L2 endocrine anatomy Flashcards
Endocrine organs of the neck region
Thyroid
Parathyroid
Thymus
Embryology of the glands of the neck region
Neck endocrine organs are derived from the pharynx
Series of pharyngeal pouches form thymus, para-thyroids & part thyroid
Main part thyroid from median out-growth pharygeal floor
The early embryonic pharynx gives rise to a series of pouches
Function of the thyroid gland
Thyroid hormones increase metabolic rate, generating heat
2 hormones produced by follicular cells:
Thyroxine (T4)
Tri-iodothyronine (T3)
Hormone produced by follicular cells, then stored until required
Parafollicular (thyroid type C) cells produce calcitonin which increase uptake of Ca++ by the skeleton, thus lowering blood Ca++
Thyroid production of Formation & release of hormones
T3 (10%) & T4 (90%) are formed from iodinised tyrosine molecules in cuboidal follicular cells
They are stored outside the follicular cells in the follicular lumen as inactive form “thyroglobulin” which forms “colloid”
When required, released into circulation by follicular cells splitting off T3 or T4
If deficient in TSH or iodine, get build up of thyroglobulin in follicles & enlarged thyroids known as goitre in humans
Anatomy of the thyroid gland
Paired lobes, on lateral trachea, just caudal to larynx
Dark red in colour
May be connected via isthmus on ventral trachea
Species variation
Blood and nerve supply
Blood supply is species dependent
Usually from common carotid a.
Cranial thyroid a.
Caudal thyroid a. in some species (may have different origin)
Drains to internal jugular vein
Parasympathetic nerve supply via vagus
Sympathetic through cranial cervical ganglion (mostly vasomotor)
Histology of the thyroid gland
Consists of follicles lined by simple cuboidal epithelium which produces thyroid hormones
Cells stimulated by TSH (from anterior pituitary)
Active cells are tall cuboidal, with the follicular lumen small as hormone is secreted into the blood stream
Inactive cells are low cuboidal and lumen will be distended with colloid
, parafollicular or ‘C’ (clear) cells
Also, parafollicular or ‘C’ (clear) cells occur either singly, between follicular cells or clumped between follicles
Outer CT capsule and inner fibro-elastic capsule divides thyroid into lobules and contains blood and nerve supply
Thyroid histology
B. Parathyroid Glands
2 pairs small glands
On, or embedded in, thyroid tissue
Referred to as parathyroid III & IV from embryological origin (pharyngeal pouches) or external & internal parathyroid
Small pale pink structures , contrast against brick red of thyroid
Function of Parathyroid Glands
Produce parathyroid hormone (= parathormone) which raises blood calcium levels (opposite effect of calcitonin) by:
Osteoclastic resorption
↑ reabsorption of Ca++ & ↓ reabsorption of phosphate ions in kidneys
↑ Ca++ absorption from intestine
Parathormone is the main regulator of blood calcium levels while calcitonin provides fine adjustment
Dog, cat, small ruminants parathyroid
Recessed or embedded within the thyroid
Dog: parathyroid III may be in fascia of cranial pole of thyroid gland, parathyroid IV usually buried in thyroid parenchyma
Cat: parathyroid III in caudal thyroid, parathyroid IV in cranial thyroid
Watch out for them during surgery!
`
Ox parathyroid
Ox
Parathyroid III usually cranial to thyroid; parathyroid IV usually embedded in thyroid or between it & tracheal wall
Horse parathyroid
Parathyroid III much further caudal, near thoracic inlet
Parathyroid IV close to thyroid