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38 Cards in this Set
- Front
- Back
where do testicle cancers drain?
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to the abdominal aorta lymph nodes (not palpable)
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where do prostate cancers drain?
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internal iliac lymph nodes
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where does the SKIN of the scrotum drain?
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superficial inguinal nodes (can be palpated)
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balanitis
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swelling of the foreskin and head of the penis w rash, foul discharge, painful
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paraphimosis
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foreskin stuck behind glans penis; often occurs during catherization or cleaning of foreskin
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phimosis
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foreskin cant be retracred due to metatal stenosis or scarring
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blue dot sign
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caused by torsion of the testicular appendix;
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positive transillumination
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hydrocele
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negative transillumination w swelling
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varicocele (widening of penis veins)
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conjugates
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= pelvic diameter, diagonal conjugate can be approximated during pelvic examination
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cervix
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the NECK of the uterus; the uterine cavity is farther bacl
cervix is 2.5 cm long, external os extends down into vagina while internal os is 2.5cm away which leads into a narrow |
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Uterus anatomy
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pelvic pain line significance
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anything touched by the peritoneum is above the pelvic pain line; anything inferior is below
if above, pain fibers are carried through the lubar splanmchnics along w sympathetics bc dome of uterus is covered by peritoneum, so pain flows with the lumbar nerves in contrast the vagina is below the pelvic pain line so those fibers flow into the sacral splanchnics along w parasyp fibers as well as w pudendal nerve w external genitalia if pudendal nerve is blocked woman w feel contractions + pain in birth canal epideral will block everything below pelvic pain line (wont numb uterus so woman can feel her contractions) if it's a spinal block at the lumbar level it blocks EVERYTHING |
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drain in same range as blood supply
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broad ligament
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connects uterus, fallopian tubes and ovaries to pelvic side wall
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round ligament
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connects uterine fundus to labia majora; round like the number of structures it carries (ZERO); derived from gubernaculum, travels through ROUND inguinal canal
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ligament of the ovary
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connects ovary to uterus
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suspensaory ligament of the ovaries
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connects ovaries to lateral pelvic wall; contains ovarian vessels (not a true ligament since its made up of vessels)
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where does one find the artery and urterine vein?
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cardinal ligament; connects cervix to side wall of the pelvis
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cardinal ligament
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connects cervix to side wall of the pelvis
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space between two diaphragms
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ischoanal fossa
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three corpi of penis
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2 corpus cavernosum and corpus spongiosum (bottom)
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mons pubis
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mountain
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innervation of perineum (region around genitals and anus)
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pudendal nerve; also provides motor innervation to the urogenital diaphragm
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innervation of ilioinguinal nerve
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mons pubis
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lymphatic drainage for vag
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learn the arterial supply of blood and reverse it
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dihydrotestosterone
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hormone that causes masculinization of the external genitalia
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raphe
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line of fusion on the bottom of the penis
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no 5 alpha reductase
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have no DHT;
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gonads and ducts derive from..
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intermediate mesoderm
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remnant of gubernaculum
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testicular ligament; anchors testis to inferior part of scrotum limiting movement
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if no gubernaculum
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no descent of testes or ovaries
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remnants of gubernaculum in females
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ovarian ligament and round ligament which both support
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mcc of hydronephrosis in infants and children
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ureteropelvic junction obstruction; more common in boys, ass w other cong abnor,
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sclerosing retroperitoneal fibrosis
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fibrous proliferativ einflam process that encases the retrop structures resulting in hydronephrosis
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mcc of acquired bladder diverticula
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prostatic enlargement resulting in increased intravesical pressure/muscle thickening
most asymtomatic but predispose to infx and bladder calculi |
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extrophy
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dev failure of ant wall o fbladder and abdomen
exposed mucosaincreased risk of adenocarcinoma oin the balder remnant |
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urine coming out of umbilicus
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urachal fistula (canal that connets fetal bladder w the allantois
urachal cyst = small remnant urachal sinus = larger remnant, can still connect bladder to umbilicus |