Medical Terminology A Presentation by Lori Agid epiphyseal junction Retinohypothalamic esophageal …unfolding Subdural the dysmotility hematoma language of medicine Infrapatellar tendon GREEK OR LATIN BASED Approximately 75% of medical terms are based on either Greek or Latin Medical terminology is composed a series of 3 main components: PREFIX WORD ROOT SUFFIX The word root is the noun (the body part) or the subject of the sentence. The word root never changes unless the word changes. The prefix attaches to the front of the word root. Depending on the prefix used, the meaning of the word root will change. The suffix attaches to the end of the word root and like the prefix, the definition of the word root depends on the suffix, as well. Let us take a look at some examples: epi above gastr stomach itis inflammation di gastr ic two stomach pertaining to sub below gastr stomach ectomy excision of In this example, the word root stays the same, but the prefix and suffix differences change its meaning. Combining Vowel – CV Along with the word root, prefix and suffix, there is a combining vowel, most often an “o” - occasionally an “i” It connects between the word root and suffix in order to make the word flow, when ordinarily there would be two connecting consonants; gastr – (stomach) tomy – (incision into) It would be difficult to combine gastrtomy – so we put an o in between to form the word: gastrotomy Who can remember walking down the pharmacy aisle holding hands with mom or dad looking up at the sign above that said analgesics? Why didn’t the sign say “pain reliever?” What did “analgesic” mean? eyecare babycare analgesics batteries eardrops domestics The breakdown of the word an – alges – ic is as follows: prefix an (without) root word suffix alges(ia) ic (pain) (pertaining to) When people begin to learn medical terminology they tend to get overwhelned with fear that there is too much to learn and memorize. It is merely memorization and repetition. The more we see the words used, the more we remember them. The only reason we know words like analgesic, hepatitis, tonsillitis, vasectomy, and mammogram - is because of lifelong media exposure. Most do not know the word root, prefix, and suffix breakdown of these words. WORD ROOT In grade school, we learned this as the subject (noun) of the sentence. As regards to medicine, the word root will refer to the body part. Crani/o - skull Cervic/o - neck Cephal/o - head Thorac/o - thorax Lumb/o – lumbar spine ENGLISH GREEK ORIGIN WORD ROOT Heart Kardia Cardi Bone Osteon Oste Kidney Nephros Nephr Stomach Gaster Gastr Liver Hepar Hepat THE SUFFIX The suffix is always the word ending. It attaches at the end of the word root, usually with an “o” – (noted previously – combining vowel or CV). The suffix usually indicates a procedure, condition, disease, or part of speech. It gives more information about the noun. Medical terms always have a suffix, but do not require a prefix. Let’s start with a common suffix that you know; itis. Adding “itis” to our original list of word roots: cardi + itis = carditis inflammation of the heart oste + itis = osteitis inflammation of the bone nephr + itis = nephritis inflammation of the kidney gastr + itis = gastritis inflammation of the stomach hepat + itis = hepatitis inflammation of the liver Here is your test – how many words can you think of that end in itis? I have 9 boxes!!! Put your thinking caps on!! a b c d l t o v p Suffix Examples arthr/o /centesis arthrocentesis joint surgical puncture joint puncture thorac/o/tomy thoracotomy chest incision into the chest incision gastr/o/megaly stomach gastromegaly enlargement enlargement of the stomach cardi/ac cardiac Heart pertaining to pertaining to the heart VARIOUS SUFFIXES AND MEANINGS -ac, -al, -ar, -ary, -eal, ical, -ile, -ory, -ous, -ic; pertaining to -a, -e, -y a noun ending -ad toward; increase -algesia sensitivity to pain -algia, -dynia pain -ase enzyme -ate something that… -blast embryonic stage of development (immature) -cele swelling; herniation -centesis surgical puncture to withdraw fluid-cide to kill; to destroy -clasis crushing or breaking up -cyte cell -desis binding or surgical fusion -ectasia stretching or dilatation -ectomy surgical excision (removal) -emesis to vomit -emia blood condition -er one who -esis, -ia, -ism condition of… -gen that which generates -genesis generating; formation -genic pertaining to formation; producing -gram record or picture -graph instrument used to record -graphy process of recording -gravida pregnancy -ian, -ician specialist in a field of study -iasis, -osis abnormal condition of… -iatric(s) relating to medicine; physicians; or medical treatment THE PREFIX Word element located at the beginning of the word root Changes Usually the meaning of the word indicates a number, time, position, direction, color, or sense of negation Prefix examples A- mast without breast Bilater two side hypertherm excessive heat intramuscul within muscle -ia condition -al pertaining to -ia condition -ar pertaining to VARIOUS PREFIXES AND MEANINGS bi dipl hemi hyper macro micro mono multi eu two double half excess large small one many good intrainfraoligodextrolevobradytachymalbrachy- within below too few right left slow fast bad short Two Word Roots Some medical terms have more than one word root: Osteochondritis Oste / o / chondr / itis Bone / cv /cartilage / inflammation Cardiomyopathy Cardi/o/my/o/pathy Heart/cv/muscle/o/disease We could not end this quick terminology lesson without having a bit of fun; so beware of the following medical terminology mispronunciations….. Medical Terminology Mispronunciations Artery - The study of fine paintings. Bacteria – Back door of a cafeteria. Barium - What you do when CPR fails. Benign - What you are after you be eight. Coma - A punctuation mark. Morbid - A higher offer. Urine - Opposite of you’re out. Tablet - A small table. GI Series – Soldier’s ball game. ORGAN SYSTEMS The body is divided into 10 or so main organ systems. Organ Systems BODY PLANES Body Planes In medicine the body has designated imaginary horizontal and vertical lines. It is easier to describe the location of the problem or the affected area. Midline (Midsagittal) Plane IMAGINE THE BODY LIKE A HARD COVER BOOK – THE MIDDLE WOULD BE THE “MIDLINE” OR “MIDSAGITTAL” LINE. ANY LINE TO THE RIGHT OR LEFT OF THE MIDDLE IS STILL CONSIDERED SAGITTAL, BUT NOT “MIDSAGITTAL” A A N A T O M I C L I G N M E N T Coronal Plane Transverse Plane In terms of opposites: Frontal (coronal) plane ANTERIOR: front of body POSTERIOR: back of body Superior (cranial) Transverse plane VENTRAL: frontward (toward belly)like anterior DORSAL: backward like posterior Inferior (caudal) MEDIAL: toward midline of body LATERAL: toward side of body Anterior (ventral) Posterior (dorsal) SUPERIOR: upward/above (toward the head) INFERIOR: toward the tail or feet (below) Opposites (cont’d): Frontal (coronal) plane Superior (cranial) Transverse plane Inferior (caudal) Anterior (ventral) Posterior (dorsal) CRANIAL: toward the head CAUDAL: to the tail DISTAL: farthest from the point of origin of a body part (example: the fingers would be distal when looking at an x-ray of an arm) PROXIMAL: nearest to the point of origin of a body part (example: the shoulder would be proximal when looking at an x-ray of the arm ABDUCTION – AWAY FROM BODY TRUNK ADDUCTION – TOWARD BODY TRUNK Superficial = Pertaining to the surface of the body Deep = Pertaining to away from the surface of the body Prone and Supine Dorsiflexion Plantar Flexion Plantar Flexion Dorsiflexion THE FINAL POSITION…. 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