MEDICAL TERMINOLOGY Word Roots, Suffixes and Prefixes 1. R ATION ALE Medical language is used by all members of the healthcare team. It is essential for students to develop the knowledge of medical language. 2. OBJECTIVES Upon the completion of this lesson, the student will be able to demonstrate use of precise medical language to clearly communicate ideas; to distinguish between technical and non-technical terms and use them according to the circumstances; to grasp the meaning of medical terms by identifying their word roots, suffixes and prefixes. 3. BRIEF THEORETICAL FR AMEWORK Medical terminology is a vocabulary for accurately describing the human body and associated components, conditions, processes and process in a science-based manner. It is to be used in the medical and nursing fields. This systematic approach to word building and term comprehension is based on the concept of: (1) word roots, (2) prefixes, and (3) suffixes. The word root is generally a term derived from a source language such as Greek or Latin and usually describes a body part. The prefix can be added in front of the term to modify the word root by giving additional information about the location of an organ, the number of parts, or time involved. Suffixes are attached to the end of a word root to add meaning such as condition, disease process, or procedure. In the process of creating medical terminology, certain rules of language apply. So, when a term is developed, some logical process is applied. The word root is developed to include a vowel sound following the term to add a smoothing action to the sound of the word when applying a suffix. The result is the formation of a new term with a vowel attached (word root + vowel) called a combining form. In English, the most common vowel used in the formation of the combining form is the letter -o-, added to the word root. Prefixes do not normally require further modification to be added to a word root because the prefix normally ends in a vowel or vowel sound, although in some cases they may assimilate slightly and an in- may change to im- or syn- to sym-. Suffixes are categorized as either (1) needing the combining form, or (2) not needing the combining form since they start with a vowel. Decoding the medical term is an important process. Once experience is gained in the process of forming and decoding medical terminology, the process begins to make sense and becomes easier. One approach involves breaking down the word by evaluating the meaning of the suffix first, then prefix, and finally the word root. This will generally produce a good result for the experienced health care professional. When in doubt, the result should be verified by a medical terminology dictionary. The process of learning a new language, such as medical terminology, is a challenging, yet attainable goal as the basic rules—once learned—make the process easier. In forming or understanding a word root, one needs a basic comprehension of the term and the source language. The study of the origin of words is called etymology. For example, if a word was to be formed to indicate a condition of kidneys, there are two primary roots: one from Greek (νεφρός nephr(os)) and one from Latin (ren(es)). Renal failure would be a condition of kidneys, and nephritis is also a condition, or inflammation, of the kidneys. The suffix -itis means inflammation, and the entire word conveys the meaning inflammation of the kidney. To continue using these terms, other combinations will be presented for the purpose of examples: The term supra-renal is a combination of the prefix supra- (meaning "above"), and the word root for kidney, and the entire word means "situated above the kidneys". The word nephrologist combines the root word for kidney to the suffix -ologist with the resultant meaning of "one who studies the kidneys". In medical terminology, the word root is not usually capable of standing alone as a complete word within a sentence. This is different than most word roots in modern standard English. The medical word root is taken from a different source language, so it will remain meaningless as a stand-alone term in an English sentence. A suffix or prefix must be added to make a usable medical term. For example, the term for "concerning the heart" is "cardiacus", from the Greek kardía. If a person is suffering from a heart related illness, the statement, "The patient suffered a kardía event," would not make sense. However, with the addition of a suffix -ac, the statement would be modified to read, "The patient suffered a cardiac event" which is an acceptable use of medical terminology. The process is different in standard English because the word roots are capable of standing alone in a sentence. For example, the word eye is a word root in English that can be used without modification in a sentence. An additional challenge to the student of medical terminology is that the formation of the plural of a word must be done using the rules of forming the proper plural form as used in the source language. This is more difficult than in English, where adding -s or -es is the rule. Greek and Latin each have differing rules to be applied when forming the plural form of the word root. Often such details can be found using amedical dictionary. There is also another rule of medical terminology to be recognized by the student. When more than one body part is used in the formation of a medical term, the individual word roots are joined together by using the combining form using the letter -o- to indicate the joining together of various body parts. For example, if there is an inflammation of the stomach and intestines, this would be written as gastro- and enter- plus itis, gastroenteritis. In this example, the -o- signifies the joining together of two body parts. GASTR stomach + O and + ENTER intestines + ITIS inflammation = GASTROENTERITIS inflammation of the stomach and intestines A useful little book, Chambers Classical Roots for Medics, has a simple guide to Latin and Greek plurals and cases as an appendix to its main listings of medical prefixes and suffixes. Another extremely helpful book for students’ just learning medical terminology for the first time is Davi-Ellen Chabner’s Medical Terminology, a short course, and most current in the 9th edition. This book demystifies the pronoun/suffix and root word breakdowns into very simplistic steps that work through the systems of the body, with illustrations. A companion audio CD helps you to hear the words and use them correctly. Another companion Study CD contains image glossaries and interactive games and visual learning strategies. 4. PUTTI NG THEORY I NTO PR AC TICE I. Match the word root, suffix, prefix or term with its corresponding meaning. algia death of tissue cervi/c hernia cyte narrowing megaly enlargement enter/o life necrosis breast rhino nose cele nerve ot/o small intestines stenosis neck procto side neur/o cell bi/o ear mamm/o joint latero painful arthr/o rectum II. Comple with a medical term so as it matches with its meaning. Bradycardia – Laryngitis – Dysuria- Thoracentesis – Craniostomy – Osteoarthritis – Bilateral – Renal Nephrosis – Myocardium – Leukocyte - Hysterectomy ________________ : slow heartbeat ________________: white cell ________________: inflammation or infection of the voice box ________________: removal of the uterus ________________: painful urination ________________: heart muscle ________________: pertaining to the kidney ________________: abnormal condition of the kidney ________________: both or two sides ________________ : inflammation of the bone and joint ________________: surgical opening of the skull ________________: surgical puncture of the chest III. Guess or provide the right meanings or terms. 1. The combining form hepato means _______________. a. stomach b. kidney c. liver d. lung 2. The combining form pnoea in dyspnoea or tachypnoea means _____________. a. eat b. sleep c. breath d. walk 3. The combining form for lung is ___________. a. pleuro b. pulmo c. bronchi d. throraco 4. The word pectoral refers to the ________. a. breast b. leg c. feet d. waist 5. The combining form for hard is _______. a. jejuno b. caeco c. sclero d. tracheo IV. Guess or provide the right meanings or terms. 1. Chronic cholecystitis is characterized by repeated attacks of severe, sharp pain. Where does the pain come from? a. ovary b. lower back c. knee d. bladder 2. Cervical spondylosis is a disease that affects the middle-aged and elderly. Which part of the body is being affected? a. neck b. uterus c. legs d. arms 3. Malignant nephrosclerosis is a condition associated with severe high blood pressure. This is a serious condition of the a. kidneys b. heart c. arteries d. neck 4. Blood clots in the hepatic artery generally do not require surgery to correct the problem even though an obstruction can cause injury. Where is this artery located? a. intestine b. heart c. leg d. liver 5. Cerebral palsy is a condition characterized by poor muscle control, spasticity, and paralysis resulting from injury during pregnancy, during birth, after birth or before age 5. Which part of the body is injured due to cerebral palsy? a. brain b. spinal cord c. lower back d. neck 5. MOST COMMON PREFIXES, SUFFI XES AND WORD ROO TS IN MEDICI NE Common Medical Prefixes a-, an- negative, without ab- away from ad- towards anti- against ante- before bi- two, both brachy- short brady- slow dys- painful, difficult dors- back endo- inside epi- above, upon hemi- half hyper- excessive, above, more than hypo- decrease, below, less inter- between, among intra- within, inside macro- large, big mal- bad micro- small neo- new para- beside or below peri- around poly- many post- after sub- below super- above tachy- fast Common Medical Suffixes -algia painful -asthenia weakness -cele hernia -centesis surgical puncture -ectomy removal -itis inflammation/infection -gram picture -malacia abnormal softening -megaly enlargement -necrosis death of tissue -ology study of -osis abnormal condition -ostomy surgical opening -otomy surgical incision -orrhea flow -pathy disease -plasty surgical repair -rrhaphy suture -sclerosis abnormal hardening -scope instrument to view -stenosis narrowing Common Medical Roots acro extremities aden gland angi/o vessel arteri/o aterio arthr/o joint brachi arm brain cervi/c neck cardi/o cerebr/o chrondr/o cartilage col/o large intestines/colon cost/o ribs cyst/o sac/bladder cyte cell enter/o small intestines gastr/o stomach heart carp wrist hemo/hemat blood hepat liver hyster/o uterus lapar abdomen laryng larynx (voice box) latero side lip/o fat mamm/o breast mast/o breast medial middle myel/o spinal cord/bone marrow my/o muscle nas/o nose nephr/o kidney neur/o nerve oophor ovary oste/o bone ot/o ear plegia paralysis pneum/o lung/air procto rectum rhino nose salpingo fallopian tube tend/o tendon thorac chest trachi trachea (wind pipe)