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Examination of the thyroid gland includes the search for abnormal masses and the assessment of overall thyroid size. [82] The character of the thyroid, swellings, nodules, and their consistency may all be able to be felt. If a goitre is present, an examiner may also feel down the neck consider tapping the upper part of the chest to check for ...
Most commonly an ultrasound is performed to confirm the presence of a nodule, and assess the status of the whole gland. Measurement of thyroid stimulating hormone and anti-thyroid antibodies will help decide if there is a functional thyroid disease such as Hashimoto's thyroiditis present, a known cause of a benign nodular goitre. [4]
The parathyroid glands are variable in number: three or more small glands, [5] and can usually be located on the posterior surface of the thyroid gland. [5] Occasionally, some individuals may have six, eight, or even more parathyroid glands. [3] Rarely, the parathyroid glands may be within the thyroid gland itself, the chest, or even the thymus ...
Thyroid follicular cells (also called thyroid epithelial cells or thyrocytes [1]) are the major cell type in the thyroid gland, and are responsible for the production and secretion of the thyroid hormones thyroxine (T 4) and triiodothyronine (T 3).
The gland increases in size by 10%, thyroxine production increases by 50%, and iodine requirements increase. Many women have normal thyroid function but have immunological evidence of thyroid autoimmunity (as evidenced by autoantibodies) or are iodine deficient, and develop evidence of hypothyroidism before or after giving birth. [44]
It also shows a normal thyroid in normal position in the lower neck. c Image taken 20 minutes after 5 mCi injected Tc99m-Pertechnetate shows normal thyroid uptake of tracer and physiological uptake in the salivary glands (short black arrow). There is a distinct focus of abnormal tracer accumulation in the left parotid/submandibular region.
The pituitary gland (or hypophysis) is an endocrine gland about the size of a pea and weighing 0.5 grams (0.018 oz) in humans. It is a protrusion off the bottom of the hypothalamus at the base of the brain, and rests in a small, bony cavity (sella turcica) covered by a dural fold (diaphragma sellae).
Thyroid hormones (T 4 and T 3) are produced by the follicular cells of the thyroid gland and are regulated by TSH made by the thyrotropes of the anterior pituitary gland. The effects of T 4 in vivo are mediated via T 3 (T 4 is converted to T 3 in target tissues). T 3 is three to five times more active than T 4.
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