2.1 Thyroid-Normal Flashcards

(59 cards)

1
Q

Which lobe of the thyroid is typically bigger?

A

Right

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2
Q

The thyroid is encapsulated extends down to the ?

A

5th or 6th tracheal ring

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3
Q

Another term for the thyroid cartilage?

A

The Adam’s apple

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4
Q

The pyramidal lobe is a?

A

fetal remnant that some people have, skinny extension that extends superior from the isthmus

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5
Q

The size of the thyroid depends on (3)

A

Gender
Age
Body habitus/ Height

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6
Q

It is usually bigger in which gender?

A

Females

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7
Q

The usual length, Width and AP of the thyroid?

A

4-6cm
2 cm
2 cm

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8
Q

Out of the L x W x H (AP) which is the most precise/reproducible?

A

AP (2 cm)

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9
Q

The isthmus thickness is typically? (remember units)

A

2-6mm

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10
Q

One of the first places you may notice thickening/enlargement of the gland?

A

isthmus

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11
Q

The trachea is located ____ to the isthmus

A

posterior

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12
Q

The CCA and IJV is located____ and ____ to the thyroid?

A

Lateral ; posterior

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13
Q

The longus coli muscle is located?

A

posterior

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14
Q

The sternocleidomastoid muscle ? (2)

A

slightly anterior and lateral

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15
Q

The SCM (sternocleidomastoid muscles) are slightly ____ to the strap muscles. The strap muscles are ____ to thyroid

A

lateral; anterior

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16
Q

Compared to the thyroid Neurovascular bundle located

A

posterior

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17
Q

The 4 parathyroid glands and located ____ with 2 more ____ and 2 more ____.

A

Posterior; superior; inferior

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18
Q

The esophagus sits___ and slightly to the ____ of the thyroid

A

posterior; left

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19
Q

The Thyroid has a very rich_____ making it hard to biopsy

A

blood supply

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20
Q

The blood supply of the thyroid includes

Rt and Lt ?(2)

A

Inferior and Superior arteries

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21
Q

The Superior arteries are branches of the?

A

ECA

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22
Q

The Inferior arteries are branches of the?

A

Subclavian

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23
Q

The Thyroid is drained by 3 veins?

What are they and where do they drain?

A

Superior, middle in IVJ

inferior into innominate

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24
Q

Lymph drainage is from the?

A

Deep cervical lymph notes around the carotids.

25
*The lymph nodes around the thyroid are looked at with a neck sweep because?
It is THE MOST COMMON SITE FOR THYROID CANCER TO METASTASIZE
26
The sonographic appearance of the thyroid (3)
Homogeneous Hyperechoic thin capsule medium level echoes
27
The sonographic appearance of the Esophagus(2)
target appearance and peristalsis when patient swallows (good way to differentiate)
28
The sonographic appearance of the Trachea? (3)
Hyperechoic, curvilinear and shadowing
29
The sonographic appearance of the muscles (2)
hypoechoic with striations
30
What is the functional unit of the thyroid??
The follicle
31
The follicular cells produce the hormones (2)
T3 and T4
32
The lumen contains colloid which is?
thick gelatinous material that stores the T3 and T4 produced by the follicular cells
33
The parafollicular cells produce?
calcitonin - helps regulate the bloods calcium and phosphate levels.
34
What is the function of the thyroid?
Endocrine gland- makes, stores, secretes hormones Regulates body metabolism Produces T3, T4 and calcitonin
35
T3 and T4 affect?
Our metabolic rate
36
What is used to synthesize T3 and T4 from our diet?
Iodine
37
What maintains homeostasis of blood calcium?
Calcatonin | decreases concentration of blood calcium by inhibiting breakdown of bone
38
Maintenance of circulating T3 and T4 in the blood is a ___ feed back-system
Negative
39
A drop in T3 and T4 decreases our overall BMR (basal metabolic rate) which triggers the hypothalamus to relase
TRH (thryotropin releasing hormone)
40
The TRH causing the release of ____ from the ____gland making more T3 & T4
TSH (thyroid stimulating hormone); pituitary
41
Thyroid disease can affect the amount of thyroid levels in the blood. What is is called with normal thyroid levels?
Euthyroid
42
What is called when it is High or Low?
Hyperthyroid, Hypothyroid
43
Hypothyroidism decreases your ?
BMR
44
Hypothyroidism can be related to what 3 things?
Low Iodine gland dysfunction Pituitary gland abnormality
45
What are the S & S of hypothyroidism?
``` Weight gain Hair loss Lethargy Cold intolerance Husky voice ```
46
Causes of of Hypothyroidism (4)
Hashimoto's Iodine deficiency Partial thyroidectomy (1 gland removed) Pituitary gland problems
47
What is the most common cause of Hypothyroidism in North America?
Hashimoto's
48
What is the most common cause of Hypothyroidism worldwide?
``` Iodine deficiency (poor diets in developing countries) ```
49
Hyperthyroidism increases BMR. can be causes by what 2 things?
Entire thyroid gland over functioning or Neoplasm that's producing excessive amounts of thyroid hormone
50
What are the S & S of hyperthyroidism?(6)
``` Wt loss, increased appetite Nervousness Sweating, heat intolerance palpitations fatigue exophthalmos (eye bulging) ```
51
Causes of Hyperthyroidism include (5)
``` Grave's disease (with goiter) Toxic adenomas (benign masses, producing toxic amount of the hormone) Inflammation of the thyroid Excessive thyroid medication Pituitary tumors ```
52
Lab Tests with Hyperthyroid will have increased levels of ___ &____and decreased levels of ____
T3 and T4; TSH | Opposite with Hypothyroid decrease T3 & T4 and increase TSH
53
Graves disease and Hashimoto are both? and produce?
Autoimmune disorders and produce thyroid antibodies that attack the thyroid
54
Other test that can be used to assess the thyroid
Nuc med scan -> determined function or sees nodules using radioisotope
55
Nuc med Hot nodules are
hyperfunctioning (most are benign)
56
Nuc med Cold nodules , don't take up isotope
Non functioning (can have malignant potential) | still usually benign
57
What are some of the indications for performing a thyroid ultrasound (4)
Increase in gland size (symmetrical or not) Changes in metabolism (Wt loss or gain) Nuc med scan, showing cold nodule palpable lump
58
Accurate hx includes
``` Medications Other diagnostic tests Previous surgery Family hx or palpable masses ```
59
What probe do you use to scan?
Highest frequency 12 or 18 MHz