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Related Concept Videos

Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Goiter01:27

Goiter

Goiter refers to an abnormal enlargement of the thyroid gland that may appear as a diffuse goiter (uniform enlargement) or nodular (single or multiple nodules). Functionally, it is classified as nontoxic (normal/low hormone levels) or toxic (excess hormone production).PathophysiologyDiffuse thyroid enlargement typically results from prolonged stimulation by thyroid-stimulating hormone (TSH) or TSH-like agents, commonly seen in hypothyroidism or iodine deficiency. In contrast, in hyperthyroid...
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Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.

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Thyroid rupture secondary to blunt neck trauma.

Yih-Liang Sow1, Nora Abdul Aziz, Khoon-Leong Ng

  • 1Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.

The American Journal of Emergency Medicine
|February 13, 2013
PubMed
Summary

Thyroid gland rupture is rare after blunt neck trauma. This case details a motor vehicle accident victim with a ruptured thyroid, treated successfully with hemithyroidectomy, highlighting a unique presentation of neck injury.

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Area of Science:

  • Trauma Surgery
  • Endocrinology
  • Anatomy

Background:

  • Thyroid gland rupture is an infrequent consequence of blunt neck trauma.
  • Pre-existing goiter is often associated with thyroid injury, but this case involved a patient without prior thyroid disease.

Observation:

  • A patient involved in a motor vehicle accident presented with acute neck pain, swelling, dysphagia, and hoarseness.
  • Computed tomography revealed lacerations in the right thyroid lobe and isthmus, indicating slow, active bleeding.
  • Surgical exploration confirmed a ruptured right thyroid lobe with active venous hemorrhage.

Findings:

  • The patient underwent a right hemithyroidectomy to address the thyroid rupture and control bleeding.
  • Post-operative recovery was uneventful, with no complications reported.

Implications:

  • This case underscores the importance of considering thyroid rupture in patients with blunt neck trauma, even without pre-existing goiter.
  • Prompt diagnosis and surgical intervention are crucial for managing thyroid gland trauma and ensuring favorable patient outcomes.