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Thyroid gland
And Its hormones
Introduction
 Largest endocrine gland.
 Located inferior to cricoid cartilage.
 Butterfly shaped organ comprising of two
lobes
- lobus dexter(right)
- lobus sinister(left)
 Weighs 18-60gms in adults.
 Histologically it is made up of follicular and
parafollicular cells.
 Blood supply
Arterial supply - superior thyroid artery
- inferior thyroid artery
Venous supply - superior thyroid vein
- inferior thyroid vein
 Nerve supply
- Superior laryngeal nerve
- Recurrent laryngeal nerve
 Lymphatic drainage
- Lateral deep cervical lymph node
- Pretracheal/para tracheal lymph
nodes
Regulation of thyroid hormone
Hyper,Hypo Thyrodism
hyperthyroidism
 Anxiety
 Irritability or moodiness
 Nervousness, hyperactivity
 Sweating or sensitivity to high
temperatures
 Hand trembling (shaking)
 Hair loss
 Missed or light menstrual periods
hypothyroidism
 Trouble sleeping
 Tiredness and fatigue
 Difficulty concentrating
 Dry skin and hair
 Depression
 Sensitivity to cold temperature
 Frequent, heavy periods
 Joint and muscle pain
Hashimoto’s
Disease
Graves' Disease
Thyroid cancer
Goiter
Thyroid Nodules
Thyroid Disorders
Graves’ Disease
 Graves’ disease is a type of autoimmune problem that
causes the thyroid gland to produce too much thyroid
hormone, which is called hyperthyroidism.
 Graves’ disease is often the underlying cause of
hyperthyroidism.
 In Graves’ disease, your immune system creates
antibodies that cause the thyroid to grow and make more
thyroid hormone than your body needs.
 These antibodies are called thyroid-stimulating
immunoglobulins (TSIs).
Symptoms
 Weight loss—despite increased appetite
 Anxiety, restlessness, tremors, irritability, difficulty sleeping
(insomnia)
 Heat intolerance, sweating
 Chest pain, palpitations
 Shortness of breath, difficulty breathing
 Prominent, bulging eyes
 Vision problems (such as double vision)
 Irregular menstrual periods
 Muscle weakness
 Increased stool frequency (with or without diarrhea)
How is Graves’ disease diagnosed?
 Physical exam. The doctor will:
 look for enlargement of your thyroid gland and eye irritation
 check your pulse
 look for signs of trembling
 ask about your symptoms and your personal and family medical histories
 Blood tests :
When thyroid hormone levels are high, the pituitary doesn’t need to
make as much TSH. Very low levels of TSH and high levels of T4 in
your blood suggest hyperthyroidism.
How is Graves’ disease treated?
 Antithyroid medications lower the amount of hormone the thyroid makes.
The preferred drug is methimazole. For pregnant or breastfeeding women,
propylthiouracil (PTU) may be preferred. These medications help control but
may not cure the condition, and are generally not taken for a long period of
time.
 Beta blockers can control many symptoms, especially rapid heart rate,
trembling, and anxiety. But they do not cure the disease because the thyroid
still produces too much thyroid hormone.
 Radioactive iodine (in amounts much higher than the amount used in the
radioactive iodine uptake test) will cure the thyroid problem. However, it
usually destroys the thyroid. You will probably need to take thyroid hormone
pills for the rest of your life to have normal hormone levels. Radioactive
iodine treatment may make the symptoms of Graves’ ophthalmopathy worse
but it’s often treatable with a steroid medication (prednisone).
 Surgery removes the thyroid. Surgery is a permanent solution, but not usually
preferred because of the risk of damaging the nearby parathyroid glands
(which control calcium metabolism in the body) and the nerves to the larynx
(voice box). Surgery is recommended when neither antithyroid medication nor
radioactive iodine therapy is appropriate.
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Physiology thyroid gland

  • 2. Introduction  Largest endocrine gland.  Located inferior to cricoid cartilage.  Butterfly shaped organ comprising of two lobes - lobus dexter(right) - lobus sinister(left)  Weighs 18-60gms in adults.  Histologically it is made up of follicular and parafollicular cells.
  • 3.  Blood supply Arterial supply - superior thyroid artery - inferior thyroid artery Venous supply - superior thyroid vein - inferior thyroid vein  Nerve supply - Superior laryngeal nerve - Recurrent laryngeal nerve  Lymphatic drainage - Lateral deep cervical lymph node - Pretracheal/para tracheal lymph nodes
  • 5. Hyper,Hypo Thyrodism hyperthyroidism  Anxiety  Irritability or moodiness  Nervousness, hyperactivity  Sweating or sensitivity to high temperatures  Hand trembling (shaking)  Hair loss  Missed or light menstrual periods hypothyroidism  Trouble sleeping  Tiredness and fatigue  Difficulty concentrating  Dry skin and hair  Depression  Sensitivity to cold temperature  Frequent, heavy periods  Joint and muscle pain
  • 7. Graves’ Disease  Graves’ disease is a type of autoimmune problem that causes the thyroid gland to produce too much thyroid hormone, which is called hyperthyroidism.  Graves’ disease is often the underlying cause of hyperthyroidism.  In Graves’ disease, your immune system creates antibodies that cause the thyroid to grow and make more thyroid hormone than your body needs.  These antibodies are called thyroid-stimulating immunoglobulins (TSIs).
  • 8. Symptoms  Weight loss—despite increased appetite  Anxiety, restlessness, tremors, irritability, difficulty sleeping (insomnia)  Heat intolerance, sweating  Chest pain, palpitations  Shortness of breath, difficulty breathing  Prominent, bulging eyes  Vision problems (such as double vision)  Irregular menstrual periods  Muscle weakness  Increased stool frequency (with or without diarrhea)
  • 9.
  • 10. How is Graves’ disease diagnosed?  Physical exam. The doctor will:  look for enlargement of your thyroid gland and eye irritation  check your pulse  look for signs of trembling  ask about your symptoms and your personal and family medical histories  Blood tests : When thyroid hormone levels are high, the pituitary doesn’t need to make as much TSH. Very low levels of TSH and high levels of T4 in your blood suggest hyperthyroidism.
  • 11. How is Graves’ disease treated?  Antithyroid medications lower the amount of hormone the thyroid makes. The preferred drug is methimazole. For pregnant or breastfeeding women, propylthiouracil (PTU) may be preferred. These medications help control but may not cure the condition, and are generally not taken for a long period of time.  Beta blockers can control many symptoms, especially rapid heart rate, trembling, and anxiety. But they do not cure the disease because the thyroid still produces too much thyroid hormone.  Radioactive iodine (in amounts much higher than the amount used in the radioactive iodine uptake test) will cure the thyroid problem. However, it usually destroys the thyroid. You will probably need to take thyroid hormone pills for the rest of your life to have normal hormone levels. Radioactive iodine treatment may make the symptoms of Graves’ ophthalmopathy worse but it’s often treatable with a steroid medication (prednisone).  Surgery removes the thyroid. Surgery is a permanent solution, but not usually preferred because of the risk of damaging the nearby parathyroid glands (which control calcium metabolism in the body) and the nerves to the larynx (voice box). Surgery is recommended when neither antithyroid medication nor radioactive iodine therapy is appropriate.
  • 12. Powered by : physiology project team