Anatomy of the thyroid gland Flashcards

1
Q

What is the thyroid gland made up of?

A

2 lateral lobes and an isthmus

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2
Q

Where do the lobes of the thyroid gland attach?

A

To the lateral aspects of the thyroid and cricoid cartilages as well as the trachea

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3
Q

What level does the isthmus lie?

A

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

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4
Q

What is an enlarged thryoid gland called?

A

Goitre which will move superiorly then inferiorly during swallowing

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5
Q

Where are the parathyroid glands found?

A

On the posteiror surfaces of the thyroid gland’s lateral lobes

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6
Q

When does the thyroid gland reach its final position in utero?

A

In the 7th week of developement

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7
Q

Where is the platsyma muscle found?

A

Immediately deep to the skin within the superficial fascia of the neck

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8
Q

What nerve supplies the platysma muscles?

A

Facial nerve as it is a muscle of facial expression

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9
Q

What is included within the prevertebral fascia of the neck?

A

Posteirorly encloses the postural neck muscles and the cervical vertebrae

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10
Q

What is included within the investing fascia of the neck?

A

Encloses the trapezius and sternocleidomastoid

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11
Q

What is included within the carotid sheaths?

A

Vagus nerve
Deep cervical lymph nodes
Carotid arteries
Internal jugular vein

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12
Q

What is included within the pretracheal fascia?

A
Oesophagus
Trachea
Thyroid gland
Strap muscles
Recurrent laryngeal nerves
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13
Q

What muscles does the spinal accessory nerve supply?

A

SCM and trapezius

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14
Q

What are the attachements of the trapezius?

A

Inferiorly to the spine of the scapula and laterally to the clavicle

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15
Q

Where does the external jugular vein run and drain?

A

Within the superficial fascia and drains into the subclavian vein

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16
Q

Where does the anterior jugular vein run and drain?

A

Within the superficial fascia and drains into the external jugular vein

17
Q

Where does the sternal head of the sternocleidomastoid attach and insert?

A

Attaches to the manubrium of the sternum and insets onto the mastoid process of the temporal bone

18
Q

Where does the clavicular head of the sternocleidomastoid attach and insert?

A

Attaches to the medial end of the clavicle and also inserts onto the mastoid process of the temporal bone

19
Q

Where does the carotid sheath attach?

A

Superiorly to the base of the skull around the jugular foramen

20
Q

What is the contents of the jugular foramen?

A

Internal jugular artery

Cranial nerves 9,10 and 11

21
Q

What supplies the thyroid and parathyroid glands?

A

Superior and inferior thyroid arteries

22
Q

Where does the the superior thyroid artery branch off of?

A

External carotid artery

23
Q

Where does the inferior thyroid artery branch off of?

A

The subclavian artery

24
Q

Where does the thyroid ima artery branch off of?

A

The braciocephalic trunk

25
What is the venous drainage of the thyroid and parathyroid glands?
Superior, middle and inferior veins
26
What makes up the left venous angle?
Internal jugular and subclavian vein
27
Where does the vagus nerve originate?
Medulla oblongata
28
What is the first branch of the vagus nerve?
Recurrent laryngeal nerve
29
Where does the left recurrent laryngeal nerve run?
Under the arch of the aorta
30
Where does the right recurrent laryngeal nerve run?
Under the subclavian artery
31
What are the 4 strap muscles?
Sternohyoid Omohyoid Sternothryoid Thyrohyoid
32
What attaches the intermediate tendon of the omohyoid to the clavice?
A fasical sling
33
What are the borders of the anterior triange of the neck?
Superiorly: inferior border of mandible Laterally: sternal head of SCM Medially: midline
34
What are the borders of the posterior triangle of the neck?
Laterally: trapezius Medially: clavicular head of the SCM Roof: fascia
35
What is a classical thyriodectomy incision?
A collar insicion made in the direction of langers lines just superior to the clavicles and jugular notch
36
What occurs in a unilateral injury to the recurrent laryngeal nerve?
Hoarseness or weakness of the voice | Weak cough
37
What occurs in a bilateral injury to the recurrent laryngeal nerve?
Aphonia Inability to close rima glottidis to prevent aspiration Inability to cough