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Emily Matthews

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Presentation on theme: "Emily Matthews"— Presentation transcript:

1 Emily Matthews

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4 Posterior

5 Bartholin’s gland

6 The cervix has two openings. What are they called? External os Ampulla Infundibulum Isthmus Internal os Fimbriae Name the parts of the fallopian tube

7 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

8 Now we understand the blood supply, describe the lymphatic drainage OrganLymph drainage OvariesPara-aortic nodes around L2 level Uterus Fundus and upper body Lower body Cervix Para-aortic nodes External iliac Internal and external iliac and sacral

9 Pick out the normal uterine alignment and name it * * * * Anteverted anteflexed Name this alignment Anteverted retroflexed

10 Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

11 Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

12 Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

13 Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

14 Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

15 Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus mesometrium, mesosalpinx, mesovarium

16 Pelvic Organ Pain Referral Organs covered in peritoneum Organs not covered in peritonuem OrgansUterus Bladder Colon Lower 1/3 rectum Refer pain to which dermatome? T10-12S2-4 Via which nerves?SympatheticParasympathetic Pain blocked by which method? Spinal or epiduralCaudal anaesthesia Remember the diarrhoea! Hypogastric painFaeces in the rectum, pain in the ass!

17 Pelvic Organ Pain Referral Organs covered in peritoneum Organs not covered in peritonuem OrgansUterus Bladder Colon Lower 1/3 rectum Refer pain to which dermatome? T10-12S2-4 Via which nerves?SympatheticParasympathetic Pain blocked by which method? Spinal or epiduralCaudal anaesthesia Remember the diarrhoea! Hypogastric painFaeces in the rectum, pain in the ass! Pudendal nerve block blocks the somatic innervation (S2-4) of the perineum, distal vagina and anal canal


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