Medical Terminology Dr. Michael P. Gillespie Categories of Medical Terms • Descriptive – descriptive medical terms describes the shape, size, color, function etc. of the anatomical structure. • Eponyms – literally “putting a name upon” - are used to honor someone who first discovered or described an anatomical structure, diagnosed a disease, or developed a medical instrument or procedure. – Eponyms give no useful information about what the item is or where it is located. Objectives • Analyze words by dividing them into component parts. – – • Relate the medical terms to the structure and function of the human body. – • Do not simply memorize terms. Break words up into their component parts. The medical terms will be easier to understand if you know their context in health and disease processes. Be aware of spelling and pronunciation problems. – – Some medical terms are pronounced alike, but spelled differently (i.e. ilium and ileum). Some medical terms are similar and a mispronunciation can lead to a misunderstanding (i.e. urethra and ureter). Elements of medical terms • Root – the root is the foundation of the word. All medical words have one or more roots. • Prefix – word beginning. Usually identifies some subdivision or part of the central meaning. • Suffix – word ending. Modifies the central meaning. • Combining vowel – usuallu an “o”. Links the root to a suffix or another root. • Combining form – combination of the root plus the combining vowel. 3 General Rules • 1. Read the meaning of the medical terms from the suffix back to the beginning of the term and across. • 2. Drop the combining vowel (usually o) before a suffix beginning with a vowel: gastritis not “gastroitis”. • 3. Keep the combining vowel between two roots: gastroenterology, not “gastrentology”. Common prefixes and suffixes • Itis = inflammation (tonsillitis, appendicitis, hepatitis) • Osis = abnormal condition (cyanosis) • Ectomy = to cut out [remove] (appendectomy, tonsillectomy) • Otomy = to cut into (tracheotomy) • Ostomy = to make a [mouth] (colostomy) • A / an = without / none (anemia, areflexia) Common prefixes and suffixes • Micro = small (microscopic) • Macro = large (macroscopic) • Mega / megaly = enlarged (megacolon, organomegaly) • Scopy / scopic = to look / observe (colonoscopy) • Graphy / graph = recording an image (mammography) • Gram = the image (mammogram) • Ology / ologist = study / specialize in (cardiologist, rheumatology) Word Roots for organs Root Meaning Example Stomato Mouth Stomatitis Dento Teeth Dentist Glosso / linguo Tongue Glossitis, lingual gland Gingivo Gums Gingivitis Encephalo Brain Encephalitis Gastro Stomach Gastritis Entero Intestine Gastroenteritis Colo Large intestine Colitis, megacolon Word Roots for organs Root Meaning Example Procto Anus / rectum Proctitis, proctologist Hepato Liver Hepatitis, hepatomegaly Nephro / rene Kidney Nephrosis, renal Orchiso Testis Orchiditis Oophoro Ovary Oophorectomy Hystero / metro Uterus Hysterectomy, endometritis Salpingo Uterine tubes Hysterosalpingogram Dermo Skin Dermatitis Word Roots for organs Root Meaning Example Masto / mammo Breast Mammography, mastectomy Osteo Bones Osteoporosis Cardio Heart Electrocardiogram Cysto Bladder Cystitis Rhino Nose Rhinitis Phlebo / veno Veins Phlebitis, phlebotomy Pneumo / pulmo Lung Pneumonitis, pulmonologist Hemo / emia Blood Hematologist, anemia Colors Structural Organization of the Body • CELL—the fundamental unit of all living things Study Section 1 • • • • • • • metabolism anabolism catabolism cell membrane chromosomes cytoplasm DNA • endoplasmic reticulum • genes • Karyotype • mitochondria • nucleus Body Cavities • Body cavities are the spaces within the body that contain internal organs (viscera). Organs of the Abdominopelvic and Thoracic Cavities Abdominopelvic Regions Abdominopelvic Quadrants Anatomical Divisions of the Back Positional and Directional Terms Positional and Directional Terms Chapter 5 Digestive System 21 Introduction: Ingestion and Digestion • Ingestion—Food material taken into mouth • Digestion—Food is broken down and travels through the gastrointestinal tract. – Digestive enzymes aid breakdown of complex nutrients. • Proteins → amino acids • Sugars → glucose • Fats → fatty acids or triglycerides Introduction: Absorption • Digested food passes into bloodstream through lining cells of small intestine. • Nutrients travel to all cells of the body • Cells burn nutrients to release energy stored in food. Small Intestine Villi in the lining of the small intestine Large Intestine Parts of the large intestine Liver, Gallbladder, and Pancreas Parts of the liver, gallbladder, and pancreas Chapter 7 Urinary System Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved. 28 Anatomy of the Major Organs (cont’d) Organs of the Urinary System in a Male Anatomy of the Major Organs (cont’d) Female Urinary System How Kidneys Produce Urine (cont’d) Blood enters kidneys through right and left renal arteries Arterioles carry blood to capillaries Glomeruli filter blood How Kidneys Produce Urine (cont’d) • Glomerulus and a renal tubule combine to form a unit called a nephron. How Kidneys Produce Urine (cont’d) All collecting tubules lead to the renal pelvis Calyces or calices are small, cuplike regions of the renal pelvis Illustration shows section of kidney Chapter 8 Female Reproductive System 34 Introduction Gametes (ovum and sperm cell) Gametes are produced in the gonads. Female gonads are the ovaries; male gonads are the testes. Introduction Fertilization An ovum leaves the ovaries and travels through the fallopian tube. Fertilization takes place if sperm cells. are present and unite with the ovum. Fertilized egg implants then divides to form a ball of cells, called a zygote (and later an embryo and then a fetus). Organs of the Female Reproductive System Organs of the female reproductive system, lateral view. Organs of the Female Reproduction System Organs of the female reproductive system anterior view Organs of the Female Reproductive System ● The Breast sagittal view Menstruation and Pregnancy A, Implantation in the uterus B, Embryo’s relationship to the placenta Terminology: Combining Forms, Suffixes, and Prefixes COMBINING FORMS Combining Form Meaning • amni/o amnion • cervic/o cervix, neck • chori/o chorion • chorion/o chorion • colp/o vagina Terminology: Combining Forms, Suffixes, and Prefixes COMBINING FORMS Combining Form culd/o episi/o galact/o gynec/o hyster/o Meaning cul-de-sac vulva milk woman, female uterus, womb Terminology: Combining Forms, Suffixes, and Prefixes COMBINING FORMS Combining Form • • • • • Meaning lact/o milk mamm/o breast mast/o breast men/o menses, menstruation metr/o uterus Terminology: Combining Forms, Suffixes, and Prefixes COMBINING FORMS Combining Form • • • • • Meaning my/o muscle myom/o muscle tumor nat/i birth obstetr/o midwife o/o egg Terminology: Combining Forms, Suffixes, and Prefixes COMBINING FORMS Combining Form Meaning • oophor/o ovary • • • • ov/o egg ovari/o ovary ovul/o egg perine/o perineum Terminology: Combining Forms, Suffixes, and Prefixes COMBINING FORMS Combining Form • phor/o • • • • salping/o uter/o vagin/o vulv/o Meaning to bear fallopian tubes uterus vagina vulva Terminology: Combining Forms, Suffixes, and Prefixes SUFFIXES Suffix Meaning • -arche beginning • -cyesis • -gravida • -parous pregnancy pregnancy to bear, bring forth Terminology: Combining Forms, Suffixes, and Prefixes SUFFIXES Suffix • -rrhea Meaning discharge • -salpinx uterine tube • -tocia labor, birth • -version act of turning Terminology: Combining Forms, Suffixes, and Prefixes PREFIXES Suffix • dys- • • • • endoinintramulti- Meaning painful within in within many Terminology: Combining Forms, Suffixes, and Prefixes PREFIXES Suffix Meaning • nulli- no, not, none • pre• primi• retro- before first backward Chapter 9 Male Reproductive System 51 Anatomy Anatomy Internal structure of the testis and the epididymis Terminology Combining Form Meaning andr/o male balan/o penis cry/o cold crypt/o hidden epididym/o epididymis gon/o seed hydr/o water, fluid orch/o, orchi/o, testis, testicle orchid/o Terminology Combining Form pen/o prostat/o semin/i sperm/o terat/o test/o varic/o vas/o zo/o Meaning penis prostate gland semen, seed spermatozoa, semen monster testis, testicle varicose veins vessel duct animal life Terminology SUFFIXES Suffix • -genesis Meaning formation • -one hormone • -pexy fixation, put in place • -stomy new opening Pathologic Conditions Cardiovascular System Anatomy of the Heart Conduction System of the Heart Combining Forms and Terminology Combining Form Meaning angi/o vessel aort/o aorta arter/o artery arteri/o artery ather/o yellowish plaque atri/o atrium Combining Forms and Terminology Combining Form Meaning brachi/o arm cardi/o heart cholesterol/o cholesterol coron/o heart cyan/o blue myx/o mucus Combining Forms and Terminology Combining Form • • • • • • Meaning ox/o oxygen pericardi/o pericardium phleb/o vein sphygm/o pulse steth/o chest thromb/o clot Combining Forms and Terminology Combining Form • • • • • • Meaning valvul/o valve valv/o valve vas/o vessel vascul/o vessel ven/o, ven/i vein ventricul/o ventricle Cardiovascular System and Blood Cell Types and Function Erythrocytes: red blood cells transport nutrients and oxygen Leukocytes: white blood cells Thrombocytes: platelets; clot blood Combining Forms and Terminology Combining Form Meaning bas/o base chrom/o color coagul/o clotting cyt/o cell eosin/o red, dawn, rosy erythr/o red Terminology Combining Form • • • • • • Meaning granul/o granules hem/o blood hemat/o blood hemoglobin/o hemoglobin is/o same, equal kary/o nucleus Combining Forms and Terminology Combining Form leuk/o mon/o morph/o myel/o neutr/o nucle/o Meaning white one, single shape, form bone marrow neutral nucleus Terminology Combining Form phag/o poikil/o sider/o spher/o thromb/o Meaning eat, swallow varied, irregular iron globe, round clot Suffixes -apheresis -blast -cyte -cytosis -emia -globin -globulin -lytic • • • • • • • • -oid -osis -penia -phage -philia -phoresis -poiesis -stasis Chapter 14 Lymphatic and Immune Systems 72 Location of Lymph Nodes Lymph Nodes Spleen • Destroys old red blood cells • Filters microorganisms • • and other foreign material out of the blood Activates lymphocytes during blood filtration (B cells produce antibodies) Stores blood, especially erythrocytes (RBCs) and platelets Thymus Gland • Provides immunity in • • fetal life and in early years of growth. Makes cells immunocompetent in early life Early removal from an animal impairs its ability to make antibodies and produce cells to fight antigens Immune System Natural immunity: genetic predisposition • Phagocytosis • Macrophages • Natural killer cells Combining Forms, Prefixes, and Terminology COMBINING FORMS Combining Form Meaning immun/o protection lymph/o lymph lymphaden/o lymph node splen/o spleen thym/o thymus gland tox/o poison Combining Forms, Prefixes, and Terminology PREFIXES Prefix Meaning ana- again, anew inter- between Chapter 12 Respiratory System 80 Respiratory Anatomy Mediastinum: Middle of chest where trachea divides into two branches Bronchi: Each leads to a separate lung Lungs: Lobes are not mirror images Hilum: Blood vessels, nerves, lymphatic tissue, and bronchial tubes enter and exit Anatomy of Respiration Vocabulary adenoids alveolus (alveoli) apex of the lung base of the lung brochioles bronchus (bronchi) carbon dioxide Vocabulary • • • • • • • • cilia diaphragm epiglottis expiration glottis hilum inspiration larynx Vocabulary • • • • • • • lobe mediastinum nares oxygen palatine tonsil paranasal sinus parietal pleura Vocabulary • • • • • • • pharynx pleura pleural cavity pulmonary parenchyma respiration trachea visceral pleura Combining Forms and Terminology Combining Form Meaning adenoid/o adenoids alveol/o alveolus, air sac bronch/o bronchial tube bronchi/o bronchus bronchiol/o bronchiole, small bronchus capn/o carbon dioxide Combining Forms and Terminology Combining Form Meaning coni/o dust cyan/o blue epiglott/o epiglottis laryng/o larynx, voice box lob/o lobe of the lung mediastin/o mediastinum Combining Forms and Terminology Combining Form Meaning nas/o nose orth/o straight, upright ox/o oxygen pector/o chest pharyng/o pharynx, throat phon/o voice Combining Forms and Terminology Combining Form Meaning phren/o diaphragm pleur/o pleura pneum/o air, lung pneumon/o lung pulmon/o lung rhin/o nose Combining Forms and Terminology Combining Form Meaning sinus/o sinus cavity spir/o breathing tel/o complete thorac/ochest tonsill/o tonsils trache/o trachea, windpipe Combining Forms, Suffixes, and Terminology SUFFIXES Suffix -ema -osmia -pnea -ptysis -sphyxia -thorax Meaning condition smell breathing spitting pulse pleural cavity, chest Chapter 15 Musculoskeletal System 93 Bone Formation Ossification: replacement of cartilage with bone Cells: osteoblast: produce immature bony tissue that replaces cartilage osteocyte: nourishes and maintains bone osteoclast: reabsorb or digest bone (remodels bone) Bone Structure (A) Divisions of a long bone and interior structure (B) composition of compact (cortical) bone Bone Structure Ends of bones covered by articular cartilage in the joint: cushions joint and allows it to move smoothly Compact bone: contains haversian systems for blood vessels, nerves, and yellow bone marrow (mostly fat) Cancellous (spongy/trabecular bone): spaces contain red bone marrow with elements for blood formation Bone Marrow • Yellow marrow: chiefly fat • Red marrow: rich with blood vessels and immature and mature blood cells in various stages of development; in later life replaced with yellow marrow • Ribs, pelvic bone, sternum, vertebrae, epiphyses of long bones Bone Processes and Depressions Processes: serve as attachments for muscles and tendons Depressions: openings or hollow regions help join bones or serve as passageways for nerves and/or vessels Bone Processes and Depressions Vertebral Column and Vertebrae Terminology — Bones GENERAL TERMS COMBINING FORMS Combining Form Meaning calc/o calcium calci/o calcium kyph/o posterior curvature in thoracic region lamin/o lamina lord/o curve lumb/o loins, lower back Terminology — Bones GENERAL TERMS COMBINING FORMS Combining Form myel/o orth/o oste/o scoli/o spondyl/o vertebr/o Meaning bone marrow straight bone crooked vertebra vertebra Terminology — Bones GENERAL TERMS SUFFIXES Suffix Meaning -blast embryonic cell -clast to break -listhesisslipping -malacia softening -physis to grow -porosis pore, passage -tome instrument to cut Terminology — Bones TERMS RELATED TO SPECIFIC BONES COMBINING FORMS Combining Form Meaning acetabul/o acetabulum (hip socket) calcane/o calcaneus (heal) carp/o carpals (wrist bones) clavicul/oclavicle (collar bone) cost/o ribs crani/o cranium (skull) Terminology — Bones TERMS RELATED TO SPECIFIC BONES COMBINING FORMS Combining Form Meaning femor/o femur (thigh bones) fibul/o fibula (smaller lower leg bone) humer/ohumerus (upper arm bone) ili/o ilium (upper part of pelvic bone) ischi/o ischium (part of pelvic bone) malleol/o malleolus Terminology — Bones TERMS RELATED TO SPECIFIC BONES COMBINING FORMS Combining Form Meaning mandibul/o mandible (lower jaw bone) maxill/o maxilla (upper jaw bone) metacarp/o metacarpals (hand bones) metatars/o metatarsals (foot bones) olecran/o olecranon (elbow) patell/o patella (kneecap) pelv/i pelvis Terminology — Bones TERMS RELATED TO SPECIFIC BONES COMBINING FORMS Combining Form perone/o phalang/o pub/o radi/o scapul/o Meaning fibula phalanges (finger, toe bones) pubis radius scapula (shoulder blade) Terminology — Bones TERMS RELATED TO SPECIFIC BONES COMBINING FORMS Combining Form Meaning stern/o sternum (breastbone) tars/o tarsals tibi/o tibia (shin bone) uln/o ulna (lower arm bone) Joints Joint (articulation): coming together of two or more bones Suture joints: immovable (skull) Synovial joints: freely movable (ball and socket types, e.g., hip or shoulder), (hinge type, for example, elbow, knee, ankle) Synovial Joints Joint capsule surrounds bone. Ligaments band bones together. Bones are covered by articular cartilage. Synovial membrane lies under capsule and lines synovial cavity; filled with synovial fluid. Bursae Closed sacks of synovial fluid with a synovial membrane located near, but not within a joint. Needed where sliding must take place Common sites: between tendons (connective tissue connecting muscle to bone) and bones between ligaments (binding bone to bone) and bones between skin and bones (with prominent bony anatomy) Terminology — Joints COMBINING FORMS Combining Form Meaning ankyl/o stiff arthr/o joint articul/o burs/o joint bursa chondr/o cartilage Terminology — Joints COMBINING FORMS Combining Form Meaning • ligament/o ligament • rheumat/o watery flow • synov/o • ten/o • tendin/o synovial membrane tendon tendon Terminology — Joints SUFFIXES Suffix Meaning -desis to bind, tie together -stenosis narrowing Muscles • Three types of muscles: striated, smooth, cardiac • Striated: under voluntary control—they move all the bones as well as face and eyes • Smooth: control is involuntary—they move internal organs (digestive tract, blood vessels, ducts of glands) • Cardiac: not consciously controlled and found exclusively in the heart Terminology — Muscles COMBINING FORMS Combining Form Meaning fasci/o facia fibr/o fibrous leiomy/o smooth muscle my/o muscle Terminology — Muscles COMBINING FORMS Combining Form Meaning myocardi/o heart muscle myos/o muscle plant/o sole of the foot rhabdomy/o skeletal muscle connected to bones Terminology – Muscles SUFFIXES Suffix Meaning -asthenia lack of strength -trophy development, nourishment Terminology – Muscles PREFIXES Prefix • • • • abaddorsipoly- Meaning away from toward back many, much Chapter 16 Skin Structure of the Skin Epidermis: outermost, thin cellular membrane Dermis: next layer; dense fibrous, connective tissue Subcutaneous tissue (hypodermis): thick, fat-containing tissue Structure of the Skin Acessory Organs of the Skin HAIR: cells filled with the hard protein; keratin Hair follicles: shafts that hold the hair Five million hairs on body; 100,000 on head Melanocytes at the root form the color Grow .5 inch (1.3 cm) per month Cutting does not affect growth Accessory Organs of Skin NAILS: hard keratin plates covering toes and fingers lunula cuticle paronychium Accessory Organs of Skin GLANDS: sebaceous and sweat Sebaceous glands secrete oily sebum into hair follicle to lubricate. Sweat glands secrete into pores to moisten and cool. Both are subject to bacterial growth. Accessory Organs of Skin Sebaceous gland, eccrine sweat gland, and apocrine sweat gland. Combining Forms COMBINING FORMS Combining Form Meaning adip/o albin/o caus/o cauter/o cutane/o derm/o/ fat white burn, burning heat, burn skin skin Combining Forms COMBINING FORMS Combining Form • • • • • • Meaning dermat/o skin diaphor/o profuse sweating erythem/o redness erythemat/o redness hidr/o sweat ichthy/o scaly, dry Combining Forms COMBINING FORMS Combining Form Meaning kerat/o hard, horny tissue leuk/o white lip/o fat melan/o black myc/o fungus onych/o nail Combining Forms COMBINING FORMS Combining Form • • • • • • Meaning phyt/o plant pil/o hair, hair follicle py/o pus rhythid/o wrinkle seb/o sebum squam/o scalelike Combining Forms COMBINING FORMS Combining Form steat/o fat trich/o hair ungu/o nail xanth/o yellow xer/o dry Meaning Colors Chapter 18 Endocrine System 133 Introduction Endocrine System Glands release hormones. Hormones regulate the many and varied functions of an organism. Hormones bind to receptors. Receptors are recognition sites in the various target tissues on which hormones act. Introduction Endocrine System ENDOCRINE glands— Secrete their hormones directly into the bloodstream EXOCRINE glands— Send chemical substances (tears, sweat, milk, saliva) via ducts to the outside of the body Endocrine Glands thyroid gland parathyroid glands (four glands) adrenal glands (one pair) pancreas (islets of Langerhans) pituitary gland ovaries (one pair) testes (one pair) pineal gland thymus gland The Endocrine System Combining Forms, Suffixes, Prefixes, and Terminology GLANDS Combining Form • • • • • • Meaning aden/o gland adren/o adrenal glands adrenal/o adrenal glands gonad/o sex glands (ovaries, testes) pancreat/opancreas parathyroid/o parathyroid gland Combining Forms, Suffixes, Prefixes, and Terminology GLANDS Combining Form Meaning • pituitar/o pituitary gland; hypophysis • thyr/o thyroid gland • thyroid/o thyroid gland Combining Forms, Suffixes, Prefixes, and Terminology RELATED FORMS Combining Form • • • • • • • Meaning andr/o male calc/o, calici/o calcium cortic/o cortex, outer region crin/o secrete dips/o thirst estr/o female gluc/o, glyc/o sugar Combining Forms, Suffixes, Prefixes, and Terminology GLANDS Combining Form • • • • • • Meaning home/o sameness hormon/o hormone kal/I potassium (an electrolyte) lact/o milk myx/o mucus natr/o sodium (an electrolyte) Combining Forms, Suffixes, Prefixes, and Terminology GLANDS Combining Form • • • • • • Meaning phys/o growing somat/o body ster/o solid structure toc/o childbirth toxic/o position ur/o urine Combining Forms, Suffixes, Prefixes, and Terminology SUFFIXES Suffix • • • • • Meaning -agon assemble, gather together -emia blood condition -in, -ine a substance -tropin stimulating the function of -uria urine condition Combining Forms, Suffixes, Prefixes, and Terminology PREFIXES Prefix • • • • • • • euhyperhypooxypantetratri Meaning good, normal excessive, above deficient, below rapid, sharp, acid all four three Chapter 19 Cancer Medicine (Oncology) Introduction Cancer: characterized by unrestrained and excessive growth of cells Malignant tumors: compress, invade and destroy surrounding tissues Characteristics of Tumors Neoplasms (Tumors): growths that arise from normal tissue Malignant Benign Multiply rapidly Invasive and infiltrative Undifferentiated Metastasize • • • • Grow slowly Encapsulated Differentiated Don’t spread What Causes Cancer? Carcinogenesis: transformation of a normal cell to a cancerous one Damage to genetic material DNA function Mitosis Protein synthesis • • • • Genes Nucleotides Mutation Apoptosis Combining Forms COMBINING FORMS alveol/o cac/o carcin/o cauter/o chem/o cry/o cyst/o fibr/o follicul/o fung/i medull/o mucos/o mut/a mutagen/o onc/o papill/o pharmac/o plas/o ple/o polyp/o prot/o radi/o sarc/o scirrh/o xer/o Suffixes -blastoma -genesis -oma -plasia -plasm -suppression -therapy Prefixes anaapobrachyepimetatele-