Introduction to Medical Terminology Importance of Medical Terminology A fundamental understanding of medical terminology is essential for all health professionals from the doctors, nurses health professionals who provide primary care, therapy and rehabilitation to ancillary personnel who work with medical records, medical bills and other patient care related documents in the health care setting. Learning a Medical Language You will learn: ◦ Component parts used in the construction and definition of medical terms ◦ Spelling ◦ Pronunciation Analysis of Terms Medical terms are made up of some or all of the following 4 basic elements: ◦ ◦ ◦ ◦ Prefix Word root Suffix Combining form (a root word + a combining vowel) Not all of these elements are used in every medical term. Word Root A word root is the core of a medical term and is the main meaning of the word. The root of a medical term is equivalent to a noun. Word Root In medical terminology word roots may represent…. ◦ ORGANS: Derm = Skin ◦ BODY FUNCTIONS: Hidr = Sweat ◦ PROCEDURES: Radi = Radiation/X-ray Most medical terms have at least 1 word root!! Combining vowel In medical terminology the word root usually is associated with a vowel, which is usually “o” but sometimes “i”. The vowel helps combine the word root with a suffix or another word root. Therefore it is called a combining vowel. Using a combining vowel makes pronunciation easier, which is its main purpose. Ex. Gastr/o Gastrointestinal Combining Form A word root PLUS a combining vowel is called a Combining Form. Ex. Stethoscope “Steth” is the word root meaning chest “o” is the combining vowel So together “steth/o” is a combining form. Scope is a suffix meaning “instrument used for examining or recording Combining Form Continued A combining vowel is not always used in a medical term. Ex. Proximal (pertaining to the nearest point of attachment) The combining form is Proxim/o (which means “near, nearest”) The word root is Proxim Suffixes Placed at the end of the word. The suffix has it’s own meaning and changes the meaning of the medical term. ◦ Tonsill/itis ◦ itis means “inflamation of ” (condition) ◦ Tosill/ectomy ◦ ectomy means “removal” (procedure) Suffix Example In the term “Cardiac,” the suffix “-ac,”, meaning “pertaining to,” “Cardi/o” means “heart” In this instance the combining vowel was not used. Prefixes Attached to the beginning of a word or word root. Adding or changing a prefix changes the meaning of the word. Prefix Example “lateral” means “pertaining to the side.” The prefix “bi-”, which means “two,” modifies its meaning. “Bilateral” means “pertaining to two sides.” Analysis of Terms An exact correspondence usually does not exist between the modern translation of a medical term and its Greek or Latin origins Example The suffix”-emia” means blood The prefix “an-” means without or not. “Anemia is literally translated as “having no blood.” ◦ Anemia is defined in the medical dictionary as a blood disorder characterized by a reduction in red blood cells 3 Steps to Defining Medical Words Step 1 ◦ Define suffix, or last part of the word first Example: “gastrointestinal” Start with suffix –al (pertaining to) 3 Steps to Defining Medical Words Step 2 ◦ Define the first part of the word (which may be a word root, combining form or prefix, Gastrointestinal Gastr/o means stomach 3 Steps to Defining Medical Words Step 3 ◦ Define the middle parts of the word. Gastrointestinal Intestin means intestines So the whole meaning to the medical term is Pertaining to the stomach and intestines 3 Rules for Building Medical Words Rule #1 ◦ A word root links a suffix that begins with a vowel. ◦ Hepat -itis = Hepatitis ◦ (drop the combining vowel when the suffix begins with a vowel) 3 Rules for Building Medical Words Rule #2 ◦ A combining form (word root + combining vowel) links a suffix that begins with a consonant. ◦ Hepat/o -cyte = hepatocyte ◦ (keep the combining vowel when the suffix begins with a consonant) 3 Rules for Building Medical Words Rule #3 ◦ A combining form links one root to another root to form a compound word. Even if the second root begins with a vowel. ◦ Oste/o arthr -itis = osteoarthritis Practice Assignment 1-1 thru 1-5 pp. 9-11 Review 3 Steps for Defining Medical Terminology ◦ ◦ ◦ 3 Rules for Building Medical Terminology ◦ ◦ ◦ Review Identify the following medical word components ◦ ◦ ◦ ◦ Gastr/o Nephr -itis Pro- Pronunciation Rules ae and oe only second vowel is pronounced (bursae, pleurae, and roentgen) Soft sound of s and j are given to c and g, respectively, before e, I, and y in words of greek and latin origin (cerebrum, circumcision, cycle, gel, gingivitis, giant and gyrate). Before other letters c and g have a hard sound (cardiac, cast, gastric, and gonad) Pronunciation Rules The letters ch are sometimes pronounced like k (cholesterol, cholera, cholemia) When pn appears at the beginning of a word, the p and the n are pronounced (pneumonia, and pneumotoxin) When ps appears at the beginning of a word, the p is silent and only the s is pronounced (psychology, psychosis) When forming the final letter or letters of a word, e and es are often pronounced separate syllables (syncope, systole, nares) Pronunciation Rules When pn appears in the middle the p and the n are pronounced (orthopnea, hyperpnea) When i appears at the end of a word it is pronounced eye. All other vowels and consonants have normal English sounds Pronunciation Marks Pronunciation Review Macron gives what type of sound to a vowel? Breve gives what type of sound to a vowel? pn in the middle of the word both the p and the n are pronounced. T or F? Pronounce the following word. Bursae Pronounce the following words. Circumcision, Gel