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LOM LOM Introduction Notes

CHAPTER 1: LOM INTRODUCTION

WORD ANALYSIS

INTRODUCTION

Studying medical terminology is very similar to learning a new language.

The words at first sound strange and complicated, although they may stand for commonly
known English terms.

Example:

I. Otalgia means ear ache.

II. Ophthalmologist means eye doctor.

Basic Elements of Medical Terminology

 Prefix

 Root

 Suffix

Medical terms may have 4 word parts:

1. Root

2. Prefix

3. Suffix

4. Combining form

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FIRST STEP

The first step in learning language is to understand how to divide medical words in to their
component part.

Medical language is logical as both simple and complex terms can be broken down in to
basic parts and easily understood.

Example:

HEMATOLOGY is divided as

HEMAT – Root word meaning 'blood'

O – Combining vowel that links the root and suffix.

HEMATO – The root word and combining vowel together gives the combining form.

LOGY – Suffix meaning 'study of'

TERMINOLOGIES

Root:

The root is the foundation of the word. (eg : ELECTROCARDIOGRAM )

Suffix:

The suffix is the word ending. (eg: ELECTROCARDIOGRAM)

Prefix:

The prefix is the word beginning. (eg: Hypotension)

Combining vowel:

Combining vowel (letter 'o') links the root to the suffix or the root to another root.

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Rules for word analysis

The following are the rules for word analysis

1. The root word is used before a suffix that begins with a vowel.

(E.g. Arthritis, cerebral)

2. A combining vowel is used to link a root word to a suffix that begins with
consonant

(e.g.cardiology, iatrogenic, thrombocyte)

3. A combining vowel is used to link a root word to another root word and a suffix to
form a compound word.

(e.g. Electrocardiogram, Gastroenterology)

Steps for defining medical words

• Step 1.define the suffix or the last part of the word first.

• Step 2.define the prefix or first part or word if any

• Step 3.define the middle of then word.

Eg. Osteoarthritis

Bone+ joint + inflammation

Define the suffix

Itis = inflammation

Define the prefix

Osteo= bone

Arthro= joint

So osteoarthritis means inflammation of bone and joint.

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Prefix

Introduction

Chapter talks about:

• Basic prefixes used in medical language.


• Analysis of medical terms that combine prefixes and other word elements

A- and AN-

The prefixes A- and AN- convey the meaning no, not, without or absence.

Apnea: Absence of breathing

Anoxia: Complete absence of oxygen from inspired gases, arterial blood, or tissue.

Ab- and Ad-

The prefix Ab- convey the meaning away from

Abductor: A muscle that draws a limb away from the body.

The prefix Ad- convey the meaning toward.

Adductor: A muscle that draws a limb towards the body.

Af- and Ana-

The prefix Af- convey the meaning toward

Afferent nerve: Nerves that carry impulses toward the brain and the spinal cord.

The prefix Ana- convey the meaning up or apart

Anabolism: The building up of complex chemical compound from smaller simpler compound
usually with the use of energy.

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Ante- and Anti-

Ante-

Meaning: before, forward

Antenatal: Before birth; during or relating to pregnancy

Anti-

Meaning: Against

Antibiotic: A medicine that inhibits the growth of or destroys microorganisms.

Con- and Dia-

Con-

Meaning: with, together

Connective tissue: The supporting tissue of the animal body that is formed from fibrous
and ground substance with more or less numerous cells of various kind.

Dia-

Meaning: through, complete

Diarrhea: An abnormally frequent discharge of semisolid or fluid fecal material from the
bowel.

Hemi- and Hyper-

Hemi –

Meaning: Half

Hemiglossectomy: Surgical removal of one- half of the tongue.

Hyper-

Meaning: Excessive or above

Hyperplasia: An increase in number of normal cells in a tissue or organ.

Inter- and Macro-


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Inter –

Meaning : Between

Intercostal : Between the ribs.

Macro-

Meaning : Large

Macrocephalic: A condition, either congenital or acquired, in which the head abnormally


large.

Meta- and Peri-

Meta-

Meaning: change, beyond

Metastasis: The shifting of a disease from one part of the body to another.

Peri-

Meaning: surrounding

Pericardium: The fibroserous membrane covering the heart.

Post- and Pre-

Post-

Meaning: after, behind

Postmortem : An examination of a dead body to determine the cause.

Pre-

Meaning; Before, in front of

Prenatal: Preceding birth

Pro- and Supra-

Pro-

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Meaning: before, forward

Prodrome : An early or premonitory symptom of a disease.

Supra-

Meaning: above, upper

Suprathoracic : Above or in the upper part of the thorax.

Trans- and Uni-

Trans –

Meaning : across, through

Transfusion: Transfer of blood from one individual (donar) to anther individual (receptor).

Uni-

Meaning: One

Unilateral: Enclosed to one side only.

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Suffix

Introduction

This chapter is designed to teach the most common suffixes in the


medical language and to expand the understanding of medical terminology beyond basic
word analysis.

Rule 1

The basic rule for building a medical world employing a suffix is to first
add the combining vowel o to the root word and then attach the corresponding suffix.

Example:

Hematology – The study of the physiology of the blood

Suffix - logy

Rule 2

If the suffix begins with a vowel, then do not use the


combining vowel with the root word to form the medical word.

Example:

Gastr/itis not Gastr/o/itis

Common suffix

-ac and -al

The suffix -ac convey the meaning pertaining to

Cardiac : heart

The suffix –al convey the meaning pertaining to

Neural : nerve

-algia and -cyte


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The suffix -algia convey the meaning pain.

Neuralgia: pain of severe, throbing, or stabbing character in the course or distribution of


a nerve.

The suffix –cyte convey the meaning cell.

Erythrocyte: A mature red blood cells

-ectomy and -gram

The suffix -ectomy convey the meaning excision, removal, resection

Mastectomy: Excision of the breast

The suffix – gram convey the meaning record.

Myelogram : Radiographic contrast study of the spinal subarachnoid space and its content

-graphy and -logy

The suffix – graphy convey the meaning the process of recording.

Electroeancephalography : Process of recording electrical activity of the brain.

The suffix –logy convey the meaning study of.

Ophthalmology: Study of the eye, its diseases, and refractive errors.

-oma and -phobia

The suffix -oma convey the meaning tumor, mass, collection of fluid.

Myoma : A benign muscle tumor.

Hematoma: A collection of blood.

The suffix –phobia convey the meaning fear

Acrophobia: Fear of heights

-stomy and -therapy

The suffix – stomy convey the meaning artificial or surgical opening.

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Tracheostomy : An operation to make an opening in to the trachea.

The suffix – therapy convey the meaning treatment.

Hydrotherapy: The treatment of illness through the use of water, either

Internally or externally

Noun suffixes : -er, -ia, -ist

The suffix – er convey the meaning one who.

Radiographer : A technician trained to position patients and take

radiographs or perform radio diagnostic procedures.

The suffix – ia convey the meaning condition.

Pneumonia: A lung infection in which the air sacs fill with pus.

The suffix - istconvey the meaning one who specializes in

Nephrologists: The person who specializes in the disease of kidneys

Noun suffixes: - ole and - ule

The suffix –ole convey the meaning little, small.

Arteriole: A small branch of an artery leading in to capillaries

The suffix – ule convey the meaning little, small.

Venule : A very small vein, especially the one collecting blood from the capillaries.

Noun suffixes - ium and -y

The suffix – ium convey the meaning structure, tissue, thing.

Pericardium: The membrane enclosing the heart

The suffix -Y convey the meaning condition or process.

Adjective suffixes : -eal -ic and-ical

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The suffix – eal convey the meaning pertaining to.

Laryngeal: Relating in any way to the larynx.

The suffix –ic and -ical convey the meaning pertaining to.

Chronic: Referring to health-related state, lasting a long time.

Pathological : Morbid or diseased resulting from disease.

Adjective suffixes : -oid and -ose

The suffix -oid convey the meaning resembling or derived from.

Adenoids: Common terminology for the large (normal) Pharyngeal tonsils of children

The suffix – ose convey the meaning pertaining to, full of

Adipose: denoting fat

Adjective suffixes : -ous and -tic

The suffix – ous convey the meaning pertaining to

Mucous : Relating to a mucus or mucous membrane

The suffix – tic convey the meaning pertaining to, full of

Necrotic: pertaining to or affecected by necrosis.

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LOM LOM Introduction Notes

STRUCTURAL ORGANIZATION OF THE BODY

This chapter provides you with an orientation to the body as a whole cells, tissues, organs,
systems, and terminology describing positions and directions within the body. We begin
with the smallest living unit, the cell, and build to an understanding of complex body
systems. In order to know how organs function in both health and disease, it is Important
to appreciate the workings of their individual cellular units.

Cells

The cell is the fundamental unit of all living things (animal or plant). Cells are everywhere
in the human body — every tissue, every organ is made up of these individual units. All cells
are similar in that they contain a gelatinous substance composed of water, protein, sugar,
acids, fats, and various minerals.

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Cell membrane

It is not only surrounds and protects the cell but also regulates what passes into and out
of the cell.

Nucleus

It controls the operations of the cell. It directs cell division and determines the structure
and function of the cell.

Chromosomes

These are rod-like structures within the nucleus. All human body cells-except for the sex
cells, the egg and the sperm (short for spermatozoon)-contain 23 pairs of chromosomes.
Each sperm and each egg cell have only 23 unpaired chromosomes.

Cytoplasm

It includes all of the material outside the nucleus and enclosed by the cell membrane. It
carries on the work of the cell (e.g., in a muscle cell, it does the contracting; in a nerve
cell, it transmits impulses).

Mitochondria

These are small sausage-shaped bodies that provide the principal source of energy for the
cell. They use nutrients and oxygen to release energy that is stored in food.

Endoplasmic reticulum

It is a network (reticulum) of canals within the cell. These canals are cellular tunnel
systems that manufacture proteins for the cell. Attached to the endoplasmic reticulum
are ribosomes, which build long chains of proteins.

Anabolism

Process of building up large proteins from small protein pieces called amino acids.

Catabolism

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Process whereby complex nutrients are broken down to simpler substances and energy is
released.

Metabolism

Total of the chemical processes in a cell. It includes catabolism and anabolism.

TISSUES

A tissue is a group of similar cells working together to do a specific job.

Types of tissues

Epithelial Tissue

Epithelial tissue, located all over the body, forms the linings of internal organs, and the
outer surface of the skin covering the body. It also lines exocrine and endocrine glands.

Muscle Tissue

Voluntary (Striated) muscle is found in arms and legs and parts of the body where
movement is under conscious control. Involuntary (Non- Striated ) muscle, found in the
heart and digestive system, as well as other organs, allows movement that is not under
conscious control. Cardiac muscle is a specialized type of muscle found only in the heart.

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Connective Tissue

It is the tissue that connects, supports, binds, or separates other tissues or organs,
typically having relatively few cells embedded in an amorphous matrix, often with collagen
or other fibres, and including cartilaginous, fatty, and elastic tissues. Examples are
adipose (fat) tissue, cartilage attached to bones), bone, and blood.

Nerve Tissue

It is the main tissue component of the two parts of the nervous system; the brain and
spinal cord of the central nervous system (CNS), and the branching peripheral nerves of
the peripheral nervous system (PNS), which regulates and controls bodily functions and
activity. Nerve tissue conducts impulses all over the body

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ORGANS

Different types of tissue combine to form an organ. For example, an Organ such as the
stomach is composed of muscle tissue, nerve tissue, and glandular epithelial tissue. The
medical term for internal organs is viscera (singular: viscus). Examples of abdominal
viscera (organs located in the abdomen) are the liver, stomach, intestines, pancreas,
spleen, and gallbladder.

SYSTEMS

Systems are groups of organs working together to perform complex functions. For
example, the mouth, esophagus, stomach, and small and large intestines are organs that do
the work of the digestive system to digest food and absorb it into the bloodstream.

BODY CAVITIES

A body cavity is a space within the body that contains internal organs (viscera). The body
cavities can be divided as dorsal cavity and ventral cavity.

Dorsal cavity

The cranial cavity (brain, pituitary gland ) and the spinal cavity ( nerves of the spinal
cord) are considered as dorsal cavities

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Ventral cavity

The thoracic cavity ( lungs, heart, esophagus, trachea), abdominal cavity (stomach, liver,
small and large intestine, gallbladder, pancreas) and pelvic cavity ( urinary bladder,
ureters; uterus and vagina in the female) are considered as ventral cavities

The thoracic and abdominal cavities are separated by a muscular wall called the diaphragm.
The abdominal and pelvic cavities are not separated and are referred to together as the
abdominopelvic cavity.

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ABDOMINOPELVIC REGIONS AND QUADRANTS

REGIONS

The abdominopelvic cavity divided into nine regions

Hypochondriac region:

The two right and left upper region below the cartilage of the ribs that extend over the
abdomen is the hypochondriac region.

Epigastric region:

The region above the stomach is called epigastric region.

Lumbar region:

The two middle right and left region near the waist is the lumbar region.

Umbilical region:

The region of the navel or umbilicus is called umbilical region.

Inguinal region:

The right and left lower region near the groin, which is the area where the legs join the
trunk of the body. This region also is known as the iliac region because it lies near the ilium
(the upper portion of the hip bone).

Hypogastric region:

The middle lower region below the umbilical region is called hypogastric region.

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QUADRANTS

The abdominopelvic area can be divided into four quadrants by two imaginary lines that
cross at the midsection of the body.

Right upper quadrant (RUQ):

It contains the liver (right lobe), gallbladder, part of the pancreas, parts of the small and
large intestines

Left upper quadrant (LUQ):

It contains the liver (left lobe), stomach, spleen, part of thepancreas, parts of the small
and large intestines

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Right lower quadrant (RLQ):

It contains parts of the small and large intestines, right ovary, right fallopian tube,
appendix, right ureter

Left lower quadrant (LLQ) :

It contains parts of the small and large intestines, left ovary, left fallopian tube, left
ureter

DIVISIONS OF THE BACK (SPINAL COLUMN)

The back is separated in to divisions corresponding to regions


of the spinal column. spinal column is composed of a series of bones that extend from the
neck to the tailbone. Each bone is a vertebra (plural: vertebrae).

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Cervical (C): Back bone in the neck region is called cervical bone.

Number of cervical vertebrae: 7

Named as : C1 to C7.

Thoracic (T) : Back bone in the chest region is called thoracic bone. Each bone is joined to
a rib.

Number of thoracic vertebrae: 12

Named as: T1 to T12

Lumbar (L): Loin (waist) or flank region (between the ribs and the hipbone) is called
lumbar bones.

Number of lumbar vertebrae: 5

Named as: L1 to L5

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Sacral (S): Five bones are fused toform one bone, the sacrum.

Number of sacral vertebrae: 5

Named as: S1 to S5

Coccygeal: The coccyx (tailbone) is a small bone composed of four fused

pieces.

Number of coccygeal vertebrae: 4

POSITIONAL AND DIRECTIONAL TERMS

Anterior (ventral): It is the front side of the body.

Example: The forehead is on the anterior side of the body.

Posterior (dorsal): It is the back side of the body.

Example: The back of the head is posterior (dorsal) to the face.

Deep: Away from the surface

Example: The stab wound penetrated deep into the abdomen.


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Superficial: On the surface.

Example: Superficial veins can be viewed through the skin.

Proximal: Near the point of attachment to the trunk or near the beginning of a structure.

Example: The proximal end of the thigh bone (femur) joins with the hip socket.

Distal: Far from the point of attachment to the trunk or far from the beginning of a
structure.

Example: At its distal end, the femur joins with the knee.

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Inferior: Below another structure

Example: The feet are at the inferior part of the body. The term caudal (pertaining to the
lower portion of the body) also means away from the head or below another structure.

Superior: Above another structure

Example: The head lies superior to the neck. Cephalic

(pertaining to the head)also means above another structure.

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Medial: Pertaining to the middle, or nearer the medial plane of the body.

Example: When in the anatomic position (palms of the hands facing outward), the fifth
(little) finger is medial.

Lateral: Pertaining to the side

Example:When in the anatomic position (palms of the hands facing outward), the thumb is
lateral.

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POSITIONS

Supine: Lying on the back.

Example:The patient lies supine during an examination of the abdomen.

Prone: Lying on the belly.

Example: The backbones are examined with the patient in a prone position.

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Semi-Fowler's position: It is the position of a patient who is lying in bed in a supine


position with the head of the bed at approximately 30 to 45 degrees.

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Lithotomy position: Position in which the patient is on their back with the hips and knees
flexed and the thighs apart. The position is often used for vaginal examinations and
childbirth.

Trendelenburg position:It is a position of the body for medical examination or operation in


which the patient is placed head down on a table inclined at about 45 degrees from the
floor with the knees uppermost and the legs hanging over the end of the table

PLANES OF THE BODY

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A plane is an imaginary flat surface.

The human body is sectioned using different planes to understand the different positions
of various structures relating to each other.

A normal anatomical position is standing straight with legs together with palms and head
facing forward.

Frontal (coronal) plane

It is a vertical plane dividing the body or structure into anterior and posterior portions.

Example :

A common chest x-ray view is a PA (posteroanterior —viewed from back to front) view,
which is in the frontal (coronal) plane.

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Sagittal (lateral) plane

It is the vertical plane dividing the body or structure into right and left sides. The
midsagittal plane divides the body into right and left halves.

Example:

A lateral (side-to-side) chest x-ray film is taken in the sagittal plane.

Transverse (axial) plane

It is the horizontal (cross-sectional) plane running across the body parallel to the ground.
This cross-sectional plane divides the body or structure into upper and lower portions.

Example:

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A CT (computed tomography) scan is one of a series of x-ray pictures taken in the


transverse (axial or cross-sectional) plane.

Terms of movement

Flexion and Extension

Flexion and extension are movements that occur in the sagittal plane. They refer to
increasing and decreasing the angle between two body parts. Flexion refers to a movement
that decreases the angle between two body parts. Extension refers to a movement that
increases the angle between two body parts.

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Abduction and Adduction

Abduction and adduction are two terms that are used to describe movements towards or
away from the midline of the body. Abduction is a movement away from the midline.
Adduction is a movement towards the midline

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Medial and Lateral Rotation

Medial and lateral rotation describes movement of the limbs around their long axis. Medial
rotation is a rotational movement towards the midline. It is sometimes referred to as
internal rotation. Lateral rotation is a rotating movement away from the midline.

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Pronation and Supination

Pronation is the rotation of the hand and forearm so that the palm faces backwards or
downwards. Supination is the rotation of the forearm and hand so that the palm faces
forward or upward;

Dorsiflexion and Plantarflexion

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Dorsiflexion and plantarflexion are terms used to describe movements at the ankle. They
refer to the two surfaces of the foot; the dorsum (superior surface) and the plantar
surface (the sole).Dorsiflexion refers to flexion at the ankle, so that the foot points more
superiorly.Plantarflexion refers extension at the ankle, so that the foot points inferiorly.

Opposition and Reposition

Opposition brings the thumb and little finger together.Reposition is a movement that
moves the thumb and the little finger away from each other, effectively reversing
opposition.

Circumduction
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It is the movement of a limb or extremity so that the distal end describes a circle while
the proximal end remains fixed

Health

The World Health Organization’s definition of health is “a state of complete physical,


mental and social well-being and not merely the absence of disease or infirmity.”

Illness

A highly personal state in which the person feels unhealthy, may or may not related to
disease.

Disease

Pathologic change in the structure or function of the mind and body

Acute

• Rapid onset of symptoms

• Some are life threatening

• Many do not require medical treatment

Chronic

Broad term that encompasses many different physical and mental alterations in health

• It is a permanent change

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• Requires special education for rehabilitation

• Requires long term of care and support

Infection

An infection happens when a foreign organism enters a person's body and causes harm.

The organism uses that person's body to sustain itself, reproduce, and colonize. These
infectious organisms are known as pathogens. Examples of pathogens include bacteria,
viruses, fungi, and prions. Pathogens can multiply and adapt quickly.

Inflammation

Inflammation: A localized reaction that produces redness, warmth, swelling, and pain as a
result of infection, irritation, or injury. Inflammation can be external or internal..

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