Generic Medical Terminology BSBMED301 Interpret and apply medical terminology appropriately Clinical Education Medical Terminology Study Guide Health Training Package HLT The learning material provided in this Study Guide has been developed to meet the requirements of the Business Services Training Package. Training packages are a key feature of vocational education and training in Australia. They are developed nationally by industry, for industry. Qualifications are recognised nationally. The Medical Terminology Study Guide relates to the following national competency: BSBMED301 Interpret and apply medical terminology appropriately The Medical Terminology Study Guide relates to the following National Safety and Quality Health Service Standards: Every effort has been made to trace and acknowledge copyright material. occurred accidentally the authors and publishers tender their apologies. Should any infringement have Copying Except as permitted under the Act (for example a fair dealing for the purpose of study, research, criticism or review) no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission. All enquiries should be made to the publisher at the address below. Chief Executive Officer SA Ambulance Service GPO Box 3 Adelaide SA 5001 Published by SA Ambulance Service RTO Code: 0264 Clinical Education Version: 1.0 160713 © SA Ambulance Service - July 2016 2 Medical Terminology Study Guide Contents Introduction 5 Origins of Medical Words 6 Five types of medical terms 7 Using Medical Terminology 9 Components of Medical Words 12 Building Medical Words 18 Organisation of the Human Body 19 Anatomical Position, Directions and Movements 26 Areas of Medicine and Medical Personnel 29 Pharmacology and Pharmaceuticals 31 Diagnostic Procedures 33 Additional Resources 34 Glossary - Common Abbreviations 35 Glossary - Medical Terms 37 © SA Ambulance Service - July 2016 3 Medical Terminology Study Guide eBook Symbol Key Click on this icon to play a Video Click on the orange text to be taken to the Glossary Click on this icon to play Audio Click on this icon to be taken to a related study guide Click to open a link to an external website Click on this icon to be taken to related SAAS eLearning courses. Click to return to the Contents page Click on the following icons to open relevant documents on the SAAS Intranet. Please ensure you are logged into the Intranet prior to clicking on the icon. > Clinical Documents Click to open relevant Clinical documents on the intranet (e.g. Clinical Communications, CPPs) > Information Notice Click to open relevant Information Notices on the intranet. > Safety Alert Click to open relevant Safety Alerts > Procedure Click to open relevant Procedures > Policy Click to open relevant Policies > General Resources Click to open relevant Intranet pages and resources > SA Health Guidelines Click to open relevant SA Health Guidelines and Directives © SA Ambulance Service - July 2016 4 Medical Terminology Study Guide Introduction Different professions have different ‘languages’. Medical terminology is used in all aspects of health care. As an EMDSO, you need to have an understanding of the terminology used in the medical field. This understanding is important in order to interpret documents and to converse with colleagues and other health care professionals. Medical terminology is a specialised vocabulary used by health care professionals to assist with communication. It creates a universal (or world wide) medical communication system. Like every other language, medical terminology has changed over time. The basis for medical terminology however, remains the same. The majority of medical terms find their basis in Latin or Greek. Information within this guide will provide you with an introduction to basic terminology in common use throughout SAAS, including understanding and responding to instructions, carrying out routine tasks and communicating with a range of internal/ external clients and colleagues to support the delivery of safe and effective emergency pre-hospital care. The following colour coding has been used throughout this study guide to indicate the different components of medical terms. © SA Ambulance Service - July 2016 5 Medical Terminology Study Guide Origins of Medical Words An understanding of the structure of medical terms and an ability to break down a medical term into its parts, helps to make understanding medical terminology less challenging. Most medical terms derive from Greek or Latin origins, although some are derived from modern languages, particularly German, French and English. In general, medical terms dealing with diagnosis and surgery have Greek origins, whereas anatomical terms have Latin origins. Major influences include: • Ancient Greece - Hippocrates, the ‘Father of Modern Medicine’ (5th Century BC) • Ancient Rome - the rise and fall of the Roman Empire (after 300 BC) • Mythology and culture • Natural world - plants, animals, shapes, astronomy, tools and household items • The French influence - the Norman Conquest (1066) • The English Renaissance (16th century) - Andreas Vesalius (1540). In contrast to ancient Greece, ancient Romans did not have a well developed concept of medicine. Many early medical terms were based on the names of characters in mythology and ordinary words that reflected the world about them. The work of Andreas Vesalius introduced many more Latin anatomical terms. © SA Ambulance Service - July 2016 6 Medical Terminology Study Guide Five types of medical terms There are five basic types of medical terms. Direct borrowings These are foreign words that have been adapted with little or no change. This is particularly common with French or Latin words. For example: Cancer - Latin for ‘crab’ Tampon - French for ‘plug’ Skin and skull - old Norse Screen and scan - Danish Eponyms An eponym is a name of a drug, structure or disease which is based on, or derived from a name of a person, place or thing. NAME EPONYM Adam (first man in the bible) Adam’s apple Achilles (legendary Greek warrior) Achilles’ tendon Hygieia (Greek goddess of health) Hygiene, hygienic Melanie (Greek earth goddess) Melanoma Narcissus (Greek youth) Narcotic, narcissism Psyche (Greek princess) Psychology, psychiatry, psychosis Thanatos (Greek god of death) Euthanasia Morpheus (Roman god of dreams) Morphine Phobos (son of the Roman god of war) Phobia Somnos or Somnus (Roman god of sleep) Insomnia Gabriele Fallopio (Italian anatomist) Fallopian tubes George Papanicolaou (American physician Pap smear of Greek ancestry) Ross River, Queensland Ross River virus/fever Rhesis monkeys Rh or rhesus factor The American Legion convention held in Legionnaires disease Philadelphia in 1976 © SA Ambulance Service - July 2016 7 Medical Terminology Study Guide Abbreviations and symbols Medical terminology utilises many abbreviations and symbols, they boost efficiency as long as they are used correctly. The advantages of abbreviations and symbols should be weighed up against the possibilities of making communication harder for others to understand and having more than one possible interpretation. When using medical abbreviations and symbols, make sure that other people will understand what they mean. If abbreviations are misinterpreted or misunderstood, a patient/client could receive the wrong treatment and be harmed. A list of common abbreviations can be found on page 36. Administrative terminology Administrative terminology is used within the medical environment but is rarely found in a medical dictionary. This is because it does not relate to concepts such as medical conditions and procedures but rather to work related duties, such as: filling in forms, storing drugs and using various computer programs. Artificially constructed words Word parts are created from Greek and Latin words, these word parts are used as ‘building blocks’ to make new words. Most medical terms fall into this category and this is the main focus of learning medical terminology as the language of medicine. © SA Ambulance Service - July 2016 8 Medical Terminology Study Guide Using Medical Terminology Spelling North American-English spelling is different from Australian-English spelling in medical terminology. The American version of English does not include the addition of vowels. This spelling difference can make if difficult to find a word in a dictionary and can make using a spell check on a computer difficult. Across SA Health Australian-English is used in medical terminology. Pronunciation There is often more than one way to pronounce a medical term and in many cases, it does not matter which pronunciation you use. For example: the medical condition encephalitis (meaning inflammation or infection of the brain) can be pronounced with a hard or a soft ‘c’. Some people pronounce it ‘en-kef-a-lite-iss’ and others ‘en-sef-alite-iss’. Like spelling, pronunciation varies between the Australian and the American versions of the English language. Word parts may change in pronunciation when they are combined in different ways. Pronunciations may vary from country to country, even different regions of the same country. Letter(s) Pronunciation Example Silent letters and unusual pronunciation ch k Chemical dys dis Dystrophy eu e Euphoria gn n Gnathic ph f Pharmacy pn n Pneumonia ps s Pseudo- pt t Ptosis rh r Rheumatic x z Xiphoid © SA Ambulance Service - July 2016 9 Medical Terminology Study Guide Some useful guidelines to help with pronunciation are listed below: • ‘ch’ is sometimes pronounced like ‘k’, the ‘h’ is silent (e.g. chemical, chronic) • ‘ae’ is pronounced ‘ee’, the ‘a’ is silent (e.g. faeces, leukaemia) • ‘oe’ is pronounced ‘ee’, the ‘o’ is silent (e.g. diarrhoea, oesophagus) • ‘i’ at the end of a word to and from a plural is pronounced ‘eye’ (e.g. bronchi, fungi) • ‘c’ has a soft sound like ‘s’ when it is before ‘e’, ‘i’ and ‘y’ (e.g centre, circle, cycle) • ‘g’ has a soft sound like ‘j’ when it is before ‘e’ and ‘i’ (and sometimes ‘y’) (e.g. gene, giant, gypsy) • ‘c’ and ‘g’ have a hard sound before other letters (e.g. cardiac, gastric) • ‘e’ and ‘es’ when forming the final letter or letters of a word, are often pronounced as separate syllables (e.g. syncope, testes). Homophones Homophones are words which sound the same or very similar but they are spelt differently and have different meanings. Some of the words start with the following prefixes: • Ante- and anti- • Dis- and dys- • Hyper- and hypo- • Other examples of homophones are: • Ileum (lowest part of the small intestine) and ilium (bone which is part of the pelvis) • Elicit (provoke/prompt a response) and illicit (illegal or unlawful). Definitions Medical terms will often have a literal definition and a dictionary definition. The literal meaning will be quite brief, a translation of the component parts of the term. The dictionary definition however, will usually be more detailed and contain extra information. See the example: Medical term Oste/o -arthr- -itis Definition Bone(s) Joint(s) Inflammation or infection Literal translation: inflammation or infection of the bones and joints. Dictionary definition: degenerative disease of the bones and joints resulting from deterioration of the articular cartilage. © SA Ambulance Service - July 2016 10 Medical Terminology Study Guide Seeking Help If unsure about any terminology always seek clarification, either from the person communicating with you (verbal) or a supervisor or experienced work colleague. Checklists may also assist. © SA Ambulance Service - July 2016 11 Medical Terminology Study Guide Components of Medical Words Generally, medical words and terms can be broken down into parts, each of which has a specific meaning. While appearing complicated at first, by looking at the word, dividing it into its various parts and then working out the meaning of each part, the terms and their meaning will soon become clear. The parts into which the terms can be divided are as follows and any given medical term may contain one, some, or all parts of these: • Root: the foundation of the word; it can be combined with a prefix or suffix • Prefix: placed before the root to modify its meaning • Suffix: placed after the root to modify and give essential meaning to the root; forms a noun, verb or adjective • Linking or combining vowels: used to connect word parts in order to help with pronunciation; -o is the most common combining vowel. See below for some examples of how medical terms can be constructed using the above components: © SA Ambulance Service - July 2016 12 Medical Terminology Study Guide Roots Root words form the basis of most medical words. As most root words are derived from Greek or Latin, there is often more than one root which has the same meaning. In most medical terms the root word indicates the area of the body the term relates to. Below are some examples of root words, for a more comprehensive list see page 48. Root Definition Example -aden- Gland Adenoma (benign glandular tumour) -blephar- Eyelid Blepharoplasty (surgical repair of the eyelid -cardi- Heart Cardiography (recording heart beat) -derm(at)- Skin Dermatitis (infection/inflammation of the skin) -gastr- Stomach Gastrostomy (surgical opening in the stomach) -grav- Heavy Multigravida (woman who has been pregnant more than once) -lingu- Tongue Sublingual (under the tongue) -phob- Fear Agoraphobia (fear of open space) -spirat- Breathe Inspiratory (pertaining to the act of breathing in / inhaling) -thorac- Chest Thoracoplasty (surgical repair of the chest) Linking or combining vowels When constructing words, some of the root word letters are slightly changed and a vowel or consonant may be added or omitted. Combining vowels have no meaning themselves but are used to make the medical term easier to pronounce. Every root has a particular combining vowel associated with it. combining vowel makes up a combining form. A root plus its A more extensive list of combining forms can be found on page 48. © SA Ambulance Service - July 2016 13 Medical Terminology Study Guide Combining forms Meaning Examples Angi/o Vessel Angiogram (x-ray of a vessel) Vas/o Vasovagal (fainting attack (vagus nerve causing the aorta) Vascul/o Arteri/o Artery Arteriosclerosis arteries) Athr/o/i Joint Arthritis (infection or inflammation of the joints) Cardi/o Heart Cardiology (study of the heart) Coron/o Cephal/o (hardening of the Coronary - pertaining to the heart Head Cephalometry (measurement human head my imaging) of the Encephalopathy (disease of the brain) Cerebr/o Brain Encephala/o Cerebrovascular (dysfunctions related to disease of the blood vessels) Encephalopathy (disease of the brain) Chem/o Drug Pharmac/o Opthalm/o Chemotherapy (treatment with drugs) Pharmacology (study of drugs) Eye Opt/o Optometrist (eye doctor) Oculomotor (movement of the eye) Ocul/o Oste/o Bone Osteoporosis (loss of bone tissue resulting in brittle bones and increased risk of fracture) Ot/o Ear Otorhinolaryngology (treatment of ear, nose and throat) Aur/i Auricle (the outer ear flap on the side of the head) Path/o Disease Pathogen (a micro-organism substance that causes disease) Pelv/i Pelvis Pelvic (pertaining to the pelvis) Pneum/o Lung Pneumothorax (collapsed lung) or Pneumon/o Pulmon/o © SA Ambulance Service - July 2016 14 Medical Terminology Study Guide Prefixes A prefix is a short word part added before a word or word root to modify its meaning. The below tables list common prefixes used in medical terminology. They can be used to indicate: quantity (including specific numbers and metric measurement); negatives and opposites and comparisons (e.g. size, time, position, speed etc.). The meanings of many of these prefixes will be familiar to you from words that are already in your vocabulary. Some examples of common prefixes can be found below, a more comprehensive list can be found on page 47. Prefix a-, an- Meaning Without; lacking Examples Aphasia (without speech) abad- Away from Toward; near Anaemia (lack of blood) Abductor (leading away from) Adductor (leading toward) anti- / contra- Against Adrenal (near the kidney) Anticoagulant (prevent blood clotting) Contraception (prevent conception ect-, ecto-, exoend-, endo, ent- Outer; outside Within; inner or impregnation) Ectoderm (outer skin) Endocranial (within the cranium) Endodontium (dental pulp within the hyper- hyp-, hypoinfrainterintraneoperipolysub- Above, beyond, excessive tooth) Hyperglycaemia (high blood glucose level) Under, deficient Hypertension (high blood pressure) Hypothermia (low body temperature) Beneath; below Between Within New Around Hypothyroidism (thyroid deficiency) Infraorbital (beneath the eye) Intercostal (between the ribs) Intravenous (within a vein) Neonate (newly born) Periodontal (around the tooth) Many, excessive Periosteum (around bone) Polycystic (many cysts) Under Polydipsia (excessive thirst) Subcutaneous (under the skin) Sublingual (beneath the tongue) © SA Ambulance Service - July 2016 15 Medical Terminology Study Guide Suffixes Suffixes are used at the end of all medical terms. Sometimes the suffix itself can be used as the whole medical word. The suffix also determines whether a word is a noun, verb, adjective or other part of speech. In general suffixes cover the following areas: • Medical conditions and symptoms • Procedures (diagnostic, therapeutic and surgical) • Instruments • People • Areas of study. Noun suffixes are added to a root or combining form to modify its meaning to name a person, place, thing or event. Adjective suffixes are added to root words to create a descriptive term to indicate the part of the body which is being described. Below is a list of some of the most common suffixes, a more comprehensive list can be found on page 51. Suffix Meaning -algia, -dynia Pain -centesis Surgical procedure remove fluid -ectomy Cut out, excision -aemia Blood condition -osis, -ia -gram, -graphy -ites, -itis -oma -plasty -stomy State or condition Examples Neuralgia (pain in nerves) to Amniocentesis (removal of amniotic fluid) Appendectomy (removal of the appendix) Anaemia (low red blood cells) Leukaemia (malignant blood disease) Anaesthesia (loss of sensation) Scoliosis (spine curvature) Recording, written Mammogram (x-ray of breast) Cardiography (recording of physical or functional aspect of the heart) Inflammation or infection Carditis (inflammation / infection of the heart) Tumour Lymphoma (tumour of lymph tissue) Surgical shaping or Rhinoplasty (surgical shaping or repair of repair of the nose) Surgical opening Colostomy (surgical opening into the colon) Tracheostomy (Surgical opening into the trachea) © SA Ambulance Service - July 2016 16 Medical Terminology Study Guide Plurals Many medical words have special plural forms based on the ending of the word. Examples of each type are shown in the table below. Word Ending a Plural Ending ae Singular Example Plural Example Gingiva Gingivae Pleura Plurae ax ces Thorax Thoraces en ina Foramen Foramina Lumen lumina Appendix Appendices Cortex cortices Prosthesis Prostheses Diagnosis Diagnoses Stenosis Stenoses Stigma Stigmata Carcinoma carcinomata Phalanx Phalanges Larynx larynges ex, ix, yx is ma nx (anx, inx, ynx) ices es mata nges on a Ganglion ganglia um A Ovum Ova Bacterium Bacteria Ilium Ilea Embolus Emboli Bronchus Bronchi Radius radii Deformity deformities us y i ies © SA Ambulance Service - July 2016 17 Medical Terminology Study Guide Building Medical Words There are four rules which apply when combining word parts to form a medical term. 1. When linking a root to a suffix, a combining vowel is not used if the suffix begins with a vowel. 2. When linking a root to a suffix, a combining vowel must be used if the suffix begins with a consonant. 3. A combining vowel is not needed to link a prefix with any other work part 4. A combining vowel is always used to link one root to another root in words which have two or more roots. © SA Ambulance Service - July 2016 18 Medical Terminology Study Guide Organisation of the Human Body Cells Cells are constructed from various chemical combinations. They are the individual, living building block which, when combined together, form body structures. The body structures perform required and specific functions. Cells are specialised in their function. Nearly all have the ability to replicate themselves and divide to form new cells of the same type. Tissues These are formed by groups of cells which are similar in appearance and which are held together by connective or supportive tissue. Each tissue has a specific function and the cells which form the particular tissue may each have a specific function. For example, some cells of a body tissue may produce mucous, others hormones or enzymes and others may produce phagocytes which have the ability to ingest and destroy other substances, for example bacteria. Organs These consist of structures with a recognised shape which are made up of at least two types of tissue. Body systems Groups of organs and tissues function together to form body systems and manage particular body activities. The body systems are briefly described on the following pages. © SA Ambulance Service - July 2016 19 Medical Terminology Study Guide Integumentary System The main organs of the integumentary system are: • Skin • Accessory structures −− Hair −− Nails −− Sweat and oil glands. Medical terms relating to the integumentary system include: contusion, cutaneous, dermal, dermatitis, epidermis, epithelium, exudate, hypodermic, keratin, laceration, necrosis, oedema, serous, subcutaneous, turgor. Listed below are some conditions that relate to the integumentary system: • Blister • Burns • Pruritis. Musculoskeletal System The musculoskeletal system consists of: • Muscles • Joints • Bones • Ligaments. Listed below are some conditions that relate to the musculoskeletal system: • Fracture • Amputation • Dislocation. © SA Ambulance Service - July 2016 20 Medical Terminology Study Guide Endocrine System The main organs of the endocrine system are glands. Listed below are some conditions that relate to the endocrine system: • Hyperglycaemia • Hypoglycaemia • Insulin Dependent Diabetes Mellitus Type I (IDDM) • Non-Insulin Dependent Diabetes Mellitus - Type II (NIDDM) • Pancreatitis. Nervous System The nervous system consists of: • Brain and spinal cord • Nerves. Listed below are some conditions that relate to the nervous system: • Dyslexia • Dysphagia • Dysphasia • Meningitis • Neuropathy • Paraplegia • Quadriplegia • Syncope. © SA Ambulance Service - July 2016 21 Medical Terminology Study Guide Cardiovascular System The cardiovascular system consists of: • The heart • Blood vessels • Blood. Medical terms relating to the cardiovascular system include: pericardium, myocardium, endocardium, blood pressure, systolic, diastolic, carotid, vasodilation, vasoconstriction, arterioles, venules, valves, haemorrhage, ischaemia, plasma, serum, coagulation and haemoglobin. Listed below are some conditions that relate to the cardiovascular system: • Arteriosclerosis • Atrial fibrillation (AF) • Cerebral Vascular Accident (CVA) • Congestive Cardiac Failure (CCF) • Coronary occlusion • Embolism • Hypertension • Hypovolaemic shock • Myocardial infarction (MI) • Peripheral Vascular Disease (PVD) • Pulmonary embolism (PE) • Septicaemia. Lymphatic System The lymphatic system consists of: • Lymph nodes and vessels • Spleen • Thymus. Medical terms relating to the lymphatic system include: lymphocytes, leucocytes, © SA Ambulance Service - July 2016 22 Medical Terminology Study Guide active immunity, immune response, immunity, immunoglobulin, antibiotic, infection, infectious disease, passive immunity, tissue rejection, natural immunity, inflammation, sepsis. Listed below are some conditions and medical procedures that relate to the lymphatic system: • Acquired Immune Deficiency Syndrome (AIDS) • Allergies • Anaphylactic shock • Human immune-deficiency virus (HIV) • Lymphoedema. Respiratory System The respiratory system can be divided into two parts: • The upper respiratory system - the nostrils (nares), nasal cavity, oral cavity, pharynx and larynx • The lower respiratory system - the trachea, right and left main bronchi, bronchioles and alveoli, and the right and left lung. Medical terms relating to the respiratory system include: apnoea, dyspnoea, hyperventilation, hypoventilation, inhalation, exhalation, aspiration, cyanosis, hypoxia. © SA Ambulance Service - July 2016 23 Medical Terminology Study Guide Listed below are some conditions and medical procedures that relate to the respiratory system: • Asphyxia • Asthma • Carbon monoxide poisoning • Chronic Obstructive Airway Disease (COAD) • Emphysema • Epiglottitis • Laryngitis • Laryngospasm • Pneumonia. Digestive System The digestive system consists of the following: • The gastrointestinal tract - mouth, oesophagus, stomach, small intestine and large intestine • Accessory organs - liver, gall bladder and pancreas. Listed below are some conditions and medical procedures that relate to the digestive system: • Anorexia • Appendicitis • Constipation • Enteritis • Gastritis • Gastroenteritis • Haematemesis • Malaena • Peritonitis. © SA Ambulance Service - July 2016 24 Medical Terminology Study Guide Urinary system The urinary system consists of the following organs: • Kidneys • Ureters • Bladder • Urethra. Listed below are some conditions and medical procedures that relate to the urinary system: • Cystitis • Pyelonephritis. Reproductive System The reproductive system consists of the following organs: • Female: ovaries, uterus, vagina, mammary glands • Male: testes, prostate and penis. Listed below are some conditions and medical procedures that relate to the reproductive system: • Amniocentesis • Hysterectomy • Mastectomy • Menopause • Prostatectomy • Testicular torsion • Vasectomy. © SA Ambulance Service - July 2016 25 Medical Terminology Study Guide Anatomical Position, Directions and Movements This is the position which enables one health professional to visualise areas of the body in the same context as another. In this position the patient is pictured as standing facing the health professional, the arms placed at the sides, the hands open and the palms facing forward. Beginning from this position, it is then possible to describe one part of the body in relationship to another. When visualising the patient in the anatomical position and using directional terms, the position of the thumbs on each hand could be described as follows: The thumb is on the lateral side of the hand. The hand is inferior to the arm and the shoulder is superior to the arm. Anatomical directions, positions and movements include: • Anterior: nearer to or at the front of the body • Posterior: nearer to or at the back of the body © SA Ambulance Service - July 2016 26 Medical Terminology Study Guide • Superior: towards the head or upper part of a structure • Inferior: away from the head or towards the lower part of a structure • Lateral: further from the midline of the body or a structure • Medial: nearer to the midline of the body or structure • Proximal: nearer to the attachment of a limb to the trunk • Distal: further from the attachment of a limb to the trunk • Superficial: towards the surface of the body • Deep: away from the surface of the body • Cervical: pertaining to the neck or neck region of a structure (eg. neck of a tooth or cervix of the uterus • Cranial: the bony skull that holds the brain • Axillary: pertaining to the armpit • Thoracic: pertaining to the thorax/chest • Abdominal: pertaining to the abdomen • Pelvic: pertaining to the pelvis • Antecubital: at the front/the bend of the elbow • Vertebral: pertaining to one or more vertebrae • Abdominal quadrants: four areas of the abdomen, upper and lover left quadrants (LUQ and LLQ) and upper and lower right quadrants (RUQ and RLQ) • Supine: lying horizontally on the back • Prone: lying horizontally with face down • Semi-recumbent: in a reclining position • Trendelenburg: position in which the head is low and the body and legs are on an incline • Flexion: decreasing the angle between two adjoining bones • Extension: increasing the angle between two adjoining bones • Eversion: turning outward • Inversion: turning inward • Abduction: movement of a limb away from the midline of the body • Adduction: movement of a limb towards the mid-line of the body • Supination: rotation allowing the palm of the hand to turn up • Pronation: rotation allowing the palm of the hand to turn down. © SA Ambulance Service - July 2016 27 Medical Terminology Study Guide Anatomical position can be used to describe body cavities and their positional relationship to each other. At the top is the cranial cavity or the cranium (skull). Below the cranium (inferior) - the thoracic cavity or the thorax (chest). Inferior to the thorax is the abdominal cavity or the abdomen. The abdominal cavity is often referred to as the stomach but the stomach is only one of the organs contained within the abdomen. Inferior to the abdomen is the pelvic cavity surrounded by the bones of the pelvis. The abdomen has been divided into four descriptive regions: • Right upper quadrant (RUQ) • Left upper quadrant (LUQ) • Right lower quadrant (RLQ) • Left lower quadrant (LLQ). This quadrant method is used by medical professionals when describing the position of injuries, lumps and pain occurring in patients. © SA Ambulance Service - July 2016 28 Medical Terminology Study Guide Areas of Medicine and Medical Personnel Sometimes one word can conjure up different meanings depending on how it is used. For example, the word medicine which comes from the Latin word medicina can be used to mean ‘taking a dose of medicine’ or ‘having medical treatment’ or ‘the practice of medicine’. Health from the Anglo-Saxon word health, means wholeness as does the word heal. Health can be used in a variety of ways, e.g. maintaining health, being healthy, eating a healthy diet. Doctor from the Latin word docere means to teach. The term doctor does not belong only to health professionals, in fact the first people called doctors were the philosophers in the universities. Today they are still the only ones who have earned the right to use the title, however, it has now become both traditional and common practice to call medical practitioners, dentists and veterinarians by the title doctor. When interpreting medical terminology, it is important to understand the areas of medicine that is being discussed, the medical term which relates to it and the specialist that works within the area. Below is a table which outlines these main areas. Area of Medicine Medical Term Medical Specialist Cells cytology Cytologist Drugs and medicines pharmacology Pharmacologist Poisons toxicology Toxicologist Mental disorders psychiatry Psychiatrist Brain, spinal cord, nerves neurology Neurologist / neurosurgeon Pain management anaesthetics Anaesthetist Skin, hair, nails dermatology Dermatologist Tumours and cancer oncology Oncologist Skeleton, bones, joints orthopaedics Orthopaedic surgeon, orthopod, orthopaedist Muscles and joints rheumatology Rheumatologist Heart cardiology Cardiologist or cardiovascular surgeon Major blood vessels vascular surgery Vascular surgeon Blood, blood-forming tissues haematology © SA Ambulance Service - July 2016 Haematologist 29 Medical Terminology Study Guide Area of Medicine Medical Term Medical Specialist Female reproductive organs gynaecology Gynaecologist Pregnancy and childbirth obstetrics Obstetrician Male reproductive organs andrology Andrologist Children paediatrics Paediatrician The elderly gerontology / geriatrics Gerontologist / geriatrician Ear, nose and throat otorhinolaryngology Otohinolaryngologist The eye opthalmology Opthamologist Digestive system gastroenterology Gastroenterologist Ductless glands, hormones endocrinology Endocrinologist Urinary system, kidneys urology / renal medicine Urologist / renal physician Immunity to disease immunology Immunologist Evidence/effects of disease pathology Pathologist Interpretation of x-rays radiology Radiologist Breathing respiratory medicine Respirologist © SA Ambulance Service - July 2016 30 Medical Terminology Study Guide Pharmacology and Pharmaceuticals Pharmacology Pharmacology is the study of the interactions that occur between a living organism and chemicals that alter normal biochemical function. Pharmaceutical Naming If substances have medicinal properties, they are considered pharmaceuticals. Drug names can be very confusing because any given drug can have many different names. Drug names fall into four categories: • Chemical name • Generic name • Brand name • Therapeutic class name. Chemical name Each drug has just ONE chemical name, this is usually long and complicated as it reflects the structure of the drug. It can be abbreviated to the chemical formula. Chemists and pharmacologists are the only people who use the chemical name. Generic name Each drug has just ONE generic name, this is the legal or official name of the drug. This is the name by which the drug is universally recognised and identifies the drug as being a specific substance. The generic name is not ‘owned’ so any drug manufacturer may use it. Brand names Brand names are the registered trade names and belong to the specific drug manufacturer. Brand names are protected under law. Each drug may have any number of brand names and are recognisable because of advertising. Therapeutic class name The therapeutic class name is given to groups of drugs, which usually indicates the © SA Ambulance Service - July 2016 31 Medical Terminology Study Guide effect the drug has on the body. If a particular drug has more than one effect it can belong to more than one therapeutic class. Examples of class names include: analgesics, laxatives, hormones, sedatives and antibiotics. See the example below: Drug terminology Other terms that relate to pharmaceuticals are: • Indication - condition for which you are taking the drug • Contraindication - condition that would prevent you taking the drug • Precautions - things to look out for when taking the drug, including: −− Side effects - effects other than the therapeutic effect of the drug −− Adverse reactions - potentially harmful side effect −− Monograph - information on a single drug SA Health/SAAS Procedures ‘Spell it Out’ SA Health staff are to follow the directive ‘Spell it Out’ when using medical terminology. This directive provides standardised terminology, abbreviations and symbols to be used when communicating about medicines. Refer to the SA Health ‘Spell it Out’ for more information on the approved abbreviations and symbols to be used when communicating about medicine. > Clinical Communication - Spell it Out © SA Ambulance Service - July 2016 32 Medical Terminology Study Guide Diagnostic Procedures Diagnostic procedures are performed to gather information to help doctors make or confirm a diagnosis. Important suffixes -opsy process of medical examination or inspection -scopy process of viewing, examining using an instrument -metryprocess ofmeasuring -graphy process of recording in the form of drawing, writing, presenting, tracing, describing Diagnostic Procedure Definition Arthroscopy Looking into the joints Audiometry Measurement of hearing Autopsy Examination of a dead body Biopsy Examination of small pieces of living tissue under a microscope Colonoscopy Visual examination of the large bowel (colon) Electrocardiography Recording the electrical activity of the heart tissue Electroencephalography Recording the electrical activity of the brain Electromyography Recording the electrical activity of the muscles Laparoscopy Surgical inspection of the abdominal cavity using a scope Mammography X-ray screening examination of the breast Ophthalmoscopy Visual inspection of the eye Otoscopy Examination of the ear Pelvimetry Measurement of the pelvis Radiography Examination of the internal structures of the body Ultrasonography Process of recording via sound waves © SA Ambulance Service - July 2016 33 Medical Terminology Study Guide Additional Resources The following websites will be useful in order to research and increase your own knowledge of medical terminology: myDr online medical dictionary GlobalRPh medical terminology A thru Z © SA Ambulance Service - July 2016 34 Medical Terminology Study Guide Glossary - Common Abbreviations Acronym / Abbreviation Meaning # Fracture @ At ♀ Female ♂ Male AAA Abdominal Aortic Aneurysm AED Automated External Defibrillator AF Atrial Fibrillation ALS Advanced Life Support AMI Acute Myocardial Infarction APO Acute Pulmonary Oedema Approx. Approximately ASAP As Soon As Possible BGL Blood Glucose Level BP Blood Pressure C Spine Cervical Spine c/o Complaining of CCF Congestive Heart Failure CNS Central Nervous System CO Carbon Monoxide CO2 Carbon Dioxide COAD Chronic Obstructive Airway Disease CPR Cardiopulmonary Resuscitation DNR Do Not Resuscitate Dx Diagnosis ECG Electrocardiogram ETA Estimated Time of Arrival GCS Glasgow Coma Score GSW Gun Shot Wound HR Heart Rate Hx History © SA Ambulance Service - July 2016 35 Medical Terminology Study Guide Acronym / Abbreviation Meaning IDDM Insulin Dependent Diabetes Mellitus IHD Ischaemic Heart Disease IM Intramuscular IO Intraosseus IV Intravenous LOC Loss Of Consciousness Meds Medications Mg Milligrams MI Myocardial Infarction MRE Magnetic Resonance Imaging MVA Motor Vehicle Accident NIDDM Non Insulin Dependent Diabetes Mellitus O/E On Examination O2 Oxygen OD Overdose PEARL Pupils Equal and Reacting to Light Phx Past History PO Per Oral PRN As required (Pro Re Nata) Pt Patient ROM Range of Movement RR Respiratory Rate Rx Treatment SC Subcutaneous SL Sublingual SOB Short of Breath Sx Symptoms TIA Trans Ischaemic Attack VF Ventricular Fibrillation VT Ventricular Tachycardia © SA Ambulance Service - July 2016 36 Medical Terminology Study Guide Glossary - Medical Terms Term Abdominal Aortic Aneurysm (AAA) Achilles’ tendon Acquired Immune Deficiency Syndrome (AIDS) Active immunity Adam’s Apple Adrenal glands Allergies Alveoli Amniocentesis Amputation Anaemia Anaesthetics Anaphylactic shock Definition Balloon-like swelling in the wall of the aorta within the abdomen, this swelling weakens the aorta’s wall and because of the volume of blood flowing under pressure in the aorta it can rupture The large tendon connecting the heel bone to the calf muscle of the leg A disease of the immune system characterised by increased susceptibility to opportunistic infections, to certain cancers and to neurological disorders, caused by the retrovirus HIV Immunity resulting from the development of antibodies in response to the presence of an antigen either from vaccination or exposure to an infectious disease The slight projection at the front of the throat formed by the largest cartilage of the larynx, usually more prominent in men than women Endocrine glands that sit at the top of the kidneys and secrete several hormones High sensitivity to certain substances. Common indications of allergy may include sneezing, itching and skin rashes Tiny thin-walled capillary rich sac in the lungs where the exchange of oxygen and carbon dioxide takes place Puncture of the amniotic sac and withdrawal of fluid Surgical removal of a limb or body part, it is performed to remove diseased tissue or relieve pain A condition in which there is a deficiency of red blood cells or of haemoglobin in the blood The science, study and practise of anaesthesia and its application Severe hypersensitivity reaction resulting in collapse and sometimes death Andrology The branch of physiology and medicine which deals with diseases and conditions specific to men Angiogram Series of x-rays of blood vessels using radio opaque dye Anorexia A disorder characterised by fear of becoming fat and refusal of food, leading to disability or even death Antibiotic A chemical substance produced by a microorganism which has the capacity to inhibit the growth of or to kill other microorganisms, used in the treatment of infectious diseases © SA Ambulance Service - July 2016 37 Medical Terminology Study Guide Term Definition Apnoea Temporary absence or cessation of breathing Appendectomy Surgical removal of the appendix Appendicitis Inflammation of the appendix Arteries Any of the tubular thick-walled muscular vessels that convey oxygenated blood from the heart to various parts of the body Arterioles Small blood vessels that carry arterial (oxygenated) blood Arteriosclerosis Chronic condition characterised by thickening and hardening of the arteries and the build-up of plaque on the arterial walls Asphyxia Lack of oxygen in the blood due to restricted respiration Aspiration The removal of a gas or fluid by suction Asthma A respiratory disorder, often of allergic origin, characterised by difficulty in breathing, wheezing and a sense of constriction in the chest Atrial Fibrillation (AF) Normal rhythmical contractions of the heart atria are replaced by irregular twitching of the muscular wall which cause the ventricles to respond irregularly Automated External Defibrillator (AED) A portable device that checks the heart rhythm, if needed, it can send an electric shock to the heart to try to restore a normal rhythm. AEDs are used to treat sudden cardiac arrest Hollow muscular organ which acts as a storage area for urine and is situated in the pelvic cavity A local swelling of the skin that contains watery fluid and is caused by burning, infection or irritation The red liquid that circulates in the arteries and veins carrying oxygen and carbon dioxide from the tissues of the body The pressure exerted by the blood against the walls of the blood vessels, especially the arteries during different phases of the contraction of the heart Any channel through which the blood normally circulates (artery, vein, capillary) The epicentre of the Central Nervous System located within the cranium and divided into the right and left hemispheres, it is the primary receiver, organiser and distributor of information for the body Either of the two branches of the trachea that extend into the lungs Any of the fine, thin-walled tubular extensions of a bronchi Bladder Blister Blood Blood pressure Blood vessels Brain Bronchi Bronchioles © SA Ambulance Service - July 2016 38 Medical Terminology Study Guide Term Burns Capillaries Cardiology Carotid Cerebral Vascular Accident (CVA) Cervical spine Chronic Obstructive Airway Disease (COAD) Definition Injuries to tissue caused by heat, friction, radiation or chemicals Delicate thin-walled blood vessels that form an interconnecting network between the arterioles and the venules Medical specialty dealing with disorders of the heart Pertaining to the carotid artery, the principle artery of the neck The sudden death of some brain cells due to a lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain. A CVA is also referred to as a stroke The portion of the spine comprising the cervical vertebrae A chronic lung disease which is a combination of emphysema and chronic bronchitis Coagulation Process in which platelets, in conjunction with clotting factors, transform blood from a liquid into a semi-solid mass Colostomy The opening of part of the colon onto the surface of the abdominal wall Congestive Heart A condition in which the heart cannot pump enough blood to Failure (CCF) supply the body’s tissues with sufficient oxygen and nutrients; backup of blood in vessels and the lungs can cause a buildup of fluid in the tissues Constipation Difficulty in emptying the bowel Contusion An injury in which the skin is not broken, often characterised by ruptured blood vessels and discolourations (bruise) Coronary occlusion Blockage of a coronary vessel often leading to a myocardial infarction Cutaneous Pertaining to the skin Cyanosis A physical sign causing bluish discolouration of the skin and mucous membranes, caused by a lack of oxygen in the blood Cystitis Inflammation of the bladder Cytology Branch of life science, which deals with the study of cells in terms of structure, function and chemistry Dental Pertaining to the teeth Dermal Pertaining to the skin or derma Dermatitis A general term used to describe inflammation of the skin © SA Ambulance Service - July 2016 39 Medical Terminology Study Guide Term Definition Dermatology The branch of medicine dealing with the skin and its diseases Diagnosis The process of identifying a disease, based on a person’s signs and symptoms which may be gleaned from a simple physical examination or require ancillary testing, lab work or imaging studies, etc Diastolic The phase of blood circulation in which the heart’s pumping chamber (ventricles) are being filled with blood The temporary displacement of a bone from its normal position Dislocation Dyslexia A learning disorder marked by impairment of the ability to recognise and comprehend written words Dysphagia Difficulty in swallowing Dysphasia A partial or complete impairment of the ability to communicate resulting from brain injury Dyspnoea Difficulty in breathing or in catching the breath Dystrophy A generative disorder caused by inadequate or defective nutrition Electrocardiogram Visual record in graph form of the electrical activity of the heart Embolism An obstruction in a blood vessel due to a blood clot or other foreign matter that gets stuck while travelling through the blood stream Chronic irreversible disease of the lungs characterised by an abnormal increase in the size of the air spaces, resulting in laboured breathing and an increased susceptibility to infection The membrane that lines the cavities of the heart and forms part of the valves The branch of physiology and medicine concerned with endocrine glands and hormones Emphysema Endocardium Endocrinology Enteritis Inflammation of the intestine (mucous membranes) Epidermis The outermost layer of the skin that covers and protects the underlying dermis Flap at the base of the tongue that keeps food from going into the trachea An inflammation of the epiglottis Epiglottis Epiglottitis Epithelium The cellular covering of internal and external body surfaces including the lining of vessels and small cavities © SA Ambulance Service - July 2016 40 Medical Terminology Study Guide Term Definition Euphoria An exaggerated feeling of physical and mental well-being, especially when not justified by external realist The act or practise of ending the life of an individual suffering from a terminal illness or an incurable condition as by lethal injection or the suspension of extraordinary medical treatment The act or an instance of breathing out (also called expirations) A fluid that has exuded out of a tissue or its capillaries due to injury or inflammation The narrow ducts leading from a woman’s ovaries to the uterus Euthanasia Exhalation Exudate Fallopian tubes Foetus Gastritis The developing baby from the beginning of the fourth month until delivery A break, rupture or crack especially in bone or cartilage Pear-shaped muscular sac attached to the under surface of the right lobe of the liver in which bile is stored and concentrated Inflammation of the stomach Gastroenteritis Inflammation of the stomach and intestine Gastroenterology The branch of medicine concerned with diseases of the stomach and intestines Scientific study of ageing and the problems associated with older people A scale for measuring a patient’s level of consciousness Fracture Gall bladder Gerontology Glasgow Coma Score Gynaecology The branch of medicine concerned with diseases in women Haematemesis Vomiting of blood Haematology Haemoglobin The branch of medical science concerned with diseases of the blood and blood forming tissues The oxygen carrying substance in red blood cells Haemorrhage Abnormal internal or external blood loss Heart The chambered muscle organ that pumps blood received from the veins into the arteries, maintaining the flow of blood through the entire circulatory system A variable retrovirus that invades and inactivates helper T cells of the immune system and is the cause of AIDS Human Immune Deficiency Virus (HIV) © SA Ambulance Service - July 2016 41 Medical Terminology Study Guide Term Definition Hyperglycaemia Abnormally high blood sugar usually associated with diabetes Hypersensitivity A state of altered reactivity in which the body reacts with an exaggerated immune response to what is perceived as a foreign substance High blood pressure Hypertension Hyperventilation Abnormally fast or deep respirations which result in excessive oxygen levels in the blood often with accompanying dizziness, chest pain and tingling in extremities Hypodermic Under or inserted under the skin Hypoglycaemia Abnormally low blood sugar usually resulting from excessive insulin or a poor diet Hypoventilation Abnormally slow and shallow respiration, resulting in an increased level of carbon dioxide in the blood Hypovolaemic shock Type of shock due to insufficient blood volume, either from haemorrhage or other loss of fluid Hypoxia Insufficient levels of oxygen in the blood or tissue Hysterectomy Surgical removal of the uterus Immune response A bodily response to an antigen when it is identified as foreign and that induces the production of antibodies and lymphocytes capable of destroying the antigen or making it harmless Immunity The protection against infectious disease conferred either by the immune response generated by immunisation or previous infection Immunoglobulin Any of a class of proteins present in the serum and cells of the immune system which function as antibodies Immunology The branch of medicine and biology concerned with immunity Infection A disease caused by the invasion of the body by pathogenic microorganisms Infectious disease Disorders caused by organisms such as bacteria, viruses, fungi or parasites. Refer to the Infection Prevention and Control study guide for more information Inflammation Redness, swelling and fever in a local area of the body, often with pain and disturbed function, in reaction to an infection or to a physical or chemical injury Inhalation The act or an instance of inhaling Insomnia Chronic inability to fall asleep or to enjoy an uninterrupted sleep © SA Ambulance Service - July 2016 42 Medical Terminology Study Guide Term Definition Insulin Dependent Diabetes Mellitus (IDDM) Condition characterised by high blood glucose levels caused by a total lack of insulin Intraosseus The process of injecting directly into the barrow of a bone Intravenous Within or administered into a vein Ischaemia An inadequate blood supply to an organ or part of the body, especially the heart muscles Keratin A tough protein in hair and nails Kidneys Bean shaped organs which are found either side of the vertebral column, they are made up of nephrons which filter the blood Laceration A wound or irregular tear of the flesh Large intestine Portion of the intestine that extends from the ileum to the anus, forming an arch around the convolutions of the small intestine Laryngitis Inflammation of the larynx Laryngospasm Spasmodic closure of the larynx Larynx Muscular and cartilaginous structure at the upper part of the trachea where the vocal cords are located Legionnaire’s disease A type of acute pneumonia caused by Legionella pneumophilia bacteria and characterised by fever, chest pain, cough and muscle aches Leukaemia Type of cancer of the blood or bone marrow characterised by an abnormal increase of immature white blood cells Leukocytes White blood cells that protect the body from disease causing viruses, bacteria, toxins, parasites and tumour cells Lingual Pertaining to the tongue Liver Large glandular organ located in the upper right side of the abdominal cavity, functioning in the secretion of bile and various metabolic processes Lung Each of the pair of organs situated within the ribcage, consisting of elastic sacs with branching passages into which air is drawn so that oxygen can pass into the blood and carbon dioxide be removed Small masses of tissue scattered along the lymphatic system that act as filters and immune monitors, removing fluids, bacteria or cancer cells that travel through the lymph system Lymph nodes © SA Ambulance Service - July 2016 43 Medical Terminology Study Guide Term Lymphocytes Definition A type of white blood cell formed in lymphoid tissue important in the production of antibodies Lymphoedema Condition of localised fluid retention and tissue swelling caused by a compromised lymphatic system Radio waves and magnets to monitor the electrical activity of Magnetic Resonance Imaging cells and record it (MRI) Malaena Blood in the faeces Mammary glands Milk producing glands in females Mastectomy Surgical removal of all or part of the breast Melanoma A dark pigmented, usually malignant, tumor occurring especially in the skin Meningitis Inflammation of the membranes that surround the brain or spinal cord, caused by infection Menopause Permanent cessation of menstruation, usually occurring between the ages of 45 and 55 Morphine A highly addictive drug derived from opium and used to treat intractable pain Myocardial infarction Any sudden insufficiency of oxygen supply to the heart that (MI) results in heart muscle damage, also called a heart attack Myocardium The muscular tissue of the heart Narcissism Excessive love or admiration of oneself Narcotic A drug that produces numbness or stupor, often taken for pleasure or to reduce pain; extensive use can lead to addiction Natural immunity Immunity with which an individual is born, which has a genetic basis Necrosis Death of cells or tissues through injury of disease, especially in a localised area of the body Neurology The science of the nerves and the nervous system, especially of the diseases affecting them Neuropathy A disease or abnormality of the nervous system Characterised by high blood glucose levels caused by either a Non-Insulin Dependent Diabetes lack of insulin or the body’s inability to use insulin efficiently Mellitus (NIDDM) © SA Ambulance Service - July 2016 44 Medical Terminology Study Guide Term Definition Obstetrics The branch of medicine that deals with the care of women during pregnancy, childbirth and the recuperative period following delivery Oedema Abnormal accumulation of fluid in tissues Oesophagus Muscular passage connecting the mouth or pharynx with the stomach Oestrogen A group of hormones, secreted mainly by the ovaries, that influence the female reproductive system including preparing the body for ovulation Oncology The branch of medicine concerned with the study, classification and treatment of tumours Ophthalmology The branch of medicine that deals with the anatomy, functions, pathology and treatment of the eye Orthopaedics The branch of medicine that deals with the prevention or correction of injuries or disorders of the skeletal system and associated muscles, joints and ligaments Osteoporosis A disease in which the bones become extremely porous, brittle and subject to fracture due to a loss of calcium and other mineral components Otorhinolaryngology The study and treatment of diseases of the ear, nose and throat Ovaries Overdose Paediatrics Pancreas Pancreatitis Pap smear Either of the two female reproductive organs, which produce ova and secrete oestrogen hormones An excessive dose, especially of a narcotic The branch of medicine concerned with children and their diseases Large elongated glandular organ, situated behind the stomach that secretes insulin and pancreatic juice Inflammation of the pancreas A screening test, especially for cervical cancer Paraplegia Complete paralysis of the lower half of the body including both legs, usually caused by damage to the spinal cord Passive immunity Form of acquired immunity resulting from antibodies that are transmitted naturally through the placenta to a foetus Pathology The scientific study of the nature of disease and its causes, processes, development and consequences © SA Ambulance Service - July 2016 45 Medical Terminology Study Guide Term Definition Penis The male organ of copulation and of urinary excretion in males Pericardium The membranous sac enclosing the heart Peripheral Vascular Disease (PVD) Reduced circulation of blood to a body part other than the brain or heart, it is caused by a narrowed or blocked blood vessel Peritonitis Inflammation of the peritoneum Pharmacology The science dealing with the preparation, uses and especially the effects of drugs Pharmacy The act of preparing and dispensing drugs; a place where drugs are sold Pharynx Section of the alimentary canal between the mouth and the oesophagus Phobia A persistent, abnormal and irrational fear of a specific thing or situation that compels one to avoid it, despite the awareness and reassurance that it is not dangerous Plasma The clear, yellowish fluid portion of blood, lymph or intramuscular fluid in which cells are suspended. It differs from serum in that it contains fibrin and other soluble clotting elements Platelet An irregularly shaped cell-like particle in the blood that is an important part of blood clotting Pneumonia An acute disease of the lungs characterised by fever, cough with blood-tinged phlegm and difficulty breathing Prostate A gland surrounding the neck of the bladder Prostatectomy Surgical removal of prostate Pruritis Severe itching of the skin Psychiatry The practice or science of diagnosing and treating mental disorders Psychosis A severe mental disorder, characterised by derangement of personality and loss of contact with reality and causing deterioration of normal social functioning Ptosis Drooping of the upper eyelid due to paralysis or disease or as a congenital condition Pulmonary Embolism (PE) The blockage of the pulmonary artery by foreign matter or by a blood clot © SA Ambulance Service - July 2016 46 Medical Terminology Study Guide Term Definition Pulmonary oedema Abnormal accumulation of fluid in the lungs often caused by congestive heart failure Pyelonephritis Inflammation of the kidney Quadriplegia Complete paralysis of the body from the neck down Radiology The branch of medicine that deals with the use of radioactive substances in diagnosis and treatment of disease Rhesus factor An antigen present on the red blood cells of many people (85%) capable of inducing intense antigenic reactions Rheumatic Pertaining to or affected with rheumatism Rheumatology The medical science that deals with the study and treatment of rheumatic diseases Ross River Fever A mosquito born infectious disease Sepsis The presence of pathogenic organisms or their toxins in the blood or tissues Blood poisoning caused by pathogenic microorganisms and their toxic products in the blood stream Like serum (fluid that moistens surface of serous membranes) The fluid component of blood from which the coagulation factors have been removed Narrow winding upper part of the intestine where digestion is completed and nutrients are absorbed by the blood Septicaemia Serous Serum Small intestine Spinal cord Thick cord of nerve tissue within the spinal canal which branches to form the nerves that convey motor and sensory impulses to and from the tissues of the body Spleen An organ located at the left side of the stomach that acts as a reservoir for blood cells and produces lymphocytes and other products involved in fighting infection Stomach Internal organ in which the major part of the digestion of food occurs Beneath the skin Situated under the tongue Subcutaneous Sublingual Symptoms Any sensation or change in bodily function that is experienced by a patient and is associated with a particular disease Syncope A brief loss of consciousness caused by a temporary deficiency of oxygen in the brain © SA Ambulance Service - July 2016 47 Medical Terminology Study Guide Term Definition Systolic The phase of blood circulation in which the heart’s pumping chambers (ventricles) are actively pumping blood Testes Either of two oval male reproductive glands located in the scrotum Testicular torsion Twisting of the spermatic cord Thymus An organ near the base of the neck that produces cells that fight infection Tissue rejection Reaction when a person’s immune system attacks donor tissue Toxicology The science dealing with the effects, antidotes, detection etc. of poisons Toxin A poisonous substance that is produced by living cells or organisms and is capable of causing disease when introduced into the body Trachea Thin walled cartilaginous tube descending from the larynx to the bronchi and carrying air to the lungs, also called the windpipe Tracheostomy The construction of an artificial opening through the neck into the trachea, usually for the relief of difficulty in breathing Turgor Ureters Normal tension usually related to the skin Hollow muscular tubes which convey urine from the kidney to the bladder Hollow tube which passes from the bladder to the exterior of the body Urethra Urology The branch of medicine that deals with the diagnosis and treatment of diseases of the urinary tract and urogenital system Uterus Hollow organ in which the fertilised egg develops during pregnancy, also called a womb Vagina Passage leading from the opening of the vulva to the cervix of the uterus Valves Tissue in the passageways between the heart’s upper and lower chambers that controls the passage of blood and prevents regurgitation Vascular surgery A speciality of surgery in which diseases of the vascular system or arteries and veins are managed © SA Ambulance Service - July 2016 48 Medical Terminology Study Guide Term Definition Vasectomy Surgical removal of all or part of the vas deferens, usually as a means of sterilisation Vasoconstriction Constriction of a blood vessel Vasodilation Dilation of a blood vessel Ventricular Fibrillation (VF) Condition in which there is an uncoordinated contraction of the cardiac muscle of the ventricles in the heart making them quiver rather than contract properly Ventricular Tachycardia (VT) Abnormally rapid beating of the heart, especially over 100 beats per minute Venules Small blood vessels that merge with the veins and return blood from other tissues to the heart Vertebrae Any bones or cartilaginous segments forming the spinal column Xiphoid Shaped like a sword © SA Ambulance Service - July 2016 49 Medical Terminology Study Guide Glossary - Common Prefixes Term Meaning Term Meaning A-, an- No, not, without, absent Eu- Good, normal, easy, well Ab- Away from Ex- Out, away from Ad- Towards Extra- Outside, beyond Ambi- Around, about, both Hemi- Half Ambly- Dull, dim Hetero- Different, other Ana- Up, backward Homo- Same Ante- before Hyper- Above, excessive Anti- Against Hypo- Below, under, deficient Audi- Hearing In- Not, into, inward Auto- Self Infra- Below Baro- Weight / heaviness Inter- Between Bi-, bin- Two, double, twice Intra- Within Brachy- Short Iso- Same Brady- Slow Macro- Large Circum- Around Mal- Bad Co- Together with Mega- Big Con- With Meta- Change, beyond, near Contra- Against Micro- Small Cryo- Cold Multi- Many Crypto- Hidden Neo- New De- Down, away from Nocto- Night Dia- Complete, through Normo- Normal Diplo- Double Nulli- None Dis- Separation, away from Olig- Few, deficient Dys- Difficult, painful, bad Oxy- Sharp, acid, rapid Ec-, ect- Outside Pan- All, whole Electro- Electrical Par-, para- Near, beside, abnormal, pair En- endo- Inside, within Per- Through Epi- Above, upon Peri- Around, about Equi- Equal Poly- Many, excessive © SA Ambulance Service - July 2016 50 Medical Terminology Study Guide Prefixes continued... Term Meaning Term Meaning Post- After, behind Sub- Under, beneath Pre- Before Super-, supr- Above, beyond Primi- First Sym-, syn- Together, joined Pro- For, in front of Tachy- Fast Pseudo- False Tel- End Re- Back, again Tele- Distant Retro- Behind, backward Trans- Across, over Semi- Half Ultra- Beyond Steno- Narrow Zoo- Animal Common Root Words with their Combining Vowels Term Meaning Term Meaning Abdomen/o Abdomen Arthr/o, arthr/o Joint Acr/o Extremity Atel/o Incomplete Acu/o Sharp Ather/o Fatty plaques Aden/o Gland Audi/o Hear Adip/o Fat Aur/i, aur/o Ear Adren/o, adrenal/o Adrenal glands Bacteri/o Bacteria Aer/o Air Bil/i Bile Aesthesi/o Sensation, feeling Blephar/o Eyelid Aeti/o Cause Brachi/o Arm Alb/o White Bronch/o, bronchi/o Bronchial tube Algesi/o Pain Bucc/o Cheek Alve/o Channel, cavity Carcin/o Cancer An/o Anus Cardi/o Heart Andr/o Male Cauter/o Heat, burn Angi/o Vessel Cephal/o Head Anter/o Front Cerebell/o Cerebellum Append/o, appendic/o Appendix Cerebr/o Brain, cerebrum Aque/o Water Cervic/o Neck Arachn/o Spider Chem/o Drug, chemical Arteri/o Artery Chir/o Hand © SA Ambulance Service - July 2016 51 Medical Terminology Study Guide Root Words with their Combining Vowels continued... Term Meaning Term Meaning Chlor/o Green Gloss/o Tongue Chol/e Gall, bile Gluc/o, glyc/o Sugar Chondr/o Cartilage Gnath/o Jew Chrom/o Colour Gynaec/o Woman Chron/o Time Haem/o, haemat/o Blood Cine/o Movement Hepat/o Liver Cirrh/o Orange-yellow Hidr/o Sweat Cis/o Cut Hist/o Tissue Col/o, colon/o Colon, large intestine Home/o Same, constant Coron/o Heart Hydr.o Water Cost/o Rib Hypn/o Sleep Carni/o Skull Hyster/o Womb Cutane/o Skin Iatr/o Treatment Cyan/o Blue Idi/o Self, individual Cyst/o Cyst, sac of fluid Immune/o Safe, protect Cyt/o Cell Kinesi/o Movement Dactyl/o Fingers, toes Lacrim/o Tears, tear duct Dem/o People Leuc/o, leuk/o White Dent/i Tooth Lex/i Word, phrase Derm/o, dermat/o Skin Ling/o Tongue Dextr/o Right Lymph/o Lymph Ech/o Sound Man/o Pressure Encephala/o Brain Melan/o Black Enter/o Intestine (small) Ment/o Mind Erg/o Work Morph/o Shape, form Erythr/o Red Mort/o Death Femor/o Femur Muc/o Mucus Fluoro Luminous Muscul/o Muscle Gastr/o Stomach Mut/a Genetic change Gen/o Producing, beginning My/o Muscle © SA Ambulance Service - July 2016 52 Medical Terminology Study Guide Root Words with their Combining Vowels continued... Term Meaning Term Meaning Gingiv/o Gums Narc/o Stupor, sleep Glauc/o Grey, silver Nas/o Nose Nat/i Birth Psych/o Mind Necr/o Death Pulmon/o Lund Nephr/o Kidney Py/o Pus Neur/o Nerve Pyel/o Renal, pelvis Noct/i Night Pyr/o Fever Occul/o Eye Ren/o Kidney Odont/o Tooth Reticul/o Network Oesophag/o Gullet, food pipe Rheumat/o Watery flow Onc/o Mass, tumour Rhin/o Nose Oo/o Egg Schizo Split Oophor/o Ovary Scoli/o Crooked, bent Opthalm/o Eye Seps/o Infection Opt/o Eye Sinister/o Left Or/o Mouth Sinus/o Hollow, cavity Orch/o, orchi/o Testis Skelet/o Skeleton Orth/o Straight, correct Somat/o Body Oste/o Bone Somn/o Sleep Ot/o Ear Son/o Sound Ov/o, ov/I, ovul/o Egg Sphygm/o Pulse Pachy/o Thick, heavy Spir/o Breathe Paed/o Child Sten/o Narrow, short Path/o Disease Steth/o Chest Ped/o Foot Syring/o Tube Pharmacy/o Drug, chemical Therm/o Heat Phas/o Speech Thorac/o Chest Phon/o Voice Thromb/o Clot Phot/o Light Tox/o, toxic/ o Poison Physi/o Nature Trache/ o Trachea, windpipe Pneum/o Lung, gas, air Trich/ o Hair Pod/o Foot Tympan/ o Ear drum © SA Ambulance Service - July 2016 53 Medical Terminology Study Guide Root Words with their Combining Vowels continued... Term Meaning Term Meaning Poli/o Grey Ur/ o, urin/ o Urine Proct/o Rectum, anus Uter/ o Womb Valv/ o, valvul/ o Valve Vit/ a Life Vas/ o, vascul/ o Vessel Vitre/ o Glassy Ven/ o Vein Xanth/ o Yellow Vertebr/ o Vertebra Xen/ o Stranger Vir/ o Virus, poison Xer/ o Dry Viscer/ o Internal organs Glossary - Common Suffixes Term Meaning Term Meaning - ac Pertaining to - ectasis Stretching, dilation - aemia Condition of the blood - ectomy Removal of - al Pertaining to - emesis Vomiting - algia Pain - er One who - ar Pertaining to - form Like, resembling - arche Beginning, origin - gen, - genic Producing, forming - ary Pertaining to - genesis Formation - asthesia Feeling - globulin Protein - blast Embryonic state, a cell that produces something - gram Record of, e-ray - cele Hernia, swelling, prolapse - graph Instrument to record - centesis Puncture to remove - graphy fluid Process or act of recording - chezia Defecation Pregnant - cide Something that kills - ia Condition of - clast A cell which breaks - iasis Abnormal condition - coccus Berry-shaped - ic, - ical Pertaining to - crine Secrete - icle Small, little, minute - cusis Hearing - is Structure tissue - cyesis Pregnancy - ism Process of, state of being © SA Ambulance Service - July 2016 - gravida 54 Medical Terminology Study Guide Suffixes continued ... Term Meaning Term Meaning - cyte Cell - ist One who - desis Surgical repair by fusion or binding - itis Inflammation or infection - dynia Condition of pain - lepsy Seizure - lith Stone - phasia Speech - logy Study of - philia Love attract - lysis Breakdown, separation - phobia Fear of - malacia Softening - phoria Bearing, feeling - mania Madness, excessive excitement - plasia Condition of growth or formation - megaly Enlargement - plasm Growth, formation - meter Instrument to measure - plasty Surgical repair - metry Process of measuring - plegia Paralysis, palsy - mnesia Condition of memory - pnoea Breathing - natal Birth - porosis Passages, porousness - oid Like, resembling - praxia Action, voluntary movement - ole Small, little, minute - ptosis Prolapse, dropping, falling down - oma Swelling, mass, tumour - ptysis Spitting - opia Vision - rrhage Bleeding - opsy View, looking - rrhagia Condition of excessive bleeding - orexia Appetite - rrhaphy Surgical repair by suturing - ory Pertaining to - rrhexis Rupture - ose Sugar - rrhoea Discharge © SA Ambulance Service - July 2016 55 Medical Terminology Study Guide Term Suffixes continued... Meaning Term Meaning - osis Abnormal condition - sclerosis Hardening - ous Pertaining to, composed of, producing - scope Instrument to view - para To bear, bring forth - scopy Process of viewing - paresis Slight paralysis - spadia Condition of drawing out - pathy Disease - spasm Involuntary contraction - pause Stopping - sphyxia Pulse - penia Lack of - stasis Controlling, stopping - pepsia Digestion - stomy New opening - pexy Surgical repair by fixation - taxia Order, coordination - phagia Swallowing, eating - therapy Treatment - tome - tomy - tonia, - tony - tripsy - trophy - trophic Instrument to cut Cutting into Tone Crushing Development Responding to stimuli - um - uresis - uria - version -y Structure, tissue Excrete in urine Condition of urine To turn Condition of © SA Ambulance Service - July 2016 56 Medical Terminology Study Guide This page has been intentionally left blank. © SA Ambulance Service - July 2016 57 Produced by: