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‫الخالصة‬

GOITER

Overall enlargement of the thyroid

Hypothyroidism Hyperthyroidism
Simple goiter Exophthalmic goiter

Goiter occurs ENLARGEMENT OF


Low iodine level
(overstimulation) THYROID

Inability to
HIGH thyroxin
produce thyroxin HIGH TSH No Effect levels

Low thyroxin
Negative feedback Negative
level LOW TSH
feedback
Thyroid Gland Dysfunction

Defect in Thyroid
Defect in Pituitary
gland
gland

Negative feedback
TSH TSH

Thyroid Gland Thyroid Gland

Thyroxin Thyroxin
Exopthalmic
goiter
Thyroid gland ENLARGMENT

LOW TSH level in


blood

Still producing
thyroxine without
stimulation

HIGH thyroxine
level in blood Negative feedback Pituitary gland
Hyposecretion of thyroxine
Hyper secretion of thyroxine

Autoimmune
disorder

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