| Term 
 
        | Lumbar Plexus. Sometimes I,I, get lucky on fridays latly |  | Definition 
 
        | Subcostal       T12 Iliohypogastric L1
 Ilioinguinal    L1
 genito-Femoral  L1,L2
 Lateral Femoral  L2,L3
 Obturator        L2-L4 anterior
 Femoral          L2-L4 Posterior
 Lumbo-sacral     L4-L5
 I
 G
 L
 O
 F
 L
 I
 I
 G
 L
 O
 F
 L
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | accumulation of fluid within tunica vaginalis. 
 usually caused by infection or trauma
 
 Penlight examination reveals a clear or transluscent scrotum, besides testes.
 |  | 
        |  | 
        
        | Term 
 
        | Abdomen vs Testes(spermatic cord) Fascia
 |  | Definition 
 
        | Scarpas - Dartos External ab oblique - Ex spermatic
 Internal ab oblique - Cremaster
 Transversalis fascia - Int spermatic
 Peritonium - Tunica vaginalis.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anterior - aponeurosis of external oblique 
 Superior(roof) - internal oblique, transversus abdominis
 
 Posterior: Transversalis fascia, conjoint tendon.
 
 Floor: linguinal ligament, lacunar ligament
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Men: Spermatic cord + ilioinguinal, genital branch of genito-femoral nerve 
 Woman: Round Ligament, illioinguinal, genital branch of genito-femoral
 |  | 
        |  | 
        
        | Term 
 
        | Thermoregulation of testes |  | Definition 
 
        | Cremastic reflex - pulls testes in (rubbing inner thigh sensory ilioinguinal)
 (motor innervation from genital branch of genital femoral)
 
 Dartos fascia contains smooth muscle fibers(corrugates skin, wrinkles)
 
 Pampiniform plexus
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | most common; congenital; right side   Lateral to inferior epigastric vessels is indirect hernia. Indirect hernias go into inguinal canal |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Acquired inguinal hernia 15% bilateral; old men passes MEDIAL to inf. epigastric vessels pushes through  through inguinal triangle(hesebachs) to enter inguinal canal   Medially: Rectus abdominus
 Superior/Laterally: Inferior epigastric
 
 Inferiorly: Inguinal ligament
 
 
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Superior: inguinal ligament inferior: pectineal ligament lateral: fascia subdividing femoral sheath Medially: transveralis fascia Hernias protrude into ring. More common in women. Aberent obturator runs medially and may be damaged in hernia repair. |  | 
        |  | 
        
        | Term 
 
        | Lateral Ventral or spigelian hernia |  | Definition 
 
        | between rectus abdominus medially and semilunaris laaterally. Occur at or below arcuate line. Interpatietal hernia DON'T lie below cutaneous fat, it penetrates between muscles of abdomin -no notable swelling, localized pain that increases w/ muscle tension & signs of obstruction     |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Protrudes through lumbar triangle. 
 Triangle lies in posterolateral abdominal wall.
 
 front: external oblique
 behind: lat dorsi
 below: iliac crest
 Low chance of strangulation
 |  | 
        |  | 
        
        | Term 
 
        | Lateral or Transverse cervical (cardinal or Machenrodt's) ligament |  | Definition 
 
        | SUPPORTS the uterus, extends from cervix and vagina to pelvic wall and contains smooth m. fibers at base of broad ligament
 
 clinical significance: hysterectomy, close ureters, which can get damaged during ligation of the ligament
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Double reflection of the peritoneum, draped over the round ligaments; contains ovaries, uterine tubes, and vasculature that serves them. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Provide minor cervical support. Originate from the upper posterior cervix, travel around the rectum bilaterally, and fan out to attach to the 1st - 5th sacral vertebrae
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | (prolapse of the bladder)- the front wall of the vagina (pubocervical fascia) prolapses.  As a result, the bladder may prolapse into the vagina. -urinary stress incontinence
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Superficial inguinal lymph node (female) |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sympathetic- urine storage -->Hypogastric plexus
 Parasympathetic- voiding
 --> motor pelvic splanchnic nerves S2-4
 --> Pudendal n (S3, 4; somatic; external urethral sphincter)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Point and shoot Pelvic spanchnic nerves (S2-S4)
 Somatic motor - Pudendal nerves (also provide afferent)
 Inferior hypogastic plexus (sacral splanchnic nerves)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Posterior lobe metastasize to vertebrae -> brain
 prostatic venous plexus -> sacral veins -> Vertebral venous plexus
 |  | 
        |  | 
        
        | Term 
 
        | Begnign hypertrophy of prostate |  | Definition 
 
        | median lobe cause of urethral obstruction
 |  | 
        |  | 
        
        | Term 
 
        | Lymph drainage of Testis and epididymis |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Lymph drainage of Scrotum |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | skin-superficial inguinal glans -deep inguinal
 body and roots internal iliac
 |  | 
        |  | 
        
        | Term 
 
        | Prostate gland and bladder |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | above pectinate -internal iliac below pectinate-superficial inguinal
 |  | 
        |  | 
        
        | Term 
 
        | Ovary and Uterine tubes Lymph drainage |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | lateral angle -Superficial inguinal fundus and upper body - Lumbar
 Lower body -External iliac
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | superior to hymen External&internal iliac Inferior - Superficial
 |  | 
        |  | 
        
        | Term 
 
        | What are the classical divisions of the internal iliac artery? |  | Definition 
 
        | Anterior: VUVUPROG
Vesical (inferior)
Umbilical- superior vesical
Vaginal
Uterine
Pudendal (internal)
Rectal(middle)
Obturator
Gluteal (inferior)
Posterior: GIL
G: Gluteal (superior)
Iliolumbar
Lateral sacral |  | 
        |  | 
        
        | Term 
 
        | BILATERAL LIGATION OF INTERNAL ILIAC ARTERY |  | Definition 
 
        | 1. median sacral artery & lateral sacral artery 2. superior rectal artery & middle/inferior rectal artery
 3. ilio-lumbar artery & lumbar arteries,
 4. Gluteal arteries & circumflex branches from deep femoral artery,
 5. ovarian artery and uterine artery,
 6. pubic branches of obturator arteries and pubic branches of inferior epigastric/external iliac arteries.
 |  | 
        |  | 
        
        | Term 
 
        | INFERIOR VESICAL ARTERY in males |  | Definition 
 
        | Is not found in females who have vaginal & uterine arteries in its place, supplies the ductus deferens & prostate
 comes off IIA or  a common trunk with middle rectal,
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | deferential artery in males --> Runs in the root of broad ligament until just superior to lateral vaginal fornix, lateral margin of uterus & transverse cervical ligament of Mackenrodt,
 |  | 
        |  | 
        
        | Term 
 
        | What is the male homolog of the uterine artery and where does it come from and what does it supply? |  | Definition 
 
        | Deferential artery as a branch of the inferior vesical artery. Supplies vas deferens |  | 
        |  |