endocrine system 1 Flashcards

1
Q

hyperthyroidism

A

excessive release of the thyroid hormone

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2
Q

hypothyroidism

A

thyroid hormone deficiency

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3
Q

thyrotoxicosis

A

hypermetabolic state caused by the elevated level of circling T3 & T4.
occurs due to excessive TH

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4
Q

gioter

A

enlargement of the thyroid gland to form a mass legion.

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5
Q

hyperthyroidism clinical manifestation?

A
  1. hyper metabolic state: weigh loss with ^ appetite, intolerance to heat, soft warm and flushed skin
  2. overactivity of the sympathetic NS: tremors, anxiety, emotional liability, insomnia
  3. cardiac manifestation: cardiomegaly, tachycardia, arrhythmia, palpitation
  4. ocular changes: exophthalmos
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6
Q

3 most common causes of thyroxicosis

A

graves disease
multi nodular goiter
thyroid adenoma

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7
Q

rare cause of thyroxicosis

A

TSH secreting pituitary adenoma

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8
Q

clinical findings of graves disease

A

diffuse enlargement of the thyroid gland
exophthalmos
pretrial myxedema

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9
Q

pathogenesis of graves disease

A

autoimmune disorder characterized by the the production of autoantibodies called TSI on the TSH receptor and stimulate the thyroid follicular epithelial cell s to release TH

^T3 & T4 produces hyperthyroidism

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10
Q

morphology

A
  • enlargement of the thyroid gland
  • follicular E changes from cuboidal to columnar
  • formation of papillary projection
  • colloid is thinned with scalloped edges
  • lymphoid follicles with germinal centers
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11
Q

exophthalmos

A

this is ^ in the volume of the retrobulbar CT and extra ocular muscle due to diffuse goiter

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12
Q

pretrial myxedema

A

localized, infiltrative, dermopathy , is due to the ticknening of the dermis due to the accumulation go GAG & lymphocytic infiltratration

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13
Q

types of goiters

A

diffuse non toxic

multinodular goiters

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