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Urinary bladder, rectum, and anal canal
PA school anatomy
24
Anatomy
Graduate
10/12/2009

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Cards

Term
base of bladder
Definition
posterior surface, aka fundus
Term
apex of bladder
Definition
most anterior midline point of superior surface
Term
neck of bladder
Definition
lowest region of the bladder, most fixed part due to ligaments tethering to posterior aspect of pubic bones
Term
suprapubic cystotomy
Definition
insertion of a needle into the interior of the bladder from the suprapubic anterior abdominal wall, peritoneum is lifting onto the bladder's superior surface --> bladder is in direct contact with anterior abdominal wall
Term
ureter entrance into the bladder
Definition
pierce bladder wall at upper lateral corners of superior surface, only open temporarily into the bladder with peristaltic waves to force urine into the bladder
Term
trigone
Definition
triangular, posterior area of the inner surface of the bladder, fold-free, top two corners are ureters, bottom corner is the neck of the bladder
Term
detrusor
Definition
the smooth muscle tissue of the wall of the bladder
Term
internal sphincter of bladder
Definition
formed by circumferentially-oriented smooth muscle fibers, involuntary, inhibited by pelvic splanchic nerves, motor innervation by lumbar splanchic nerves
Term
pelvic splanchnic nerves
Definition
small branches of anterior rami of S2, S3, S4 that transmit pregangionic parasympathetic fibers to detrusor and internal sphincter of bladder
Term
lumbar splanchnic nerves
Definition
arise from lumbar ganglia of sympathetic trunk, transmit preganglionic sympathetic fibers to internal sphincter
Term
superior, middle, and inferior rectal folds
Definition
transverse crescentic folds which mark the upper margin of each lateral curvature of the rectum
Term
rectal ampulla
Definition
lower part of the rectum that is more dilated and distensible than the upper part, upper margin marked by the middle rectal valve
Term
internal anal sphincter
Definition
a thick circular layer of smooth muscle fibers in the wall of the upper two-thirds of the anal canal
Term
intermuscular (intersphincteric) groove
Definition
the sharply defined lower border of the internal anal sphincter palpable upon digital examination of the anal canal
Term
external anal sphincter
Definition
a thick layer of skeletal muscle fibers which surrounds the entire anal canal
Term
puborectalis part of levator ani
Definition
forms a u-shaped muscular sling around the posterior and lateral surfaces of the anorectal junction, tonic contraction draws the anorectal junction forward, preventing unwanted passage of feces
Term
anorectal ring
Definition
interdigitation of puborectalis muscles and muscles from deepest part of external anal sphincter at the upper margin of the anal canal, palpable on digital examination
Term
anal columns
Definition
longitudinal folds in the mucosal lining of the anal canal, caused by the internal rectal venous plexus
Term
anal sinus
Definition
recesses formed by anal valves at the base of the space between two adjacent anal columns
Term
anal valves
Definition
short, transverse folds of mucosal lining that extend between the lower ends of the adjacent anal columns
Term
drainage of blood from superior rectal vein
Definition
to portal vein
Term
drainage of blood from inferior rectal veins
Definition
to inferior vena cava
Term
internal hemorrhoids
Definition
varicosities of the internal rectal venous plexus in the upper half of the anal canal, lined by rectal epithelium
Term
external hemorrhoids
Definition
varicosities of the external rectal venous plexus in the lower half of the anal canal, lined by skin
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