Quiz 2 Thyroid Flashcards
Pyramidal lobe arises from
isthmus
Anterior surface has:
Strap uscles, sternoclediomastoid muscles
Longus colli muscle:
Posterior and lateral to lobes, hypoechoic triangular structure adjacent to cervical vertebrae.
Largest muscle in thyroid:
sternoclediomastoid muscles
Medial thyroid:
larynx, trachea, inferior constrictor of pharynx, esophagus.
Esophagus is found to the ____ of trachea
left of
Two ______ arise from external carotids and descend to the upper poles.
super thyroid arteries
Two _______ arise from external thyrocervical trunk of sublcavian artery and ascend to lower poles.
inferior thyroid arteries
When thyroid horomone needed by body, it is released into bloodstream by action of thyrotropin, or _____ produced by pituitary gland.
thyroid - stimulating hormone (TSH)
____ decreases concentration of calcium in blood by first acting on bone to inhibit its breakdown.
Calcitonin
Undersectretion of thyroid hormones is ____.
Hypothyroidism.
Hypothyroidism may be caused by low intake of ____ in body.
goiter (inability of thyroid to produce proper amount of thyroid hormone, or problem in pituitary gland that does not control thyroid production)
Ober secretion of thyroid hormones is ___
hyperthyroidism
Patients experiencing hyperthyroidism show signs of
exophthalmos (protruding eyes)
Terms to describe goiter
nodular hyperplasia, multi-nodular goiter, adenomatous hyperplasia.
Define goiter
enlargement of thyroid gland. (due to compensatory hypertrophy and hyperplasia of follicular epithelium caused by derangement that hampers hormone secretion)
toxic goiter definition
hyperthyroid condition resulting from hyperthyroid gland
nontoxic (simple) goiter occurs when
diffuse thyroid enlargement not resulting from neoplasm or inflammation.
sonographic findings of goiter:
most hyperplastic or adenomatous nodules isoechoic compared to normal thyroid tissue. as gland enlarges may become hyperechoic. focal scarring and ischemia as well as necrosis and cyst formation. fibrosis or calcifications.
cyst sonographic findings:
degenerative changes of nodules correspond to their sonographic appearance. purely anechoic areas,
Adenoma:
benign thyroid neoplasm characterized by complete fibrous encapsulation. Usually lesion solitary with areas of hemorrhage or necrosis .
Sonographic findings of adenoma:
anechoid to compltely hyperechoid and commonly have perioheral halo
What causes subacute (de quervain’s thyroiditis)
viral infection of thyroid