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    Medical Terminology Module for Radiologic Technology   By: Richard B. Padama, RRT 

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    Medical Terminology

    This course deals with various medical nomenclatures and their usage as applied to specificsystems, disease processes, and injuries. Discussions include principal medical root word, termsreferring to some general aspects of the practice of medicine and its allied profession, medical

    terms referring to certain general pathological processes, infective diseases, diseases of varioussystems of the body, obstetric terms, and terms related to medical instruments and equipment.

    I. Principal Medical Root Word

    1. Rules of pronunciation

    2. Medical words, prefixes, suffixes, and root word

    3. Building medical vocabulary

    4. Root words for each system

    II. Terms Referring to Some General Aspects of Medicine, Medical Terminology and the

    Practice of Medicine and its Allied Profession

    1. Medicine, disease, and medical terminology

    2. Causes and classification of disease

    3. Manifestation of disease

    4. Practice of medicine and allied profession and technical occupation

    5. Diagnosis of disease

    6. Treatment of disease

    7. Some drugs used in medicine

    8. Branches of medicine and surgery

    III. Medical Terms Referring to Certain General Pathological Processes

    1. Manifestation of damage of tissue cells

    2. Infection, antibody formation, inflammation and repair 

    3. Disorders of growth

    4. Disorders in blood circulation

    5. Allergy (Hypersensitivity)

    IV. Medical Terms Referring to Certain Infective Diseases

    1. Infectious fever 

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    2. Pyogenic infection

    3. Tuberculosis

    4. Venereal disease

    5. Some other infective disease

    V. Medical Terms Referring to Diseases of Various Systems of the Body and Obstetric Terms

    1. The cardiovascular system

    2. The respiratory system

    3. The digestive system

    4. The urinary and male reproductive system

    5. The female reproductive system

    6. Obstetric conditions

    7. The breast

    8. The lymphatic and reticuloendothelial systems

    9. The blood

    10. The endocrine system

    11. The teeth

    12. The nervous system

    13. The eye

    14. The ear, nose and throat

    15. The mid

    VI. Medical Terms Referring to Certain Other Types of Disease

    1. Connective tissue disease

    2. Tropical disease

    3. Nutritional disorders

    4. Poisoning

    5. Disorders due to physical agents

    6. Radiation hazards and injury

    VII. Medical Instruments and Equipment

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    Part I. Principal Medical Root Word

    1. Rules of Pronunciation

    A medical term is easier to understand and remember when you know how to pronounce it properly. Pronunciations may vary from country to country, even in different regions of the same

    country. The general rule is to include the most common pronunciation. The word gynecology isusually pronounced with a hard  g   in the United States, but in many areas a soft  g  is used, as in

     jin-e-KOL-o–-je–. Words pertaining to the cerebrum (largest part of the brain) may have an

    accent on different syllables. The adjective is usually pronounced with the accent on the secondsyllable (se-REbral), but in cerebrum (SER-e-brum) and cerebrospinal (ser-e-bro–-SPI -nal), the

    accented syllable differs. The name for the first part of the small intestine (duodenum) is often pronounced du–-o–-DE -num, although the pronunciation du–-O-de-num is also acceptable.When extreme, some alternate pronunciations can sound like a foreign language. The word we

     pronounce as SKEL-e-tal is pronounced in some other English-speaking countries as ske-LE-tal.

    - ae and oe only second vowel is pronounced (bursae, pleurae, and roentgen).

    - Soft sound of s and j are given to c and g, respectively, before e, I, and y in words of Greek and Latin origin (cerebrum, circumcision, cycle, gel, gingivitis, giant and gyrate).

    - Before other letters c and g have a hard sound (cardiac, cast, gastric, and gonad).

    - The letters ch are sometimes pronounced like k (cholesterol, cholera, cholemia).

    - When pn appears at the beginning of a word, the p is silent and only the n are pronounced

    (pneumonia, and pneumotoxin).

    - When ps appears at the beginning of a word, the p is silent and only the s is pronounced

    (psychology, psychosis).

    - When forming the final letter or letters of a word, e and es are often pronounced separatesyllables (syncope, systole, nares).

    - When pn appears in the middle the p and the n are pronounced (orthopnea, hyperpnea).

    - When i appears at the end of a word it is pronounced eye.

    - All other vowels and consonants have normal English sounds.

    2. Medical Words, Prefixes, Suffixes, and Root Word

    Medical Terminology (Medical Words)   - is the language used by physicians and other members of health team. It includes the medical words that describe or define a disease, acondition or clinical signs and symptoms.

    - it is language that is used to accurately describe the human body and associated components,conditions, processes and procedures in a science-based manner.

    Medical terminology is essential and beneficial for 

    1- Students in medicine, pharmacy, nursing and in other allied health sciences.

    2- Health professionals such as

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    a- Pharmacists,

     b- Specialists in allied medical sciences

    - Nurses

    - Clinical laboratory professionals

    - Biomedical technologists,

    - Radiologists, Radiologic Technologist

    - Community health specialists such as medical record administration, health educators anddieticians,

    - Medical secretaries and librarians and

    - People interested in translation and arabinisation of medical sciences.

    The medical words consists of three parts

    1- The word root,

    2- The prefix and

    3- The suffix

    Root Word -  The fundamental unit of each medical word. In medical term, the root word may be an organ, tissue, cell, fluid or cavity. This establishes the basic meaning of the word and is the

     part to which modifying prefixes and suffixes are added.

    - Indicate the organ or part that is modified by a prefix or suffix or both.

    - A vowel (a, I, or o) is often inserted between the combining forms to facilitate euphony.

    *A root word cannot stand alone. A suffix must always be added of the end of the word tocomplete the term.

    Prefixes - is a short word part added before a root to modify its meaning.

    - The prefix is the part that preceeds the medical word and changes its meaning e.g.Tachy/cardia Brady/cardia.

    *When a prefix is added, it is always place at the beginning of the word.

    Suffixes - is a short word part or series of parts added at the end of a root to modify its meaning.

    - The suffix means an ending of the word which will convert word into a noun such as port/er,adjective such as microscop/ic, or modify the meaning of the word such gaster/itis andgastro/logy.

    Combining Word -   Is formed of two word roots or more joined by a vowel such asTherm/o/meter, Micr/o/scope.

    - The part of the word will retain its specific meaning irrespective of its presence in different

    words or positions in the words such as Gastr/o/enter/o/logy, Enter/o/col/itis. In this two words,

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    enter- means the small intestine in spite of the different positions in the two words. Gastro- meansstomach, while -logy means science, thus the meaning of gastroenterology is the science of digestive system (stomach and intestine). In the enterocolitis, the part col means colon and itismeans inflammation, so the meaninig is inflammation of small intestine and colon. Therefore, inmedical terminology, most of the words are built from : A combining word : + a word root or 

    more + a suffix.

    *The rules for creating a combining form by adding a vowel apply when a suffix beginning with a

    consonant is added to a root word.

    4. Building Medical Vocabulary

    It is a need to take a systematic approach to medical word building and term comprehension. In

    order to facilitate the building of this knowledge, you will first need to become familiar with themost common word roots, prefixes, and suffixes. In brief, a word root is a component derived

    from a source language such as Greek or Latin, and usually describes a body part. A prefix is asegment that can be added to the front of a term to modify a word root by giving additionalinformation about the location of an organ, the number of parts, or time involved. Suffixes are

    segments attached to the end of a word root to add meaning such as condition, disease process, or  procedure. If you can learn and understand the origins of medical terms and realize that complex

    words are just an assembly of smaller components, then building a medical vocabulary becomesmuch easier.

    Below are some examples of how medical terms are build.

    The word pericarditis can be broken down into its word elements as follows:

    Peri (Prefix) + card (Root) + itis (Suffix) which means:

    Around Heart Inflammation

    Several roots may be combined along with a prefix and/or suffix to form a word. For example,

    the word bronchogenic can be broken into the following word elements with, for the sake of easein pronunciation, a vowel (usually "o") linking the word elements:

     bronch + o + gen + ic

    (root) (combining vowel) (root) (suffix)

    It means:

    any large air passage of lungs o forming, producing, condition of  

    - A term may be composed of a root + a suffix. As examples:

    carcinoma: (carcin(o) = crab) + (oma = tumor)

    sarcoma: (sarc(o) = flesh) + (oma = tumor)

    cerebral: (cerebr = brain) + (al = pertaining to)

    - A word may be composed of a prefix + a root. As examples:

    neoplasm: (neo = new) + (plasm = growth, formation)

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     biped: (bi = two) + (ped = foot)

    dysfunction: (dys = bad, difficult, painful) + (function = normal action).

    - Many medical terms are composed of a prefix + a root + a suffix. As examples:

    hypoglycemia: (hypo = under) + (glyc = sugar) + (emia = blood)

    encephalitis: (en = in) + (cephal = head) + (itis = inflammation of)

     pericarditis: (peri = around) + (card = heart) + (itis = inflammation of)

    - Some medical terms are composed of two roots. As examples:

     biostatistics: (bio) = life) + (statistics = numerical facts)

    erythroblast: (erythr(o) = red) + (blast = germ cell)

    microfilm: (micr(o) = small) + film

    4. Root Words for each System

    Skeletal System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Bones Oss/e, oss/i, oste/o, ost/o Act as a framework for the body, protect theinternal organs, and store the mineral calcium.

    Bone Marrow Myel/o Red bone marrow forms some blood cells.Yellow bone marrow stores fat.

    Cartilage Chondr/o Creates a smooth surface for motion within the joints and protects the ends of the bones.

    Joints Arthr/o Work with the muscles to make a variety of  motions possible.

    Ligaments Ligament/o Connect one bone to another.

    SynovialMembrane

    Synovi/o, synov/o Forms the lining of synovial joints and secretessynovial fluid.

    Synovial Fluid Synovi/o, synov/o Lubricant that makes smooth joint movements possible.

    Bursa Burs/o Cushions areas subject to friction duringmovement.

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    Roots of Skeletal System

    Root Meaning Example Definition of Example

    Crani/o Skull, cranium Craniostosis Ossification of the cranial sutures

    Spondyl/o Vertebra Spondylolysis Destruction and separation of avertebra

    Vertebr/o Vertebra, spinalcolumn

    Paravertebral Before or in front of the spinal column

    Rachi/o Spine Rachischisis Fissure of the spine; spina bifida

    Cost/o Rib Costochondral Pertaining to a rib and its cartilage

    Sacr/o Sacrum Presacral In front of the sacrum

    Coccy,

    coccyg/o

    Coccyx Coccygeal Pertaining to the coccyx

    Pelvi/o Pelvis Pelvimetry Measurement of the pelvis

    Ili/o Ilium Iliopelvic Pertaining to the ilium and pelvis

    Muscular System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Muscles Muscul/o, my/o, myos/o Make body movement possible, hold bodyerect, move body fluids, and produce body heat.

    Fascia Fasci/o Cover, support and separate muscles.

    Tendons Ten/o, tend/o, tendin/o Attach muscles to bones.

    Roots of Muscular System

    Root Meaning Example Definition of Example

    My/o Muscle Myositis Inflammation of muscle

    Muscul/o Muscle Musculoskeletal Pertaining to muscle and skeleton

    In/o Fiber Inotropic Acting on muscle fibers

    Fasci/o Fascia Fasciodesis Suturing of a fascia to a tendon or other  fascia

    Ten/o,tendin/o

    Tendon Tenorrhaphy Suture of a tendon

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    Ton/o Tone Cardiotonic Having a strengthening action on the heart

    Kine,kinesi/okinet/o

    Movement Dyskinesia Abnormality of movement

    Cardiovascular System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Heart Card/o, cardi/o Receives blood from the veins and pumps bloodinto the arteries.

    Blood vessels Angi/o, vas/o Transport blood to and from all areas of the body.

    Arteries Arteri/o Transport blood away from the heart to all partsof the body.

    Capillaries Capill/o Permit the exchange of nutrients and waste products between the blood and the cells.

    Veins Phleb/o, ven/o Return blood from all body parts to the heart.

    Blood Hem/o, hemat/o Brings oxygen and nutrients to the cell andcarries away waste.

    Roots of Cardiovascular System

    Root Meaning Example Definition of Example

    Cardi/o Heart Cardiomyopathy Any disease of the heart muscle

    Atri/o Atrium Atriotomy Surgical incision of an atrium

    Ventricul/o

    Cavity, ventricle Supraventricular Above a ventricle

    Valv/o,valvul/o

    Valve Valvectomy Surgical removal of a valve

    Angi/o Vessel Angiopathy Any disease of blood vessels

    Vas/o,vascul/o

    Vessel, duct Vasodilation Widening of a blood vessel

    Arter/o,arteri/o

    Artery Endarterial Within an artery

    Arteriol/o Arteriole Arteriolar Pertaining to an arteriole

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    Aort/o Aorta Aortoptosis Downward displacement of the aorta

    Ven/o,ven/i

    Vein Venous Pertaining to a vein

    Phleb/o Vein Phlebectasia Dilatation of a vein

    Lymphatic and Immune System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Lymph Lymph/o The fluids that removes cellular waste products, pathogens, and dead blood cells from the tissue.

    Lymphaticvessels and ducts

    Lymphangi/o The capillaries, vessels and ducts that returnlymph from the tissues to the venous

     bloodstream.

    Lymph nodes Lymphaden/o Bean-shape structures of the lymphatic systemwhere pathogens and other harmful substancesare filtered from the lymph by specialized cells

    of the immune system.

    Tonsils andadenoids

    Tonsill/o, adenoid/o Lymphoid structure of the lymphatic system that protect the entry to the respiratory system.

    Spleen Splen/o A sac-like mass pf lymphoid tissue with protective roles in both the immune system and

    lymphatic system.

    Bone marrow Myel/o Produce lymphocytes, which are specializedleukocytes (white blood cells).

    Lymphocytes Lymphocyt/o Specialized leukocytes that play important rolein the immune reactions.

    Thymus Thym/o A gland located in the upper chest withspecialized roles in both lymphatic and immunesystems.

    Roots of Lymphatic System

    Root Meaning Example Definition of Example

    Lymph/o Lymph,lymphatic

    system

    Lymphoid Resembling lymph or lymphatic tissue

    Lymphaden/o

    Lymph node Lymphadenectomy Surgical removal of a lymph node

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    Lymphangi/o

    Lymphaticvessel

    Lymphangioma Tumor of lymphatic vessels

    Splen/o Spleen Splenomegaly Enlargement of the spleen

    Thym/o Thymus gland Athymia Absence of the thymus gland

    Tonsill/o Tonsil Tonsillar Pertaining to a tonsil

    Respiratory System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

     Nose Nas/o Exchanges air during inhaling and exhaling;warms, moisturizes, and filters inhaled air.

    Sinuses Sinus/o Produce mucus for the nasal cavities, make bones of the skull lighter, aid in sound

     production.

    Pharynx Pharyng/o Transport air back and forth between the noseand the trachea.

    Larynx Laryng/o Makes speech possible.

    Epiglottis Epiglott/o Closes off the trachea during swallowing.

    Trachea Trache/o Transport air back and forth between the pharynx and the bronchi.

    Bronchi Bronch/o, bronchi/o Transports air from the trachea into the lungs.

    Alveoli Alveol/o Air sacs that exchange gases with the pulmonary capillary blood.

    Lungs Pneum/o, pneumon/o, pulmon/o

    Bring oxygen into the body, and removescarbon dioxide and some water waste from the

     body.

    Roots of Respiratory System

    Root Meaning Example Definition of Example

     Nas/o Nose Nasal Pertaining to the nose

    Rhin/o Nose Rhinorrhea Discharge from the nose

    Pharyng/o Pharynx Pharyngeal Pertaining to the pharynx

    Laryng/o Larynx Laryngoscopy Endoscopic examination of the larynx

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    Trache/o Trachea Tracheotome Instrument used to incise the trachea

    Bronch/o, bronch/i

    Bronchus Bronchogenic Originating in a bronchus

    Bronchiol Bronchiole Bronchiolectasis Dilatation of the bronchioles

    Phren/o Diaphragm Phrenic Pertaining to the diaphragm

    Phrenic/o Phrenic nerve Phrenicotripsy Crushing of the phrenic nerve

    Pleur/o Pleura Pleurodesis Fusion of the pleura

    Pulm/o, pulmon/o

    Lungs Intrapulmonary Within the lungs

    Pneumon/o

    Lung Pneumonectomy Surgical removal of a lung or lungtissue (pneumectomy and pulmonectomyalso used)

    Pneum/o, pneumat/o

    Air, gas; alsorespiration, lung

    Pneumatocardia Presence of air in the heart

    Spir/o Breathing Spirometer Instrument for measuring breathingvolumes

    Digestive System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Mouth Or/o, stomat/o Begins preparation of food for digestion.

    Pharynx Pharyng/o Transports food the mouth to the esophagus.

    Esophagus Esophag/o Transport food from the pharynx to thestomach.

    Stomach Gastr/o Breaks down food and mixes it with gastric juices.

    Small intestine Enter/o Mixes chyme coming from the stomach withdigestive juices to complete the digestion and

    absorption of most nutrients.

    Large intestine Col/o, colon/o Absorbs excess water, and prepares solid wastefor elimination.

    Rectum and anus An/o, proct/o, rect/o Control the excretion of solid waste.

    Liver Hepat/o Secretes bile and enzymes to aid in the digestion

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    of fats.

    Gallbladder Cholecyst/o Stores bile, and releases it into the smallintestine as needed.

    Pancreas Pancreat/o Secretes digestive juices and enzymes into the

    small intestine as needed.

    Roots of Digestive System

    Root Meaning Example Definition of Example

    Or/o Mouth Perioral Around the mouth

    Stoma,stomat/o

    Mouth Stomatitis Inflammation of the mouth

    Gnath/o Jaw Prognathous Having a projecting jaw

    Labi/o Lip Labiodental Pertaining to the lip and teeth(dent/o)

    Bucc/o Cheek Buccoversion Turning toward the cheek  

    Dent/o,dent/i

    Tooth, teeth Dentifrice A substance used to clean the teeth

    Odont/o Tooth, teeth Periodontist Dentist who treats the tissues aroundthe teeth

    Gingiv/o Gum (gingiva) Gingivectomy Excision of gum tissue

    Lingu/o Tongue Sublingual Under the tongue

    Gloss/o Tongue Glossopharyngeal Pertaining to the tongue and pharynx

    Sial/o Saliva, salivarygland,salivary duct

    Sialogram Radiograph of the salivary glands andducts

    Palat/o Palate Palatorrhaphy Suture of the palate

    Esophag/o Esophagus Esophageal Pertaining to the esophagus

    Gastr/o Stomach Gastroparesis Partial paralysis of the stomach

    Pylor/o Pylorus Pylorostenosis Narrowing of the pylorus

    Enter/o Intestine Dysentery Infectious disease of the intestine

    Duoden/o Duodenum Duodenoscopy Endoscopic examination of the duodenum

    Jejun/o Jejunum Jejunotomy Incision of the jejunum

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    Ile/o Ileum Ileectomy Excision of the ileum

    Cec/o Cecum Cecoptosis Downward displacement of the cecum

    Col/o,colon/o

    Colon Colocentesis Surgical puncture of the colon

    Sigmoid/o Sigmoid colon Sigmoidoscope An endoscope for examining the sigmoidcolon

    Urinary System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Kidneys Nephr/o, ren/o Filter the blood to remove waste products,maintain electrolyte concentration, and remove

    excess water to maintain the fluid volumewithin the body.

    Renal pelvis Pyel/o Collect urine produce by the kidneys.

    Urine Ur/o, urin/o Liquid waste products to be excreted.

    Ureters Ereter/o Transport urine from the kidneys to the urinary bladder.

    Urinary bladder Cyst/o Stores urine until it is excreted.

    Urethra Urethr/o Transport urine from the bladder through the

    urethral meatus, where it is excreted.

    Prostate Prostat/o A gland of the male reproductive system thatsurrounds the male urethra. Disorders of thisgland can disrupt the flow of urine.

    Roots of Urinary System

    Root Meaning Example Definition of Example

    Ren/o Kidney Infrarenal Below the kidney

     Nephr/o Kidney Nephrosis Any noninflammatory disease condition of 

    the kidneyGlomerul/o

    Glomerulus Juxtaglomerular Near the glomerulus

    Pyel/o Renal pelvis Pyeloplasty Plastic repair of the renal pelvis

    Cali-,calic

    Calyx Calicectasis Dilatation of a renal calyx

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    Ur/o Urine,urinary tract

    Urosepsis Generalized infection that originates in theurinary

    tract

    Urin/o Urine Urination Discharge of urine

    Ureter/o Ureter Ureterostenosis Narrowing of the ureter 

    Cyst/o Urinary bladder Cystotomy Incision of the bladder 

    Vesic/o Urinary bladder Intravesical Within the urinary bladder 

    Urethr/o Urethra Urethroscopy Endoscopic examination of the urethra

    Nervous System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Brain Cerebr/o, encephal/o Coordinates all body activities by receiving andtransmitting messages throughout the body.

    Spinal cord Myel/o Transmit nerve impulses between the brain,arms and legs, and the lower part of the body.

     Nerves Neur/i, neur/o Receive and transmit messages to and from all parts of the body.

    Sensory organsand receptors

    Receive external stimulation and transmit thisstimuli to the sensory neurons.

    Roots of Nervous System

    Root Meaning Example Definition of Example

     Neur/o,neur/i

     Nervoussystem,

    nervous tissue,nerve

     Neurotoxic Harmful or poisonous to a nerveor nervous tissue

    Gli/o Neuroglia Glioma A neuroglial tumor  

    Gangli/o,

    ganglion/o

    Ganglion Ganglionectomy Surgical removal of a ganglion

    Mening/o,meninge/o

    Meninges Meningocele Hernia of the meninges throughthe skull or spinal column

    Myel/o Spinal cord(also bonemarrow)

    Myelodysplasia Abnormal development of thespinal cord

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    Radicul/o Root of a spinalnerve

    Radiculopathy Any disease of a spinal nerveroot

    Encephal/o

    Brain Encephalomalacia Softening of brain tissue

    Cerebr/ocerebr/o

    Cerebrum(loosely, brain)

    Decerebrate Having no cerebral function

    Cortic/o Cerebral cortex,outer 

     portion

    Corticospina Pertaining to the cerebral cortexand spinal cord

    Cerebell/o Cerebellum Intracerebellar Within the cerebellum

    Thalam/o Thalamus Thalamotomy Incision of the thalamus

    Ventricul/o

    Cavity, ventricle Supraventricular Above a ventricle

    Medull/o Medullaoblongata (alsospinal cord)

    Medullary Pertaining to the medulla

    Psych/o Mind Psychosomatic Pertaining to the mind and body(soma)

     Narc/o Stupor,unconsciousness

     Narcosis State of stupor induced by drugs

    Somn/o,

    somn/i

    Sleep Somnolence Sleepiness

    Special Senses: The Eyes and Ears

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Eyes Opt/i, opt/o, optic/o Receptor organs for the sense of sight.

    Iris Ir/i, ir/o, irid/o, irit/o Controls the amount of light entering the eye.

    Lens Phac/o, phak/o Focuses rays of light on the retina.

    Retina Retin/o Converts light images into electrical impulsesand transmits them to the brain.

    Lacrimalapparatus

    Dacryocyst/o, lacrim/o Accessory structures of the eyes that produce,store and remove tears.

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    Ears Acous/o, acoust/o, audi/o,audit/o, ot/o

    Receptor organs for the sense of hearing; alsohelps maintain balance.

    Outer ear Pinn/i Transmits sound waves to the middle ear.

    Middle ear Myring/o, tympan/o Transmits sound waves to the inner ear.

    Inner ear Labyrinth/o Receives sound vibrations and transmit them tothe brain.

    Roots of Special Senses

    Root Meaning Example Definition of Example

    Audi/o Hearing Audition Act of hearing

    Acous, acus,cus

    Sound, hearing Acoustic Pertaining to sound or hearing

    Ot/o Ear Ototoxic Poisonous or harmful to the ear  

    Myring/o Tympanicmembrane

    Myringotome Knife used for surgery on theeardrum

    Tympan/o Tympaniccavity (middleear), tympanicmembrane

    Tympanometry Measurement of transmission through thetympanic membrane and middle ear 

    Staped/o,stapedi/o

    Stapes Stapedectomy Excision of the stapes

    Labyrinth/o Labyrinth

    (inner ear)

    Labyrinthotomy Incision of the inner ear 

    (labyrinth)

    Vestibul/o Vestibule,vestibular apparatus

    Vestibulopathy Any disease of the vestibule of the inner ear 

    Cochle/o Cochlea of  inner ear 

    Retrocochlear Behind the cochlea

    Palpebr/o Eyelid Palpebral Pertaining to an eyelid

    Blephar/o Eyelid Symblepharon Adhesion of the eyelid to the eyeball

    Lacrim/o Tear, lacrimalapparatus

    Lacrimation Secretion of tears

    Dacry/o Tear, lacrimalapparatus

    Dacryolith Stone in the lacrimal apparatus

    Dacryocyst/o Lacrimal sac Dacryocystocele Hernia of the lacrimal sac

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    Opt/o Eye, vision Optometer Instrument for measuring the refractive power of the eye

    Ocul/o Eye Dextrocular Pertaining to the right eye

    Ophthalm/o Eye Exophthalmos Protrusion of the eyeball

    Scler/o Sclera Subscleral Below the sclera

    Corne/o Cornea Circumcorneal Around the cornea

    Kerat/o Cornea Keratoplasty Plastic repair of the cornea; cornealtransplant

    Lent/i Lens Lenticular Pertaining to the lens

    Phak/o, phac/o

    Lens Aphakia Absence of a lens

    Uve/o Uvea Uveitis Inflammation of the uvea

    Chori/o,choroid/o

    Choroid Choroidal Pertaining to the choroid

    Cycl/o Ciliary body,ciliary muscle

    Cycloplegic Pertaining to or causing paralysis of theciliary muscle

    Ir, irit/o,irid/o

    Iris Iridotomy Incision of the iris

    Pupill/o Pupil Iridopupillary Pertaining to the iris and the pupil

    Retin/o Retina Retinoschisis Splitting of the retina

    Integumentary System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Skin Cutane/o, demat/o, derm/o Intact skin is the first line of defences for theimmune system. Skin waterproofs the body andis the major receptor for the sense of touch.

    Sebaceous gland Seb/o Secrete sebum (oil) to lubricate the skin anddiscourage the growth of bacteria on the skin.

    Sweat glands Hidr/o Secrete water to regulate body temperature andwater content, and these glands secrete some

    metabolic waste.

    Hair Pil/i, pil/o Aids in controlling the loss of body heat.

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     Nails Onych/o, ungu/o Protects the dorsal surface of the last bone of each finger and toe.

    Roots of Integumentary System

    Root Meaning Example Definition of Example

    Derm/o,dermat/o

    Skin Dermabrasion Surgical procedure used to resurface theskin and remove imperfections

    Kerat/o Keratin, hornylayer of 

    the skin

    Keratosis Horny growth of the skin

    Melan/o Dark, black,melanin

    Melanosome A small body in the cell that producesmelanin

    Hidr/o, idr/o Sweat, perspiration

    Hyperhidrosis Abnormally high production of sweat

    Seb/o Sebum,sebaceousgland

    Seborrhea Excess flow of sebum

    Trich/o Hair Trichomycosis Fungal infection of the hair  

    Onych/o Nail Onychia Inflammation of the nail and nail bed(not an -itis ending)

    Endocrine System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Adrenal glands Adren/o Regulate electrolyte levels, influencemetabolism, and respond to stress.

    Gonads Gonad/o Gamete (sex cell) producing glands.

    Male: Testicles Testic/o Sperm-producing gland.

    Female: Ovaries Ovari/o Ova (egg) producing gland.

    Pancreatic islets Pancreat/o Control blood sugar levels and glucosemetabolism.

    Parathyroidglands

    Parathyroid/o Regulate calcium levels throughout the body.

    Pineal gland Pineal/o Influences the sleep-wakefulness cycle.

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    Pituitary gland Pituit/o, pituitar/o Secrete hormones that control the activity of theother endocrine glands.

    Thymus Thym/o Plays a major role in the immune system.

    Thyroid gland Thyr/o, thyroid/o Stimulates metabolism, growth and the activity

    of the nervous system.

    Roots of Endocrine System

    Root Meaning Example Definition of Example

    Endocrin/o Endocrineglands or system

    Endocrinopathy Any disease of the endocrine glands

    Pituitar Pituitarygland,hypophysis

    Pituitarism Condition caused by any disorder of  pituitary function

    Hypophys Pituitarygland,hypophysis

    Hypophyseal Pertaining to the pituitary gland

    Thyr/o,thyroid/o

    Thyroid gland Thyrotropic Acting on the thyroid gland

    Parathyr/o, parathyroid/o

    Parathyroidgland

    Parathyroidectomy Excision of a parathyroid gland

    Adren/o,adrenal/o

    Adrenalgland,

    epinephrine

    Adrenergic Activated (erg-) by or related toepinephrine (adrenaline)

    Adrenocortic/o Adrenalcortex

    Adrenocortical Pertaining to the adrenal cortex

    Insul/o Pancreaticislets

    Insuloma Tumor of islet cells

    Reproductive System

     Major 

     Structures

     Related Combining 

    Forms

     Primary Functions

    Male

    Penis Pen/i, phall/i Used for sexual intercourse and urination.

    Testicles Orch/o, orchid/o, test/i,test/o

    Produce sperm and the hormone testosterone.

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    Female

    Ovaries Oophor/o, ovari/o Produce ova (egg) and female hormones.

    Fallopian tubes Salping/o Catch the mature ovum (egg) and transport it tothe uterus. Also the site of fertilization.

    Uterus Hyster/o, metr/o, metri/o,uter/o

    Protects and supports the developing child.

    Vagina Vagin/o, colp/o Used for sexual intercourse, acts as channel for menstrual flow, and functions as the birth canal.

    Placenta Placent/o Exchange nutrients and waste between themother and fetus during pregnancy.

    Roots of Reproductive System

    Root Meaning Example Definition of Example

    Male

    Test/o Testis, testicle Testicular Pertaining to a testicle

    Orchi/o,orchid/o

    Testis Anorchism Absence of a testis

    Semin Semen Inseminate To introduce semen into a woman

    Sperm/i,spermat/o

    Semen,spermatozoa

    Oligospermia Deficiency of spermatozoa

    Epididym/o Epididymis Epididymitis Inflammation of the epididymis

    Vas/o Vas deferens;also vessel

    Vasorrhaphy Suture of the vas deferens

    Vesicul/o Seminalvesicle

    Vesiculography Radiographic study of the seminalvesicles

    Prostat/o Prostate Prostatometer Instrument for measuring the prostate

    Osche/o Scrotum Oscheoma Tumor of the scrotum

    Female

    Gyn/o, gynec/o Woman Gynecology Study of diseases of women

    Men/o, mens Month,menstruation

    Premenstrual Before a menstrual period

    Oo Ovum, eggcell

    Oocyte Cell that gives rise to an ovum

    Ov/o Ovum, eggcell

    Ovulation Release of an ovum from the ovary

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    Ovari/o Ovary Ovarian Pertaining to an ovary

    Oophor/o Ovary Oophorotomy Incision of an ovary

    Salping/o Oviduct, tube Salpingectomy Excision of an oviduct

    Uter/o Uterus Uterine Pertaining to the uterus

    Metr/o, metr/i Uterus Metrorrhagia Abnormal uterine bleeding

    Hyster/o Uterus Hysteroscopy Endoscopic examination of the uterus

    Cervic/o Cervix, neck Endocervical Pertaining to the lining of the cervix

    Vagin/o Vagina Vaginoplasty Plastic repair of the vagina

    Colp/o Vagina Colpocele Hernia of the vagina

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    Part II. Terms Referring to Some General Aspects of Medicine, Medical

    Terminology and the Practice of Medicine and its Allied Profession

    1. Medicine, Disease, and Medical Terminology

    Medicine -   is the science and practice of the diagnosis,  treatment, and prevention of  disease. It

    is derived from Latin medicus, meaning "a physician".

    Disease - is a particular abnormal condition, a disorder of a structure or function, that affects part

    or all of an organism. The causal study of disease is called pathology (which came from theAncient Greek   roots of  pathos   , meaning "experience" or "suffering", and   -logia, "study of").Disease is often construed as a medical condition associated with specific symptoms and signs.

    Root for Disease

    Root Meaning Example Definition of Example

    Alg/o, algi/o,algesi/o

    Pain Algesia Condition of having pain

    Carcin/o Cancer,carcinoma

    Carcinogen Substance that produces cancer 

    Cyst/o, cyst/i Filled sac or  pouch, cyst, bladder 

    Cystic Pertaining to or having cysts

    Lith Calculus,stone

    Lithiasis Stone formation

    Onc/o Tumor Oncogene Gene that causes a tumor  

    Path/o Disease Pathogen Organism that produces disease

    Py/o Pus Pyocyst A sac or cyst containing pus

    Pyr/o, pyret/o Fever, fire Pyretic Pertaining to fever  

    Scler/o Hard Sclerosis Hardening of tissue

    Tox/o, toxic/o Poison Exotoxin Toxin secreted by bacterial cells

    Prefixes for Disease

    Prefix Meaning Example Definition of Example

    Brady- Slow Bradypnea Slow breathing (-pnea)

    Dys- Abnormal,

     painful,difficult

    Dysplasia Abnormal development of tissue

    Mal- Bad, poor Maladaptive Poorly suited to a specific use or to theenvironment

    Pachy- Thick Pachyemia Thickness of the blood (-emia)

    http:///reader/full/https///en.wikipedia.org/wiki/Sciencehttp:///reader/full/https///en.wikipedia.org/wiki/Diagnosishttp:///reader/full/https///en.wikipedia.org/wiki/Therapyhttp:///reader/full/https///en.wikipedia.org/wiki/Preventive_medicinehttp:///reader/full/https///en.wikipedia.org/wiki/Diseasehttp:///reader/full/https///en.wikipedia.org/wiki/Latinhttp:///reader/full/https///en.wikipedia.org/wiki/Ancient_Greekhttp:///reader/full/https///en.wiktionary.org/wiki/-logiahttp:///reader/full/https///en.wiktionary.org/wiki/-logiahttp:///reader/full/https///en.wikipedia.org/wiki/Ancient_Greekhttp:///reader/full/https///en.wikipedia.org/wiki/Latinhttp:///reader/full/https///en.wikipedia.org/wiki/Diseasehttp:///reader/full/https///en.wikipedia.org/wiki/Preventive_medicinehttp:///reader/full/https///en.wikipedia.org/wiki/Therapyhttp:///reader/full/https///en.wikipedia.org/wiki/Diagnosishttp:///reader/full/https///en.wikipedia.org/wiki/Science

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    Tachy- Rapid Tachycardia Rapid heart (cardi) rate

    Xero- Dry Xerosis Dryness of the skin or membranes

    Suffixes for Disease

    Suffix Meaning Example Definition of Example

    -algia, -algesia Pain Myalgia Pain in a muscle (my/o)

    -cele Hernia,localizeddilation

    Hydrocele Localized dilation containing fluid

    -clasis, -clasia Breaking Osteoclasis Breaking of a bone (oste/o)

    -itis Inflammation Meningitis Inflammation of the membranes aroundthe brain (meninges)

    -megaly Enlargement Hepatomegaly Enlargement of the liver (hepat/o)

    -odynia Pain Urodynia Pain on urination (ur/o)

    -oma Tumor Blastoma tumor of immature cells

    -pathy Any diseaseof 

    Cardiopathy Any disease of the heart (cardi/o)

    -rhage, -rhagia Burstingforth, profuseflow,

    hemorrhage

    Hemorrhage Profuse flow of blood

    -rhea Flow,

    discharge

    Mucorrhea Discharge of mucus

    -rhexis Rupture Amniorrhexis Rupture of the amniotic sac (bagof waters)

    -schisis Fissure,splitting

    Retinoschisis Splitting of the retina of the eye

    Medical Terminology -   is language that is used to accurately describe the human body andassociated components, conditions, processes and procedures in a science-based manner. MedicalTerminology often uses words created using  prefixes and suffixes in  Latin and Ancient Greek . In

    medicine, their meanings, and their  etymology, are informed by the language of origin.

    2. Causes and Classification of Disease

    Causes of Disease

    Airborne

    - An airborne disease is any disease that is caused by pathogens and transmitted through the air.

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    Infectious

    - Infectious diseases, also known as transmissible diseases or communicable diseases, compriseclinically evident illness (i.e., characteristic medical signs and/or symptoms of disease) resultingfrom the infection, presence and growth of pathogenic biological agents in an individual hostorganism. Included in this category are:

    Contagious – an infection, such as  influenza or the common cold, that commonly spreads fromone person to another 

    Communicable   – an infection that can spread from one person to another, but is not usuallyspread through everyday contact, such as the viral hepatitis.

    Non-communicable

    - A non-communicable disease is a medical condition or disease that is non-transmissible.

     Non-communicable diseases cannot be spread directly from one person to another. Heart diseaseand cancers are examples of non-communicable diseases in humans.

    Foodborne

    - Food borne illness or food poisoning is any illness resulting from the consumption of food

    contaminated with pathogenic bacteria, toxins, viruses, prions or parasites.Lifestyle

    - A lifestyle disease is any disease that appears to increase in frequency as countries become moreindustrialized and people live longer, especially if the risk factors include behavioral choices likea sedentary lifestyle or a diet high in unhealthful foods such as refined carbohydrates, trans fats,or alcoholic beverages.

    Classification of Disease

    Diseases may be classified by etiology  (cause),  pathogenesis (mechanism by which the disease iscaused), or by   symptom(s). Alternatively, diseases may be classified according to the   organ

    system involved, though this is often complicated since many diseases affect more than oneorgan.

     Infectious diseases   - caused by microorganisms and other parasites that live at the expense of another organism. Any disease-causing organism is described as a pathogen.Prefixes and Roots for Infectious Diseases

    Word Part Meaning Example Definition of Example

    Prefixes

    Staphyl/o Grapelike cluster Staphylococcus A round bacterium that forms clusters

    Strept/o Twisted chain Streptobacillus A rod-shaped bacterium that formschains

    Roots

    Bacill/i,

     bacill/o

    Bacillus Bacilluria Bacilli in the urine (-uria)

    Bacteri/o Bacterium Bactericide Agent that kills (-cide) bacteria

    Myc/o Fungus, mold Mycosis Any disease condition caused by afungus

    Vir/o Virus Viremia Presence of viruses in the blood (-emia)

     Degenerative diseases - resulting from wear and tear, aging, or trauma (injury) that can result in a

    lesion (wound) and perhaps necrosis (death) of tissue. Common examples include arthritis,

    http:///reader/full/https///en.wikipedia.org/wiki/Infectious_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Contagious_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Influenzahttp:///reader/full/https///en.wikipedia.org/wiki/Common_coldhttp:///reader/full/https///en.wikipedia.org/wiki/Communicable_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Viral_hepatitishttp:///reader/full/https///en.wikipedia.org/wiki/Non-communicable_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Heart_diseasehttp:///reader/full/https///en.wikipedia.org/wiki/Cancerhttp:///reader/full/https///en.wikipedia.org/wiki/Foodborne_illnesshttp:///reader/full/https///en.wikipedia.org/wiki/Lifestyle_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Etiologyhttp:///reader/full/https///en.wikipedia.org/wiki/Pathogenesishttp:///reader/full/https///en.wikipedia.org/wiki/Mechanism_(biology)http:///reader/full/https///en.wikipedia.org/wiki/Symptomhttp:///reader/full/https///en.wikipedia.org/wiki/Organ_systemhttp:///reader/full/https///en.wikipedia.org/wiki/Organ_systemhttp:///reader/full/https///en.wikipedia.org/wiki/Symptomhttp:///reader/full/https///en.wikipedia.org/wiki/Mechanism_(biology)http:///reader/full/https///en.wikipedia.org/wiki/Pathogenesishttp:///reader/full/https///en.wikipedia.org/wiki/Etiologyhttp:///reader/full/https///en.wikipedia.org/wiki/Lifestyle_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Foodborne_illnesshttp:///reader/full/https///en.wikipedia.org/wiki/Cancerhttp:///reader/full/https///en.wikipedia.org/wiki/Heart_diseasehttp:///reader/full/https///en.wikipedia.org/wiki/Non-communicable_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Viral_hepatitishttp:///reader/full/https///en.wikipedia.org/wiki/Communicable_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Common_coldhttp:///reader/full/https///en.wikipedia.org/wiki/Influenzahttp:///reader/full/https///en.wikipedia.org/wiki/Contagious_diseaseshttp:///reader/full/https///en.wikipedia.org/wiki/Infectious_diseases

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    cardiovascular problems, and certain respiratory disorders such as emphysema. Structuralmalformations such as congenital malformations, prolapse (dropping), or hernia (rupture) mayalso result in degenerative changes.

     Neoplasia - abnormal and uncontrolled growth of tissue.

     Immune disorders  - failures of the immune system, allergies, and autoimmune diseases, in whichthe body makes antibodies to its own tissues, fall into this category.

     Metabolic disorders   - resulting from lack of enzymes or other factors needed for cellular 

    functions. Many hereditary disorders fall into this category. Malnutrition caused by inadequateintake of nutrients or inability of the body to absorb and use nutrients also upsets metabolism.

     Hormonal disorders   - caused by underproduction or overproduction of hormones or by inabilityof the hormones to function properly. One example is diabetes mellitus.

     Mental and emotional disorders - disorders that affect the mind and adaptation of an individual

    to his or her environment.

    3. Manifestation of Disease

    Manifestations may be local (eg, cellulitis, abscess) or systemic, most often fever. Manifestationsmay develop in multiple organ systems. Severe, generalized infections may have life-threatening

    manifestations (eg, sepsis, septic shock).

    Most infections increase the pulse rate and body temperature, but others (eg, typhoid fever,tularemia, brucellosis, dengue) may not elevate the pulse rate commensurate with the degree of fever. Hypotension can result from hypovolemia or septic shock. Hyperventilation and respiratoryalkalosis are common.

    Alterations in sensorium (encephalopathy) may occur in severe infection regardless of whether CNS infection is present. Encephalopathy is most common and serious in the elderly and may

    cause anxiety, confusion, delirium, stupor, seizures, and coma.

    Pulmonary compliance may decrease, progressing to acute respiratory distress syndrome (ARDS)and respiratory muscle failure.

    Renal manifestations range from minimal proteinuria to acute renal failure, which can result fromshock and acute tubular necrosis, glomerulonephritis, or tubulointerstitial disease.

    Hepatic dysfunction, including cholestatic jaundice (often a poor prognostic sign) or 

    hepatocellular dysfunction, occurs with many infections, even though the infection does notlocalize to the liver. Upper GI bleeding due to stress ulceration may occur during sepsis.

    Endocrinologic dysfunctions include increased production of thyroid-stimulating hormone,vasopressin , insulin, and glucagon; breakdown of skeletal muscle proteins and muscle wastingsecondary to increased metabolic demands; and bone demineralization. Hypoglycemia occursinfrequently in sepsis, but adrenal insufficiency should be considered in patients with

    hypoglycemia and sepsis. Hyperglycemia may be an early sign of infection in diabetics.

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    4. Practice of Medicine and Allied Profession and Technical Occupation

    Medicine

    Anesthesiologist or  anesthetist   is a physician trained in anesthesia and perioperative medicine.

    Cardiologist is a doctor who specializes in the study of the heart.

    Dentist is a person who is qualified to look after teeth and gums.

    Endocrinologist   is a doctor who specializes in the study of endocrinology.

    Gastroenterologist   is a doctor who specializes in the digestive system and its disorders.

    Geriatrician is a doctor who specializes in the treatment or study of diseases of old people.

    Gynecologist is a doctor who specializes in the treatment of diseases of women.

    Hematologist   is a doctor who specializes in hematology.

    Nephrologist   is a doctor who specializes in the study of the kidney and its diseases.

    Neurologist is a doctor who specializes in the study of the nervous system and the treatment of its diseases.

    Obstetrician is a doctor who specializes in obstetrics.

    Oncologist is a doctor who specializes in oncology, especially cancer.

    Ophthalmologist  is a doctor who specializes in the study of the eye and its diseases. Also called

    eye specialist.

    Orthodontist  is a dental surgeon who specializes in correcting badly placed teeth.

    Orthopedist   is a surgeon who specializes in orthopedics.

    Otorhinolaryngologist   is a doctor who specializes in the study of the ear, nose and throat.

    Pediatrician is a doctor who specializes in the treatment of diseases of children.

    Psychiatrist  is a doctor who specializes in the diagnosis and treatment of mental and behavioral

    disorders.

    Radiologist is a doctor who specializes in radiology.

    Rheumatologist is a doctor who specializes in rheumatology.

    Surgeon is a doctor who specializes in surgery.

    Urologist is a doctor who specializes in urology.

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    Allied Professions and Technical Occupation

    Dietitian is someone who specializes in the study of diet, especially someone in a hospital whosupervises dietaries as part of the medical treatment of patients. Also called nutritionist.

    Medical Technologist   is a   healthcare professional   who performs   chemical,   hematological,

    immunologic, histopathological, cytopathological,   microscopic, and bacteriological   diagnosticanalyses on body fluids such as blood, urine, sputum, stool, cerebrospinal fluid (CSF), peritoneal

    fluid, pericardial fluid, and synovial fluid, as well as other specimens.

    Midwife is a professional person who helps a woman give birth to a child, often at home.

    Nurse is a person who looks after sick people in a hospital or helps a doctor in a local surgery.Some nurses may be trained to diagnose and treat patients.

    Pharmacist   is a trained person who is qualified to prepare medicines according to theinstructions on a doctor’s prescription.

    Phlebotomists  are people trained to draw blood from a patient for clinical or medical testing,transfusions, donations, or research. Phlebotomists collect blood primarily by performing

    venipunctures, (or, for collection of minute quantities of blood,  fingersticks).

    Physical therapist   or   physiotherapist   (often abbreviated to   PT) is a trained and licensed professional to examine, evaluate, diagnose and treat impairment, functional limitations anddisabilities in patients or clients.

    Radiographers, also known as   Radiologic Technologists,  Diagnostic Radiographers,  Medical

    Radiation Technologists  are  Healthcare Professionals  who specialize in the imaging of   humananatomy for the diagnosis and treatment of  pathology.

    Sonographer, or  ultrasonographer, is a healthcare professional, frequently a   radiographer  butmay be any healthcare professional with the appropriate training, who specialise in the use of 

    ultrasonic   imaging devices to produce diagnostic images, scans, videos, or 3D volumes of anatomy and diagnostic data.Radiation Therapist,   Therapeutic Radiographer   or   Radiotherapist   is an   allied health

     professional who works in the field of  radiation oncology.

    5. Diagnosis of Disease

    Medical diagnosis, the determination of the nature and cause of an illness, begins with a patienthistory. This includes a history of the present illness with a description of symptoms, a past

    medical history, and a family and a social history.

    A physical examination, which includes a review of all systems and observation of any signs of illness, follows the history taking. Practitioners use the following techniques in performing

     physicals:• Inspection: visual examination.

    • Palpation: touching the surface of the body with the hands or fingers.• Percussion: tapping the body and listening to the sounds produced.• Auscultation: listening to body sounds with a stethoscope.Vital signs   (VS) are also recorded for comparison with normal ranges. Vital signs aremeasurements that reflect basic functions necessary to maintain life and include:

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    • Temperature (T).• Pulse rate, measured in beats per minute (bpm).• Respiration rate (R), measured in breaths per minute.• Blood pressure (BP), measured in millimeters mercury (mm Hg) and recorded when the heart iscontracting (systolic pressure) and relaxing (diastolic pressure).

     Sub-types of diagnoses include:

    Clinical diagnosis

    A diagnosis made on the basis of   medical signs   and patient-reported   symptoms, rather than

    diagnostic tests

    Laboratory diagnosis

    A diagnosis based significantly on laboratory reports or test results, rather than the   physical

    examination of the patient. For instance, a proper diagnosis of infectious diseases usually requires

     both an examination of signs and symptoms, as well as laboratory characteristics of the pathogen

    involved.

    Radiology diagnosis

    A diagnosis based primarily on the results from medical imaging studies. Greenstick fractures are

    common radiological diagnoses.

    Principal diagnosis

    The single medical diagnosis that is most relevant to the patient's   chief complaint   or need for 

    treatment. Many patients have additional diagnoses.

    Admitting diagnosis

    The diagnosis given as the reason why the patient was admitted to the hospital; it may differ from

    the actual problem or from the  discharge diagnoses, which are the diagnoses recorded when the

     patient is discharged from the hospital.

    Differential diagnosis

    A process of identifying all of the possible diagnoses that could be connected to the signs,

    symptoms, and lab findings, and then ruling out diagnoses until a final determination can be

    made.

    Diagnostic criteria

    Designates the combination of  signs, symptoms, and test results that the  clinician uses to attempt

    to determine the correct diagnosis. They are standards, normally published by internationalcommittees, and they are designed to offer the best sensitivity and specificity possible, respect the

     presence of a condition, with the state-of-the-art technology.

    Prenatal diagnosis

    Diagnosis work done before birth

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    Diagnosis of exclusion

    A medical condition whose presence cannot be established with complete confidence from history,

    examination or testing. Diagnosis is therefore by elimination of all other reasonable possibilities.

    Dual diagnosis

    The diagnosis of two related, but separate, medical conditions or  co-morbidities; the term almostalways refers to a diagnosis of a serious mental illness and a substance addiction.

    Self-diagnosis

    The diagnosis or identification of a medical conditions in oneself. Self-diagnosis is very common

    and typically accurate for everyday conditions, such as   headaches,menstrual cramps, and

    headlice.

    Remote diagnosis

    A type of   telemedicine that diagnoses a patient without being physically in the same room as the

     patient.

    Nursing diagnosis

    Rather than focusing on biological processes, a nursing diagnosis identifies people's responses to

    situations in their lives, such as a readiness to change or a willingness to accept assistance.

    Computer-aided diagnosis

    Providing  symptoms  allows the computer to identify the problem and   diagnose  the user to the

     best of its ability. Health screening begins by identifying the part of the body where the symptoms

    are located; the computer cross-references a database for the corresponding disease and presents a

    diagnosis.

    Overdiagnosis

    The diagnosis of "disease" that will never cause symptoms, distress, or death during a patient's

    lifetime

    Wastebasket diagnosis

    A vague, or even completely fake, medical or psychiatric label given to the patient or to the

    medical records department for essentially non-medical reasons, such as to reassure the patient by

     providing an official-sounding label, to make the provider look effective, or to obtain approval for 

    treatment. This term is also used as a derogatory label for disputed, poorly described, overused, or 

    questionably classified diagnoses, such as  pouchitis   and   senility, or to dismiss diagnoses that

    amount toovermedicalization, such as the labeling of normal responses to physical hunger as

    reactive hypoglycemia.

    Retrospective diagnosis

    The labeling of an illness in a historical figure or specific historical event using modern

    knowledge, methods and disease classifications.

    6. Treatment of Disease

    If diagnosis so indicates,   treatment, also termed   therapy, is begun. This may consist of 

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    dimensional image of a body structureconstructed by computer from a series of cross-sectional images. CT scans reveal both

     bone and soft tissues, including organs,muscles and tumors.

    • DNR  —do not resuscitate.

    • DOB —date of birth.• Drsg —dressing.

    •   ECG or EKG— electrocardiogram. Agraphic record of the action of the heart.

    •   EEG —(electroencephalogram) measureselectrical activity of the brain.

    • EKG —electrocardiogram.• ENT —ear, nose and throat.• ED —emergency department

    • ER  —emergency room•   Gastrosomy Tube —surgically placed tube

    that goes directly into the stomach for 

    feedings and/or drainage.• GB —gall bladder.

    • GI —gastointestinal.• gm —gram.

    • gtt —drops• H20 —water.• H/A —headache• hct —hematocrit.• hgb —hemoglobin.

    • HOB —head of bed.• ht —height.• HTN —hypertension.

    • hx —history.• I & D —incision and drainage.

    •   I & O —intake and output. A measurementof fluids taken in and urinated out.• ICU —intensive care unit.• IM —intramuscular or into the muscle.

    •   IV —intravenous. The delivery of fluidsand/or medication into the blood stream via aneedle inserted into a vein.• K  —potassium.• kg —kilogram.

    • KVO — keep vein open.

    • lb. —pound.• LOC —loss of consciousness.• LP —lumbar puncture.• Max —maximum.

    • mEq —milliequivalent.•MRI —magnetic resonance imaging.Computerized images based on nuclear 

    magnetic resonance of atoms within the bodyinduced by the application of radio waves. An

    MRI scan provides 3-D images of the body'sinterior, delineating muscle, bone, bloodvessels, nerves, organs and tumor tissue.•MRSA —methicillin resistantstaphylococcum aureus.

    • MVA —motor vehicle accident.

    • MVR  —mitral valve replacement.• n/a —not applicable.

    • N/S —normal saline.• Na —sodium.

    •   Nasogastric —a tube that leads from thenose or mouth into the stomach.

    • neg —negative.• NG —nasogastric.• NKA —no known allergies.

    • no. or # —number.• NP —nurse practitioner.

    •  NPO —nothing by mouth; nothing to eat or 

    drink usually within a defined time frame• Nsg —nursing.

    • NSR  —normal sinus rhythm.• NTG —nitrogylicerin.

    • N&V —nausea and vomiting.• NWB —non-weight bearing.• O2 —oxygen.• OB —obstetrical.• OB/GYN —obstetrics and gynecology.

    • ODA —operating day admission. The patientis admitted to the hospital the day the surgeryis scheduled.

    • oint —ointment.• OOB —out of bed.

    • OR  —operating room.• OT —occupational therapy.• oz —ounce.• P —pulse.

    • PA —physician's assistant.• PAC —premature atrial contraction.•PAT —paroxysmal atrial tachycardia or 

     pre-admission testing (depending on context).• pc —after meals

    • PDA —patent ductus arteriosis.

    • PE —physical examination.• Ped —pediatric.• per os —by mouth.• PERL —pupils equal and reactive to light.

    •   PERLA —pupils equal and reactive to light& accommodation.• PET Scan —positron emission tomography

    • PFT —pulmonary function test.• pH —symbol for expression of concentration

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    of hydrogen ions (degree of acidity).•   PICC Line —(peripherally inserted centralcatheter) for delivery of medication into the

     bloodstream.• PIC-U —pediatric intensive care unit. A unit

    staffed by Pediatric Intensivists (pediatricians

    with special training in the care of critically illinfants and children) and other highly-skilled

    specialists.•PIMU —pediatric intermediate or "step

    down" unit. A unit that admits less critically illchildren and is also a transitional unit

    following a stay in the PICU.• PM or p.m. —afternoon (post meridian).• PMS —premenstrual syndrome.

    • po —per os (by mouth).• post-op —postoperative.

    • Preop —preoperative.

    • prep —prepare.•  PRN —when necessary; on request or when

    needed within time guidelines• PROM —passive range of motion.

    • PT —physical therapy.• Pt or pt. —patient.• PTA —prior to admission.• PVC —premature ventricular contraction.• PWB —partial weigth bearing.

    • q —each, every (quauque).• qd —every day (quaque die).• qh —every hour (quaque hora).

    • qid —four times daily (quater in die).•   QID —four times a day (sometimes q6h or 

    every 6 hours).• QD —once a day.• QNS —quantity not sufficient.• qod —every other day (quater otra die).

    • qs —sufficient quantity (quantum sufficiat).• Qt. —quart.• q2h, q3h, etc —every two hours, every threehours, etc.• Rehab —rehabilitation

    • Resp. —respiration.

    • RBC —red blood cells.• RN — Registered Nurse.• R/O —rule out.• ROM —range of motion.

    • R/R  —respiratory rate.

    • RR  —recovery room.• RT —radiation therapy.• Rt —right.• RTC —return to Clinic.• Rx —prescription, treatment, or therapy.

    • s [needs line over s] —without (sine).

    • SG —specific gravity.• sm —small.

    • SNF —skilled nursing facility.• SOB —shortness of breath.

    • S/P —status post.• sp gr —specific gravity.

    • staph —staphylococcal, staphylococcus.• Stat —immediately (statim).• STD —sexually transmitted disease.

    • Strep —streptococcus• Sx —symptoms.

    • T —temperature.

    • tab —tablet.• T&A —tonsillectomy and adenoidectomy.

    • tbsp —tablespoon.• TIA —transient ischemia attacks.

    •   tid —three times a day (sometimes q8h or every 8 hours).• TLC —total lung capacity.• TPR  —temperature, pulse, respirations.• tsp —teaspoon.

    • UA —urinalysis.• UGI —upper gastrointestinal• URI —upper respiratory infection.

    • UTI — urinary tract infection.• Vol —volume.

    • vs —against or versus.• VS —vital signs.•   VSD —ventricular septal defect. Acongenital defect in the septum of the heart.

    • w/ —with.• WB —weight bearing.• WBC —white blood cells.• W/C —wheel chair.• WNL —within normal limits.

    • w/o —without.

    • wt —weight.• XR  —x-ray.• x-match —cross match.• yo —year old.

    • yr —year.

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    7. Some Drugs Used in Medicine

    Drugs may be cited by either their generic or their trade names. The  generic name   is usually asimple version of the chemical name for the drug and is not capitalized. The  trade name  (brandname, proprietary name) is a registered trademark of the manufacturer and is written with an

    initial capital letter. The same drug may be marketed by different companies under different trade

    names.Word Parts Pertaining Drugs

    WORD PART MEANING EXAMPLE DEFINITION OF EXAMPLE

    SUFFIXES

    -lytic Dissolving, reducing,loosening

    Anxiolytic Agent that reduces anxiety

    -mimetic Mimicking,simulating

    Sympathomimetic Mimicking the effects of thesympathetic nervous system

    -tropic Acting on Inotropic acting on the force of musclecontraction (in/o means “fiber”)

    PREFIXES

    anti- Against Antidote Substance that counteracts a poison

    Contra- Against Contraceptive Preventing conception

    Counter- Opposite, against Countercurrent Flowing in an opposite direction

    ROOTS

    alg/o, algi/o,algesi/o

    Pain Algesic Painful

    chem/o Chemical Chemotherapy Treatment with drugs

    hypn/o Sleep Hypnosis An altered state with increasedresponsiveness to suggestion

    narc/o Stupor Narcotic Drug that induces stupor  

     pharmac/o Drug Pharmacy The science of preparing anddispensing drugs, or the placewhere these activities occur 

     pyr/o, pyret/o Fever Antipyretic Counteracting fever 

    tox/o, toxic/o Poison, toxin Toxic Poisonous

    vas/o Vessel Vasomotor Pertaining to change in vesseldiameter 

    ABBREVIATIONS

    Drugs and Drug Formulations

    APAP AcetaminophenASA Acetylsalicylic acid (aspirin)cap Capsuleelix Elixir 

    FDA Food and Drug AdministrationINH Isoniazid (antitubercular drug)MED(s) Medicine(s), medication(s)ODS Office of Dietary SupplementsOTC  Over-the-counter 

    Rx Prescriptionsupp Suppository

    susp Suspensiontab Tablettinct Tinctureung Ointment

    Dosages and Directions

    a Before (Latin, ante)aa Of each (Greek, ana)

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    ac Before meals (Latin, ante cibum)ad lib As desired (Latin, ad libitum)aq Water (Latin, aqua)bid Twice a day (Latin, bis in die)c With (Latin, cum)

    cc Cubic centimeter 

    D/C, dc Discontinueds Double strengthgt(t) Drop(s) (Latin, gutta)hs At bedtime (Latin, hora somni)

    IM Intramuscular(ly)IU International unit

    IV Intravenous(ly)mcg Microgramsmg Milligrams

    LA Long-actingNS Normal saline

    p After, post

    pc After meals (Latin, post cibum)

    po By mouth (Latin, per os)pp Postprandial (after a meal)prn As needed (Latin, pro re nata)qam Every morning (Latin, quaque antemeridiem)

    qd Every day (Latin, quaque die)

    qh Every hour (Latin, quaque hora)q ____ h Every ____ hoursqid Four times a day (Latin, quater in die)qod   Every other day (Latin,   quaque   [other]

    die)s Without (Latin, sine)

    SA Sustained actionSC, SQ,  Subcutaneous(ly)SR  Sustained release

    ss Half (Latin, semis)tid Three times per day (Latin, ter in die)

    U Unit(s)

    x Times

    Common Drugs and Their Actions

    CATEGORY ACTIONS;

    APPLICATIONS

    GENERIC NAME TRADE NAME

    Adrenergics

    (sympathomimetics)Mimic the action of thesympathetic nervous

    system, which respondsto stress

    EpinephrinePhenylephrine

    PseudoephedrineDopamine

    Bronkaid Neo-Synephrine

    SudafedIntropin

    Analgesics   Alleviate pain

     Narcotic decrease pain sensation in

    central nervous system;chronic use may lead to

     physical dependence

    Meperidine

    Morphine

    Demerol

    Duramorph

     Nonnarcotic Act peripherally to inhibit prostaglandins (localhormones); they may also

     be anti-inflammatory andantipyretic (reduce fever)

    aspirin(acetylsalicylicacid; ASA)

    acetaminophen(APAP)ibuprofen

    Celecoxib

    Tylenol

    Motrin, AdvilCelebrex, Vioxx

    Anesthetics   Reduce or eliminatesensation

     Local Lidocaine

    ProcaineGeneral 

     Nitrous oxideMidazolam

    Xylocaine

     Novocain

    Anticoagulants   Prevent coagulation andformation of blood clots

    HeparinWarfarin Coumadin

    Anticonvulsants   Suppress or reduce thenumber and/or intensity

    PhenobarbitalPhenytoin Dilantin

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    of seizures CarbamazepineValproic acid

    TegretolDepakene

    Antidiabetics   Prevent or alleviatediabetes

    InsulinChlorpropamideGlyburide

    Metformin

    Acarbose

    Humulin (injected)Diabinese (oral)Micronase

    Glucophage

    PrecoseAntiemetics   Relieve symptoms of 

    nausea and preventvomiting (emesis)

    OndansetronDimenhydrinateProchlorperazine

    ScopolaminePromethezine

    ZofranDramamineCompazine

    Transderm-Sco–pPhenergan

    Antihistamines   Prevent responsesmediated by histamine:allergic and inflammatoryreactions

    DiphenhydramineBrompheniramineLoratadineCetirizine

    BenadrylDimetaneClaritinZyrtec

    Antihypertensives   Lower blood pressure byreducing cardiac output,

    dilating vessels, or   promoting excretion of water by the kidneys; see

    also calcium channel blockers, beta blockers,

    and diuretics under cardiac drugs, below

    ClonidinePrazosin

    MinoxidilLosartanCaptopril

    CatapresMinipress

    LonitenCozaar Capoten

    Anti-inflammatory

    drugs

    Counteract inflammationand swelling

    Corticosteroids Hormones from thecortex of the adrenalgland; used for allergy,

    respiratory, and blooddiseases, injury, andmalignancy; suppress theimmune system

    dexamethasoneCortisonePrednisone

    HydrocortisoneFluticasone

    DecadronCortoneDeltasone

    Hydrocortone, Cortef Flonase

     Nonsteroidalanti-inflammatorydrugs (NSAIDs)

    Reduce inflammationand pain by interferingwith synthesis of 

     prostaglandins; alsoAntipyretic

    AspirinIbuprofenIndomethacin

     NaproxenDiclofenac

    Motrin, AdvilIndocin

     Naprosyn, AleveVoltaren

    Anti-infective agents   Kill or prevent the growthof infectious organisms

    Antibacterials

    Antibiotics

    Effective against bacteria Amoxicillin

    Penicillin VErythromycinVancomycinLinezolidGentamycinClarithromycin

    CephalexinSulfisoxazole

    Polymox

    Pen-Vee K ErythrocinVancocinZyvoxGaramycinBiaxin

    KeflexGantrisin

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    TetracyclineCiprofloxacin (acts

    on ulcer-causing Helicobacter pylori)Isoniazid (INH)

    (tuberculosis)

    AchromycinCipro

     Nydrazid

    Antifungals Effective against fungi Amphotericin BMiconazole

     NystatinFluconazole

    Itraconazole

    FungizoneMonistat

     NilstatDiflucan

    Sporanox

    Antiparasitics Effective against parasites: protozoa,worms

    Iodoquinol (amebae)Quinacrine

    Yodoxin

    Atabrine

    Antivirals Effective against viruses Acyclovir  AmantadineZanamivir 

    (influenza)

    Zidovudine (HIV)Indinavir (HIV

     protease inhibitor)

    ZoviraxSymmetrelRelenza

    Retrovir Crixivan

    Antineoplastics   Destroy cancer cells; theyare toxic for all cells but

    have greater effect oncells that are activelygrowing and dividing;

    hormones and hormoneinhibitors also are used to

    slow tumor growth

    CyclophosphamideDoxorubicin

    MethotrexateVincristineTamoxifen (estrogen

    inhibitor)

    CytoxanAdriamycin

    FolexOncovin

     Nolvadex

    Cardiac drugs

    Antiarrhythmics Correct or preventabnormalities of heartrhythm

    QuinidineLidocaineDigoxin

    QuinidexXylocaineLanoxin

    Beta-adrenergic blockers (beta blockers)

    Inhibit sympatheticnervous system; reducerate and force of heartcontractions

    PropranololMetoprololAtenololCarvedilol

    InderalLopressor TenorminCoreg

    Calcium channel blockers

    Dilate coronary arteries,slow heart rate, reduce

    contractions

    Diltiazem Nifedipine

    Verapamil Nitroglycerin

    Isosorbide

    CardizemProcardia

    Calan Nitrostat

    Isordil

    Hypolipidemics Lower cholesterol in patients with high serumlevels that cannot becontrolled with dietalone;hypocholesterolemics,

    Statins

    CholestyramineLovastatinPravastatinAtorvastatinSimvastatin

    QuestranMevacor PravacholLipitor Zocor 

     Nitrates Dilate coronary arteries Nitroglycerin Nitrostat

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    and reduce workload of heart by lowering blood

     pressure and reducingvenous return; antianginal

    Isosorbide Isordil

    CNS stimulants   Stimulate the centralnervous system

    MethylphenidateAmphetamine

    (chronic use maylead to drug

    dependence)

    RitalinAdderall, Dexedrine

    Diuretics   Promote excretion of water, sodium, and other electrolytes by thekidneys; used to reduceedema and blood pressure

    BumetanideFurosemideMannitolHydrochlorothiazide(HCTZ)Triamterene +

    HCTZ

    BumexLasixOsmitrolHydrodiurilDyazide

    Gastrointestinal

    drugs

    Antidiarrheals Treat or prevent diarrhea by reducing intestinalmotility or absorbing

    irritants and soothing theintestinal lining

    DiphenoxylateLoperamideAttapulgite

    Atropine

    LomotilImodiumKaopectate

    Histamine H2antagonists

    Decrease secretion of stomach acid byinterfering with the actionof histamine at H2receptors; used to treat

    ulcers and other  gastrointestinal problems

    CimetidineRanitidine

    TagametZantac

    Laxatives promote elimination fromthe large intestine; typesinclude:StimulantsHyperosmotics (retain

    water)Stool softeners

    Bulk-forming agents

    BisacodylLactulose

    Docu