Posted by HRS on September 07, 2011 at 18:50:24:
In Reply to: Pelvic Topography Fun posted by isz on September 06, 2011 at 21:36:04:
WARNING: These answers may be incomplete/incorrect. If so, please correct me. Thanks!
Pelvic Topography Fun
1. A young female patient comes to the emergency room complaining of intense pain in the lower right part of the abdominal wall. She appears to be in shock, and shows signs of an internal hemorrhage. A vaginal exam shows that the patient's cervix is soft, and patient indicates that she missed her last period. Your diagnosis is an ectopic pregnancy. Which is the most likely site of the ruptured implantation?
d. Ampulla of the uterine tube. 70% of ectopic pregnancies occur here.
2. The diagnosis in the case above is made on the basis of the presence of fluid in the:
e. rectouterine pouch
3. With regard to the fascia in the abdominopelvic cavity:
a. The transversalis fascia in the abdomen is similar to the parietal pelvic fascia—True
b. The extraperitoneal connective tissue in the pelvic condenses and forms the Cardinal ligaments—True, the extraperitoneal connective tissue in the pelvis is called visceral pelvic fascia and, when combined with smooth muscle, make up the ligaments of the pelvic cavity.
c. Periprostatic fascia is a representation of the parietal pelvic fascia—False, periprostatic fascia is a type of perivisceral fascia, which is a representation of the visceral pelvic fascia
d. The uterosacral ligament is a condensation of the parietal pelvic fascia—False, it is a condensation of the visceral pelvic fascia
e. Renal fascia is a condensation of the transversalis fascia—False, renal fascia is a condensation of extraperitoneal connective tissue
4. In the uterus/vagina/ovary:
a. The germinal epithelium is covered by the peritoneum. True—in females, the germinal epithelium is a layer of simple cuboidal cells which covers the ovary; in males, it is the wall of seminiferous tubules within the testes. In both sexes, the germinal epithelium is deep to the peritoneum
b. The mesovarium is another word for mesometrium. False—the mesovarium is the part of the broad ligament of the uterus which holds the ovaries in place, while the mesometrium is the part of the broad ligament of the uterus which encloses the uterus
c. Parametrium is peritoneum related to the uterine tube. False—the parametrium is deep to the peritoneum. The parametrium is visceral pelvic fascia between layers of the broad ligament of the uterus. The broad ligament of the uterus is covered by peritoneum (parietal pelvic fascia)
d. The uterus is normally anteflexed and retroverted. False—the uterus is normally anteflexed and anteverted in relation to the vagina
e. The ovarian ligament is related to the gubernaculum. True—the ovarian ligament and the round ligament of the uterus are both derivations of the gubernaculum