Neck - Part 3 Flashcards

(35 cards)

1
Q

What supplies blood to the thyroid? (2)

A

Superior and inferior thyroid arteries

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2
Q

Where does the superior thyroid artery rise from?

A

The ECA

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3
Q

Where does the inferior thyroid artery arise from?

A

The thyrocervical artery

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4
Q

Where does the superior and middle thyroid veins drain into?

A

IJV

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5
Q

Where does the inferior thyroid vein drain into?

A

Innominate vein

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6
Q

Where is the thyroid lobe located compared to the CCA and IJV? (2)

A

Medial and anterior

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7
Q

Where is the thyroid lobe located compared to the sternocleidomastoid and strap muscles? (2)

A

Posterior and medial

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8
Q

Where is the thyroid lobe located compared to the longus colli muscles?

A

Anterior to it

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9
Q

Where is the thyroid lobe located compared to the trachea and esophagus?

A

Anterolateral

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10
Q

Where is the thyroid lobe located compared to the thyroid cartilage of the larynx?

A

Inferior

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11
Q

Where is the thyroid isthmus located compared to the trachea?

A

Anterior

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12
Q

Where is the thyroid isthmus located compared to the CCA and IJV? (2)

A

Medial and anterior

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13
Q

Where are the parathyroid glands located compared to the thyroid glands?

A

Posterior

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14
Q

Where are the parathyroid glands located compared to the longus colli muscles?

A

Anterior

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15
Q

What are 3 congenital anomalies of the thryoid?

A
  1. Pyramidal lobe
  2. Absent isthmus
  3. Ectopic parathyroid gland location
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16
Q

Pyramidal lobe

A

Third lobe arising from the superior portion of the isthmus

17
Q

Where does the 3rd lobe of the pyramidal lobe ascend to?

A

To the level of the hyoid bone

18
Q

Absent isthmus

A

Thyroid consists of 2 distinct lobes

19
Q

Where can the ectopic parathyroid gland be found near? (2)

A
  1. The carotid bifurcation

2. Posterior to the carotid artery

20
Q

What is the normal height for the isthmus?

21
Q

What are the normal measurements for an adult thyroid gland? (L, H, W)

A
Length = 4-6cm
Height = 2cm
Width = 2cm
22
Q

What are the normal measurements for a pediactric thyroid gland? (L, H, W)

A
Length = 2-3cm
Height = 0.2-1.2cm
Width = 1-1.5cm
23
Q

What are the normal measurements for parathyroid glands? (L, H, W)

A
Length = 6mm
Height = 2mm
Width = 4mm
24
Q

What is the US appearance for the thyroid lobes and isthmus?

A

Homogeneous solid structures demonstrating a medium-gray echo pattern

25
What is the US appearance for the sternocleidomastoid and strap muscles when compared to the thyroid gland?
Hypo echoic
26
What is the US appearance for the longus collis muscles compared to the thyroid?
Hyper echoic
27
What is the US appearance of the parathyroid glands
1. Flat 2. Bean-shaped 3. Hypo echoic structures
28
What is the US appearance of the CCA and IJV?
Anechoic tubular structures demonstrating internal vascular flow
29
What are indications for a thyroid exam? (7)
1. Palpable neck mass 2. Abnormal thyroid function tests 3. Dysphagia 4. Dyspnea 5. Fatigue 6. Serial evaluation of thyroid nodule(s) 7. Evaluate mass from a previous medical imaging study - CT
30
TSH
Thyroid stimulating hormone
31
What is the normal range of thyrotropin?
3-42ng/mL
32
What does thyrotropin do?
Regulates thyroid hormone secretion and production
33
What is the secretion of TSH controlled by?
Anterior pituitary gland
34
What is prolonged elevation of thyrotropin associated? (2)
1. Hyperplasia | 2. Thyroid enlargement
35
What is a decrease in thyrotropin the first indication of?
Thyroid gland failure