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PRE-DISPOSING FACOTRS S SEX FEMALE (4:3 I 1:2 MALE) AGE OVER 40 YEARS OLD FAMILY HISTORY OF GOITER GEOGRAPHIC

RAPHIC MOUTAIN AREAS OR HEAVY RAINFALL AREA

PATHOPHYSIOLOGY OF SPORADIC (NON-TOXIC) GOITER

PRECIPITATING FACTORS HISTORY OF RADIATION THERAPY REGULAR INTAKE OF GOITROGENS EXCESSIVE AMOUNT OFIODINE IODINE DEFICIENCY

ETIOLOGY:MAYBE CAUSED BY ONE OF THE FACTORS STATED

[IODINE DEFICIENCY] THYROID GLAND CANTT SECRETE ENOUGH THYROID HORMONE TO MEET METABOLLIC and GROWTH NEEDS [EXCESSIVE IODINE] TOO MUCH GOITROGENIC INGESTION DECREASES T4 (TETRAIODOTHYRONINE) PRODUCTION

LACK IN IODINE DECREASES GLANDULAR ORGANIC IODINE LEVEL

IMPAIRS IODINE HORMONE SYNTHESIS AND HYPOTHALAMUS TENDS TO INCREASE THE RELEASE TSH (THYROID STIMULATING HORMONE)

WHEN THYROID HORMONE SECRETION IS REDUCED BELOW NORMAL LEVELS, SECRETION OF TSH RELEASING HORMONE AND TSH SECRETION SUBSTANTIALLY INCREASE.

EXCESS TSH DEVELOP AREAS OF INVOLUSION AND DEVELOPS HYPERPLASIA

DEVELOPMENT OF NODULES TAKES PLACE

THYROID GLAND SLOWLY INCREASE IN SIZE

DEVELOPMENT OF FUNCTIONAL THYROTOXICOSIS

VISIBLE ANTERIOR NECK MASS

PRESSURE ON ANTERIOR NECK STRUCTURES

VENOUS OUTFLOW, OBSTRUCTION OF THE HEAD AND NECK CIRCULATION

PRESSURE ON ESOPHAGUS

PRESSURE ON TRACHEA

PRESSURE ON RECURRENT LARYNGEAL NURVE

FACIAL PLETHORA

DYSPHAGIA

DYSPNEA HOARSENESS COUGHING

WHEEZING

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