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109 Cards in this Set

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Location of the thyroid gland

In front and side of the trachea


C5-7 T1 vertebrae

Covering of the trachea

Inner true capsule- condensing fibers of the stroma of the gland contain dense capillary plexus


Outer false capsule- splitting of the pre-treacheal fascia

Suspensory ligament of berry

Thinkening of the false capsule


Connect the medial surface of the lateral lobe to the Cricoid cartilage

Attachment of the pre- treacheal facia

Hyoid bone and oblique line of the thyroid cartilage

External features of the thyroid

Two lobes from the middle of the thyroid cartilage to the 4th or 5th 6th ttacheal ring


isthmus joining them across the midline at the 2nd 3rd and 4th trachea rings

Weight of the thyroid

25 gram


Weight increases in woman pregnancy and menstruation

Medial surface of the thyroid gland

Nerve external and recurrent laryngeal


Muscle inferior constrictor cricothyroid


Artery superior and inferior laryngeal


Tube treaches and esophagus


Cartilage thyroid and cricoid

Anterior-lateral surface or superficial surface of the thyroid

Skin and superficial fascia


Steenocledomastoid with deep cervical fascia


Sternothyroid


Sternohyoid


Superior belly of the omohyoid


Pretreacheal fascia


Posterior lateral surface of the thyroid

Carotid sheet and its content

Apex of the thryoid gland

Bounded by inferior constrictor (medically) and sternothyroid (laterally)


Superior thyroid artery and external laryngeal nerve runs close to each other

Base of thyroid gland

4th or 5th t racheal ring


Inferior thyroid artery and recurrent laryngeal nerve

Anterior border of the thyroid

Anterior descending branch of the superior thyroid artery

Posterior border of the thyroid gland

Inferior thyroid artery


Anastomosis of the inferior thyroid and superior thyroid


Parathyroid gland


Thoracic duct on the left side

Levator glandular thyroideae

Extend from the istmus to the hyoid bone


Nerve external laryngeal

Anterior surface of the isthmus

Sternohyoid and sternothyriod


In deep cervical fascia and anterior jugular vein

Posterior surface of the istmus

2nd and 3rd treacheal ring

Superior border of the isthmus

Anastomosis of the surperior thyriod arteries

Arterial supply to the thyroid

Superior thyroid artery from the th first ECA divide in anterior and posterior branches


Posterior branch anastomosis with the ascending branch of the inferior thyroid


Inferior thyroid branch of the thyrocervical trunk of the 1st part of the subclavian give off 4-5 glandular branches one supply the parathyroid gland


Middle cervical ganglion


Anterior to the nerve

Veins to the thyroid

Superior thyroid vein- drain in the internal jugular vein ot common facial vein


Middle thyroid vein- internal jugular vein


Inferior thyroid vein- left brachiocephalic vein


Sometimes a 4th vein drain in the internal jugular vein

Lymphatic drainage to thyroid

Superior- jugulardigastric nodes


Inferior- pre-tracheal nodes


All deep cervical nodes

Nerve to thyrode

Parasympathetic- vagus/recurrent laryngeal


Sympathetic- 3 cervical ganglion

thyroidea ima artery

Present in 3% of ppl


From the brachiocephalic trunk or arch of the aorta or right common carotid

Applied anatomy of the thyroid

Ligate the superior thyroid artery close to the gland


Ligate inferior thyroid artery away from the gland

Parathyroid gland

Posterior to the lobe of the thyroid writhing false capsule


Superior parathyroid


Inferior parathyroid


Weighs 50mg

Superior parathyroid gland

Posteriormidial to the thyroid


At C6


Dorsal to recurrent laryngeal nerve


Endoderm


4th pharyngeal pouch

Inferior parathyroid gland

Below the inferior thyroid artery at the lower lobe of the thyroid


Above the inferior thyroid artery behind and outside the false capsule


Writhing the true capsule


Endoderm


3rd pharyngeal pouch

Blood supply to the parathyroid gland

Inferior thyroid artery and anastomosis between the superior thyroid


Veins and lymph same as thyroid

Nerve supply to parathyroid gland

Superior and middle cervical ganglion

Pyramidal lobe

A small portion of gland substance that projects upwards from the isthmus to th left of the midline and represent a development of glandular tissue from the caudal end of the thyroglossal duct

Adenohypophysis

Pars anterior


Pars intermedius ; infront and side of nuerohypophysis


Pars tuberalis surround the infundibulum

Functions of the hypothalamus

Ventro medial lobe- satisfactory parasympathric


Dorso Lateral- hunger feeding sympathetic

Development of the adenohypophysis

Ectoderm of the stomatodeum


3rd week


End of 2nd month it loosen its connection from stomatodeum

Delopmeny of the nurohypophysis

Nuero ectoderm from the diencephalon


Infundibulum


Oxytocin and ADH


Unmulinated

Outpoching of the neuropore

Prosencephalon forebrain become telencephalon and diencephalon


Mesencephalon midbrain


Rhombencephalon hindbrain

Diencephalon give rise to

Subthalamus


Epithalamus


Thalamus


Hypothalamus

Formation of the pineal gland

Epithalamusn epiphysis

Hypophysis cerebri pituitary gland

Located in the hypophyseal fossa


In the floor of the third ventricle is the Salk of the pituitary gland the infundibulum


500mg


Sits in the sella turcica

Pineal gland

Calcified with age


Produce melatonin


Increase in darkness decrease in light

Infundibulum

Connects hypophysis to hypothalamus


Pars tuberalis surrounds it

Pars anterior cells

Chromophobe


Chromophil- acidophils (alpha cells)


Basophils (beta cells)

Acidophils

Smaller that basophils


Numerous


Contain somatotrophs (growth hormone) inhibition somatostatin


Mammotrophs ( secrete prolactin) inhibition dopamine

Basophils

Thyrotroph - thyroid stimulating hormone


Gonadotrophs - FSH LH


Corticotrophs -

Oxytocin

Contracted the smooth muscles of the Uterus


Participate in milk ejection reflex

C cells parafollicular cells

Release calcitonin


Decrease calcium absorption


Inhibiting reabsorption of bone

C cells parafollicular cells

Release calcitonin


Decrease calcium absorption


Inhibiting osteoclast reabsorption of bone

Two type of parathyroid cells

Chief cells - stimulate osteoclasyic bone reabsorption intestinal calcium uptake and calcium reabsorption in thr kidney


Oxophilic cells -

Venous drainage to the hypophysis

Cavernous sinus which drain in the internal jugular vein contain nerve 6

Glabrous skin

Sole and palm


No hair follicles or sebaceous gland

Origin of the skin

Ectoderm - epidermis


Mesoderm - dermis


Neural crest -pigmented system

Substances develope feom skin

Breast


Lacrimal glands


Paratid gland

Function of hypothalamus

Cardiovascular system- posterior and lateral pre optic opposite effects


Anger- lateral hypothalamus


Sexual drive- anterior and posterior hypothalamus

Venous drainage for the supra renal glands

Right- IVC


left-left renal vein

Epithelium of the thyroid

Choroidal epithelium follicular cells


Simple cobiodal

Foramen of Monroe

Leads in the third ventricle

Relation of the hypothalamus

Superior thalamus


Lateral internal capsule


Medial 3rd ventricle coverwd by ependyma


Posterior subthalamus


Anterior lamina terminalis

Artery to the hypothalamus

Superior hypophysial artery of the ICA

Major afferent of the hypothalamus

Fornix- from hippocampus


Stria terminalis- from amygdaloid


Medial forebrain bundle- skeletal area


Ventral amygdalofungal fibers- amygdala


Periventricular fibers


Pallido hypothalamic


Autonomic ascending input

Major efferents of the hypothalamus

Mamillothalamic tract


Mamillotegmental pathway


Supraoptico/paraventricular/hypophyseal


Fornix


To subthalmic nuclie


Projection to neocortex


Paraventricular fibers


Stria terminalis

8

Tuber cinereum

Between optic chiasma and mamilary body


Laterally internal carotid grove

Medial eminence

No blood brain barrier


Below the infundibulum

Bone behind the pituitary

Dorsum sellae

Development of the supra renal gland

Cortex- intermediate mesoderm 5th week


Medulla- Neuro ectoderm

Superarenal glands

Lies anteriorsuperior to the upper part of the kidneys

Right supra renal gland

Pyramidal in shape


Lies on the diaphragm


Anterior- medial IVC


Bare area of the liver


Inferior- peritonium of the hepatorenal pouch


Left supra renal gland

Crescentic shape


Lies over the medial border of the left kidney above the hilium


Upper part is covered by peritonium


Lies on the left crus of the diaphragm


Inferior- body of the pancreas and splenic vessels

Blood supply to the supra renal gland

Inferior phrenic artery- 2 or 3 branches superior supraadrenal artery


Aortic artery- middle supraadrenal artery


Renal artery- inferior supra renal artery

Veins of the supra renal

Left vein- connect with the inferior phrenic vein to drain in the left renal vein


Right vein- IVC short 6mm

Lymph drainage to the supr renal gland

Para aortic nodes

Nerves to the supra renal gland

Preganglionic sympathetic via celiac plexus

Content of the cavernous sinus

Nerve 3- occulomotor


" 4-trachular


" 5-ophtalmic maxillary


" 6- abducent

Relation of the pineal

Anterior- 3rd ventricle


Posteroinferiorly- superior cerebellar cistern


Superioly- vein of Galen internal cerebral vein stria modulates splenuium of corpus callosum


Inferior- superior colliding of the midbrain

Melatonin

Blocks gonadotrophin

Blood supply to the pineal gland

Choroidal artery

Pars nervosa

Contain pituracytes


Sinusoidal space


Herring body

Two types of hypophysis

Andenohypophysis


Nurohypophysis

Neurohypophysis

Smaller than adenohypophysis


Pars nervosa posterior to the nurohypophysis


Infundibular stem


Median eminence

Relations to the hypophysis

Superior- Diaphragma sellae


Infundidibular recess of the t hired ventricle


Optic chiasma


Anterior communicating artery


Inferior- hypophysial fossa


Lateral- cavernous sinuses and its contents


Artery to hypophysis

Superior spit in the midial eminence supply the adenohypophysis infundibulum and ventral hypothalamus and inferior hypophysial nurohypophysis artery of the ICA

Hypothalamus

Ventral part of the diencephalon


Floor of the third ventricle


Below the hypothamic sulcus

Epithalamus

In relation to the posterior part of the roof of the third ventricle


Form the pineal gland

Cells of the pineal gland

Pinalocytes and astrocyte

Cells of the pineal gland

Pinalocytes and astrocyte

Blood supply to the pineal gland

Pineal arteries of the posterior choroidal arteries

Nerve supply to pineal gland

Superior cervical ganglion

Foramen caecum

Remittance of the thyroglossal duct

Parathyroid production starts

12th weeks

Formation of the zones of the supra renal gland

Zona glomerulosa proliferate to form the other two zones at 12 year its gully develops

3rd pharyngeal pouch

5th week thymus and inferior parathyroid gland

Development of the hypothalamus

Diencephalon


7thweek

Mamilary body

Short term memory

Fornix

Dives in the hypothalamus


Divide the hypothalamus into a lateral and medial zone


Then David it to a pre optic 1nucleus supra optic 4 nuclei tuberal 3 nuclei and mamilary region 2 nuclei anterioposterior


Connects the hippocampus to the mamilary body

Supraoptic nuclei

Paraventricular


Anterior nucleus


Supraoptic


Suprachiasmatic

PASS

Tuberal region nucleus

Dorsomedial


Ventromedial


Arcuate (infundibulum)

Mamilary nucleus

Posterior


Mamilary nucleus

Pre optic region

Pre optic nucleus


Release GnRH

Supraoptic region function

Paraventricular and supra optic


Water balance


ADH and oxytocin


Diebetes insipidus


Corticotropin releasing hormone in response to stress


Anterior nucleus


Parasympathric activity


Heat lost


Suprachiasmatic nucleus


Control melatonin


Circadian rhythms

Tuberal region function

Dorsomedial


Eating


Too much stimulation cause obesity and savage behavior


Ventromedial


Satisfactory


Destruction result in obesity


Arcuate nucleus


Hypothalmic releasing factors

Mamilary region function

Mamilary nucleus


Hemorrhagic lesions


Posterior nucleus


Sympathetic


Heat gain

Cricothyroid muscle

External laryngeal nerve


Lengthen vocal cord and high pitch

Cutting of the recurrent laryngeal nerve

No abductors of the vocal cord

Germ layer

Endoderm- pouches


Mesoderm- arches


Ectoderm- cleft

Cavernous sinus

Between the supraorbital fissure and the foramen labrum


Contain internal carotid artery


Nerve 3 - occulomoter


4- tracular


5- maxillary and ophthalmic


6- abducent

Posterior perferating substance

Behind the mamilory body

Rathicks pouch

Persistent after birth cause cyst

Lamina terminalis

Represent the closing of the neural pore 24 days

Vein to the posterior hypothalamus

Inferior hypophysial vein

Delphia nodes

Infront thyroid

Fascia covering the suprarenal glands

Jarotors fascia

Distence of the supra renal glands

4cm