Chapter 3 Suffixes This chapter presents suffixes and terms that illustrate the use of those suffixes. Some suffixes have been introduced previously (Chapters 1 and 2), whereas others are new. I begin teaching the chapter with Suffixes and Terminology, and explain each of the terms on the lists of Diagnostic and Procedural Suffixes. Included below are additional terms, which use the suffixes on the list. The suffix in each term is underlined. Additional Suffixes and Terminology Diagnostic Suffixes cirrhosis Literally means abnormal condition of yellow-orange, from the Greek kirrhos. The French physician Laennec named this disorder of the liver because he was impressed with the abnormal color of the scarred livers of alcoholics. leukocytosis Abnormal condition of white blood cells (slight increase in numbers). scoliosis Abnormal condition of the spine (lateral curvature). This term comes from the Greek skoliosis, meaning “a bending or curvature.” splenomegaly Enlargement of the spleen. melanoma Tumor of melanocytes (pigmented, melanin-containing cells in the skin). This is a malignant tumor. Other malignant tumors that do not have CARCINOMA or SARCOMA in their names are: Ewing tumor hepatoma Hodgkin disease hypernephroma lymphoma multiple myeloma Wilms tumor retinopathy tumor of bone (also called Ewing sarcoma) tumor of the liver tumor of lymph nodes tumor of the kidney (also called renal cell carcinoma) tumor of lymph nodes tumor of bone marrow tumor of the kidney (in children) Disease of the retina of the eye. This condition is often a manifestation of diabetes mellitus, marked by dilation of retinal veins and arteries or the formation of new blood vessels that may eventually rupture and cause hemorrhage into the eye (vitreous humor). Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 39 40 INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE osteopathy Disease of bones. More commonly, this term refers to a system of therapy involving manipulation of the skeletal system. It is founded on the theory that the body is capable of producing its own remedies against disease when its structure is normal and it has proper nutrition and a favorable environment. leukorrhea White discharge (from the vagina). pyorrhea Flow of pus. Collection of purulent material from infected tooth sockets, related to inflammation and disease of gums. seborrhea Excessive discharge of sebum (oil) from the skin, forming greasy scales or plugs on the body. steatorrhea Discharge of fat in the feces. multiple sclerosis Hardening of nerve fibers (axons of nerve cells). Scar tissue forms on nerve cells in scattered places in the brain and spinal cord. It causes weakness in muscles, often leading to loss of muscle coordination. otosclerosis Abnormal formation (hardening) of new bone around a structure (oval window) in the inner ear. This prevents the stapes (middle ear bone) from moving and results in loss of hearing. albuminuria Protein (albumin) in the urine (abnormal condition). glycosuria Sugar in the urine (abnormal condition). pyuria Pus in the urine (abnormal condition). Procedural Suffixes endarterectomy Removal of the inner lining of an artery (to remove plaque). vitrectomy Removal of the vitreous humor (performed as treatment for diabetic retinopathy). abdominocentesis Surgical puncture to remove fluid from the abdomen. Also called a paracentesis. acetabuloplasty Surgical repair of the acetabulum (hip socket). arthroplasty Surgical repair of a joint. blepharoplasty Surgical repair of the eyelid. tympanoplasty Surgical repair of the eardrum. valvuloplasty Surgical repair of a valve within the heart. ileostomy Opening of the ileum to the outside of the body. This may be temporary or permanent. When it is done in conjunction with removal of the colon and anus, it is always permanent. hydrotherapy Treatment with water; whirlpool baths. psychotherapy Treatment of the mind. choledocholithotomy Incision of the common bile duct (CHOLEDOCH/O) to remove a stone (LITH). episiotomy Incision of the perineum (area between the anus and the vagina). This is done to facilitate delivery of the infant. myringotomy Incision of the eardrum to provide drainage of purulent collections in the middle ear. nephrolithotomy Incision of the kidney to remove a stone. Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. Name Handout 3.1 Chapter 3 Multiple Choice Quiz ❏ ❏ ❏ ❏ ❏ ❏ 1. -osis means: A. inflammation B. tumor C. pain D. abnormal condition E. visual examination 2. Blood infection: A. anemia B. septicemia C. meningitis D. hematoma E. hemorrhage ❏ ❏ 3. Ear pain: A. colitis B. rhinalgia C. myalgia D. arthritis E. otalgia ❏ 4. A condition in which blood is held back from an organ: A. ischemia B. uremia C. hematuria D. leukemia E. menorrhea ❏ 5. A benign tumor of muscle is a(an): A. adenoma B. adenocarcinoma C. myoma D. myosarcoma E. myocardial infarction 6. Renal failure leads to this abnormal blood condition: A. vasculitis B. cystitis C. menorrhagia D. thrombosis E. uremia ❏ ❏ 7. Enlargement of the liver: A. hepatomegaly B. nephritis C. hepatitis D. cardiomegaly E. nephromegaly 8. Inflammation of the membranes around the brain and spinal cord: A. neuralgia B. encephalitis C. pleuritis D. meningitis E. encephalopathy 9. The large intestine is called the: A. larynx B. pharynx C. esophagus D. trachea E. colon 10. Disease of heart muscle: A. myosarcoma B. arthropathy C. cardiomyopathy D. nephropathy E. neuritis 11. A cancerous tumor of glandular (epithelial) cells is called: A. leukemia B. hematuria C. adenoma D. adenocarcinoma E. sarcoma 12. Discharge of blood during the menstrual period is called: A. hemorrhage B. menorrhea C. rhinorrhea D. anemia E. hematuria Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 41 ❏ ❏ ❏ ❏ ❏ ❏ 42 13. A suffix meaning a condition of hardening is: A. -centesis B. -arteri/o C. -pathy D. -plasty E. -sclerosis ❏ 14. Pertaining to the groin: A. inguinal B. renal C. pelvic D. peritoneal E. lateral ❏ 15. Condition of blood in the urine: A. uremia B. menorrhagia C. hematuria D. hematology E. ischemia ❏ 16. A myocardial infarction is a(an): A. stroke B. heart attack C. disease of the brain D. enlargement of the liver E. inflammation of a joint ❏ 17. A condition that lasts for a long time is called: A. acute B. septic C. lateral D. coccygeal E. chronic 18. A suffix that means resection is: A. -tomy B. -plasty C. -ectomy D. -stomy E. -therapy ❏ ❏ 19. Surgical puncture to remove fluid from the sac around the fetus is: A. arthrocentesis B. arteriosclerosis C. hysterectomy D. laparotomy E. amniocentesis 20. Removal of a fallopian tube: A. hysterotomy B. colectomy C. thoracocentesis D. salpingectomy E. oophorectomy 21. X-ray record of the spinal cord: A. mammogram B. myelogram C. mammography D. electromyogram E. arthrogram 22. Removal of pharyngeal lymph tissue: A. tonsillectomy B. mastectomy C. nephrectomy D. neurotomy E. tracheotomy 23. Surgical repair of breast tissue: A. hysterosalpingectomy B. mastitis C. mammography D. mammoplasty E. rhinoplasty 24. Separation of waste (urea) from the blood by filtration through a machine: A. electroencephalography B. arthrocentesis C. peritoneal dialysis D. abdominocentesis E. hemodialysis Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. ❏ ❏ 25. Combining form for blood vessel: A. angi/o B. erythr/o C. hem/o D. leuk/o E. arthr/o 26. Creation of a new opening from the windpipe to the outside of the body: A. laryngotomy B. pharyngotomy C. laparoscopy D. tracheostomy E. colostomy ❏ ❏ 27. Treatment using drugs: A. chemotherapy B. radiotherapy C. hemodialysis D. angioplasty E. myelography 28. Incision of the abdomen: A. arthrotomy B. abdominoplasty C. cholecystectomy D. laparotomy E. craniotomy Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 43 Name Handout 3.2 Chapter 3 Spelling and Comprehension Quiz I. Spelling 1. 11. 2. 12. 3. 13. 4. 14. 5. 15. 6. 16. 7. 17. 8. 18. 9. 19. 10. 20. II. Comprehension: Match the terms listed above with their meanings below. enlargement of the liver inflammation of the urinary bladder menstrual flow ear pain holding back blood from an area of the body hardening of the arteries malignant tumor of a gland blood in the urine disease of heart muscle nerve pain resection of a fallopian tube high levels of urea in the blood inflammation of membranes surrounding the brain infection in the blood surgical puncture to remove fluid from the chest abnormal condition of death of cells malignant tumor of muscle surgical puncture to remove fluid from the sac surrounding the embryo inflammation of the large intestine bursting forth of blood 44 Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. III. Match the combining form in Column I with its meaning in Column II. Column I 1. hyster/o 2. ren/o 3. oophor/o 4. axill/o 5. inguin/o 6. vascul/o 7. mast/o 8. pneumon/o 9. myel/o 10. arthr/o 11. bronch/o Column II A. armpit B. vein C. breast D. bronchial tube E. kidney F. joint G. spinal cord and bone marrow H. blood vessel I. uterus J. lung K. groin 12. phleb/o L. ovary Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 45 Name Handout 3.3 Chapter 3 Review Quiz I. Give meanings for the following suffixes: 1. -megaly 9. -therapy 2. -sclerosis 10. -plasty 3. -centesis 11. -gram 4. -stomy 12. -tomy 5. -uria 13. -ary 6. -rrhagia 14. -osis 7. -pathy 15. -eal 8. -lysis II. Give meanings for the following combining forms: 1. angi/o 14. encephal/o 2. aden/o 15. carcin/o 3. arteri/o 16. cry/o 4. amni/o 17. chem/o 5. ren/o 18. isch/o 6. sarc/o 19. necr/o 7. my/o 20. radi/o 8. oste/o 21. septic/o 9. chron/o 22. vascul/o 10. inguin/o 23. thorac/o 11. mamm/o 24. ur/o 12. nephr/o 25. ather/o 13. men/o 46 Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. III. Give combining forms for the following parts of the body: 1. gallbladder 3. urinary bladder 16. membranes surrounding the brain and spinal cord 4. ovary 17. voice box 5. ear 18. blood 6. nose 19. hip bones 7. fallopian tube 20. skull 8. liver 21. windpipe 9. uterus 22. tonsils 2. armpit 10. colon 23. membrane surrounding the abdomen 11. heart 12. joint 24. esophagus 13. vein 14. bone marrow 15. spinal cord 25. tubes from the trachea to the lungs Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 47 Name Handout 3.4 Chapter 3 Crossword Puzzle Quiz 1 5 2 3 6 4 7 8 9 10 11 12 13 14 15 Across 5. flow or discharge from the nose 8. suffix meaning pain 9. new opening into the colon from the outside of the body 10. pain of a muscle 11. suffix meaning disease 12. x-ray record of the spinal cord 14. suffix meaning new opening 15. blood in the urine 48 Down 1. pain of a joint 2. excision or removal of tonsils 3. cancerous tumor 4. suffix meaning treatment 6. suffix meaning inflammation 7. suffix meaning hardening 13. suffix meaning tumor or mass Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE 49 Handout 3.5 Chapter 3 Medical Word Doctor Using combinations of the following combining forms and suffixes create a term to fill the blanks in the following scenerios: Combining Forms angi/o arteri/o chem/o cholecyst/o col/o cyst/o hem/o hemat/o hepat/o hyster/o isch/o lapar/o mast/o mening/o my/o myel/ nephr/o oophor/o salping/o ur/o Suffixes -ectomy -emia -graphy -itis -megaly -oma -pathy -plasty -rrhage -sclerosis -scopy -stomy -therapy -uria 1. Your patient has attempted suicide by slitting her wrists. She has cold, clammy skin, is dizzy and pale, and has low blood pressure. You apply a tourniquet to stop the . 2. Your patient’s colon is inflamed and needs to heal. You suggest a temporary to divert the feces. 3. Physical examination of your patient with liver disease reveals an enlargement of the liver known as . 4. Following surgical treatment of breast cancer with recommend , you , which is adjuvant (assisting) treatment using drugs to kill any tumor cells circulating in the bloodstream. Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 50 INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE 5. Plaque that collects in coronary vessel walls and leads to thickening and loss of elasticity is . This condition often causes decreased blood supply to heart muscle, called . You recommend x-ray visualization of the blood vessels bringing blood to the heart, a procedure known as . When x-rays show blockage of one coronary artery, you suggest balloon to open the vessel and increase blood flow to the heart muscle. 6. Abdominal ultrasound examination reveals stones in your patient’s gallbladder, which should now be removed. You recommend immediate surgical resection via (minimally invasive surgery) to perform a . 7. Blood tests on your patient show malignant disease of the bone marrow, which you diagnose as multiple . 8. Abdominal and pelvic CT scans of your patient reveal extensive ovarian carcinoma, which has spread to the uterus. You recommend a bilateral (surgical resection of the ovaries and fallopian tubes), as well as (removal of the uterus). 9. Your patient has a stiff neck and blood tests show bacteria in the bloodstream and in the fluid surrounding the brain and spinal cord. You suspect inflammation, make the correct diagnosis of bacterial , and treat your patient with antibiotics. 10. When your patient’s urinalysis reveals slight you suspect (blood in the urine), (inflammation of the urinary bladder). Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE 51 Chapter 3 Answers Multiple Choice Handout 3.1 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. D B E A C E A D E C 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. C B E C E D B A D E 11. 12. 13. 14. D B E A 25. 26. 27. 28. A D A D Spelling and Comprehension Quiz Handout 3.2 I. Spelling Words 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. adenocarcinoma amniocentesis arteriosclerosis cardiomyopathy colitis cystitis hematuria hemorrhage hepatomegaly ischemia meningitis menorrhea myosarcoma necrosis neuralgia otalgia salpingectomy septicemia thoracentesis uremia II. Comprehension 9 6 12 16 10 enlargement of the liver inflammation of the urinary bladder menstrual flow ear pain holding back blood from an area of the body 3 hardening of arteries 1 malignant tumor of a gland 7 blood in the urine 4 15 17 20 11 18 19 14 13 2 5 8 disease of heart muscle nerve pain resection of a fallopian tube high levels of urea in the blood inflammation of membranes surrounding the brain infection in the blood surgical puncture to remove fluid from the chest abnormal condition of death of cells malignant tumor of muscle surgical puncture to remove fluid from the sac surrounding the embryo inflammation of the large intestine bursting forth of blood III. Matching 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. I E L A K H C J G F D B Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 52 INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE Review Quiz III. Handout 3.3 I. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. enlargement hardening surgical procedure to remove fluid new opening (to form a mouth) urination; condition of urine bursting forth (of blood) disease, condition separation, destruction, breakdown treatment surgical repair record incision pertaining to abnormal condition pertaining to II. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. blood vessel gland artery amnion kidney flesh muscle bone time groin breast kidney menstruation brain cancerous cold drug, chemical to hold back death x-rays pertaining to infection blood vessel chest urine; urinary tract plaque, collection of fatty material 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. cholecyst/o axill/o cyst/o oophor/o ot/o rhin/o salping/o hepat/o hyster/o col/o cardi/o arthr/o phleb/o myel/o myel/o mening/o laryng/o hemat/o pelv/o crani/o trache/o tonsill/o peritone/o esophag/o bronch/o Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE Crossword Puzzle Quiz Handout 3.4 2 1 A 5 3 T R H 6 I 4 C N O R R H E T 7 A S H T T N R C E H I S C L R R S I E A R P A L L L G E I A 8 A P A I A N 9 C O L O S T O M Y S M 10 M Y C 11 L G A L G T H Y I A S O 12 M Y 14 S T O M Y E 13 L O G R A M M 15 H E M A T U R I A Medical Word Doctor Handout 3.5 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. hemorrhage colostomy hepatomegaly mastectomy; chemotherapy arteriosclerosis; ischemia; angiography; angioplasty laparoscopy; cholecystectomy myeloma; oophorsalpingectomy; hysterectomy meningitis hematuria; cystitis Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved. 53 54 INSTRUCTOR’S RESOURCE MANUAL WITH TEACH LESSON PLANS FOR MEDICAL TERMINOLOGY: A SHORT COURSE Dictation Sentences Medical terms that are in bold are found in the chapter. Italicized terms may be new to students. Their definitions follow the paragraph. 1. Operative Report: Bronchoscopy Findings: Bronchoscopy through the endotracheal tube showed a normal distal trachea. The carina and the left and right tracheobronchial systems were entirely normal. All of the segmental bronchi were widely patent inside the chest. Carina: part of the trachea that branches to form the bronchial tubes Distal: farthest from the beginning of an organ or tube Endotracheal tube: an airway tube inserted through the mouth into the windpipe Patent: open 2. Myocardial Infarction A myocardial infarction, or heart attack, is an area of dead tissue in heart muscle. It can occur when atherosclerosis blocks a coronary artery and occludes it. Ischemia follows as blood fails to reach the heart muscle. Because the blood, carrying necessary food and oxygen, never reaches the heart muscle, necrosis or infarction occurs. Coronary: pertaining to the heart Occluded: closed off 3. Angiography and Angioplasty Angiography visualizes the coronary arteries. X-ray images show arteriosclerosis after contrast is injected into a blood vessel. Angioplasty may then be performed to open clogged arteries. Using a catheter containing a balloon and a stent, angioplasty keeps a clogged artery open and is an alternative to coronary bypass surgery (CABG). Catheter: a tube for injecting or withdrawing fluid Contrast: material injected to visualize parts of the body on an x-ray Coronary bypass surgery (CABG): open heart surgery using veins and arteries in place of clogged coronary arteries (coronary artery bypass graft) Stent: slotted tube 4. Electroencephalogram Report Interpretation: Abnormal EEG, characterized by bihemispheric slowing with some focality noted in the right parietal area. This may be explained by diffuse metabolic disturbance in the right hemisphere, as would be seen in a mass lesion or from a cerebrovascular accident. No evidence of any epileptic activity is seen. Bihemispheric: pertaining to both (bi- = two) hemispheres or halves of the brain Diffuse: becoming widely spread Epileptic: pertaining to epilepsy or seizure disorder in the brain Focality: localized area of abnormal nerve cell discharges Hemisphere: half of the brain Metabolic: pertaining to metabolism (chemical activity of cells) Parietal: pertaining to the side and middle part of the cerebrum Copyright 2009, 2005, 2003, 1999, 1991 by Saunders, an imprint of Elsevier Inc. All rights reserved.