2
1 3
labia
major a
X
better !
* cut perineal body
prolapse of vagina uterus
(row W(r)
e can't control
S ext . anal sphincter
&
Fracture of Penis
tunica albuginia broke
e Levator ani
blood leaked out of CC Transverse cervical
e
lig.
deformity diaphragm
e UG
eggplant
-
Anesthetic
/
6 7
S out !!
ins block opening of vagina
A
Itemorrhoids dilated vs 11 12 13
#orence's
"
Ext .: ext rectal
Etitis :
infection of
urinary bladder test
:
detectsement
Benign Prostatic Hypertrophy trostate cancer :
post . lobe
. venous plexus
:
crystal presence of semen
Infe rectal v .
turbid pink-ish urine
:
enlarged prostate
Pain !! transition zone
Pudendal n .
frquent , urgent & painful urination test presence of choline in (mid .
lobe
,
(more common in fem ).
fluid from seminal vesicles
Int : Int . "No pain : 0
'Cirrhosis'
Varian Naginal.
# 2nd part of rectum 16 17
cancer
examinations
ginismus Erical Cancer
unusual bleeding pain :
developed from epithelium
Digital health of
=
, , · :
vaginal wall, uterus :
involuntary contraction
indigestion & loss of appetite of vaginal m
risk factor HPV
· Bimanual :
size
,
shape , position of uterus
.
palpate ovaries & uterine tubes painful spasm ·
Pap smear-detect
· Ovulation Amniotic fluid
·
Vaginal speculum : interior of
vagina
= Fern test (Nack
cerative
colitis/ rectal cancer 201 ectal examination) Meritoneal
reflexion)
ulcer colon & rectum
colonoscopy detect finger rectum (M) Rectoresical pouch
=
· : 2 sec .
(f) resiconterine pouch
Rectonterine pouch
L3 · culdocentesis
:
aspiration of fluid
, ~
Satellar 3
Femoral Hernia
L4 ot
drop L5
# femoral canal
151 nnoor !
e dorsiflexion Ant m
,
defect e
↓ Numbues of dorsum deep fibular n . e
-
supefibular n .
S compression of
common fibular n.
Post . Compartment syndrome
= Tibial fracture
e motor of post .
My Tibial n
.,
Post tibial
. a
+ numbness of plantar med
.,
lat .
plantar n .
L6 Plantar Aponeurosis
-
,L7
- "
E -
W-sitting'
· knock knee
Abnormal · toe in
varus : adduct
valgus : abduct
·
Neck of
themur fracture from fall <opposite forces (
-
head of femur out of
/ Acetabulum
-
Of head offemur
Lig .
(round lig . .
a )
W
Acetabulum
once
tear !
28 29
Ent./ & post. drawer signs
#Miniscus
tear ! wear
from repetitive kneeling squatting
tense of cruciate
· or
lag lig ,
sudden stop or
change direction
+ ACL-PCL Ant .
translation
Post translation Collateral
ACL + PCL * med
lig
-
.
. .
co-injured w med Miniscus 'Avascular necrosis' head of femur loss blood
stability :
supply
.
!* med . femoral circumflex a
+ Lat . .
"
30
-
~
~
~
varus tears ACL
.
med miniscus
med
. Collateral
, roufrimma
~ owenivores
n5 :
11191 !
,L1: Superficial structures & Gluteal region
Bony Landmarks
movements of hip jointLumbar plexus Sacral Plexus
D
Muscle groups of lower limb
Common Iliac Artery
2
*
1
O
1
2
zwn .
2
G 6 1
.
1 1
.
6
5
&
3
, Gluteal Region Post .
out to post .
leg greater
sciatic
notch
&
back to perineum
·. Separate
Pudendal .
n
Post
Intramuscular injection
**
1 Gluteal ms
.
⑧
Trendelenburg's sign
All 1 : Greater trochanter
maintain
pelvic IVI .!!
except gues
max
& . ratus femor is
iliotibial tract intertrochanteric crest
·
⑧
or pull when run
tibia
2 External rotators of hip out of
gater sciatic foramen
⑧ ⑧
⑧
J
Piriformis syndrome' O
⑳
·m m