Medical Terminology Dr Atef Masad PhD Biomedicine United Kingdom Goal of Course 2 Communication between medical specialists and supporting staff requires knowledge of a consistent and reproducible vocabulary. It is important for students to realize that accurate spelling, pronunciation, and usage of medical terms is of extreme importance in the care of a patient. 3/22/2016 Dr Atef Masad Textbook: 1- An Introduction to Medical Terminology for Health Care BY Andrew R. Mutton THIRD EDITION. 2- Medical terminology for health professions Sixth Edition BY ANN EHRLICH and CAROL L. SCHROEDER 3 3/22/2016 Dr Atef Masad Course Objectives 4 At the end of the course, students will be able to: Identify and describe the major organ systems of the body. Describe the major diseases and disorders affecting each body system. Define word roots, combining forms, prefixes, and suffixes of medical terms. 3/22/2016 Dr Atef Masad 5 Define new and unfamiliar words by analyzing the elements of medical terminology. Master pronunciation and spelling of common medical words. Evaluate and interpret medical records and other forms of medical communication. 3/22/2016 Dr Atef Masad Course Grading Policies: Midterm exam Quizzes Semester project Final Examination 30% 10% 10% 50% 100% 6 3/22/2016 Dr Atef Masad 7 Written exams will consist of multiple choice, true-false, and essay questions. A portion of the each exam will be dictated vocabulary where you will be required to furnish the correct spelling and/or definition of a word. 3/22/2016 Dr Atef Masad 8 Quizzes will consist of multiple choice and dictation questions. Quizzes will consist of questions taken from the previous week’s material. The final examination will be a cumulative exam featuring questions from the entire semester and semester projects. 3/22/2016 Dr Atef Masad Semester Project: 9 One of the objectives of the course is to ascertain knowledge of diseases and disorders which affect the major body systems. The semester project will give the student an opportunity to study and learn about a particular disease state. The semester project will link the vocabulary you learn throughout the semester to real-life medicine. 3/22/2016 Dr Atef Masad Components of the Project: 10 A written paper describing the disease state. This paper should be no longer than 3 pages, typewritten, size 12 font. The written paper should include a bibliography in the standard format. 3/22/2016 Dr Atef Masad An oral presentation 11 You will give a 10-15 minute presentation to the class about your selected disease/topic. You should stress how the disease presents, how it is diagnosed, what system and organs are affected, how it is treated, and a discussion about how the disease relates to this course. The presentation may be a poster board or PowerPoint type. 3/22/2016 Dr Atef Masad 12 Your presentation should include a one-page original handout about the disease. You should prepare this handout for each member of the class. The final exam will include questions taken from these handouts and presentations. 3/22/2016 Dr Atef Masad 13 3/22/2016 Dr Atef Masad Four Parts • Word Root – the word part that is the core of the word • Suffix – a word part attached to the end of the word root to modify its meaning • Prefix – a word part attached to the beginning of a word root to modify its meaning • Combining Vowel – a word part, usually an “O” 14 3/22/2016 Dr Atef Masad Word Root • The word root is the word part that is the core of the word 15 The word root usually refers to a body part. Some root words are derived from the Latin or Greek language. – player = play / er – arthritis = arthr / itis – hepatitis = hepat / itis 3/22/2016 Dr Atef Masad 16 3/22/2016 Dr Atef Masad Word Root Examples “dent” means tooth “dermat” means skin “cardi” means heart “gastr” means stomach “pancreat” means pancreas 17 3/22/2016 Dr Atef Masad Suffix 18 The suffix is a word part attached to the end of the word root to modify its meaning – player = play / er – hepatic = hepat / ic – hepatitis = hepat / itis 3/22/2016 Dr Atef Masad Suffixes A suffix is a word element placed at the end of a word or word root that changes the meaning of the word. In the terms tonsill/itis, and tonsill/ectomy, the suffixes are – – Changing the suffix changes the meaning of the word. In medical terminology, a suffix usually indicates a procedure, condition, disease, or part of speech. Many suffixes are derived from Greek or Latin words 19 -itis (inflammation) and -ectomy (excision, removal). 3/22/2016 Dr Atef Masad 20 3/22/2016 Dr Atef Masad Suffixes Denoting Incisions 21 -centesis puncture arthrocentesis -ectomy excision, removal appendectomy -stomy forming an opening (mouth) colostomy -tome instrument to cut osteotome -tomy incision, cut into phlebotomy 3/22/2016 Dr Atef Masad Suffixes Denoting Reconstructive Surgeries 22 -desis binding, fixation (of a bone, joint) arthrodesis -pexy suspension, fixation (of an organ) mastopexy -rrhaphy suture myorrhaphy -plasty surgical repair rhinoplasty 3/22/2016 Dr Atef Masad Suffixes Denoting Refractururing, Loosening, or Crushing 23 -clasis break, fracture osteoclasis -lysis separation, destruction, loosening enterolysis -tripsy crushing lithotripsy 3/22/2016 Dr Atef Masad Diagnostic, Symptomatic, and Related Suffixes 24 -algia cephalalgia -dynia gastrodynia -cele hepatocele -ectasis bronchiectasis pain pain hernia, swelling dilation, expansion 3/22/2016 Dr Atef Masad 25 -emesis vomiting hyperemesis -emia blood condition leukemia -gen or -genesis forming, producing, origin carcinogen or osteogenesis -gram record, a writing cardiogram -graph instrument cardiograph 3/22/2016 Dr Atef Masad 26 -iasis abnormal condition cholelithiasis -itis inflammation gastritis -lith stone, calculus cholelith -logist specialist in the study of dermatologist -logy study of psychology 3/22/2016 Dr Atef Masad 27 3/22/2016 Dr Atef Masad 28 -malacia osteomalacia -megaly hepatomegaly -meter thermometer -metry pelvimetry -oid lipoid softening enlargement instrument for recording act of measuring resembling 3/22/2016 Dr Atef Masad 29 -oma tumor adenoma -osis abnormal condition, increase dermatosis -para to bear (also a prefix) multipara -paresis partial paralysis hemaparesis -pathy disease neuropathy 3/22/2016 Dr Atef Masad 30 -penia decrease, deficiency leukopenia -phagia eating, swallowing dysphagia -phasia speech aphasia -philia attraction to hemophilia -phobia fear claustrophobia 3/22/2016 Dr Atef Masad 31 -plasia formation, growth hyperplasia -plegia paralysis, stroke hemiplegia -poiesis formation, production hemopoiesis -ptosis prolapse hysteroptosis -rrhage or -rrhagia bursting forth hemorrhage or menorrhagia 3/22/2016 Dr Atef Masad 32 -rrhea discharge, flow diarrhea -rrhexis rupture angiorrhexis -scope instrument to view gastroscope -scopy visual examination gastroscopy -spasm involuntary contraction blepharospasm 3/22/2016 Dr Atef Masad 33 -stasis standing still hemostasis -stenosis narrowing, stricture arteriostenosis -toxic poison thyrotoxic -trophy development, nourishment atrophy 3/22/2016 Dr Atef Masad Prefixes 34 A prefix is a word element attached to the beginning of a word or word root. Adding or changing a prefix changes the meaning of the word. The prefix usually indicates a number, time, position, or direction. Many of the same prefixes found in medical terminology are also found in the English language 3/22/2016 Dr Atef Masad Examples 35 – replay = re / play – subhepatic = sub / hepat / ic – intravenous = intra / ven / ous (within, vein, relating to 3/22/2016 Dr Atef Masad 36 3/22/2016 Dr Atef Masad Hypoinsulinemia Hypo / insulin / emia Prefix LOW 37 Word root INSULIN suffix BLOOD 3/22/2016 Notice that there is no combining vowel in this word because the prefix ends with a vowel and the suffix begins with a vowel. Dr Atef Masad Prefixes of Position Anteprepro- antepartum, antecubital preoperative prootic epi epidermis, epidural, epinephrine 38 3/22/2016 Dr Atef Masad Prefixes of Position 39 hypoinfrasubintermedimeso- hypodermic, hypoallergenic infrapubic subcutaneous, submarine intercostal, internet medial, median mesoderm 3/22/2016 Dr Atef Masad Prefixes of Position 40 postretro- postnatal retroperitoneal 3/22/2016 Dr Atef Masad Prefixes of Number and Measurement 41 Bidipldiplo hemisemihypermacro- bilateral diplopia diplococci hemiplegia semicircular hyperglycemia large 3/22/2016 Dr Atef Masad Prefixes of Number and Measurement 42 Micromonounimulti- microscope mononuclear unilateral multipara 3/22/2016 Dr Atef Masad Prefixes of Number and Measurement 43 Polyprimiquadritri- polyphobia, polymer primigravida quadriplegia triceps 3/22/2016 Dr Atef Masad Prefixes of Negation 44 Aanimin- asymptomatic anesthesia impotency insane, insensitive 3/22/2016 Dr Atef Masad Prefixes of Direction 45 Ab-abnormal adadduction, addition circum- circumoral, circumference periperiosteitis, perimeter ecectopia exexcise 3/22/2016 Dr Atef Masad Prefixes of Direction 46 Diatransectoexoextraendointra- diarrhea transfusion ectoderm exotropia extraocular endocardium intradermal 3/22/2016 Dr Atef Masad Prefixes of Direction 47 Parasupersupraanticontrabradydys- paranasal supersensitive suprarenal antibacterial contraception slow dyspepsia 3/22/2016 Dr Atef Masad Prefixes of Direction 48 Eu-eupnea hetero- different homo- homosexual malmalnutrition panpanhysterectomy, panacea pseudo- pseudoplegia synsynarthrosis, synthesis tachy- tachypnea 3/22/2016 Dr Atef Masad Combining Vowel 49 The combining vowel is a word part, usually an “o” and is used: – between word roots – between a word root & a suffix to ease pronunciation – thermometer = therm / o / meter – arthropathy = arthr / o / pathy 3/22/2016 Dr Atef Masad 50 Oste / o / arthr / it is – The combining vowel is used to ease pronunciation; therefore, not all medical terms have combining vowels. 3/22/2016 Dr Atef Masad Combining form 51 A combining form is a word root with the combining vowel attached, separated by a vertical slash it is not a word part, rather it is the association of the word root and the combining vowel. To analyze a medical term divide it into word parts, label each word part, and label the combining forms. 3/22/2016 Dr Atef Masad Combining Forms Combining forms consist of a combining vowel. The combining vowel is usually an “o”, but others may be used. IE: gastr / o Word root 52 pronounced GASTRO. Combining vowel 3/22/2016 Dr Atef Masad 53 3/22/2016 Dr Atef Masad Guidelines 54 Guideline # one – When connecting a word root and a suffix, a combining vowel is usually not used if the suffix begins with a vowel. Hepat / ic – When connecting two word roots, a combining vowel is usually used even if vowels are present at the junction. A word root cannot stand alone. A suffix must be added to complete the term. 3/22/2016 Dr Atef Masad Word-Building System 55 By understanding the meanings of word roots, one can determine the meaning of complex medical terms by putting together the smaller parts. 3/22/2016 Dr Atef Masad Leukocytopenia Word Roots: Leuk / (white) cyt / (cell) Combining Vowel /o/ Suffix: / penia 56 3/22/2016 (decrease) Dr Atef Masad 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: 57 Scler / o / derma Combining vowel 3/22/2016 (hardening of the skin) Dr Atef Masad Review 58 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. 3/22/2016 Dr Atef Masad Defining Medical Words Here are the three basic rules for defining medical words using the example term gastroenteritis. Rule #1 – Rule #2 – Define the first part of the word (which may be a word root, combining form, or prefix). In this case, the combining form gastr/o means stomach. Rule #3 – 59 Define the suffix, or last part of the word. In this case, -itis, which means inflammation. Define the middle parts of the word. In this case, enter/ means intestine. 3/22/2016 Dr Atef Masad Defining Medical Words When you analyze gastroenteritis following the three previous rules, the meaning is revealed as: 1. inflammation (of) 2. stomach (and) 3. intestine Thus, the definition of gastroenteritis is “inflammation (of) stomach (and) intestine.” 60 3/22/2016 Dr Atef Masad Building Medical Words There are three basic rules for building medical words. Rule #1 – Rule #2 – A combining form (root + o) links a suffix that begins with a consonant. Rule #3 – 61 A word root links a suffix that begins with a vowel. Use a combining form to link a root to another root to form a compound word. 3/22/2016 Dr Atef Masad 62 3/22/2016 Dr Atef Masad