Atlas of Human Anatomy by Netter

FACTS & HINTS

High-Yield Facts

Clinical Points

Bartholin cyst

Cystic swelling of greater vestibular (Bartholin's) glands

Occurs when gland is infected or duct is blocked

Can enlarge to 4 to 5 cm

Carcinoma of the vulva

Mimics chronic ulcer

Patient presents with pain, a discharging ulcer and occasionally a lump

Metastasis is to inguinal lymph nodes

Greater vestibular gland is origin of most vulvular adenocarcinomas

Childbirth and the perineal body

Overt or occult tearing of perineal body results in permanent weakness of pelvic floor

Can involve tearing of posterior vaginal wall and overlying skin

Slow to heal because of lack of vascular supply

Episiotomy done if tearing of perineum is predicted

Incision usually made from posterior vaginal wall through midline to just anterior to anus