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Thyroid
Diagnostic Medical Sonography
85
Medical
Undergraduate 1
08/26/2011

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Cards

Term
The endocrine system
Definition
What system is the thyroid part of?
Term
Maintains body metabolism, growth, and development through the synthesis, storage, and secretion of thyroid hormones
Definition
what is the thyroid's function?
Term
t3, t4 and calcitonin
Definition
What hormones does the thyroid secrete?
Term
10-15 MHz lineat array transducer
Definition

What kind of transducer is used for

 the thyroid?

Term
40-60mm
Definition
what is the normal length of the thyroid?
Term
20-30mm
Definition
What is the normal AP diameter of the thyroid?
Term
15-20mm
Definition
What is the normal width of the thyroid?
Term
isthmus
Definition
What is the smallest part of the thyroid?
Term
2-6mm
Definition
what is the normal AP diameter of the isthmus?
Term
right lobe
Definition
Which side of the thyroid is normally larger?
Term
Strap muscles
Definition
What is anterior in relation to the thyroid?
Term
  • sternothyroid
  • omohyoid
  • sternohyoid
  • sternocleidomastoid muscles
Definition
What muscles make up the strap muscles?
Term
  • common carotid artery
  • internal jugular vein
  • vagus nerve
Definition
What is posterior in relation to the thyroid?
Term
Longus colli muscle
Definition
What is posterior and lateral in relation to the thyroid?
Term
the esophagus
Definition
What may be found left of the trachea/
Term
  • 2 superior thyroid arteries
  • 2 inferior thyroid arteries
Definition
What 4 arteries supply the thyroid?
Term

From the external carotids and descend to

 the upper poles

Definition
Where do the 2 superior thyroid arteries arise from?
Term
from the thyrocervical trunk of the subclavian artery and ascend to the lower poles
Definition
iWhere do the 2 inferior thyroid arteries arise from?
Term
the jugular
Definition
Where do the thyroid's veins drain to?
Term
it is released into the bloodstream by the action of thyrotropin (TSH), which is produced by the pituitary gland
Definition
what happens then the thyroid hormone is needed?
Term
thyrotropin-releasing factor, which is produced by the hypothalmus
Definition
The secretion of TSH is regulated how?
Term
Helps maintain homeostasis of calcium in the blood with the hormone calcitonin
Definition
The thyroid also helps maintain homeostasis of calcium how?
Term
iodine deficiency- leading to goiter and hypothyroidism
Definition
What is the most common cause of worldwide thyroid problems?
Term
hyercalcemia
Definition
Too much calcium in the blood
Term
euthyroid
Definition
When the thyroid is producing the right amount of thyroid hormone, normal
Term
hypothyroidism
Definition
The undersecretion of thyroid hormones, caused by low intake of iodine in the body, inability of the thyroid to produce proper amount of thyroid hormone, or a problem in the pituitary gland
Term
  • weight gain
  • hair loss
  • increased subcutaneous tissue around the eyes
  • lethargy
  • intellectual and motor slowing
  • cold intolerance
  • constipation
  • deep husky voice
Definition
clinical idications of hypothyroidism?
Term
Hyperthyroidism
Definition
oversecretion of thyroid hormones, occurs when the entire gland is out of control or if a localized neoplasm causes overproduction of the thyroid hormone
Term
  • weight loss
  • increased appetite
  • high degree of nervous energy
  • tremor
  • excessive sweating
  • heat intolerance
  • palpations
  • protruding eyes
Definition
Clinical signs of hyperthyroidism?
Term
nuclear medicine
Definition
Used to test the function of the thyroid
Term
hyperthyroid
Definition
Takes up to much injection
Term
hypothyroid
Definition
takes up to little injection
Term
hypothyroid
Definition
T3 and T4 is too low
Term
hyperthyroid
Definition
T3 and T4 is too high
Term
Goiter
Definition
any enlargement of the gland
Term
goiter
Definition
most common thyroid abnormality
Term
women
Definition
Who more frequently are affected with nodules of the thyroid?
Term
goiter
Definition
Is formed when the thyroid is unable to produce an adequate supply of iodine tat is required by the body
Term
Toxic multinodular goiter
Definition

hyperthyroid condition caused by excessive stimulation from TSH, which produces a lare nodular gland

may appear encapsulated

Term
nontoxic goiter
Definition

diffuse thyroid enlargement not resulting from neoplasm or inflammation. Not initially associated with hyper or hypothyroidism

Gland becomes enlarges from attempts to trap every atom of iodine

Term
Graves disease
Definition
  • Elevated T3 and T4 and decrease in TSH
  • diffusely homogeneous and enlarged

  • bulging eyes and skin thickening

  • hyperthyroidism associated with a diffuse hyperplastic goiter is present

  • increased vascularity

  • "Thyroid inferno"

 

Term
thyroiditis
Definition

causes swelling and tenderness of the thyroid. Caused by infection or can be related to autoimmune abnormalities.

Two types: DeQuervain's and Hashimoto's

Term
DeQuervain's
Definition
Caused by a viral infection that results in diffuse inflammation of the thyroid with enlargement and tenderness
Term
hashimoto's disease
Definition

Characterized by chronic inflammation of the thyroid

More prevalent in women

The entire gland is involved with an inflammatory reaction

Term
Adenoma
Definition

benign thyroid neoplasm characterized by complete fibrous encapsulation.

Appear commonly with a peripheral halo

Term
Papillary cancer
Definition

Most common of the thyroid malignancies and the predominant cause of thyroid cancer in children

Also spreads into the cervical lymph nodes

Term
Follicular Carcinoma
Definition

Second most common thyroid malignancy and spreads through the bloodstream instead of the lymphatic system

Also is more aggressive than papillary cancer

Term
Lymphoma
Definition

Primarily the non hodgkins type, patients presents with rapidly growing mass in the neck area.

Many cases have a pre-existing thyroiditis

Term
less than 4mm
Definition
Normal measurement of the parathyroid glands
Term
Parathyroid hyperplasia
Definition

hyperfunction of all parathyroid glands with no apparant cause. Only one gland may significantly enlarge, or all may enlarge. Rarely reach more than 1 cm in size.

Most commonly caused by adenoma

Term
Thyroglossal Duct cysts
Definition
Congenital anomalies that present in the midline of the neck anterior to the trachea. The duct normally atrophies in the adult. Failure to atrophy can lead to cyst formation. They are oval or spherical masses rarely larger than 2-3cm
Term
Adenopathy
Definition
low-level echogenicity of well-circumscribed masses is the classic sonographic appearance of enlarged lymph nodes
Term
adenoma
Definition
benign thyroid neoplasm characterized by complete fibrous encapsulation
Term
adenopoathy
Definition
enlargement of the lymph nodes
Term
anaplastic carcinoma
Definition
rare, undifferentiated carcinoma occuring in middle age
Term
brachial cleft cyst
Definition
remnant of embryonic development that appears as a cyst in the neck
Term
calcitonin
Definition
a thyroid hormone that is important for mantaining a dense strong bone matrix and regulating the blood calcium level
Term
cystic hygroma
Definition
cystic neck mass caused by malformations of the cervical thoracic lymphatic system
Term
deQuervain's thyroiditis
Definition
viral infection of the thyroid gland resulting from thyroid hormone deficiency
Term

diffuse nontoxic goiter

(colloid goiter)

Definition
occurs as a compensatory enlargement of teh thyroid gland resulting from thyroid hormone deficiency
Term
euthyroid
Definition
refers to a normal functioning thyroid gland
Term
fine-needle aspiration
Definition
invasive procedure used to obtain a small speciman from from a specific lesion
Term
follicular carcinoma
Definition

occur as a solitary malignant mass within the

thyroid gland

Term
graves disease
Definition
autoimmune disorder of diffuse toxic goiter characterized by bulging eyes(exophthalmos)
Term
hashimoto's thyroiditis
Definition
chronic inflammation of the thyroid gland caused by the formation of antibodies against normal thyroid tissue
Term
hyperparathyroidism
Definition
disorder associated with elevated serum calcium level, usually caused by a benign parathyroid adenoma
Term
hyperthyroidism
Definition
oversecretion of thyroid hormones
Term
hypophosphatasia
Definition
low phosphatase level, which can be seen with hyperparathyroidism
Term
hypothyroidism
Definition
underactive thyroid homones
Term
isthmus
Definition
small piece of thyroid tissue that connects the right and left lobes of the gland
Term
longus colli muscle
Definition
wedge-shaped muscle posterior to the thyroid lobes
Term
medullary carcinoma
Definition
neoplastic growth that accounts for 10% of thyroid malignancies
Term
microcalcifications
Definition
tiny echogenic foci within a nodule that may or may not shadow
Term
multinodular goiter
Definition
nodular enlargement of the thyroid associated with hyperthyroidism
Term
nodular hyperplasia
Definition
degenerative nodules within the thyroid
Term

parathyroid hormone

PTH

Definition
a hormone that is secreted by parathyroid glands, which regulate serum calcium levels
Term
parathyroid hyperplasia
Definition
enlargement of multiple parathyroid glands
Term
primary hyperparathyroidism
Definition
oversecretion of parathyroid hormone, usually from a parathyroid adenoma
Term
pyramidal lobe
Definition
present in small percentage of patients; extends superiorly from the isthmus
Term
secondary hyperparathyroidism
Definition
enlargement of parathyroid glands in patients with renal failure or vitamin D deficiency
Term
serum calcium
Definition
labratory value that is elevated with hyperparathyroidism
Term
sternocleidomastoid muscles
Definition
large muscles anterolateral to the thyroid
Term
strap muscles
Definition

group of three muscles that lie anterior to the thyroid

sternothyroid, sternohyoid, and omohyoid

Term
thyroglossal duct cysts
Definition
congenital anamolies that present in midline of the neck anterior to the trachea
Term
thyroid-stimulating hormone
Definition
a hormone secreted by the pituitary gland that stimulates the thyroid gland to secrete thyroxine and triiodothyronine
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