Medical Terminology Coders Using ICD 10 What More With 10? Thousands of more terms: Prefixes, suffixes, roots and combining forms Commonly accepted and approved medical abbreviations Alternative names and descriptions for diseases Verbs and terms used to describe surgical approaches and techniques (resect, dissect, incise, excise, aspirate, -scopic, -otomy, -ectomy, etc.) Let’s Discuss/Review The pulmonary trunk is a short wide vessel the moves deoxygenated blood from the heart directly to the heart. Short and wide is useful! Who knew? Principles of Word Building Prefix Suffix Root Words Memorizing or locate and mark a good resource Start with Basics Word Building Word Parts Group Discussion: useful Crazy word “When I left you, I was but the learner, now I am the master.” From Star Wars Medical Terminology is the Language of Medicine Spoken in clinics and hospitals around the world It is a language, like Spanish, that includes rules of pronunciation, vocabulary, and grammar To learn the medical language you must learn the rules and practice speaking the words History of Medical Terminology Developed gradually over the years from older languages Began nearly 3,000 years ago when Hippocrates and Aristotle began describing ailments and parts of the body Romans used Latin and Greek to describe ailments and parts of the body Today, most medical terms use mainly Greek and Latin word parts Additional Medical Terms Acronym Words created from abbreviations or the first letter of a group of words CAT scan Eponyms A word based on the personal names of people to describe a disease or body part Hodgkin’s Lymphoma Two Main Groups of Medical Terms First group are called constructed terms and they are constructed from multiple Greek or Latin word parts Break these down into word parts Second group are medical terms that consist of words composed of only one Greek or Latin word part, and common terms Commit these to memory as you can!! Medical Terms Constructed Terms There are four word parts that have Greek or Latin origins Word roots Prefixes Suffixes Combining vowels Constructed terms can be learned by learning the parts Word Root Contains the primary meaning Most medical terms contain at least one and sometimes more word roots ab/norm/al The word root is norm, it is the primary meaning of the word and it means away from a normal state Word Roots arter, arteri = artery arthr = joint card, cardi = heart gastr = stomach hepat = liver later = side norm = a common state oste = bone path = disease tens = to stretch ven = vein Prefix The word part that is placed before the word root to modify its meaning ab/norm/al The prefix ab is placed before the root to modify the word meaning, and means away from Prefixes ab- = away from bi- = two endo- = within hyper- = above, beyond, excessive hypo- = below, under, deficient intra- = within pre- = to come before post- = to follow after sub- = under Suffix The word part that is placed at the end of the word root to modify its meaning ab/norm/al The suffix al is placed after the root to modify the word meaning and means pertaining to Suffixes -al = pertaining to -ic = pertaining to -ous = pertaining to -itis = inflammation -logy = study of -meter = measure -pathy = disease -scope = an instrument used for viewing -scopy = use of an instrument for viewing A Combining Vowel Is a word part that is used to connect other word parts together, but it does not modify the meaning The combining vowel is usually an o, but i and e are sometimes used The vowel is used between two word roots or between a word root and a suffix In the term gastr/o/logy a combining vowel is used between a word root and a suffix to ease pronunciation Combining Form When a word root is shown with the combining vowel attached it is called the combining form It is written with a slash separating the word root and combining form oste/o Combining Forms arteri/o = artery arthr/o = joint cardi/o = heart gastr/o = stomach hepat/o = liver oste/o = bone path/o = disease ven/o = vein Defining Medical Terms If the word parts of a medical term are known then the term’s definition can usually be determined Three steps to define a term Arteriopathy Break down the term into individual parts arteri/o/pathy Define each word part arteri/o = artery pathy = disease Combine and interpret the definition of the parts Disease of the arteries Constructing Medical Terms Most medical terms are formed by assembling various word parts to construct a term Start with the definition: determine what you want to communicate Select the word parts based on their particular meanings until the term is constructed Constructing Medical Terms Let’s create a term for a disease of bone Start with the definition Find the suffix for disease -pathy Find the word root and combining vowel for bone Disease of bone oste/o Arrange the word parts properly osteopathy Assembling Word Parts Pronunciation of Medical Terms Use a phonetic (sounds like) pronunciation system To pronounce a word, just say it as it is spelled out in parentheses The term cardiology kar-de-OL-oh-jee The term gastrohepatic gas-troh-heh-PAT-ik Spelling of Medical Terms Spelling is very important A spelling error that changes one or two letters can completely change a word’s meaning Ileum Is part of the small intestine Ilium Is part of the hip bone Singular and Plural Endings Rules for changing a singular word into a plural word are different than the English language Helpful guidelines If the term ends in a, the plural is formed by adding an e Verterbra to vertebrae If the term ends in is, the plural is formed by changing the is to es Diagnosis to diagnoses If the term ends in itis, the plural is formed by changing the itis to itides Gastritis to gastritides If the term ends in on or um, the plural is formed by changing the on or um to a Ganglion to ganglia, myocardium to myocardia Stop and Think! What prefixes and suffixes do you know? What root words do you use on a regular basis in your work? Have you thought of ‘building a term’ or ‘breaking down a word’ ? Think Time: In honor of Mary Poppins: Supercalifragilisticexpialidocious (Above) (fragrant) (delicate) (explain) (educable) Prefix, root words, combining form and suffix (from the writer, Richard Sherman’s child hood) The Body’s Normal Structure and Function Anatomy The study of body structure ana- = up, toward, apart tom = cut -y = action, process or condition Physiology The study of body function physi/o = nature logy = study of The Eleven (11) Organ Systems and Their Organ Components Integumentary System Skin Skeletal System Bones, joints Muscular System Muscles Nervous System Brain, spinal cord, nerves Endocrine System Pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pancreas, thymus, gonads Organ Systems and Their Organ Components (cont.) Cardiovascular System Lymphatic System Spleen, lymphatic vessels Respiratory System Heart, blood vessels Nose, pharynx, larynx, trachea, bronchi, lungs Digestive System Tongue, pharynx, esophagus, stomach, liver, salivary glands, pancreas, small intestine, large intestine, rectum Organ Systems and Their Organ Components (cont.) Urinary System Kidneys, ureters, urinary bladder, urethra Reproductive System Male: testes, epididymus, vas deferens, prostate gland, seminal vesicles, bulbourethral glands Female: ovaries, uterus, fallopian tubes, vagina, vestibular glands ICD 10 new term-Adnexal (structures of the Uterus Medical Terms Prefix and Suffix a-, an-Denotes an absence of ab-away from abdomin(o)-Of or relating to the Abdomenacpertaining to acanth(o)-thorn or spine acous(o)-Of or relating to hearing acr(o)-extremity, top most Acusis hearing -ad toward, in the direction of ad-increase, adherence, motion toward, very Medical Terms – Prefixes and Suffixes aden(o)-, aden(i)-Of or relating to a gland adip(o)-Of or relating to fat or fatty tissue adren(o)-Of or relating to adrenal glandsaemia blood condition aer(o)-air, gas aesthesio- sensation -alpertaining to alb-Denoting a white or pale color Medical Terms – Prefixes and Suffixes alge(si)-pain -algiapainalg(i)o-pain allo-Denoting something as different, or as an addition ambi-Denoting something as positioned on both sides; Describing both of two amnio-Pertaining to the membranous fetal sac (amnion) an-not, without an(o)anus andr(o)-pertaining to a man Medical Terms – Prefixes and Suffixes angi(o)-blood vessel aniso-Describing something as unequal ankyl(o)-, ancyl(o)-Denoting something as crooked or bent ante-Describing something as positioned in front of another thing anti-Describing something as 'against' or 'opposed to' another apo-separated from, derived from arteri(o)-Of or pertaining to an artery arthr(o)-Of or pertaining to the joints, limbs articul(o)-joint Medical Terms – Prefixes and Suffixes -arypertaining toaseenzymeastheniaweaknessAtionprocess aur(i)-Of or pertaining to the ear aut(o)-self axill-Of or pertaining to the armpit bi-twice, double bio-life blast(o)-germ or bud blephar(o)-Of or pertaining to the eyelid brachi(o)-Of or relating to the arm Dysplasia refers to abnormal tissue growth…how many in your family? Medical Terms – Prefixes and Suffixes brachy-Indicating 'short' or less commonly 'little‘ brady-Indicating 'slow‘ bronch(i)-bronchus bucc(o)-Of or pertaining to the cheek burs(o)-bursa capit-Pertaining to the head (as a whole) carcin(o)-cancer cardi(o)-Of or pertaining to the heart cephal(o)-Of or pertaining to the head (as a whole) cerebr(o)-Of or pertaining to the brain cervic-Of or pertaining to the neck, the cervix AND More!! Medical Terms Root Words Roots of the Body Roots of Bodily Concepts Digestion-pepsia Disease-pathy Eating-phagia abdomenlapar(o)aortaaort(o)armbrachi(o)arteryarteri(o)- Heartburn describes a burning in the chest caused by esophagus irritated by the reflux of stomach acid Medical Terms Root Words Roots of the Body Roots of Bodily Concepts bladdercyst(o)bloodhaemat-, hemat- (haem-, hem-) blood clotthromb(o)blood vesselangi(o)bodysomat-, somboneoste(o)bone marrow, marrowmyel(o) brainencephal(o)breastmast(o)- Medical Terms Root Words Roots of the Body Roots of Bodily Concepts cheststeth(o)earot(o)-eggs, ovaoo- egg eyeophthalm(o)eyelidblephar(o)fallopian tubessalping(o)fat, fatty tissuelip(o)fingerdactyl(o)- Extrinsic eye muscles are some of the fastest and most exact Reacting muscles of the body Medical Terms Root Words Roots of the Body Roots of Bodily Concepts gallbladdercholecyst(o)genitals, sexually undifferentiatedgon(o)-, phall(o) glandaden(o)glans penis or clitoridisbalan(o)gums gingivhairtrich(o)handcheir(o)-, chir(o)headcephal(o)heartcardi(o)- Medical Terms Root Words Roots of the Body Roots of Bodily Concepts hip, hip-joint coxintestineenter(o)jawgnath(o)kidneynephr(o)-kneegonlipcheil(o)-, chil(o)liverhepat(o)- (hepatic-) loins, pubic regionepisi(o) lungspneumonmarrow, bone marrowmyel(o)- Cardiac muscle is found only in the heart. Duh!! Medical Terms Root Words Roots of the Body Roots of Bodily Concepts mindpsychmouthstomat(o)musclemy(o)nailonych(o)navelomphal(o)necktrachel(o)nerve; the nervous systemneur(o) nipple, teatthelenoserhin(o)- Did you know that the left side of the brain controls the right side of the body? No wonder we can’t tell our right from our left!! Our brain send signals to the ‘other side’. Medical Terms Root Words Roots of the Body Roots of Bodily Concepts ovaryoophor(o)pelvispyel(o)penispe(o)pupil (of the eye)cor-, core-, coro ribpleur(o)rib cagethorac(i)-, thorac(o) shoulderom(o)skindermat(o)- (derm-) skullcrani(o)stomachgastr(o)- Medical Terms Root Words Roots of the Body Roots of Bodily Concepts testisorchi(o)-, orchid(o)throat (upper throat cavity)pharyng(o) throat (lower throat cavity/voice box)laryng(o)thumb pollictoothodont(o)-dent(i)tonguegloss-, glott-lingu(a)toedactyl(o)-digittumourcel-, onc(o)-tum- Medical Terms Root Words Roots of the Body Roots of Bodily Concepts ureterureter(o)-ureter(o)urethraurethr(o)-, urethr(a)-urethr(o)-, urethr(a)urine, urinary Systemur(o)urin(o)-uterine tubessarping(o)-sarping(o) uterushyster(o)-, metr(o)-uter(o)vaginacolp(o)-vaginveinphleb(o)-venvulvaepisi(o)-vulvwristcarp(o)- What This Means Review helpful? Too many terms/words? ICD 10 Revision: Resection (take out part-includes biopsy) vs Excision (take it all) Who said? “Houston, we have a problem” “Mirror, mirror, on the wall - who is the fairest of them all?” “Luke, I am your father.” “If you build it, they will come.” “Toto, I don’t think we’re in Kansas anymore. “Frankly, Scarlett, I don’t give a damn.” "My momma always said, 'Life is like a box of chocolates. You never know what you're gonna get.” Thousands of more terms with ICD 10 More? "Here's looking at you, kid.” "E.T. phone home.“ "Bond. James Bond.“ "Show me the money!“ "There's no crying in baseball!“ "As God is my witness, I'll never be hungry again.“ "Nobody puts Baby in a corner.“ The seaweed is always greener in somebody else’s lake Next Week More review Bring questions Message to Pat Cox: “Help me Obi-Wan Kenobi. You’re my only hope.”