California Medical Bill Reviewer Certification Unit 1: Workers’ Compensation Benefit Program Module 9: Medical Terminology In this module, you will Medical terminology about confusing medical canlearn be very Let’s start by discussing terminology, andlike howa and can seem how medical prefixes, suffixes, terms root language all itsand own! words can of be prefixes, identified to consist But, medical determine the and meaning of a suffixes, root terminology can be word. Then, you will learn words... brokenabout down to make it medical easier to understand. abbreviations. Overview of Medical Terminology Overview CA Regulations Training Prefixes Suffixes Root Words Prefixes: Position, Description, & Color Suffixes: Condition, Surgery, & Procedure Root Words: Body Area Abbreviations Medical Terminology Do you know what inflammation of the external auditory Swimmer’s Earmeatus means? What about “excess irrigation The shoulder was from drained solution was removed the glenohumeral the arm and the armjoint wasand hung in a repositioned into direct sling. longitudinal traction?” If you were unsure about the meaning of these terms, you are not alone! But, medical terminology is not as complex as you might think… Let’s take a look… CA Regulations Training Medical Terminology is Everywhere You are probably familiar with a lot of different medical terminology just from the media. Magazine and newspaper articles are filled with information about new drugs, treatments, diets, and new medical procedures. Television commercials for prescription drugs and even different illnesses have made us even more aware of medical terminology. Even medical dramas on television have made us more familiar with medical terms, procedures, and treatments. CA Regulations Training So, Where Do the Terms Come From? Many procedures, diseases, or instruments are named after their discoverers or inventors. Examples include: Blalock-Taussig Shunt Deaver Retractor Parkinson’s Disease However, most medical terms have a Latin or Greek origin. Let’s take a look… CA Regulations Training It’s All in the Pieces… Many medical terms are made up of three separate components that determine meaning. Prefix: an attachment to the beginning of a word root that determines or changes the meaning of a word. Suffix: an attachment to the end of a word root that forms a new word, or changes its meaning. Word Root: the basic form of a word that determines its primary definition. CA Regulations Training How Do the Components Fit Together? The most typical sequence of the three pieces that make up a word is: PREFIX myo = Muscle WORD ROOT SUFFIX card = Heart itis = Inflammation Myocarditis = inflammation of the heart muscle CA Regulations Training Changes to the Prefix Changes to the prefix or suffix change the detailed meaning of the word. PREFIX myo = Muscle peri = Outer endo = Inner CA Regulations Training WORD ROOT SUFFIX itis = card = Heart Inflammation Pericarditis: itis = card = Heart Inflammation outer layer of the heart inflamed Endocarditis: itis = card = Heart Inflammation inner layer of the heart inflamed Changes to the Suffix Sometimes, only a suffix is used to change the meaning of a root word. WORD ROOT SUFFIX Cardiologist: card = Heart a physician who specializes -ologist in the heart. Cardiomyopathy: card = Heart -myopathy damage to the heart muscle layer. Cardiomegaly: card = Heart -megaly enlargement of the heart. CA Regulations Training What Does It All Mean? Overview of Medical Terminology CA Regulations Training Now that you are familiar with the parts that make up medical terms, let’s take a look at how prefixes, suffixes, and root words determine meaning. Prefixes Suffixes Root Words Prefixes: Position, Description, & Color Suffixes: Condition, Surgery, & Procedure Root Words: Body Area Abbreviations Prefixes Prefixes of medical terms indicate position, description, or color. Position Description Color Let’s take a look… CA Regulations Training Prefixes Position CA Regulations Training Position Prefix Example Before In front PreProAnte- Pre-operative Procephalic Antepartum After Behind PostRetro- Postnasal Retroperitoneal Upon Epi- Epidural Side Latero- Laterotorsion Below Sub- Subclavian Through Trans- Transurethral Prefixes Description Description & Color CA Regulations Training Prefix Example Narrow Steno- Stenosis Fast Tachy- Tachycardia Slow Brady- Bradycardia Blue Cyano- Cyanosis Small Micro- Microscope Large MacroMega- Macrostomia Megacolon Many Poly- Polysaccharide Different AlloHetero- Allograft Heterocellular Same AutoHome(o)- Autograft Homeostasis Suffixes As you know, suffixes are the word endings. In medical terms, suffixes provide information about: Disease or Condition Surgery or Procedure Let’s take a look… CA Regulations Training Suffixes Condition Disease or Condition CA Regulations Training Suffix Example Pain -algia Fibromyalgia Hernia -cele Rectocele Inflammation -itis Appendicitis Abnormal condition -osis Scoliosis In the blood -emia Septicemia Tumor -oma Lymphoma Suffixes Procedures/ Surgery Surgery or Procedure CA Regulations Training Suffix Example Removal -ectomy Appendectomy Suturing -orrhaphy Herniorrhaphy Tap, puncture -centesis Thoracentesis Forming an opening -ostomy Colostomy To cut into -otomy Laparotomy Plastic repair -plasty Rhinoplasty Imaging -gram -graph(y) Radiograph Root Words Now let’s get to the heart of the medical terminology -the root words. Up to now, we have added prefixes and suffixes to change meanings, but the body area is the key to the medical procedure, condition, or specialist. Root words indicate which area of the body we are dealing with. CA Regulations Training What makes a proctologist different from a cardiologist? It’s not the –ologist; it’s the body part! Root Words Recall the medical terms have both Greek and Latin origin. Therefore, some body areas have two different root words. For example, lungs may be referenced by two roots: CA Regulations Training PneumoPulmo- You are probably familiar with words such as “pneumonia” or “pulmonary function,” which both refer to the lungs. Root Words Here is a list of common root words: Body Area CA Regulations Training Root Example Mouth stomato- Stomatitis Teeth dento- Dentist Tongue linguoglosso- Glossitis Lingual Nerve Gums gingivo- Gingivitis Brain encephalo- Encephalitis cranioCraniotomy Stomach gastro- Gastritis Intestines entero- Gastroenteritis Root Words Body Area CA Regulations Training Root Example Large Intestine colo- Colectomy Rectum/Anus procto- Proctoscope Liver hepato- Hepatitis Kidneys nephrorene- Nephroscope Renal failure Skin dermo- Dermatitis Breast mastoMastitis mammo- Mammogram Bone osteoortho- Osteoporosis Orthopedist Root Words Body Area CA Regulations Training Root Example Heart cardio- Cardiologist Bladder cysto- Cystitis Nose rhino- Rhinoplasty Veins phleboveno- Phebotomy Venogram Lungs pneumo- Pneumonia pulmoPulmonary function Blood hemoemia- Hematoma Leukemia Now, we will discuss some common modifications of root words. Let’s take a look… Understanding the Pieces... Now you try! Using your knowledge of root words, prefixes, and suffixes, what do you think these two terms refer to? A graphical record of the Electrocardiogram heart’s electrical impulses. Hepatoblastoma Liver Tumor CA Regulations Training Abbreviations Now that you are familiar with medical terminology, it will be easier to understand how some terms are abbreviated! Let’s take a look… CA Regulations Training Abbreviations Next to the military, medicine probably has the second most enthusiastic users of abbreviations. For example, the abbreviation STD can stand for: sexually transmitted disease selective T-cell defect skin-to-tumor distance skin test dose To make things complicated, the same abbreviation can sodium tetradecyl sulfate mean something entirely different depending on the part ST segment depression of medicine that is being As you can see, it’s all in the referred to. context in which the abbreviation is used! CA Regulations Training Abbreviations The context in which an abbreviation is used may give the reader a hint to meaning. For example: In radiology, ‘AP’ means anterior-posterior view. In surgery, ‘PLIF’ means posterior lumbar interbody fusion. In pathology, ‘PT’ means protime. In medicine, ‘PT’ means physical therapist. CA Regulations Training If you need help, there are excellent references such as The Dictionary of Medical Acronyms & Abbreviations. These can be used when the documentation gives you no hint and the meaning of the abbreviation is important to reviewing the bill. Common Abbreviations Certain abbreviations are so common the average person may be aware of their meaning already. CA Regulations Training Abbreviation Meaning CBC Complete blood count DME Durable medical equipment EMG Electromyelogram EEG Electroencephalogram E/M Evaluation and Management OR Operating Room ORIF Open reduction, internal fixation PT Physical therapy UA Urinalysis Abbreviations There are many other abbreviations, but you will become used to the ones you see all the time in your work. CA Regulations Training Use a reference, a colleague, or the context in which you see the abbreviation to ascertain its meaning. Summary How medical terminology is broken down. Position Description Color How prefixes define meaning. Condition Procedure How suffixes define meaning. CA Regulations Training How root words define body area. PT: Physical Therapist PT: Protime How abbreviations can have multiple meanings. Where to find meanings of medical terms and abbreviations. Module 9 Quiz Click on the link to go directly to the quiz. Feel free to review any of the material before you move on. Good Luck! Quiz: U1M9: Medical Terminology CA Regulations Training