Basic Elements of a Medical Word 1. 2. 3. 4. Word Root Combining Form Suffix Prefix These four parts of a word are known as ELEMENTS. Word Root • Main part or foundation of a word. • All words have at least one word root. • A word root may be used alone or combined with other elements to form a complete word. SPEAK (word root) + ER (suffix) = SPEAKER (complete word) The word root usually refers to a body part. Some root words are derived from the Latin or Greek language. Word Root Examples • “dent” means tooth • “dermat” means skin • “cardi” means heart • “gastr” means stomach • “pancreat” means pancreas Combining Forms • Correct pronunciation of medical words is important. • In order to make the pronunciation of word roots easier, sometimes it is necessary to insert a vowel after the root. • The combination of a word root and a vowel is known as a COMBINING FORM. • Combining forms consist of a combining vowel. • The combining vowel is usually an “o”, but others may be used. gastr / o pronounced GASTRO. Word root Combining vowel • When a word has more than one root, a combining vowel is used to link the root to each other. Slashes separate elements osteoarthritis oste/ o / arthr/ itis Word root suffix Combining vowel Word root • By understanding the meanings of word roots, one can determine the meaning of complex medical terms by putting together the smaller parts. Leukocytopenia = Word Roots: Leuk / (white) cyt / (cell) Combining Vowel / o / Suffix: / penia (decrease) ( Suffixes • A suffix is added to the END of a word root or combining form to modify its meaning. • By adding a suffix to the end of a word root, we create a noun or adjective with a different meaning. Suffix Noun • -osis • -ia • -us • -um • -e • -us • -itis • -sis cyanosis anemia mucus ilium condyle carpus arthritis emesis Adjective • -otic • -ic • -ous • -ac • -ar • -al • -itic • -tic cyanotic anemic mucous iliac condylar carpal arthritic emetic Suffix • Verbs are words that represent action or a state of being. • The suffixes –ed or –ing added to the word alter the tense of this verb. –Past tense: Vomited, Injected –Present Participle: Vomiting, Injecting Suffix - Noun • -ism = condition, state, of theory • -tion = condition • -ist = specialist • -er = one who • -ity = quality Examples: • Hyperthyroidism, Darwinism, Mendelism • Contraction, relaxation • Psychiatrist • Radiographer • Sensitivity, conductivity Suffix - Adjective Examples: • -ous = possessing, • Nervous, mucous, having, full of serous • -able = ability • Injectable, • -ible = ability inflatable • Edible, reducible A combining vowel is used between a word root and a suffix that begins with a consonant (not a vowel). This is to make pronunciation easier. Word root: scler / (hardening) Suffix: / derma (skin) Term: Scler / o / derma Combining vowel (hardening of the skin) Meanings of certain suffixes -al pertaining to dent/al (pertaining to teeth) -er one who speak/er (one who speaks) -able capable of being playable (capable of being played) -oma (tumor) hematoma (blood tumor) NOTE: The element that comes before a suffix can either be a word root or combining form. • The suffixes -scope (instrument to view) -rrhexis (rupture) -rrhea (flow or discharge) all begin with a consonant, therefore a combining vowel must be used between the word root and the suffix. • The suffixes -algia (pain) -edema (swelling) -uria (urine, urination) These suffixes begin with a vowel, therefore a combining vowel is NOT used between the word root and the suffix. REVIEW • A combining vowel IS used to link one root to another root, and before a suffix that begins with a consonant. • A combining vowel IS NOT used before a suffix that begins with a vowel. Prefixes • A prefix is a syllable or syllables placed BEFORE a word or word root to alter its meaning or create a new word. Some prefixes: Hyper- (excessive) Pre- (before) Post- (after) Homo- (same) Hypo- (under) Cyan/o = Blue, Blueness • Cyan/osis: (noun) Condition of blueness • Cyan/otic: (adj.) Pertaining to a condition of blueness – -tic = adjective suffix for “pertaining to” • Acr/o/cyan/osis: Blueness of the extremities • Cyan/o/derma: Bluish discoloration of the skin Acr/o = Extremities • Acr/o = extremities (arms and legs) – Acr = word root – O = vowel – Acr/o = combining form • Acr/o/paralysis: Paralysis of extremities • Acr/o/cyan/osis: Condition of blue extremities • Acr/o/dermat/itis: Inflammation of skin of the extremities, like red inflamed hands Dermat/o = Skin • • • • -logy = (noun) Study of -logist = (noun) One who studies -logos = Greek for study Dermat/o/logist: The person who specializes in diseases of the skin • Dermat/o/logy: The study of skin • Eti/o/logy: Study of the origin of disease -itis = Inflammation • Dermat/itis: Inflammation of the skin – i.e. Contact (allergic reaction) dermatitis, or due to infection, inflammation, trauma • Acr/o/dermat/itis: Inflammation of the skin of the extremities -osis = Condition, Status, Process • Dermat/osis: Any skin condition. (abnormal condition). (noun) • Cyan/osis: Condition of blueness Hypoinsulinemia Hypo / insulin / emia Prefix LOW Word root INSULIN suffix BLOOD Notice that there is no combining vowel in this word because the prefix ends with a vowel and the suffix begins with a vowel. The Layman’s Medical Terms… Enema Not a friend Artery Study of painting G.I. Series Army baseball Impotent Distinguished, well known Terminal Illness Airport sickness Varicose Nearby Seizure Roman Emperor Outpatient Person who has fainted Plurality • To make a medical word plural (more than one), first look at the suffix. • Then, choose the rule that changes the singular form to the plural form. Suffix: Singular vs. Plural Greek Singular Suffixes o -on o Spermatozoon, ganglion o -ma o Carcinoma, lipoma o -sis o Crisis, prognosis o -nx o Larynx, pharynx Plural Suffixes o -a o Spermatozoa, ganglia o -mata o Carcinomata, lipomata o -ses o Crises, prognoses o -ges o Larynges, pharynges Suffix: Singular vs. Plural Latin Singular Suffixes • -a – Vertebra, conjunctiva • -us – Bacillus, bronchus • -um – Bacterium, ilium • -is – Testis Plural Suffixes • -ae – Vertebrae, conjunctivae • -i – Bacilli, bronchi • -a – Bacteria, ilia • -es – Testes Practice… Singular: • Sarcoma • Diagnosis • Phalanx • Coccus • Calcaneum • Vertex • Cervix • thorax Plural: • Sarcomata • Diagnoses • Phalanges • Cocci • Calcanea • Vertices • Cervices • thoraces