MDLT 121- Medical Terminology LECTURE 2: STRUCTURE OF THE BODY Lecturer: Ms. Taja Alexander At the end of this lecture you would be able to: 1. Define the main directional terms used in anatomy. 2. Understand and identify levels of organization and anatomical planes of the body. 3. Identify the cavities, quadrants, and regions of the body. 4. Describe the main body positions used in medical practice. 5. Recognize and use prefixes pertaining to position and direction. 6. Understand the terms related to direction, position, and planes of the body. 7. Recognize, pronounce, spell, and build words related to body structure and identify common abbreviations. 8. Describe diagnostic and therapeutic procedures and other terms associated with body structure. BODY: Levels of Organization The body is composed of several levels of structure and function. Each of these levels incorporates the previous level, and contributes to the structure and function of the entire organism. I. Cell II. Tissue III. Organ IV. System V. organism Adapted from: https://images.app.goo.gl/XYjRGZFYMNncfbQw7 CELLS The study of the body at the cellular level is called cytology. The cell is the structural and functional unit of life. Body cells perform all activities associated with life. Cells are composed of : • cell membrane • cytoplasm • nucleus TISSUES The study of body tissues is called histology. Groups of cells that perform a specialized activity are called tissues. More than 200 cell types compose four major tissues of the body: • Epithelial tissue covers surfaces of organs; lines cavities and canals; forms tubes, ducts, and secreting portions of glands; and makes up the epidermis of the skin. • Connective tissue supports and connects other tissues and organs and is made up of diverse cell types, including fibroblasts, fat cells, and blood. • Muscle tissue provides the contractile tissue of the body, which is responsible for movement. • Nervous tissue transmit electrical impulses. ORGANS Organs are body structures composed of at least two or more tissue types that perform specialized functions. For example: 1. the stomach is composed of muscle tissue, epithelial tissue, and nervous tissue. Muscle and connective tissue forms the wall of the stomach. 2. Epithelial and connective tissue covers the internal and external surfaces of the stomach. 3. Nervous tissue penetrates both the muscular wall and its epithelial lining to provide stimulation for the release of digestive juices and contraction of muscles in the stomach wall for digestion. SYSTEMS A body system is composed of varying numbers of organs and accessory structures that have similar or interrelated functions. For example, some of the organs of the gastrointestinal system include the oesophagus, stomach, and small intestine. Some of its accessory structures include the liver, gallbladder, and pancreas. Other body systems include the reproductive, respiratory, urinary, and cardiovascular systems etc. ORGANISMS The highest level of organization is the organism. An organism is a complete living entity capable of independent existence. All complex organisms, including humans, are composed of several body systems that work together to sustain life. Adapted from: https://images.app.goo.gl/P8iv2cBnxBFF4ksJ7 ANATOMICAL TERMINOLOGY Anatomical Terminology • Medical anatomists describe the location and direction of body structures with reference to the anatomical position. This body posture is used as reference when describing anatomical parts in relation to each other. • In this position; the body is erect and facing forward, the arms are at the side with palms facing forward. The legs are parallel with toes pointed straight ahead. • Note: When you look at a picture of a person in the anatomical position, their left hand is on the right-hand side of the picture. Planes of the Body Body planes are hypothetical geometric planes used to divide the body into sections to describe the location or direction of bodily structures. Planes of the Body • Frontal Plane (Coronal Plane) A vertical plane running from side to side; divides the body or any of its parts into anterior and posterior portions. • Sagittal Plane (Lateral Plane) - A vertical plane running from front to back; divides the body or any of its parts into right and left sides. • Transverse Plane (Axial Plane) A horizontal plane; divides the body or any of its parts into upper and lower parts. Body Cavities The cavities, or spaces, of the body contain the internal organs, or viscera. • The two main cavities are called: • the dorsal cavity (posterior) -cranial and vertebral cavities. • the ventral cavity (anterior) -thoracic and abdominopelvic cavities. Ventral Cavity (Anterior) Thoracic Cavity The upper ventral, thoracic, or chest cavity contains: heart lungs trachea oesophagus large blood vessels nerves Abdominopelvic Cavity The lower part of the ventral (abdominopelvic) cavity can be further divided into two portions: abdominal portion – gastrointestinal track, kidneys, adrenal glands pelvic portion – urogenital system and rectum Abdominopelvic Regions The abdominopelvic area of the body is located beneath the diaphragm. It contains the organs of digestion (abdominal area) and the organs of reproduction and excretion (pelvic area). Two anatomical methods used to divide this area of the body for medical purposes are: • Quadrants • Regions Body Quadrants The quadrants are four divisions of the lower torso demarcated for the purpose of topographical location. It allows specific sites to be defined for descriptive and diagnostic purposes This table lists the quadrants of the body along with their corresponding abbreviations and identifies their major structures. BODY QUADRANTS QUADRANT ABBREVIATION MAJOR STRUCTURES Right Upper RUQ Right lobe of liver, gallbladder, part of pancreas, part of the small and large intestines Left Upper LUQ Left lobe of liver, stomach, spleen, part of pancreas, part of small and large intestines Right Lower RLQ Part of the small and large intestines, appendix, right ovary, right fallopian tube, right ureter Left Lower LLQ Part of the small and large intestines, left ovary, left fallopian tube, left ureter Body Regions The abdominopelvic regions are used primarily to identify the location of underlying body structures and visceral organs. For example: The stomach is located in the left hypochondriac and epigastric region and the appendix is located in the hypogastric region. REGION LOCATION Left hypochondriac Upper left region beneath the ribs Epigastric Region above the stomach Right hypochondriac Upper right region beneath the ribs Left lumbar Left middle lateral region Umbilical Region of the navel Right lumbar Right middle lateral region Left inguinal (iliac) Left lower lateral region Hypogastric Lower middle region beneath the navel Right inguinal (iliac) Right lower lateral region Directional Terms Directional terms describe the positions of structures relative to other structures or locations in the body Directional Terms Superior or cranial - toward the head end of the body; upper (example, the hand is part of the superior extremity). Inferior or caudal - away from the head; lower (example, the foot is part of the inferior extremity). Anterior or ventral - front (example, the kneecap is located on the anterior side of the leg). Posterior or dorsal - back (example, the shoulder blades are located on the posterior side of the body). Medial - toward the midline of the body (example, the middle toe is located at the medial side of the foot). Lateral - away from the midline of the body (example, the little toe is located at the lateral side of the foot). Proximal - toward or nearest the trunk or the point of origin of a part (example, the proximal end of the femur joins with the pelvic bone). Distal - away from or farthest from the trunk or the point or origin of a part (example, the hand is located at the distal end of the forearm Taken from Cohen BJ, Wood DL. Memmler’s The Human Body in Health and Disease. 9th Ed. Philadelphia: Lippincott Williams & Wilkins, 2000.) Directional Terminology Medical Term Definitions Abduction Movement away from the median plane of the body Adduction Medial Lateral Superior (cephalad) Inferior (caudal) Proximal Distal Anterior Posterior Parietal Visceral Inversion Eversion Palmer Plantar Superficial Deep Movement toward the median of the body Pertaining to the midline of the body or structure Pertaining to the side Toward the head or upper portion of the structure Away from the head, or toward the tail or lower part of a structure Nearer to the center (trunk of the body) or to the point of attachment to the body Further from the center (trunk of the body) or from the point of attachment to the body Near the front of the body Near the back of the body Pertaining to the outer wall of the body cavity Pertaining to the viscera, or internal organs, especially the abdominal organs Turning inward or inside out Turning outward Pertaining to the palm of the hand Pertaining to the sole of the foot Toward the surface of the body Away from the surface of the body Learning Activity Label the diagram using the below medical terms: Anterior Coronal Inferior Lateral Medial Sagittal Posterior Superior transverse Body Positions Anatomical Position • Body is erect/ upright • Directly facing forward • Arms are at the side of the body • Palms are facing forward • Thumbs pointed outward • Legs are parallel • Feet flat • Toes pointed forward Body Positions • Supine Position- Lying on the back with the face upward, or indicating the position of the hand or foot with the palm or foot facing upward Body Positions • Prone - Lying horizontal with the face downward. Fowler’s Position The patient is seated in a semi-sitting position (45-60 degrees) and may have knees either bent or straight. Variations in the angle are denoted by high Fowler, indicating an upright position at approximately 90 degrees and semi-Fowler, 30 to 45 degrees; and low Fowler, where the head is slightly elevated. Word Parts Pertaining to Body Structure ROOTS FOR REGION OF THE HEAD AND TRUNK Root Meaning Example Definition of Example Cephal/o head microcephaly Abnormal smallness of the head Cervic/o neck cervicofacial Pertaining to the neck & face Thorac/o chest, thorax extrathoracic Outside of the thorax Abdomin/o abdomen intra-abdominal Within the abdomen Celi/o abdomen celiac Pertaining to the abdomen Lapar/o Abdominal wall laparoscope Instrument for viewing the peritoneal cavity through the abdominal cavity Lumb/o Lumbar region, lower back thoracolumbar Pertaining to the chest and lumbar region Periton, peritone/o peritoneum peritoneal Pertaining to the peritoneum Word Parts Pertaining to Body Structure CELL STRUCTURE ELEMENT MEANING EXAMPLE DEFINITION OF EXAMPLE Cyt/o cell cytologist Specialist in the study of cells Hist/o tissue histology Study of microscopic structures of tissues Kary/o nucleus karyolysis Destruction of the nucleus Nucle/o nucleus nuclear Pertaining to the nucleus Words Pertaining to Body Structure Words Pertaining to Body Structure Words Pertaining to Body Structure Suffixes Pertaining to Body Structure SUFFIX MEANING EXAMPLE DEFINITION OF EXAMPLE -logy Study of hemat/o/logy study of blood and its components -logist Specialist in the study of dermat/o/logist physician specializing in disorders of the skin -genesis Forming, producing, origin path/o/genesis source or cause of an illness or abnormal condition -gnosis Knowing pro/gnosis prediction of the course and end of a disease, and the estimated chance of recovery -gram Record, writing arteri/o/gram record of an artery after injection of a radiopaque contrast medium -graph Instrument for recording radi/o/graph film on which an image is produced through exposure to x-rays -graphy Process of recording arthr/o/graphy process of obtaining an image of a joint after injection of a radiopaque contrast medium -pathy disease gastropathy any disease of the stomach Prefixes Pertaining to Body Structure PREFIX MEANING EXAMPLE DEFINITION OF EXAMPLE Ab- from, away from ab/duction movement of a limb away from the body Ad- toward ad/duction movement of a limb toward the axis of the body Infra- below, under infra/cost/al pertaining to the area below the ribs Hetero- different hetero/morph/ous Deviating from a normal type or shape Homeo- same, alike homeo/stasis relative equilibrium in the internal environment of the body Peri- around peri/cardi/al pertaining to the area around the heart Super- upper, above super/ior pertaining to the head or upper portion of a structure Trans- across, through trans/abdomin/al across the abdomen Ultra- excess, beyond ultra/son/ic pertaining to sound frequencies too high to be perceived by the human ear Word Parts Pertaining to Colour ELEMENT MEANING EXAMPLE DEFINITION OF EXAMPLE albin/o white albin/ism partial or total lack of pigment in skin, hair, and eyes leuk/o white leuk/o/cyte white blood cell chlor/o green chlor/opia disorder in which viewed objects appear green chrom/o color hetero/chrom/ic having different colours, especially of the iris or sections of the iris of both eyes cirrh/o yellow cirrh/osis abnormal yellowing, especially of the skin and mucous membranes jaund/o yellow jaund/ice yellow discoloration of the skin, mucous membrane, and sclera of the eye xanth/o yellow xanth/o/cyte cell containing yellow pigment cyan/o blue cyan/o/tic pertaining to blueness, especially of the skin and mucous membranes erythr/o red erythr/o/cyte red blood cell melan/o black melan/oma malignant tumor of melanocytes poli/o grey polio/myel/itis inflammation of the grey matter of the spinal cord Learning Activity Complete the below table: ELEMENT MEANING acr/o EXAMPLE DEFINITION OF EXAMPLE acr/o/cyan/osis morph/o study of form, shape, and structure, especially of cells disease fasci/o path/o/logist fasci/itis eti/o the study of the causes of disease unknown, peculiar idi/o/path/ic somat/o pertaining to the body internal organs viscer/al DISEASE AND TREATMENT List the major categories of diseases. Compare the common types of infectious organisms, and list some diseases caused by each. Define and give examples of neoplasia. Objectives Identify and use word parts pertaining to diseases. Define the major terms describing types of diseases. List and define the major manifestations of diseases. Pathology All body cells require oxygen and nutrients for survival. They also need a stable internal environment that provides a narrow range of temperature, water, acidity, and salt concentration. This stable internal environment is called homeostasis. When homeostasis is significantly interrupted and cells, tissues, organs, or systems are unable to meet the challenges of everyday life, the condition is referred to as a disease. From a clinical point of view, disease is a pathological or morbid condition that presents a group of signs, symptoms, and clinical findings. Signs are objective indicators that are observable by others. For example: a palpable mass and tissue redness Symptoms are subjective and is experienced only by the patient. For example: dizziness, pain, and malaise. A disease is an abnormal condition that affects from the normal structure or function of any part of the body. There are several different categories of diseases of the body: Disease • Infectious • Degenerative • Neoplasia • Immune disorders • Metabolic disorders • Genetic disorders • Hormonal disorders • Mental and emotional disorders The cause of a disease is its Etiology Disease An acute disease is sudden and severe and of short duration. A chronic disease is of long duration and progresses slowly A functional disorder produces symptoms for whichno physiological or anatomical cause can be identified. Other Types of Diseases An iatrogenic illness is an unfavourable response due to prescribed medical treatment e.g. severe burns resulting from radiation therapy are iatrogenic. An idiopathic disorder is an illness without known cause (idi/o means peculiar to the individual, path means disease, and -ic means pertaining to). Idiopathic means without known cause. A nosocomial infection is a disease acquired in a hospital clinical setting. Nosocomial means hospital-acquired. An organic disorder produces symptoms caused by detectable physical changes in the body. E.g. chickenpox, which has a characteristic rash, is an organic disorder caused by a virus. Infectious diseases are caused by viruses, bacteria, fungi (yeasts and molds), protozoa (single-celled animals), and parasites (worms). Infectious Diseases Microorganisms often produce disease by means of the toxins (poisons) they release. The presence of harmful microorganisms or their toxins in the body is termed sepsis. Common Infectious Organisms & Disease Caused Responses to Disease The immune response is how your body recognizes and defends itself against bacteria, viruses, and substances that appear foreign and harmful. There are several ways in which the body response: Innate and adaptive immunity Inflammation Blood Components (Phagocytosis) Neoplasia • A neoplasm is an abnormal and uncontrolled growth of tissue—a tumour or growth. • A neoplasm that does not spread, that is, metastasize, to other tissues is described as benign, although it may cause damage at the site where it grows. • A neoplasm that metastasizes to other tissues is termed malignant, and is commonly called cancer. • A malignant tumour that involves epithelial tissue is a carcinoma. If the tumor arises in glandular epithelium, it is an adenocarcinoma (the root aden/o means “gland”); a cancer of pigmented epithelial cells (melanocytes) is a melanoma. • A neoplasm that involves connective tissue, muscle, or bone is a sarcoma. Word Part Pertaining to Diseases Prefixes and Roots for Infectious Disease Prefixes and Roots for Infectious Disease Disease Establishing the cause and nature of a disease is referred to as diagnosis. Determining a diagnosis helps in the selection of a treatment. A prognosis is the prediction of the course of a disease and its probable outcome. Any disease whose cause is unknown is said to be idiopathic. A variety of diagnostic procedures are used to identify a specific disease. Diagnostic tests can be uncomplicated, such as listening to chest sounds with a stethoscope, or complex, such as a biopsy. Many of the diagnostic tests can be categorized as surgical, clinical, endoscopic, laboratory, and radiologic. Diagnostic, Symptomatic and Related Terms MEDICAL TERM DEFINITION Adhesion Abnormal fibrous band that holds normally separated tissues together, usually occurring within a body cavity Analyte Substance being analyzed or tested, generally by means of a chemical Dehiscence Bursting open of a wound, especially a surgical abdominal wound Febrile Feverish; pertaining to a fever Inflammation Body defense against injury, infection, or allergy marked by redness, swelling, heat, pain and, sometimes, loss of function Morbid Diseased; pertaining to a disease Sepsis Pathological state, usually febrile, resulting from the presence of microorganisms or their products in the bloodstream Suppurative Producing or associated with generation of pus Learning Activity Match each medical term on the left with the correct meaning on the right by place the correct letter next to each medical term. Learning Activity Learning Activity Examine the following statements. State whether each statement is true or false. 1. Arthroscopy is endoscopic examination of a joint._____ 2. Adenectomy is surgical removal of a gland. _____ 3. A colostomy is the surgical creation of an opening between the colon and the body surface. _____ 4. Arteriomalacia is abnormal hardening of blood vessels of the walls of an artery or arteries. _____ 5. The suffix –centesis means to see or a visual exam._____ 6. Gastralgia is pain in the stomach. ______ 7. An otoscope is used to examine the ear._____ 8. Prognosis is referred to as the nature of a disease. ______ References 1. Medical Terminology: An Illustrated Guide, 7e by Barbara Janson Cohen 2. Medical Terminology for Health Professions, 6 e by Ann Ehrlich and Carol L. Schroeder