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Thyroid and parathyroid glands
Cole 6/29/11 lecture 1.5 hrs
49
Anatomy
Undergraduate 4
06/06/2011

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Term
originally it was the thyroglossal duct, but it closed off to form the foramen cecum(hopefully)
Definition
name the endoderm structure in the middle of the tongue (name the adult remnant and the original name)
Term
superior parathyroid = 4th arch
inferior parathyroid = 3rd arch

(the arches rotate as they descend)
Definition
what arches form the parathyroid?
Term
lateral and superior
Definition
where are the lobes of the thyroid in relation to the isthmus?
Term
the 2nd-4th tracheal rings
Definition
what part of the trachea does the isthmus of the thyroid overlie?
Term
a remnant of the thyroglossal duct, it extends upward from the isthmus
Definition
what is a pyramidal process on the thyroid?
Term
it tends to grow cysts which are benign, but rarely become cancerous
Definition
why is a persistent thyroglossal duct bad?
Term
the pass upward on the posterior surfaces of the thyroid lobes by the parathyroid glands
Definition
where are the inferior thyroid arteries in relation to the lobes of the thyroid?
Term
medial to the lobes, in the angle between the trachea and esophagus
Definition
where are the recurrent laryngeal nerves in relation to the thyroid?
Term
the carotid sheaths (posteriorly they might contact prevertebral muscles)
Definition
what lies lateral to the lobes of the thyroid?
Term
recurrent laryngeal nerve
Definition
what nerves can get injured in thyroid surgery?
Term
ECA
Definition
what vessel does the inferior thyroid artery branch off of?
Term
infrahyoid muscles
Definition
what are the thyroid gland, larynx, and trachea deep to?
Term
the carotid sheath, you can find the parathyroid glands
Definition
what does the inferior thyroid artery pass posterior to to reach the thyroid? what can you locate by following this artery?
Term
the throracic duct
Definition
what besides the inferior thyroid artery passes behind the carotid sheath on the left?
Term
inferior thyroid veins
Definition
what veins drain the thyroid?
Term
a midline artery to the thyroid that occurs in 10% of patients that can be in the way of a trachiotomy

it would branch off the brachiocephalic artery, the aortic arch, or the left common carotid artery
Definition
what is the thyroid ima artery? what does it branch off of?
Term
the confluence of sinuses
Definition
what is deep to the external occipital protuberance?
Term
the confluence of sinuses (where the transverse sinus, the straight sinus, and perisagittal sinus drain)
Definition
what is deep to the external occipital protuberance?
Term
the mastoid process
Definition
what structure is easily palapable behind the external auditory meatus underneath the ear lobe?
Term
C2-C3
Definition
what spinal level is the angle of the mandible?
Term
C3-C4
Definition
what spinal level is the mandibular symphysis?
Term
C3-C4 disk
Definition
what spinal level is the hyoid?
Term
below the margin of the posterior half of the mandibular corpus
Definition
where is the hyoid palpable?
Term
the hypoglossal nerve(CN XII)
Definition
what nerve runs just above the greater horn of the hyoid at C3-C4 near the base of the tongue?
Term
C4-C6
Definition
what spinal level is the thyroid cartilage anterior to?
Term
anterior to C6, attaches to the trachea
Definition
what spinal level does the cricoid cartilage sit anterior to? what is it attached to?
Term
1 fingerbreadth below the cricoid cartilage (C6) overlying 2nd-4th rings of the trachea
Definition
how can you estimate the location of the thyroid isthmus?
Term
as high as the thyroid cartilage
Definition
how far superior do the lobes of the thyroid extend?
Term
isthmus is covered by the infrahyoid muscles and the platysma

the lobes are covered by SCM

this makes the thyroid hard to palpate
Definition
what muscles cover the isthmus of the thyroid? what covers the lobes?
Term
the carotid axis is an invisible line from the sternoclavicular joint to the external auditory meatus (EAM)

the carotid arteries (common, external, internal) can be found beneath it
Definition
where is the carotid axis, and what is found beneath it?
Term
the superior end of the larynx (C4)
Definition
where is the carotid bifrucation?
Term
the external is more anterior and superficial
Definition
above the bifurcation, which is more anterior, the internal or external carotid?
Term
C6

the vessel can be compressed backward against the tubercle to control bleeding
Definition
the common carotid artery runs just in front of the anterior tubercule(aka carotid tubercle) of the transverse process of what vertebra?

why do you need to know this?
Term
jugular foramen, deep to the interval between the EAM and the mastoid process
Definition
where does the IJV originate?
Term
it runs on the axis superficial to the carotid arteries, but deep to SCM
Definition
where is the IJV on the carotid axis?
Term
ansa cervicalis
Definition
what nerve/structure lies on the lateral side of the IJV between IJV and SCM?
Term
the IJV is DEEP to BOTH OF THESE MUSCLES!!
Definition
where is IJV in relation to posterior digastric(superiorly) and omohyoid(inferiorly)?
Term
SCM
Definition
this muscle runs parallel to the carotid axis and covers the contents of the carotid sheath (IJV, vagus, carotids). It also covers the ansa cervicalis
Term
medial to the anterior margin of the SCM's lower half
Definition
where can you feel the pulse of the common carotid artery?
Term
anterior to the SCM just below the angle of the mandible
Definition
where can you feel the pulse of the external carotid artery?
Term
lateral to SCM, just above the middle third of the clavicle (bottom of posterior triangle)
Definition
where can the pulse of the subclavian be felt?
Term
the external jugular vein
Definition
what vein runs downward over the superficial surface of SCM behind the angle of the mandible toward the midpoint of the clavicle?
Term
the great auricular nerve (C2-C3)
Definition
the external jugular vein runs with the SCM inferiorly, what does it travel with in its upper half?
Term
sensory nerves from ventral rami of the cervical plexus and CN XI
Definition
what nerves radiate from the midpoint of the SCM's posterior edge?
Term
the TMJ, just deep and anterior to spinosum is the foramen ovale
Definition
the foramen spinosum lies just deep to what? what lies just deep to it?
Term
1) hypoglossal canal
2) carotid canal
3) styloid process
4) EAM
Definition
list these structures from deep to superficial styloid process, EAM, hypoglossal canal, carotid canal
Term
stylomastoid foramen(facial nerve)

slightly deeper is the jugular foramen (IJV, CN IX, X, XI)
Definition
what nerve lies just deep to the interval between the EAM and the tip of the mastoid?
Term
the supra orbital foramen/notch

palpated between the medial and middle thirds of the superior margin of the orbit
Definition
where does the supraorbital nerve emerge from the skull? where is this palpated?
Term
the infraorbital is 1cm below the lower orbital margin straight below the supraorbital

the mental nerve is straight down from this 1/2 way between the upper and lower borders of the mandibular corpus
Definition
how do you estimate the position of the infra orbital nerve and mental nerve?
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