CHAPTER 4 MEDICAL TERMINOLOGY CHAPTER OUTLINE • • • • Terminology Prefixes Suffixes Organ System Terminology – Cardiovascular – Endocrine – Gastrointestinal – Integumentary – Lymph and Blood – Muscular Organ System Terminology (cont.) – Nervous – Skeletal – Female Reproductive – Male Reproductive – Respiratory – Urinary – Senses (Hearing, Sight) • Drug Classifications • Medical Abbreviations • Review ELEMENTS OF A MEDICAL SCIENCE WORD ‘BASIC’ • Medical science terminology is made up of combinations of – root words – prefixes – suffixes – combining vowels • e.g. periodontic = peri (prefix, meaning “around”) + o (combining vowel) + dont (root word, meaning “teeth”) + ic (suffix, meaning “pertaining to”) • Root words originate from either Greek or Latin. – Greek – diagnosis and surgery – Latin – anatomy ROOT WORDS - EXAMPLES • • • • • • • • card cyst gastr hemat hepat my pector neur heart bladder stomach blood liver muscle chest nerve • • • • • • • • pneumon lung ocul eye derma skin ven vein mast breast oste bone nephr kidney ot ear PREFIXES • Added before a word root or suffix to alter its meaning – hyper = excessive • hyper/tension = high blood pressure – an = without • an/orexia = without appetite – post = after • post/partum = after child birth – dys = painful, difficult • dys/phas/ia = difficulty in speaking SUFFIXES • Added to the end of a word root or combining vowel to modify its meaning – -al = pertaining to • dent/al = pertaining to teeth – -itis = inflammation • gastr/itis = inflammation of the stomach – -oma = tumor • melan/oma = black tumor COMBINING VOWELS • Sometimes a CV is added to make the pronunciation of medical words easier. • Sometimes a CV is added to connect different word parts together. • “O” is the most common combining vowel. CARDIOVASCULAR SYSTEM • The cardiovascular system distributes blood throughout the body using blood vessels called arteries, capillaries, and veins. – Blood transports nutrients to the body’s cells and carries waste products away from them. • Blood is made up of red blood cells, white blood cells, platelets, and plasma. – Erythrocytes (red blood cells) transport oxygen from the lungs to the body and carbon dioxide from the body to the lungs. – Leukocytes (white blood cells) fight bacterial infections by producing antibodies. CARDIOVACULAR SYSTEM • The heart pumps blood through the cardiovascular system. – Blood pressure is reported in a two number sequence (systole/diastole, e.g., 120/80). – Systolic phase is the increased pressure when blood is forced out of the heart. – Diastolic phase is the decreased pressure when the heart is not forcing blood out of the heart. – A sphygmomanometer is used to measure blood pressure. . Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. CARDIOVASCULAR SYSTEM ROOT • • • • • • • • aneur angi aort arter ather card cyte embol widening vessel aorta artery plaque heart cell embolus • • • • • • • oxy pector phleb stenosis thromb vas(cu) ven oxygen chest vein narrowing clot blood vessel vein ENDOCRINE SYSTEM • Consists of the glands that secrete hormones, chemicals that assist in regulating body functions – Glands primarily in endocrine system • pituitary • adrenal • thyroid • parathyroid • gonads (ovaries and testes) – Glands primarily belonging to other organ systems • liver • stomach • pancreas • kidney Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. ENDOCRINE SYSTEM ROOT • • • • • • • aden adrena crine glyc lipid myx nephr gland adrenal to secrete sugar fat mucus kidney • • • • • • pancreat plas somat tetan thym thyroid pancreas development body tetanus thymus thyroid GASTROINTESTINAL (GI) TRACT • Contains the organs that are involved in the digestion of foods and the absorption of nutrients • Not the same as the alimentary tract – alimentary tract goes from the mouth to the anus • Ducts – hepatic duct – from liver (hepatic duct) to duodenum – cystic duct – from gallbladder (cystic duct) to duodenum GASTROINTESTINAL (GI) TRACT ROOT • • • • • • • chol col duoden enter esophag gastr hemat bile colon duodenum intestine esophagus stomach blood • • • • • • • hepat herni lapar orexia pancreat pepsia phag liver hernia abdomen appetite pancreas digestion swallow INTEGUMENTARY SYSTEM • Covering of the body – skin (epidermis, dermis, subcutaneous) – hair – nails – mammary glands • First line of defense against disease and physical hazards Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. INTEGUMENTARY SYSTEM ROOT • • • • • • • • • adip cutane derm(at) hist kerat mast melan necr onych fat skin skin tissue hard breast black death (of cells, etc.) nail LYMPH AND BLOOD SYSTEM • The lymphatic system is responsible for collecting, filtering, and returning plasma water leaving the blood vessels. – center of the body’s immune system – thymus, tonsils, spleen, and adenoids are outside the network • Spleen - responsible for removing old red blood cells • Lymphocytes - attack bacteria and disease cells Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. LYMPH AND BLOOD SYSTEMS ROOT • • • • • • aden bacter cyt hemat hemo leuk gland bacteria cell blood blood white • • • • • • lymph phleb splen sepsis thromb thym lymph vein spleen to putrefy clot thymus MUSCULAR SYSTEM • Muscles give shape and movement to the body. – more than 600 muscles – made up of fibers and attached to bones by tendons • Voluntary muscles - action controlled consciously • Involuntary muscles - operate automatically • Agonist muscles - produce an flexor movement • Antagonist muscles - contract or bring limb back to original position MUSCULAR SYSTEM ROOT • • • • • • burs chondr my fibr rhabdo tendin bursa cartilage muscle fiber rod tendon Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. NERVOUS SYSTEM • The neuron is the basic functional unit. • The brain has over 100 billion neurons. • Central nervous system (CNS) – brain & spinal cord • Peripheral nervous system – branches from spinal cord – autonomic nervous system controls the automatic functions of the body – somatic nervous system controls the voluntary actions of the body. Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. NERVOUS SYSTEM ROOT alges cerebr encephal esthes mening ment pain cerebrum brain sensation meninges mind • • • • • myel neur phas psycho somat spinal cord nerve speech mind body SKELETAL SYSTEM • Protects soft organs and provides structure and support for body organs • Contains 206 bones – axial (skull and spinal column vertebrae) – appendicular (arms, legs, connecting bones) • Ligaments and Cartilage - connective tissue that holds together the skeletal systems at joints Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. SKELETAL SYSTEM ROOT • • • • • • arthr carp crani dactyl femor fibul • • • • humer lord oste patell joint wrist cranium finger or toe thigh bone small lower leg bone upper arm bone curve bone knee cap • • • • oste ped, pod pelv phalang • • • • rachi scoli spondyl stern • tibi bone foot pelvis bones of fingers and toes vertebrae crooked, bent backbone sternum, breastbone large lower leg bone FEMALE REPRODUCTIVE SYSTEM • Produces hormones, controls menstruation, and provides for childbearing fallopian tube ovary uterus vagina • The mammary glands (located in breast tissue) produce and secrete milk at childbirth. Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or retransmitted without express written permission from the publisher. FEMALE REPRODUCTIVE SYSTEM ROOT • • • • • • • • cervic condyle eclamps gynec hyster lact mamm mast cervix knob, knuckle shining forth woman uterus milk breast breast • • • • • • • men metr ovari salping toc uter vagin menstruation uterus ovary fallopian tube birth uterine vagina MALE REPRODUCTIVE SYSTEM • Produces sperm and secretes testosterone • Primary sex organs – testes (testicles) • Other organs – – – – – seminal glands vas deferens prostate gland penis urethra Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. MALE REPRODUCTIVE SYSTEM ROOT • • • • • • andr bala n crypt orch orchid prostat male glans penis hidden testis testis prostate gland • semin • sperm • vas • varic • test semen sperm vessel, duct varicose veins testis, testicle RESPIRATORY SYSTEM • Functions – oxygen and carbon dioxide exchange – production of sound – body cooling • Structures – diaphragm – pleural cavity – pharynx – larynx – trachea and bronchial tubes – alveolar sacs (alveoli) Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. RESPIRATORY SYSTEM ROOT WORDS • • • • aer aero bronch capn • cyan • laryng • nas air gas bronchus carbon dioxide blue larynx nose • • • • • • • ox pector pneumon pulmon respir rhin sinus oxygen chest lung, air lung breath nose sinus URINARY TRACT • Removes waste materials from blood • Primary organ is kidney • Functional unit is nephron • Waste materials from blood are ________ the tubule. – filtered into – secreted into – reabsorbed from Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. URINARY TRACT ROOT WORDS • • • • • • • albumin cyst glycos keto lith nephr ren protein bladder glucose ketones stone kidney kidney • • • • • • ur uria uresis ureter urethr vesic kidney urine, urination urination ureter urethra bladder SENSES: HEARING • Hearing – external ear – tympanic membrane (eardrum) – middle ear (malleus, incus, stapes) – eustachian tube – labyrinth (vestibule, cochlea, semicircular canals) – cochlea • Body equilibrium – semicircular canals, vestibule Image copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. SENSES: HEARING ROOT WORDS • acous hearing • myring eardrum • acusis hearing condition • ot ear • salping eustachian tube • tympan eardrum • audi hearing • cerumin wax-like • labyrinth inner ear SENSES: SIGHT • The eyes provide sight. • Complex structure involving layers of structure • Ability to protect and lubricate itself • lacrimal glands • meibomian glands Images copyright Perspective Press and Morton Publishing Company. May not be copied, re-used, reproduced, or re-transmitted without express written permission from the publisher. SENSES: SIGHT ROOT WORDS • ambly • blephar • conjunctiv • come • glauc • irid, ir • lacrim dim, dull eyelid conjunctiva cornea gray iris tear duct • ocul • ophthalm • opia • opt • retin • stigmat eye eye vision eye, vision retina point(ed) DRUG CLASSIFICATIONS • Drug class – group of drugs that have several therapeutic properties in common • Several classes oppose physiological processes. • antianginals • anticoagulants • anticonvulsants • antidepressants • antidiarrheals • antiemetics • antihistamine • • • • • • • antihyperlipidemia antihypertensive antiinfective anti-inflammatory antipruritics antispasmodics antitussive OTHER CLASSES • Analgesic an + alges + ic = without pain, pain killer • Hypoglycemic hypo + glyc + emic = reduces blood sugar level • Hypolipidemic hypo + lipid + emic = reduces cholesterol or lipid levels • Spermicide sperm + i + cide = kills sperm PHARMACY ABBREVIATIONS • About 10,000 abbreviations – can be specific to one institution – can be specific to one area of the country