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Old 01-31-2012
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Help Water Under The Bridge Mnemonic Confusion

water under the bridge in relation to uterine artery or ovarian artery?
As in upper part before ureter enters pelvis ovarian vessels crosses anterior to it?

Can any one explain?
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uterine artery in females
ductus deferens in males

http://en.wikipedia.org/wiki/Ureter

http://en.wikipedia.org/wiki/File:Gray1152.png

http://www.google.com/imgres?hl=en&s...s2uDjAg&zoom=1
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Uterine artery is the "water" Ureter is "the bridge"
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Quote:
Originally Posted by DocSikorski View Post
Uterine artery is the "water" Ureter is "the bridge"
i think you mean ureter (WATER) passes under uterine artery (bridge).
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Quote:
Originally Posted by mbbs2010 View Post

okk i understand about the uterine artery water under bridge part now.
its the part most commonly injured in cases of surgery.

aint ovarian artery also passes over the ureters but i dont know of any clinical relvance to it.

also i think it might help someone, i always get confused in gonadal vessel.
it means ovarian and not uterine artery.
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Quote:
Originally Posted by doxorubicin View Post
okk i understand about the uterine artery water under bridge part now.
its the part most commonly injured in cases of surgery.

aint ovarian artery also passes over the ureters but i dont know of any clinical relvance to it.

also i think it might help someone, i always get confused in gonadal vessel.
it means ovarian and not uterine artery.

before entering the pelvis the ovarian art. pass over the ureter
in pelvis the uterine art. pass over urter to reach uterus
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Quote:
Originally Posted by doxorubicin View Post
i think you mean ureter (WATER) passes under uterine artery (bridge).
No pal,
I've ment exactly what I've ment (no offence)
Ureter will be the bridge. If you look on it from the upside down.

I have just came across it in KLN recently...
If KLN is wrong than I am wrong too.
But I'd rather trust kaplan than FA

Water Under The Bridge Mnemonic Confusion-img_0830.jpg
click image to enlarge
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Quote:
Originally Posted by DocSikorski View Post
No pal,
I've ment exactly what I've ment (no offence)
Ureter will be the bridge. If you look on it from the upside down.

I have just came across it in KLN recently...
If KLN is wrong than I am wrong too.
But I'd rather trust kaplan than FA

Attachment 2307
click image to enlarge
Your Kaplan book is right, but you are still wrong!
Look at the diagram carefully, see the ureter passing under the artery.
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Quote:
Originally Posted by DocSikorski View Post
No pal,
I've ment exactly what I've ment (no offence)
Ureter will be the bridge. If you look on it from the upside down.

I have just came across it in KLN recently...
If KLN is wrong than I am wrong too.
But I'd rather trust kaplan than FA

Attachment 2307
click image to enlarge
no offence taken, but i too agree with USMLEisnoteasy
the fact it says water under bridge itself speaks of ureter carrying urine
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im so confused!

which is the water and which is the bridge?
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Quote:
Originally Posted by doxorubicin View Post
no offence taken, but i too agree with USMLEisnoteasy
the fact it says water under bridge itself speaks of ureter carrying urine
Than I am confused too...

Just asked an attending if he remembered what "water under the bridge" was... he said - internal illiac arteries.
There is an article on a pubmed also refering to gastroduodenal artery and accessory pancreatic duct to be a water under the bridge......

Guys, we got to make it clear in here....
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hope this makes it clear, its from wikipedia ( great source simple language)

In females, the ureters pass through the mesometrium and under the uterine arteries on the way to the urinary bladder. An effective phrase for remembering this anatomical relationship is "water (ureters) under the bridge (uterine arteries or vas deferens)."

link is http://en.wikipedia.org/wiki/Ureter
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Water is the Ureter, Bridge are the arteries. (males=vas def, but less clinically signifcant I think? Don't trust me I don't know anything though)


This probably won't make sense since I suck at articulating what's in my brain, but I'll give it a shot.

- Ureter passes inferior to the uterine artery just a couple cm away from the cervix.
- When performing a surgical procedure in which you must ligate the uterine artery you must ligate the artery from the inferior side.
- Therefore the Ureter being inferior to the uterine artery could possibly be in the way during ligation and be damaged.
Think - Surgical removal of the Uterus.... you need to cut blood supply to uterus.


Ureter is like a waterway crossing underneath a pathway in which blood travels(arteries).

A River is like a waterway crossing underneath a pathway in which cars travel.

River = Ureter (waterfilled)
Cars travelling along pathways = Blood travelling along pathways of arteries.
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Quote:
Originally Posted by HappyMD View Post
Water is the Ureter, Bridge are the arteries. (males=vas def, but less clinically signifcant I think? Don't trust me I don't know anything though)


This probably won't make sense since I suck at articulating what's in my brain, but I'll give it a shot.

- Ureter passes inferior to the uterine artery just a couple cm away from the cervix.
- When performing a surgical procedure in which you must ligate the uterine artery you must ligate the artery from the inferior side.
- Therefore the Ureter being inferior to the uterine artery could possibly be in the way during ligation and be damaged.
Think - Surgical removal of the Uterus.... you need to cut blood supply to uterus.


Ureter is like a waterway crossing underneath a pathway in which blood travels(arteries).

A River is like a waterway crossing underneath a pathway in which cars travel.

River = Ureter (waterfilled)
Cars travelling along pathways = Blood travelling along pathways of arteries.

the surgery that the question will say will be abdominal hysterectomy .

i am not sure but i ges i remeber there was some question in which ovarian tumor removal also lead to injuury to ureter..any thoughts on this?
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water = ureters (urine is mostly water)
bridge = normal structures of the body (uterine artery or vas deferens)

this is how i think of it.
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Quote:
Originally Posted by doxorubicin View Post
the surgery that the question will say will be abdominal hysterectomy .

i am not sure but i ges i remeber there was some question in which ovarian tumor removal also lead to injuury to ureter..any thoughts on this?

Yup Hysterectomy is the procedure and similarly a ovariectomy poses the same risks because the ovarian vessels run through the suspensory ligament and if you take a look at the path of the ureter and see it's relative position to the susp lig you will see why.
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Old 02-27-2012
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There are more ways apparently (according to UWORLD)

Water: always the ureter
Bridge(golden gate which is red) :
1. uterine artery as everyone else knows
2. gonadal artery (actually anterior to ureter) in the midway from kidney to bladder.
3. Vas Deferens(in male)
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