Thyroid physiology

Functional anatomy

  • Gross anatomical location - Thyroid
  • Site of production of T3 and T4 (details of cellular manufacture not needed)

Transport of thyroid hormones

  • Normal values of TSH and T4 hormone in health

TSH: 0.4-4.5 milliunits per litre
FT4 (Free T4): 9-25 picomoles per litre
FT3 (Free T3): 3.5-7.8 picomoles per litre

  • Importance of binding proteins in transport and concept of ‘free’ hormone
  • Peripheral metabolism of T4 to T3

Physiological effects

  • Cardiac output, and calorigenic effect, as type examples

Effects of disordered function

Physiological basis of hypo- and hyper- thyroidism: see