Thyroid Gland Flashcards
The thyroid is a _________-shaped gland
butterfly
The thyroid gland is located where? Composed of?
Located just inferior to the larynx (voice box) and composes of right & left lateral lobes.
It is connected by an _________ (narrow passage) ________ to the _________.
Isthmus, anterior, trachea
Where does it embryologically originate from?
It originates from the base of the tongue & descends to the middle of the neck.
It has a rich blood supply from?
Superior & inferior thyroid arteries
Approx. 50% of thyroid glands have a small…
Third lobe - pyramidal lobe
Normal mass of the thyroid gland
Approx. 10 - 20g
Extends from the isthmus _____ to the _________ cartilage & laterally to the ______ ________ arteries.
superiorly, mid-thyroid, common carotid
The thyroid lobes can be ______ or ______.
flat, globular
Discuss the thyroid isthmus
- usually a narrow band of thyroid tissue
- connects the 2 lobes of the thyroid
- overlies the 2nd & 3rd tracheal rings
- can be wide, long, or even absent
The thyroid is one of the most ______ organs in the body.
vascular
Medial border of the thyroid
Trachea & esophagus
Lateral border of the thyroid
Carotid sheath
Anterior & Lateral border of the thyroid
Sternocleidomastoid muscle & the 3 strap muscles
- sternohyoid
- sternothyroid
- superior belly of the omohyoid
3 strap muscles
- sternohyoid
- sternothyroid
- superior belly of the omohyoid
What is the Tubercle of Zuckerkandl
A posterior extrusion of the lateral thyroid lobes & is a pointer to the recurrent laryngeal nerve and inferior parathyroid glands.
What can help the surgeon find & identify the recurrent laryngeal nerve (RLN)?
The tubercle of zuckerkandl because the RLN usually traverses (across) the posterior aspect of the tubercle.
What are the thyroid hormones & how many are there?
2 Thyroid hormones:
- Thyroxine aka tetraiodothyronine (T4)
- Triiodothyronine (T3)
What cells produce the thyroid hormones? (T3 & T4)?
Follicular cells
Why are the thyroid hormones called thyroxine & triiodothyronine?
This is due to the number of iodine atoms it contains.
What cells produce calcitonin (hormone)?
Parafollicular or C cells
- lies between the follicles
Thyroid gland is the only endocrine gland that?
Stores its secretory products in large quantities, which is normally about a 100 day supply.
Steps in the synthesis & secretion of the thyroid hormones (T3 & T4)
- Iodide trapping
- Synthesis of thyroglobulin
- Oxidation of iodide
- Iodination of tyrosine
- Coupling of T1 & T2
- Pinocytosis & digestion of colloid
- Secretion of thyroid hormones
- Transport in the blood
Synthesis & secretion of T3 & T4
1. Iodide trapping
- Thyroid follicular cells trap iodide ions by actively transporting them from the blood into the cytosol.
- As a result, the thyroid gland normally contains the most of the iodide in the body.