Medical Terminology Systems Chapter 1 Basic Word Structure CHAPTER SECTIONS I . Word Analysis II . Combining Forms, Suffixes, and Picture III. Exercise CHAPTER OBJECTIVES • • To divide medical terms in to component parts To analyze, pronounce, and spell medical terms using common combining forms ,suffixes, and prefixes Chapter 1 Basic Elements of a Medical Word Medical Word Elements Specialized vocabulary used by health-care practitioners A medical word consists of: Word root Combining form Suffix Prefix Word Roots The core of a medical term Contains the fundamental meaning Most are derived from Greek or Latin Ex. Greek word derm and Latin word cutane both refer to the skin Examples of Word Roots Greek or Latin Word Root Meaning Word Nephros (Gr) Nephr Kidney Oris (L) Or Mouth Renes (L) Ren Kidney Dermatos (Gr) Derm Skin The two combining forms are GASTR/O and ENTER/O. The entire word ( reading from the suffix, back to the beginning of the term, and across) means “study of the stomach and the intestine. “ Here are other words that are divided into component parts: GASTR/O/SCOPE Combining form (“stomach”) suffix (“instrument to visually examine”) mean “instrument to visually examine the stomach”. Combining Form Word root to which a vowel is added Enables two elements to be connected Examples of Combining Forms Word Root Gastr Vowel O Combining Meaning Form Gastr/o stomach Hepat O Hepat/o Liver Immun O Immun/o Oste O Oste/o Immune, safe bone COMBINNING FORMS --------------------------------------------------------------------------------------------------COMGINING FORM MEDICAL MEANING TERM MEANING -------------------------------------------------------------------------------------------------------------Aden/o gland adenoma_________________________ adenitis _________________________ -ITIS means “inflammation.” Arthr/o joint arthritis__________________________ Bi/o life biology__________________________ -LOGY mean “study of “. biopsy _________________________ -OPSY means “to view.” Living tissue is removed and viewed under a microsope. Carcin/o heart carcinoma____________________________ cancerous Cardi/o heart Cardiology___________________________ Cephal/o head cephalic____________________________ -IC mean “pertaining to.” Cerebr/o cerebrum, cerebral____________________________ largest part -AL means “pertaining to, ”Figure 1-1 shows the of the brain cerebrum and some of its functions. cerebrovascular accident (CVA___________ -VASCULAR means “pertaining to blood vessels”; a CVA is commonly known as a stroke. Cyst/o urinary cystoscope__________________________ Cyt/o cell cytology_______________________________ Dermat/o skin dermatitis____________________________ Derm/o Electr/o dermal______________________________ electricity electrocardiogram (ECG,EKG)_____________ -GRAM means “record.” Encephal/o brain electroencephalogram (EEG)_____________ This record is helpful in determining if a patient has a seizure disorder, such a epilepsy. Enter/o intestine enteritis_____________________________ (often the Figure 1-4shows the small and large intestines. small ENTER/O is used to describe the small intestine) intestine and COLON/O are the combining for the large intestine (colon). Erythr/o red erythrocyte -CYTE means “cell.” Figure 1-5 shows the three major types of blood cells. Gastr/o stomach Gastroscopy_______________________________ -SCOPY means “process of viewing.” Gnos/o knowledge diagnosis_______________________________ -SIS means “state of”; DIA-means “complete.” A diagnosis is the complete knowledge gained after testing and examining the patient. The Plural of diagnosis is diagnoses Table 1-1 shows other plural formatiions. prognosis__________________________ PRO- means “before.” A prognosis is a prediction (“before knowledge”) that is actually made after the diagnosis. It forecasts the outcome of treatment. Gynec/o woman gynecology ---------------------------------------- Suffixes Word element placed at the end of a word or word root that changes the meaning of the word A suffix usually indicates a procedure, condition, disease, or part of speech Examples of Suffixes Combining Form Gastr/o (stomach) Suffix -itis Medical word Gastritis (inflammation) Meaning Inflammation of the stomach -megaly Gastromegaly Enlargement of the stomach -oma Gastroma Tumor of the stomach The following table consists of suffixes showing disease or change in the body. Suffix Meaning Example -algia pain talalgia ankle -cele hernia gastrocele stomach -dynia pain, swelling urodynia urine -ectasis dilation, expansion bronchiolectasis bronchus -(a)emia blood leuk(a)emia white -gen producing, beginning carcinogen cancer -iasis abnormal condition, formation of, presence of cholelithiasis gall stone -itis inflammation hepatitis stomach -malacia softening osteomalacia bone -megaly enlargement splenomegaly spleen -oid resemble fibroid fibres -oma tumour adenoma gland -osis abnormal condition, dermatosis skin Suffix Meaning Example -pathy disease nephropathy kidney -penia decrease, deficiency erthyropenia red (cell) -phagia eating, swallowing dysphagia difficult -phasia speech aphasia without -plegia paralysis, stroke hemiplegia half -phobia fear acrophobia heights -ptosis prolapse, falling dropping blepharoptosis eyelid -rrhage burst forth haemorrhage blood -rrhea discharge, flow of watery stools diarrhea -rrhexis rupture enterorrhexis intestines -sclerosis hardening artheriosclerosis joints -spasm involuntary contraction, twitching bronchospasm bronchus Suffixes used for diagnoses Suffix Meaning Example -gram record of data encephalogram brain -graph instrument for recording cardiograph heart -graphy act of recording data radiography -meter instrument for measuring craniometer cranium -metry measurement of audiometry audio (hearing) -scope instrument for viewing laryngoscope larynx -scopy examination of laparoscopy abdomen Suffixes: Surgery-incisions These suffixes describe types of incisions made during surgery. Suffix -ectomy Meaning removal -centesis tap, puncture -stomy mouth, forming an opening incision, to cut into -tomy Example mastectomy breast thoracentesis chest colostomy colon tracheotomy trachea The following suffixes also describe surgery in terms of repairing, rebuilding, reconstructing, or binding Suffix Meaning Example -desis binding , stabilization pleurodesis pleural membrane (lining of the lung) -rrhapy suture arteriorrhaphy artery -pexy fixation, suspension gastropexy stomach -plasty formation, plastic repair rhinoplasty nose -clasis to break down, refracture osteoclasis bone -lysis loosen, free form adhesions, destruction enterolysis small intestine -tripsy to crush cholelithotripsy The following suffixes show the word parts. In other words, these suffixes show whether a word is an adjective, noun, singular or plural or a diminutuve of a larger word. Adjective endings that mean "pertaining to" are: Adjective endings Example -ac cadiac heart -al skeletal skeleton -ary salivary saliva -ic pelvic pelvis -ical surgical surgery -ous venous vein -tic paralytic paralysis -ar muscular muscles Nouns endings These suffixes show the word is a noun. Noun endings -iac Meaning Example indicates person afflicted hemophiliac with certain diseases or conditions -ia -is -ism an unhealthy state forms the noun from the root condition, state of being -ist one who specialises -y condition, process anesthesia cutis skin alcholism alcohol radiologist radiology neuropathy nervous system disease These suffixes show the word is a small version of a thing. Diminutive Meaning ending -ole -icle -ule small, little minute Example artiole artery particle piece veinule vein These suffixes indicate whether the noun is singular or plural. Singular Plural Example Example Singular Plural a ae patella patellae ax aces thorax throraces en ina lumen lumina ix ices index indices sis ses diagnosis diagnoses on a ganglion ganglia um a ovum ova us i digitus digiti y ies deformity deformities ma mata carcinoma carcinomata ex Prefixes Word element attached to the beginning of a word or word root A prefix usually indicates a number, time, position, direction, or negation Examples of Prefixes Prefix Word Root Hyper- Therm (above (heat) normal) Suffix Meaning Hyperthermia Condition of (condition) excessive heat -ia Intramuscular Within the (muscle) (relating muscle Intra- Muscul -ar (in, within) Medical Word to) Insert table 3-1 Basic Rules Defining Medical Words Building Medical Words Defining Medical Words Rule #1 Define the suffix or last part of the word Rule #2 Define the first part of the word (word, root, combining form, or prefix) Rule #3 Define the middle parts of the word Example of Defining Rules “Gastroenteritis” Combining Form Gastr/o Stomach Rule 2 Middle Enter/ Intestine Rule 3 Suffix -itis inflammation Rule 1 Definition – inflammation of the stomach and intestine Building Medical Words Rule #1 A word root links a suffix that begins with a vowel Example Hepat/ + -itis = hepatitis – Inflammation of the liver Rule #2 A combining form links a suffix that begins with a consonant Example Hepat/o + – Liver cell cyte = hepatocyte Building Medical Words Rule #3 Use a combining form to link a root to another root to form a compound word Example Oste/o + chondr/ =osteochondritis + -itis – Inflammation of bone and cartilage Notice how the following medical term is analyzed. Can you locate the two combining forms in this term? GASTRO/O/ENTER/O/LOGY Root (“stomach”) root (“intestines”) suffix (“study of”) ELECTR/O/CARDI/O/GRAM root (“electricity”) root (“heart”) combining vowel suffix (“record”) combining vowel