GYNECOLOGY-4-

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GYNECOLGY AND OBSTETRICS Mind Map on GYNECOLOGY-4-, created by Ali Almudarsy on 28/06/2017.
Ali Almudarsy
Mind Map by Ali Almudarsy, updated more than 1 year ago More Less
Ali Almudarsy
Created by Ali Almudarsy about 7 years ago
Ali Almudarsy
Copied by Ali Almudarsy about 7 years ago
Ali Almudarsy
Copied by Ali Almudarsy about 7 years ago
Ali Almudarsy
Copied by Ali Almudarsy about 7 years ago
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Resource summary

GYNECOLOGY-4-
  1. Anatomy and the female pelvic organ
    1. External genitalia
      1. MLL CVP
        1. Mons veneris (Mons Pubis)
          1. subcutaneous adipose tissue + hair (adult)
          2. Labia majora
            1. subcutaneous tissue + 2 glands ( sebaceous glands+sweat glands)+hair follicles
              1. dense connective tissue
                1. adipose tissue
                  1. richly supplied with venous plexus(may produce haematoma if injured)
                2. Labia minora
                  1. 2 thick folds skin
                    1. exept in parous women they are only exposed when labia majora are seperated
                      1. Fourchaette (may be injured during childbirth)
                        1. Fossa navicularis (between fourchatte & the vaginal orifice)
                          1. Connective tissues +glands (sebaceous glands)+ erectile muscle fibres + vessels +nerve endings
                            1. Homologus with the ventral aspect of the penis
                          2. Clitoris (2.5cm)
                            1. small cylindrical erectile body
                              1. glans
                                1. covered by squamous epithelium + richly supplied with nerves
                                2. body
                                  1. 2 crura
                                  2. clitoris vessels liable to be injured during childbirth
                                    1. clitoris is an analogue to the penis in the male *but seperated from urethra
                                    2. Vestibule
                                      1. triangle space
                                        1. anterially =clitors
                                          1. posteriorly =fourchette
                                            1. either side = labium minar
                                            2. 4 opening
                                              1. urethral opening
                                                1. vaginal orifice and hymen
                                                  1. In virgins and nulliparae the opening is = closed
                                                    1. In parous the opening is = may be exposed
                                                      1. Hymen
                                                        1. hymen ruptured at consummation of marriage
                                                          1. During birth
                                                            1. carunculae myrtiformes = stratified squamous epithelium
                                                      2. Bartholin's gland (0.5 cm)
                                                        1. color
                                                          1. secretes abundant alkaline mucous
                                                            1. by help contraction of bulbocavernosus
                                                            2. Rasemose variety +line with columnar epithelium
                                                              1. Bartholin's gland (female ) corresponds to the bulbourethral gland (male)
                                                              2. Vestibular bulbs
                                                                1. vestibular bulbs homologous to single bulb of penis & corpus spongiosum (male)
                                                                  1. bilateral elongated masses of erectile tissues
                                                                2. Perineum
                                                                  1. Above
                                                                    1. inferior suface of the pelvic floor
                                                                    2. Below
                                                                      1. skin between buttok and thighs
                                                                      2. Laterally
                                                                        1. ischiopubic rami
                                                                          1. ischial tuberosities
                                                                            1. sacrotuberous ligament
                                                                            2. Posterioraly
                                                                              1. coccyx
                                                                              2. 2 triangle
                                                                                1. urogenital triangle
                                                                                  1. superficial pouch
                                                                                    1. vessels
                                                                                      1. nerves
                                                                                        1. bilateral spinal somatic n.
                                                                                          1. anterosuperior part
                                                                                            1. cutaneous branches(L1,L2)
                                                                                            2. postereroinferior part
                                                                                              1. pudendal branches(S2,3,4)
                                                                                              2. between these groups
                                                                                                1. labial & perineal branches (S2,3,4)
                                                                                          2. deep perineal pouch
                                                                                            1. vessels
                                                                                              1. Blood supply
                                                                                                1. veins
                                                                                                  1. internal pudendal vein
                                                                                                    1. vaginal (vesical) venous plexus
                                                                                                      1. long saphenous vein
                                                                                                        1. Varicosities ---->rupture during pregnance ---->haematoma
                                                                                                      2. arteries
                                                                                                        1. branches of internal pudendal artery
                                                                                                          1. branches of femoral artery
                                                                                                            1. superficial pudendal artery
                                                                                                              1. deep pudendal artery
                                                                                                        2. nerves
                                                                                                      3. anal triangle
                                                                                                        1. no obstetric important
                                                                                                          1. terminal part of anal canal
                                                                                                            1. sphincter ani externus
                                                                                                              1. anococcygeal body
                                                                                                                1. ischiorectal fossa
                                                                                                                  1. vessels
                                                                                                                    1. nerves
                                                                                                                      1. lymphatics
                                                                                                                    2. obstetrical perineum
                                                                                                                      1. fasia
                                                                                                                        1. muscles
                                                                                                                          1. pelvic peritoneum
                                                                                                                            1. pouch of douglas (sac)
                                                                                                                              1. anteriorly
                                                                                                                                1. posteriorly
                                                                                                                                  1. laterally
                                                                                                                                    1. the floor
                                                                                                                                      1. surgical important
                                                                                                                            2. internal genitalia
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