THYROID & PARATHYROID WB W/ IMAGES Flashcards
benign thyroid neoplasm characterized by complete fibrous encapsulation
adenoma
rare, undifferentiated carcinoma occurring in middle age
anaplastic carcinoma
remnant of embryonic development that appears as a cyst in the neck
branchial cleft cyst
a thyroid hormone that is important for maintaining a dense, strong bone matrix and regulating the blood calcium level
calcitonin
refers to a normal functioning thyroid gland
euthyroid
use of a fine-gauge needle to obtain cells from a mass
fine-needle aspiration
occurs as a solitary malignant mass within the thyroid gland
follicular carcinoma
enlargement of the thyroid gland that can be focal or diffuse; multiple nodules may be present
goiter
autoimmune disorder characterized by a diffuse toxic goiter, exophthalmos (bulging eyes), and cutaneous manifestations
Graves’ disease
chronic inflammation of the thyroid gland caused by the formation of antibodies against normal thyroid tissue
Hashimoto’s thyroiditis
disorder associated with elevated serum calcium level, usually caused by a benign parathyroid adenoma
hyperparathyroidism
oversecretion of thyroid hormones
hyperthyroidism
low phosphatase level, which can be seen with hyperparathyroidism
hypophosphatasia
undersecretion of thyroid hormones
hypothyroidism
small piece of thyroid tissue that connects the right and left lobes of the gland
isthmus
wedge-shaped muscle posterior to the thyroid lobes
longus colli muscle
disorder characterized by localized or generalized enlargement of the lymph nodes or lymph vessels
lymphadenopathy
neoplastic growth that accounts for 10% of thyroid malignancies
medullary carcinoma
tiny echogenic foci within a nodule that may or may not shadow
microcalcifications
nodular enlargement of the thyroid associated with hyperthyroidism
multinodular goiter
degenerative nodules within the thyroid
nodular hyperplasia
most common form of thyroid malignancy
papillary carcinoma
a hormone that is secreted by the parathyroid glands, which regulate serum calcium levels
parathyroid hormone (PTH)
enlargement of multiple parathyroid glands
parathyroid hyperplasia
oversecretion of parathyroid hormone, usually from a parathyroid adenoma
primary hyperparathyroidism
present in a small percentage of patients; extends superiorly from the isthmus
pyramidal lobe
enlargement of parathyroid glands in patients with renal failure or vitamin D deficiency
secondary hyperparathyroidism
laboratory value that is elevated with hyperparathyroidism
serum calcium
large muscles anterolateral to the thyroid
sternocleidomastoid muscles
group of three muscles (sternothyroid, sternohyoid, and omohyoid) that lie anterior to the thyroid
strap muscles
viral infection of the thyroid that causes inflammation
subacute (de Quervain’s) thyroiditis
congenital anomalies that present in midline of the neck anterior to the trachea
thyroglossal duct cysts
inflammation of the thyroid
thyroiditis
a hormone secreted by the pituitary gland that stimulates the thyroid gland to secrete thyroxine and triiodothyronine
thyroid-stimulating hormone (TSH)
The thyroid straddles the trachea anteriorly, whereas the paired lobes extend on either side bounded laterally by the __________ arteries and __________ veins.
carotid, jugular
Along the anterior surface of the thyroid gland lie the __________ muscles, including the sternothyroid, omohyoid, sternohyoid, and the sternocleidomastoid muscles.
strap
The parathyroid glands are normally located on the __________ surface of the thyroid gland.
posterior medial
The parathyroid glands are the ___________ organs in the body.
calcium-sensing
The parathyroid glands produce __________ and monitor the serum calcium feedback mechanism.
parathyroid hormone (PTH)
When the serum calcium level ___________, the parathyroid glands are stimulated to release PTH.
decreases
PTH acts on ___________, __________, and intestine to enhance calcium absorption.
bone, kidney
Primary hyperparathyroidism is characterized by __________, hypercalciuria, and low serum levels of phosphate.
hypercalcemia
Primary hyperparathyroidism occurs when increased amounts of PTH are produced by a(n) __________, primary hyperplasia, or, rarely, carcinoma located in the parathyroid gland.
adenoma
A chronic hypocalcemia caused by renal failure, vitamin D deficiency (rickets), or malabsorption syndromes is __________ hyperparathyroidism.
secondary
The thyroid gland is the part of the endocrine system that maintains body ___________, ___________, and ___________ through the synthesis, storage, and secretion of thyroid hormones.
metabolism, growth, and development
These hormones include triiodothyronine (__________), thyroxine (__________), and __________.
T3, T4, and calcitonin
The mechanism for producing thyroid hormones is __________ metabolism.
iodine
When the body needs thyroid hormone, it is released into the bloodstream by the action of thyrotropin, or thyroid-stimulating hormone (__________), which is produced by the pituitary gland.
TSH
The secretion of TSH is regulated by thyrotropin-releasing factor, which is produced by the __________.
hypothalamus
The concentration of calcium in the blood is decreased by __________, which first acts on the bone to inhibit its breakdown.
calcitonin
Low intake of iodine (goiter) in the body may cause either __________, or the inability of the thyroid to produce the proper amount of thyroid hormone, or a problem in the pituitary gland that does not control the thyroid production.
hypothyroidism
How the thyroid is functioning is evaluated by ___________.
nuclear medicine
An enlargement of the thyroid gland is a(n) __________, which is often visible on the anterior neck.
goiter
One of the most common forms of thyroid disease is __________.
multinodular goiter
__________ is characterized by these findings: hypermetabolism, diffuse toxic goiter, exophthalmos (inflammatory infiltration of the orbital tissue resulting in proptosis, or bulging of the eyes), and cutaneous manifestations (thickening of the dermis of the pretibial areas and the dorsum of the feet).
Graves’ disease
A benign thyroid neoplasm characterized by complete fibrous encapsulation is a(n) __________.
adenoma
The most common of the thyroid malignancies is __________ of the thyroid and is the preponderant cause of thyroid cancer in children.
papillary cancer
The normal thyroid gland has a fine __________ echotexture that is more echogenic that the surrounding muscle structure.
homogeneous
A normal lymph node is oval in shape with a(n) __________ texture with a central core echo complex.
homogeneous
The ___________ muscle is posterior and lateral to each thyroid lobe and appears as a hypoechoic triangular structure adjacent to the cervical vertebrae.
longus colli
The metabolic rate is dramatically increased __________; clinical signs include weight loss, increased appetite, high degree of nervous energy, tremor, excessive sweating, heat intolerance, and palpitations, and many patients show signs of exophthalmos (protruding eyes).
hyperthyroidism
IMAGE
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*IMAGE
a 44 year old frmale presented w/ a palpable mass in her neck. Id the sonographic findings?
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a solid mass of the thyroid which proved to be papillary carcinoma w/ biopsy (note the microcalcifications)
IMAGE
an asymptomatic female patient appeared w/ a mass in her neck. Id the sonographic findings.
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a well defined Adenoma w/ a cystic component w/ a hypoechoic halo is seen on the right lobe
Image
a young woman presented w/ a palpable amss in her neck. describe the sonographic findings.
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multinodular goiter is seen as an inhomogeneous enlarged tissue mass w/in the thyroid gland.
Color Doppler shows increased vascularity
image
Id the structure measured by the cross marks
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isthmus
transverse view - inferior border of the thyroid
IMAGE
label # 1-6
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- thyroid cartilage
- cricoid cartilage
- pyramidal lobe*
- isthmus*
- parathyroid gland
- trachea
*pyramidal lobe & isthmus = thyroid gland
Image
label # 7-12
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- inferior thyroid vein
- common carotid artery
- middle thyroid vein
- internal jugular vein
- superior thyroid vein
- superior thyroid artery
image
label # 1-4
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- thyroid gland
- **sternohyoid ** **2, 3, 4 make up the STRAP MUSCLES**
- **omohyoid
- **sternothyroid
image
label # 5-9
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- sternocleidomastoid muscle
- minor neurovascular bundle
- esophagus
- longus colli muscle
- vertebral body (C5)
image
label # 10-12
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- inferior thyroid artery
- common carotid artery
- internal jugular vein
image
label # 13-15
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- recurrent laryngeal nerve
- parathyroid gland
- trachea