the lymphatic drainage of the vagina
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3: Female Anatomy
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Describe the layers of the vaginal wall (from interior to exterior)
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It is composed of a smooth muscle layer (arranged in an outer longitudinal layer, circumferential layer, and a poorly differentiated inner longitudinal layer) followed by a mucosal layer The mucosa of the vagina is lined by stratified squamous epithelium The area of the vagina surrounding the cervix; divided into anterior, posterior, and two lateral fornices It is covered by the peritoneum (vesicouterine peritoneum anteriorly and the peritoneal reflection called the pouch of Douglas posteriorly) and is between the bladder and rectum, directly touching the bladder Uterosacral, cardinal, round, and broad Fundus (most superior portion of the uterus [above the entrance of the fallopian tubes]); Corpus (the uterine body); Isthmus (area where the uterus begins to constrict); Cervix (inferior portion of the uterus that extends into the vagina) The angle between the long axis of the uterine body and the cervix; can be anteflexed or retroflexed The angle between the cervix and the vagina Endometrium (ciliated columnar epithelium, glands, and spiral arteries); Myometrium (smooth muscle and connective tissue); Serosa Uterine and ovarian arteries (there are extensive anastomoses which allow for ligation of the uterine or internal iliac during hemorrhage to control bleeding without compromising blood supply to the uterus) Arises from the internal iliac divides into cervicovaginal and uterine branches uterine branch
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Describe the vaginal fornices
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Describe the position of the uterus in the pelvis
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What is meant by the terms anteversion and retroversion What are the histological layers of the uterine wall (from interior to exterior)
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What are the major blood supplies to the uterus
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Section I: Useful Facts for the Wards
divides into the fundal, ovarian, and tubal arteries and provides radial arteries that perforate into the uterus What is the relationship of the uterine artery with the ureter What is the lymphatic drainage of the uterus Describe the following portions of the cervix: Portio Cervical canal External os Internal os What is the major blood supply to the cervix What is the innervation to the cervix What is the lymphatic drainage of the cervix What are the fallopian tubes What are the histological layers of the fallopian tubes (from interior to exterior) The portion of the cervix that is visible from the vagina Area in between the internal and external os Inferior opening of the cervix into the vagina Superior opening of the cervix into the uterine cavity Cervical branch of the uterine artery Autonomics, sympathetics (T12 L3), and parasympathetics from S2, S3, S4 Internal and external iliacs to the common iliacs These are 8 10 cm tubes that extend laterally from the body of the uterus Mucosal layer (ciliated columnar epithelium covered in cilia); Muscular layer (external longitudinal layer and internal circular layer); Serosa Interstitial, isthmic, ampullary, infundibular, and fimbrial Uterine and ovarian arteries Aortic nodes They lie in the ovarian fossae, which are lateral to the uterus in the pelvic sidewall where the common iliac artery bifurcates The ureter crosses under the artery ( water under the bridge ) 2 cm lateral to the cervix Internal and external iliac nodes (although the fundus can drain into the para-aortic lymph nodes)
What are the segments of the fallopian tubes (from medial to lateral) What is the major blood supply to the fallopian tubes What is the lymphatic drainage of the fallopian tubes Describe the position of the ovaries in the pelvis
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3: Female Anatomy
What are the histological layers of the ovary (from interior to exterior)
Medulla (connective tissue and blood supply); cortex (ova and tunica albuginea); germinal epithelium Branches of the uterine artery and the ovarian arteries The right ovarian vein drains through the inferior vena cava (IVC) and the left drains through the left renal vein It sits between the abdominal wall/ pelvic bones (anteriorly) and the vagina/cervix (posteriorly) Superior vesical artery, inferior vesical artery, and middle hemorrhoidal artery Parasympathetics, sympathetics, and the pudendal nerve (innervates the external urethral sphincter) Internal iliac nodes In the abdomen, it is retroperitoneal on the anterior surface of the psoas muscle It then crosses the common iliac artery (the right at the bifurcation and the left 1 2 cm above the bifurcation) and then follows the pelvic wall laterally to the medial broad ligament It then crosses under the uterine artery and courses medially to enter the cardinal ligaments It enters the bladder at the trigone (1) Ureteral peristalsis (2) Auerbach s plexus (only on the ureteral anterior surface) (1) Pelvic brim (2) Where the ureter crosses the uterine artery (3) Bladder trigone
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