emily matthews ([email protected])[email protected]
TRANSCRIPT
![Page 5: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/5.jpg)
Posterior
Bartholin’s gland
![Page 6: Emily Matthews (e.k.matthews@warwick.ac.uk)e.k.matthews@warwick.ac.uk](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/6.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/7.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/8.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/9.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/10.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/11.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/12.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/13.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/14.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/15.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/16.jpg)
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](https://reader036.vdocuments.site/reader036/viewer/2022062515/56649c7d5503460f94931ec6/html5/thumbnails/17.jpg)
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