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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

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The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Assessment of the Abdomen II: Percussion01:18

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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
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Abdominal Regions and Quadrants01:19

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
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Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Anatomical Positions01:11

Anatomical Positions

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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
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Related Experiment Video

Updated: May 17, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Pelvic Trauma: Anatomy and Interventions.

Jacob F Leslie1, John B Smirniotopoulos1,2

  • 1Division of Vascular and Interventional Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia.

Seminars in Interventional Radiology
|May 16, 2025
PubMed
Summary
This summary is machine-generated.

Pelvic trauma causes significant deaths due to hemorrhage. Rapid diagnosis with computed tomography angiography (CTA) and intervention by interventional radiology (IR) through embolization are crucial for survival.

Keywords:
angiographyarterial anatomyembolizationinterventional radiologypelvic trauma

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Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Pelvic trauma is a major cause of death, primarily due to hemorrhage.
  • Vascular injuries associated with pelvic fractures necessitate prompt diagnosis and intervention.
  • Hemorrhage from pelvic trauma is a leading cause of mortality in the United States.

Purpose of the Study:

  • To review the anatomy, evaluation, and management of pelvic trauma.
  • To emphasize the critical role of interventional radiology in controlling hemorrhage.
  • To highlight the importance of rapid diagnosis and intervention for patient survival.

Main Methods:

  • Multiphase computed tomography angiography (CTA) is the gold standard for assessing pelvic trauma.
  • Interventional radiology (IR) utilizes angiography and embolization for managing vascular injuries.
  • Review of complex pelvic vascular anatomy, including variants like corona mortis.

Main Results:

  • CTA facilitates early identification of vascular injuries and active hemorrhage.
  • Angiography and embolization by IR effectively stabilize hemodynamics and prevent complications.
  • Techniques include nonselective, selective, and coil embolization for hemostasis.

Conclusions:

  • Early activation of angiography and multiphase CTA improve patient outcomes.
  • Prompt IR intervention is integral to controlling hemorrhage and ensuring survival in pelvic trauma.
  • Management requires careful planning due to complex pelvic vascular anatomy and potential risks.