Diagnostic, Therapeutic & Surgical Terms Build on Suffixes Teresa England-Lewis ACADEMIC STANDARDS DUTY J- Medical Terminology Science Math 3.3.10.A Explain the structural and functional similarities and differences found among living things N/A RWLS 1.1.11.C Use knowledge of root words and words from literary works to recognize and understand the meaning of new words during reading. Use these words accurately in speaking and writing Social Studies 8.1.12.B Synthesize and evaluate historic sources ASCEW 13.2.11.A Apply effective speaking and listening skills used in a job interview Lesson 3.1 Objectives 1. Write the meanings of the word parts and use them to build and analyze terms. 2. Match suffixes pertaining to diagnosis with their meanings or write their meanings. 3. Identify the procedures used during a physical examination. 4. Recognize several types of diagnostic imaging procedures. Fundamental Terms Description Signs Symptoms Etiology Diagnosis Treatment Prognosis Make your own mnemonic DSSEDTP- Description General Overview of the disease condition Signs Observable Measurable Signs The professional uses the senses Examples of Signs Perspiration Noisy breathing Irregular pulse Malodorous breath Pyrexia Name some signs ______________________ ______________________ ______________________ ______________________ Symptoms Client experiences these No visible signs Communicated verbally non-verbally Examples of Symptoms Nausea Pain Dizziness Name some symptoms _____________________ _____________________ _____________________ _____________________ S & S Suffixes -algia -ectasia -itis -edema -emesis pain dilation inflammation swelling vomiting Examples dentalgia dermatitis osteomalacia http://www.lookfordiagnosis.com/mesh_info.php?term=Osteomalacia&lang=1 Build a term with _______________ -algia _______________ -itis _______________ -malacia S & S suffixes -malacia softening -megaly enlargement -oid resembling -penia deficiency -RHH suffixes -rrhagia excessive bleeding -rrhea flow or discharge -rrhexis rupture http://www.trauma.org/index.php/main/keyword/C13/spleen Examples Cardiomegaly Hepatorrhagia Otorrhea Splenorrhexis http://www.studyblue.com/notes/note/n/exam-3-patho-photos/deck/1338009 Other suffixes -spasm Cramp or twitch -stasis Stop or control http://hardinmd.lib.uiowa.edu/dermnet/dermatitisstasis7.html Quick Quiz! Which 5 suffixes about diagnosis can stand alone as terms themselves? A. spasm, rrhexis, penia, megaly, edema B. rrhexis, megaly, edema, stasis, penia C. spasm, stasis, malacia, emesis, edema D. malacia, spasm, penia, megaly, malacia Build a term with _______________ -megaly _______________ -rrhagia _______________ -rrhea _______________ -rrhexis Diagnosis Determining exact disease or condition dia- through gnos/o knowledge -is noun suffix Diagnostic Tests Include Physical Examinations Clinical studies Laboratory tests Radiologic studies Diagnostic suffixes -gram record or chart -graph machine that records -graphy process of recording -scope instrument to look -scopy process of looking Examples Sonogram Tomograph Cardiography Otoscope Endoscopy Term Analysis nephromegaly blepharedema electrocardiogram, electrocardiograph, electrocardiography nephroscope, nephroscopy Electrocardiography From Bonewit-West K: Clinical procedures for medical assistants,ed 7, Philadelphia, 2008, Saunders. Build a word using __________________ -gram __________________ -graph __________________ -graphy __________________ -scope __________________ -scopy Term Analysis rhinorrhea enterospasm osteopenia gastrodynia neuralgia, laryngalgia Diagnostic combining forms ech/o reflected sound electr/o electric fluor/o emitting light radi/o x-ray tom/o cut Examples echocardiogram electroencephalograph fluoroscopy radiography tomogram From Phipps WJ, Monahan FD, Sands JK, Marek JF, Neighbors M: Medical-surgical nursing,ed 8, St Louis, 2007, Mosby. Diagnostic Terms catheter- instrument catheterization- process (n.) catheterize-action (v.) cannula catheterization The Physical Examination ambulant ambulatory ambulation 3 vital signs respirations pulse body temperature The Physical Examination Techniques of Physical Examination inspection auscultation percussion palpation A and B, From Seidel HM, Ball JW, Dains JE, Benedict GW: Mosby’s guide to physical examination,ed 5, St Louis, 2003, Mosby.C From Seidel HM, Ball JW, Dains JE, Benedict GW: Mosby’s guide to physical examination,ed 6, St Louis, 2006, Mosby. Quick Quiz! What does ECG stand for? A. echocardioging B. electroencephalography C. electrocardiogram D. echoscopy Diagnostic Imaging Modalities “plain film” contrast imaging sonography fluoroscopy From Frank ED, Long BW, and Smith BJ: Merrill’s atlas of radiographic positioning and radiologic procedures,ed 11, St Louis, 2007, Mosby. Ultrasound Diagnostic Imaging Modalities (cont.) CT nuclear medicine MRI positron emission tomography (PET) A, Courtesy Siemens; B From Seeley RS, Stephens TD, Tate P: Anatomy and physiology, ed 3, St Louis, 1995, Mosby. From Ballinger PW, Frank ED: Merrill’s atlas of radiographic positions and radiologic procedures,ed 10, St Louis, 2003, Mosby. A Courtesy of Hitachi Medical Systems America, Inc., Twinsburg, Ohio. ; B Courtesy of Professor A. Jackson, Department of Diagnostic Radiology, University of Manchester.; C, Courtesy Siemens. PET scan / https://rmcmed.com/2013/05/15/pet-scan-misleading Build a word using Ech/o ____________________ Electr/o ___________________ Fluor/o ___________________ Radi/o ____________________ Tom/o ____________________ Assessment Question What are the differences between -gram, -graph, and -graphy? Etiology Pinpointing the reason or why eti/o cause log/o study -y process of Assignments Complete Chapter 3 pages 46-65 Practice all exercises on CD especially pronunciation Study notes for Test on _________ Lesson 3.2 LEARNING GOALS 5. Recognize several combining forms associated 6. 7. 8. 9. with therapy, and write the meanings of therapeutic terms or match them with their meanings. Match suffixes pertaining to surgical procedures with their meanings or write their meanings. Recognize combining forms for selected body structures in terms. Spell medical terms accurately. Write the meaning of the abbreviations. Treatment Can be medical Can be surgical Word Parts of Treatment Combining Forms algesi(o) chem(o) esthesi(o) narc(o) pharmac(o), pharmaceut(i) Meaning sensitivity to pain chemical feeling or sensation stupor drugs or medicine Word Parts of Treatment Word Part Meaning therapeut(o) tox(o), toxic(o) treatment poison Suffix -therapy treatment Surgical suffixes -centesis surgical puncture -pexy surgical fixation -plasty surgical repair -rrhaphy surgical suturing -tripsy surgical crushing From Gruber RP, Peck GC: Rhinoplasty: state of the art,St Louis, 1993, Mosby. Word Analysis anesthetic vs. analgesic anesthesia, neuromuscular pharmaceutical versus pharmacotherapy narcotic Know the Differences! sign vs. symptom diagnosis vs. prognosis incision vs. excision Know the Differences! -gram vs. -graph vs. -graphy -rrhage vs. -rrhea vs. -rrhexis -tome vs. -tomy -tomy vs. -stomy Examples Abdominocentesis Hysteropexy Otoplasty Lithotripsy Build a word using ________________ -centesis ________________ -pexy ________________ -plasty ________________ -tripsy Quick Quiz! Which suffix means “suture”? A. -pexy B. -lysis C. -plasty D. -rrhaphy Tom/o means To Cut ecto- out -y process of -e instrument os hole TOM/O suffixes -ectomy process of cutting out -stomy process of cutting a hole -tome cutting instrument -tomy process of cutting into -EC / TOM / Y process of cutting out Synonyms excise (verb) excision (noun) removal of -S / TOM / Y Process of cutting a hole Synonyms make a new opening into TOM / E Cutting instrument TOM / Y Process of cutting into Synonyms incise (verb) incision (noun) Combining Forms: Selected Body Structures tonsil(o) aden(o) append(o) and appendic(o) blephar(o) tonsils gland appendix eyelid Combining Forms-Selected Body Structures cerebr(o), encephal(o) chir(o) col/o and colon/o cutane(o), dermat(o) mamm(o) and mast(o) brain hand colon or large intestine skin breast Combining Forms: Selected Body Structures cerebr(o), encephal(o) chir(o) col/o and colon/o cutane(o), dermat(o) mamm(o) and mast(o) brain hand colon or large intestine skin breast Combining Forms: Selected Body Structures cerebr(o), encephal(o) chir(o) col/o and colon/o cutane(o), dermat(o) mamm(o) and mast(o) brain hand colon or large intestine skin breast Term Analysis colonoscope, coloscope blepharoplasty osteotome encephalotome mammoplasty Examples Tonsillectomy Gastrostomy Dermatome Craniotomy Build a term that means Removal of the appendix Surgical hole in the colon Incision in the trachea Surgical repair of the nose Catheter (G) To let or send down Carr, H. A. (2000). "A short history of the Foley catheter: from handmade instrument to infection-prevention device." J Endourol 14(1): 5-8. 3000 BC 2000 BC 1000 BC 0 1000 AD 1300 AD 1400 AD 1500 AD 1600 AD 1700 AD 1800 AD 1900 AD 3000 BC Egyptians used Metal-gold John Gaddesden http://medicalhistoryandart.com/contents.php?view=7 1700s Ben Franklin invented flexible catheter 1935-37 Dr. Frederic Foley 1970s Dr. Jack Lapides Intermittent catheterization Quick Quiz! What does angioplasty mean? A. suture of a vessel B. plastic surgery on vessels C. surgical fixation of a vessel D. plastic surgery on a gland Assignments Complete Chapter 3 pages 65- 70 Practice all exercises on CD Study notes for Test on _________