thyroid
[thi´roid] thyroid crisis a sudden and dangerous increase of the symptoms of
thyrotoxicosis, seen in patients with severe
hyperthyroidism or in the period immediately following a
thyroidectomy. (However, good postoperative care and the use of
radioiodine ablation techniques have greatly reduced the incidence of this once common postoperative complication.) Called also
thyroid or
thyrotoxic storm.
Thyroid crisis is a serious event that can be fatal if not brought under control. All of the body processes are accelerated to dangerously high levels. The pulse may rise to 200 beats per minute, and there is concurrent rise in the respiratory rate. The temperature control center loses control, bringing about a rapid and steady increase in body temperature. Pulmonary edema and congestive heart failure can also occur.
Treatment is aimed at correction of the
hyperthyroidism, control of the symptoms, and prevention of further crisis by treating the underlying cause. Medications are employed to block synthesis of thyroid hormones, block their release, and inhibit conversion of
triiodothyronine to
thyroxine.
plasmapheresis.
plasma exchange, or
hemodialysis may be necessary to remove the hormones from the circulation.
Supportive care includes administration of oxygen and measures to control
hyperthermia, such as the use of ice packs or a hyperthermia blanket. Intravenous hydration is important to prevent
shock. The use of
glucocorticoids is associated with improved survival rates.
propranolol,
sympatholytics, and
guanethidine are often used, as well as other medications that treat symptoms.
thyroid gland the largest of the
endocrine glands, consisting of two lateral lobes connected by an isthmus; a third pyramidal lobe sometimes extends up from the isthmus. The thyroid gland is located in the front and sides of the neck just below the thyroid cartilage and produces hormones that are vital in maintaining normal growth and metabolism (see
thyroid hormones). It also serves as a storehouse for iodine.
Diagnostic tests for thyroid disorders include radioimmunoassay for T
3, T
4, and thyroid-stimulating hormone (TSH), free thyroxine serum concentration, and free thyroxine index (FTI). These and other thyroid function tests can be distorted by preparations and foods containing iodine, and by oral contraceptives, phenytoin (Dilantin), and several other drugs. The
thyroid scan is useful in detecting nodules and active thyroid tissue and, combined with radioactive iodine uptake, measures the ability of the thyroid gland to take in ingested iodine.
Persons who received radiation to the head and neck as children are at higher than normal risk for development of thyroid abnormalities. Of these disorders about one-third are carcinomas of the thyroid. Other problems related to radiation early in life include adenomas and other malignant and benign tumors, hypo- and hyperthyroidism, and thyroiditis. The American Thyroid Association suggests periodic laboratory testing and physical assessment of persons at high risk in order to detect these abnormalities when they are more amenable to treatment.

Thyroid gland.
thyroid hormones iodothyronines secreted by the
thyroid gland, principally
thyroxine (tetraiodothyronine or T
4) and
triiodothyronine (T
3). The serum level of T
4 is normally 45 to 50 times the level of T
3. However, T
3 is several times more active than T
4, and most T
3 is produced by metabolism of T
4 in peripheral tissues. The pharmaceutical names for T
4 and T
3 are
levothyroxine and
liothyronine, respectively. Thyroid hormones influence many metabolic processes. They stimulate the cellular production of heat; stimulate protein synthesis; regulate many aspects of carbohydrate metabolism; stimulate lipid synthesis, mobilization, and degradation; stimulate the synthesis of coenzymes from vitamins; and may affect the response of tissues to epinephrine and norepinephrine.
Secretion of thyroid hormones is regulated by the hypothalamus-pituitary-thyroid control system. Internal environmental conditions, such as low thyroid hormone and norepinephrine serum levels, or external factors, such as cold and stress, activate the hypothalamus, which secretes thyrotropin-releasing hormone (TRH). This hormone acts on the pituitary gland and brings about the release of thyroid-stimulating hormone (TSH). The TSH then stimulates the release of thyroid hormones such as T
3 and T
4 from the thyroid gland. When sufficient levels of serum thyroxine and other thyroid hormones have been reached, there is negative feedback to the hypothalamus and TRH is no longer secreted. See also
hypothyroidism and
hyperthyroidism.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
thy·roid
(thī'royd), 1. Resembling a shield; denoting a gland (thyroid gland) and a cartilage of the larynx (thyroid cartilage) having such a shape.
2. The cleaned, dried, and powdered thyroid gland obtained from one of the domesticated animals used for food and containing 0.17-0.23% of iodine; formerly widely used in the treatment of hypothyroidism, cretinism, and myxedema, in some cases of obesity, and in skin disorders.
[G. thyreoeidēs, fr. thyreos, an oblong shield, + eidos, form]
Farlex Partner Medical Dictionary © Farlex 2012
Patient discussion about thyroid
Q. Anyone know if there is a connection between Fibromyalgia and your Thyroid gland? I have Fibromyalgia and I read that if your diagnosed with this you can have Thyroid problems also. If anyone knows out there please inform me. Many thanks.
A. Below is an interesting article on the subject. A significant percentage of the estimated 20 million people with hypothyroidism end up also being diagnosed with fibromyalgia. Some experts believe that like most cases of hypothyroidism, fibromyalgia is also autoimmune in nature. Others believe that fibromyalgia may be one manifestation of an under active metabolism – hypometabolism – and is therefore one variation on thyroid dysfunction.
http://thyroid.about.com/cs/fibromyalgiacfs/a/fibrothyroid.htm
Q. Is there any natural herb for a sluggish thyroid My uncle is suffering with thyroid for the past 8 months and the treatment he underwent is not successful. Is there any natural herb for a sluggish thyroid?
A. first of all the thyroid gland is situated in the front of the neck, just below the larynx(voice box)it consist of two lobes,one one each side of the trachea(windpipe)joined by a narrower portion of tissue called the isthmus---the thyroid grand produces hormones that regulate metabolism(the chemical activitie in cells that release energy from nutrients or uses energy to create other substances,such as proteins)the thyroid gland regulates the level of calcium in the body.insufficient thyroid hormones prduction is known as hypothyroidism(sluggish thyroid)symtoms include tirednes/dry skin/hair loss/weight gain/constipation/and sensitivity to cold.--because iodine is necessary for the production of thyroid hormones/calcium-ASk your DR before trying natural meds-because they ma interfere with what your uncle is taking now?--and you need to find out from your DR WHY is his thyroid sluggish--mrfoot56--peace
Q. I was told to have my thyroid test and now after the result they have told me to go for MRI I am 23 years old lady……I was told to have my thyroid test and now after the result they have told me to go for MRI……..and I know one of my friend had same type of symptoms and after thyroid test she was on her medicines and now she is well…they say it may be fibromyalgia or sclerosis …why they want me to go for MRI…..there seems to be something serious?
A. i think the MRI is to detect any signs of sclerosis. they try to get a differential diagnosis so they look for sclerosis or any other pathological sign. they didn't find anything in the Thyroid?
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