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相关概念视频

Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

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Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
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The Thyroid Gland01:23

The Thyroid Gland

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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Functions of Thyroid Hormones01:18

Functions of Thyroid Hormones

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The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
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甲状腺结节:诊断和管理

Giorgio Grani1, Marialuisa Sponziello1, Sebastiano Filetti1

  • 1Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.

Nature reviews. Endocrinology
|August 16, 2024
PubMed
概括

甲状腺结节很常见,影响近25%的人. 更新的策略,包括像TIRADS这样的成像系统和分子测试,改善风险评估和个性化治疗甲状腺结节.

科学领域:

  • 内分泌学 在内分泌学.
  • 放射学 放射学是一门学科.
  • 在瘤学瘤学.

背景情况:

  • 甲状腺结节非常普遍,发生在近25%的一般人口中.
  • 流行程度受人口因素和风险指标的影响.
  • 在过去的十年中,诊断和治疗方案取得了重大进展.

研究的目的:

  • 为提供甲状腺结节患病率的全面概述.
  • 详细介绍当前风险分层和管理策略.
  • 为了突出最近在甲状腺结节的诊断和治疗方案的变化.

主要方法:

  • 审查基于超声波的分层系统,包括甲状腺成像报告和数据系统 (TIRADS).
  • 精细针吸收活检 (FNAB) 和细胞学评估的评估.
  • 对不确定的情况进行分子测试的探索.
  • 评估不断变化的治疗方式,如积极监测和局部切除.

主要成果:

  • 基于超声波的系统 (如TIRADS) 有助于恶性瘤风险预测,可能减少活检.
  • 通过FNAB进行细胞学评估对于大或可疑的结节至关重要.
  • 分子测试有助于管理不确定的细胞学结果.

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  • 非手术选择,如主动监测和局部切除,对于被选中的患者来说是可行的替代方案.
  • 结论:

    • 个性化,基于风险的协议提高了护理质量,降低了甲状腺结节的成本.
    • 共享决策工具可以改善临床医生与患者之间关于诊断和治疗选择的沟通.
    • 现代的管理策略强调针对许多甲状腺结节的定制方法,而不是传统的手术干预.