Anatomy & Embryology: Thyroid Gland Flashcards

1
Q

when does the thyroid gland start to develop

A

in the 4th week of embryogenesis

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2
Q

describe the origin and start of development of the thyroid gland

A

starts as midline thickening at the back of the tongue, and then stretches downwards

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3
Q

where does the thyroid gland migrate to

A

migrates inferiorly in front of the larynx, where it is in close proximity to the parathyroid glands

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4
Q

describe the thyroid gland at 7/8 weeks of embryogenesis

A

the 2 lobes are formed and joined by the isthmus, in front of the trachea and just below the larynx

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5
Q

describe what happens to the thyroglossal duct

A

usually duct loses contact with thyroid gland(except in 15% of people), where the pyramidal lobe of the thyroid remains

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6
Q

what happens if the thyroglossal duct fails to regress

A

thyroglossal duct cysts can form, anywhere along the migratory path of the thyroid gland

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7
Q

describe what happens at 12 weeks of embryogenesis at the thyroid gland

A

primitive follicles are visible as simple epithelium surrounding a central lumen, now able to trap iodide and and respond to TSH

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8
Q

what does the thyroid gland usually consist of

A

2 lateral lobes(right and left) and the isthmus(narrow connecting band between 2 lobes)

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9
Q

where do the lobes of the thyroid gland attach

A

to the lateral aspects of the thyroid and cricoid cartilages, and to the trachea

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10
Q

where does the isthmus usually sit

A

anterior to the 2nd and 3rd cartilages of the trachea

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11
Q

what is the prevalence of the pyramidal lobe of the thyroid gland

A

28-55%

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12
Q

where are the parathyroid glands located

A

located on posterior surfaces of the lateral lobes of the thyroid gland, 2 on each lobe one superior and one inferior

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13
Q

what is the parasympathetic innervation of the thyroid gland

A

vagus nerves

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14
Q

what is the sympathetic innervation of the thyroid gland

A

superior, middle and inferior ganglia of the sympathetic trunk

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15
Q

describe the blood supply to the thyroid gland

A

superior thyroid arteries, branch from external carotids

inferior thyroid arteries, branch from subclavian arteries

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16
Q

what are the 3 pairs of veins that drain the thyroid gland, in order from thyroid gland draining outwards

A

superior + middle thyroid veins => internal jugular + inferior thyroid veins => the brachiocephalic veins

17
Q

what lymph nodes are involved in the venous drainage of the thyroid gland

A

superior deep cervical lymph nodes and the inferior cervical deep lymph nodes