TTHHYYRROOIIDD DDIISSEEAASSEE 
BBYY MM..SSHHAAWWIIRR FFRRCCSS
TTHHYYRRIIOODD AANNAATTOOMMYY 
•THYROID GLAND DEVELOPS FROM THE 
THYROGLOSSAL DUCT. 
•THE GLAND WEIGHS 20 -25 GMS. 
•IS SUPPLIED BY SUERIOR AND INFERIOR 
THYROID ARTERIES. 
•VENOUS DRAINAGE BY SUP.MID,AND INF 
THYRIOD VEINS 
•LYMPHATIC DRAINAGE INTO DEEP CERVICAL 
NODES
TTHHRROOGGOOSSSSAALL DDUUCCTT AANNDD FFIISSTTUULLAA 
•IS A REMENANT OF THE THYROGLOSSAL 
TRACT. 
•FOLLOWS INADEQUATE REMOVAL. 
•DISCHARGES MUCUS. 
•REMOVED BY SISTRUNK OPERATION
TTHHYYRROOIIDD PPHHYYSSIIOOLLOOGGYY 
•T3 AND T4 ARE PRODUCED BY THE THYROID 
GLAND 
•UNDER THE INFLUENCE OF TSH. 
•THIS IS IN TURN UNDRER THE INFLUENCE OF TRH.
HHYYPPOOTTHHYYRROOIIDDIISSMM 
•AS A RESULT OF DAMAGE TO THE GLAND 
•CLINICALLY: 
•TIREDNESS 
•COLD INTOLERANCE 
•WEIGHT GAIN 
•CONSTIPATION 
•MENTAL LETHARGY
CCOONNTT :: HHYYPPOOTTHHYYRROOIIDDSSMM 
•BRADYCARDIA 
•COLD EXTREMITIES 
•DRY SKIN AND HAIR 
•HOARSE VOICE 
•BRADKINESIS
CCOONNTT ::HHYYPPOOTTHHYYRROOIIDDIISSMM 
•DO THROID FUNCTION TEST ( T3 -T4-TSH). 
•TREATMENT WITH ORAL THYROXINE.
CCLLAASSSSIIFFIICCAATTIIOONN OOFF GGOOIITTRREESS 
G O I T R E 
S I M P L E T O X I C N E O P L A S T I C
SSIIMMPPLLEE GGOOIITTRREE 
•DUE TO IODINE DEFFICIENCY. 
•CLINICALLY: 
•ASYMPTOMATIC 
•DYSPHAGIA 
•DYSPNOEA 
•COSMOTIC 
•MYA BE COMPLICATED BY 
SECONDARY THYROTOXICOSIS OR 
CARCINOMA.
CCOONNTT :: SSIIMMPPLLEE GGOOIITTRREE 
•INVESTIGATION: 
•THORACIC INLET X RAY 
•TFT 
•CBC 
•UREA AND ELECTROLYTES 
•TREATMENT: SUBTOTAL 
THYROIDECTOMY
TTHHRROOIIDD MMAALLIIGGNNAANNCCYY 
•PRIMARY 
•FOLLICULAR 
•PAPILLARY 
•ANAPLASTIC 
•MEDULLARY 
•SECONDAY 
•METASTATIC 
•LOCAL INFILTERATION
CCOONNTT ::TTHHYYRRIIOODD MMAALLIIGGNNAANNCCYY 
•CLINICALLY: 
•LOSS OF WEIGHT 
•LOSS OF APETITE 
•PRESSURE SYMPTOMS
CCOONNTT :: TTHHYYRROOIIDD MMAALLIIGGNNAANNCCYY 
•FNAC IS A MUST. 
•TRAETMENT: 
•SURGERY 
•RADIATION
HHYYPPEERRTTHHYYRROOIIDDIISSMM 
•HAS THREE CLINICAL TYPES: 
•DIFFUSE TOXIC(GRAVES DISEASE) 
•TOXIC NODULAR 
•TOXIC NODULE
CCOONNTT:: HHYYPPEERRTTHHYYRROOIIDDIISSMM 
•CLINICALLY: 
•SWEATING 
•LOSS OF WEIGHT 
•EXCESSIVE APETITE 
•HEAT INTOLERENCE 
•HOT MOIST PALMS 
•EYE SIGNS
CCOONNTT :: HHYYPPEERRTTHHYYRROOIIDDIISSMM 
•DO THROID SCAN.WHY? 
•DO TFT 
•TREATMENT : 
•ANTI THYROID DRUGS 
•SURGERY 
•RADIOACTIVE IODINE
EENNDD OOFF LLEECCTTUURREE 
THANK YOU

Thyrid disease