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Transcript of Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Unit 10 Surgery, Diabetes,...
Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Unit 10
Surgery, Diabetes, Immunology, Lesions, and Prefixes of Numbers and
Direction
Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Type 1 Diabetes
• Individual produces very little or no endogenous insulin to carry glucose into cells
• Results in hyperglycemia
• Must take ectogenous (exogenous) insulin
Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Symptoms of Diabetes
• Classic symptoms include excessive:– Urination
• poly/ur/ia
– Thirst• poly/dips/ia
– Hunger• poly/phag/ia
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Terms with lapar/o
• lapar/o = combining form for abdominal wall
• Examples:– lapar/ectomy = excision of part of abdominal wall
– lapar/o/scopy = process of examining abdominal wall
– lapar/o/scope = instrument for examining abdominal wall
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Laparoscopic Procedures
• lapar/o/scop/ically assisted vaginal hyster/ectomy = removal of uterus through vagina looking through laparoscope
• lapar/o/scop/ic chole/cyst/ectomy = removal of gallbladder with assistance of laparoscope
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Laparoscopy and Hysteroscopy
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Terms with lapar/o
• lapar/o/tomy = incision into abdominal wall
• lapar/o/rrhaghy = suturing of abdominal wall
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Terms with pry/o
• pyr/o = combining form with words to mean heat, fever, or fire
• Examples:– pyr/o/phobia = abnormal fear of fire
– pyr/o/maniac = one who has excessive preoccupation for starting or seeing fires
– pyr/osis = condition of heartburn
– pry/o/toxin = poison produced by high body temperature
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Fever
• hyper/pyrexia = condition of high fever– More than 102° Fahrenheit
• pyr/o/lysis = destruction by fever
• pry/o/meter = instrument for measuring heat– Thermometer
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Sweat
• hidr/o = combining form for sweat
• Examples:– hidr/osis = condition of sweating
– hyper/hidr/osis = profuse sweating
– hidr/o/rrhea = flow of sweat
– an/hidr/osis = absence of sweat
– hidr/aden/itis = inflammation of sweat glands
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Sugar
• glyc/o and gluc/o = sugar
• Examples:– glyc/o/genesis and gluc/o/genesis = formation of sugar
– glyc/o/protein and gluc/o/protein = substance made of sugar and protein
– glyc/o/suria and gluc/o/suria = sugar in urine
– glyc/o/hem/o/globin = sugar and hemoglobin
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Sugar
• Examples:– glyc/o/gen = starch formed from simple sugars and stored
as reserve fuel
– glyc/o/gen/esis = formation of glycogen from carbohydrates
• Body converts glycogen to glucose– Cells use to release energy
– glyc/o/lysis = breakdown to glycogen to glucose
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Sugar
• Examples:– glyc/o/rrhea = discharge of sugar from body
– glyc/emia = sugar in blood
– hyper/glyc/emia = high level of sugar in blood• Symptom of diabetes
– hypo/glyc/emia = low blood sugar• Can occur if person produces too much insulin
Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.
Sugar
• gluc/o = combining form for glucose
• Examples:– gluc/o/gen/esis = formation of glucose from glycogen
stores
– gluc/ose = used by muscles to release energy
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Diabetes Mellitus
• Type 1– Characteristics:
• Exogenous insulin-dependent
• Onset in youth
• Tendency to ketoacidosis
• Viral etiology
• Autoimmune basis
• Genetic predisposition
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Diabetes Mellitus
• Type 2– Characteristics:
• Noninsulin-dependent
• Onset in adults over age 40
• Some endogenous insulin production
• Obesity or normal weight
• Can be treated with diet and oral hypoglycemic agents
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Diabetes Mellitus
• Gestational – Characteristics:
• Occurs in individuals not previously diabetic
• Develop hyperglycemia during pregnancy
• May progress to diabetes mellitus or return to normal glucose levels postpartum
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Immunology
• immun/ity = one of body’s defenses against disease
• immun/o = combining form
• Example:– immun/o/logy = study of function of immune system
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Immunology
• Three types of immunity:1. Natural
• Part of one’s physiology
2. Natural passive• Passed from mother to fetus during pregnancy or to infant through
breastfeeding
3. Artificial• Scientifically designed
– E.g., vaccinations
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Immunology
• Artificial immunity– Passive
• immun/o/globulin injections = given to boost immune response
– Active• Vaccines containing specific antigens stimulate lymphatic system
to produce matching antibodies
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Immunology
• immun/o/therapy– immun/izations = injections that stimulate immune
response• Also known as vaccin/a/tions
• 11 recommend before age 7 for general population
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Immunology
• Immune response– Production of antibodies by lymphocytes to disable
antigens
• Antigen– Foreign substance that invades body
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Immunology
• immun/o/deficiency = pertains to deficient immune system that is unable to fight off disease– HIV causes AIDS
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Terms with aut/o
• aut/o = combining form for self
• Examples:– aut/o/nomic = self-controlling
– aut/o/dia/gnos/is = diagnosing one’s own diseases
– aut/o/phobia = abnormal fear of being alone
– aut/o/lysis = self-destruction
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Terms with aut/o
• aut/o/immun/ity = condition when body produces antibodies to its own tissue– Autoimmune disorders:
• Rheumatoid arthritis and lupus erythematosus
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Terms with aut/o
• aut/o/logous and aut/o/genous = adjectives meaning originating in itself or coming from one’s own body
• aut/o/logous blood transfusion = transfusion with one’s own blood drawn before having surgery
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Terms with aut/o
• aut/o/hem/o/therapy = therapy with one’s own blood
• aut/o/graft = skin graft using one’s own healthy skin
• aut/o/plasty = surgery using grafts from one’s own body
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Numeric Prefixes
Greek Latin Meaninghemi- semi- half
mono- uni- one
prot- prim- first
di/plo- bi- two
tri- tri- three
tetra- quadr- four
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Numeric Prefixes
Greek Latin Meaningpenta- quint- five
hexa- sex/ta- six
hepta- sept/a- seven
octa- oct- eight
enne- non/i- nine
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Numeric Prefixes
Greek Latin Meaningdeca- (10) dec/i- (0.1) ten or tenth
hecto- (100) cent/i- (0.01) one hundred or one hundredth
kilo- (1,000) mill/i- (0.001) one thousand or one thousandth
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Prefix: mono-
• mono- = one or single
• Examples:– mono/cyte = one cell
• Type of leukocyte
– mono/cyt/osis = condition of increase in monocytes
– mono/nucle/osis = viral infection that can damage liver• Indicated by abnormally high monocyte count
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Prefix: mono-
• Examples:– mono/nucle/ar cell = has one nucleus
– mono/graph = written study of single subject
– mono/mania = preoccupation with one subject only
– mono/ma = one tumor
– mono/my/o/plegia = paralysis of one muscle
– mono/neur/al = pertaining to one nerve
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Prefix: multi-
• multi- = many or more than one
• Adjectives meaning something has many:– multi/capsular = capsules
– multi/glandular = glands
– multi/nuclear = nuclei
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Terms with para
• para = live birth– Used in words to indicate number of times woman has
given birth
• multi/parous = adjectival form
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Terms with para
• Examples:– multi/para = more than one child
• Multiple births– E.g., twins
– nulli/para = no live births
– primi/para = first live birth
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Example of Multiparous Birth
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Terms with para
• para = whole word, suffix, and prefix– To indicate number of times woman has given birth, write
para and number• E.g., para II or para 2
• E.g., para IV or para 4
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Gravida
• Pregnant
• Origin– Latin
– gravida = heavy or weighted down
• primi/gravida = first pregnancy
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Gravida
• Medical notations:– E.g., four pregnancies, two live births, and two
spontaneous abortions = grav 4, ab 2, and para 2 or G4, AB2, and P2
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Prefixes: deca- and deci-
• deca- = used in words to mean ten
• Example:– deca/liter = ten liters
• deci- = used in words to mean one tenth
• Example:– deci/liter = one tenth of a liter
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Prefixes: kilo- and milli-
• kilo- = used in words to mean one thousand
• Examples:– kilo/meter = one thousand meters
– kilo/gram = one thousand grams
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Prefixes: kilo- and milli-
• milli- = used in words to mean one thousandth
• Examples:– milli/meter = one thousandth of a meter
– milli/gram = one thousandth of a gram
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Prefix: hecto-
• hecto- = used in words to mean one hundred
• Examples:– hecto/meter = one hundred meters
– hecto/gram = one hundred grams
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Prefix: centi-
• centi- = used in words to mean one hundredth
• Examples:– centi/meter = one hundredth of a meter
– centi/gram = one hundredth of a gram
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Cubic Centimeter (cc)
• Volume measurement frequently used when giving injections
• Amount equals space occupied by one centimeter cubed
• Medications sometimes expressed in fractions of a cc
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Prefixes of Direction
Prefix Meaning Sense of Directionab- from away from
de- from down from or from and resulting in less
ex- from out from
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Prefix: ab-
• ab- = away from
• Examples:– ab/duction = away from midline
– ab/normal = away from normal
– ab/errant = wandering away from normal course
– ab/or/al = away from mouth
– ab/irritant = something that takes away irritation
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Abduction and Adduction
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Prefix: ab-
• ab/lact/ation = taking baby away from breastfeeding or cessation of milk secretion
• ab/ort/ion = termination of pregnancy– Spontaneous abortion
• Naturally occurring termination of pregnancy
• Also known as miscarriage
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Prefix: ab-
• ab/rade = scrape skin away
• ab/rasion = injury involving scraping away of skin
• Other types of wounds:– Laceration
• Cut
– Contusion• Bruise
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Prefix: ab-
• ab/lation = surgical removal of body tissue
• end/o/metr/ial ab/lation = surgical procedure that destroys (takes away) uterine lining
• end/o/venous ab/lation = procedure that takes away varicose veins by collapsing vessel wall
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Prefix: de-
• de- = down from
• Examples:– de/cid/uous = pertains to falling off or shedding
– de/cid/uous teeth = primary teeth that fall out during childhood
• Baby teeth
– de/scend/ing nerve tract = one that comes down from brain
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Prefix: de-
• Examples:– de/hydr/ation = act of taking water from wet substance
• Body dehydration can be caused by vomiting, diarrhea, or high fever
– de/hydr/ated = state of having less water than before
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Prefix: de-
• Examples:– de/calci/fication = removal of calcium from bones
• Caused by:– Insufficient calcium intake during pregnancy
– Inadequate vitamin D» Controls calcium metabolism
• Can result in oste/o/por/osis in postmenopausal women
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Prefix: ex-
• ex- = out from
• Examples:– ex/cise = to cut out and remove part
– ex/cis/ed = past tense
– ex/tract/ion = procedure in which something is pulled out
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Prefix: ex-
• Examples:– ex/cretion = processing of expelling substance from body
• Usually refers to waste substances
– Excretion of:• carbon dioxide = respiratory ex/cretion
• sweat = dermal ex/cretion
• menses = menstrual ex/cretion
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Prefix: ex-
• Examples:– ex/tend = to straighten or lengthen
– ex/tens/ion = straightening or lengthening• flex/ion = bending or shortening
• With muscles, relaxing results in ex/tension and contracting results in flex/ion
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Extension and Flexion
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Prefix: iso-
• iso- = equal or same
• Examples:– iso/metr/ic = of equal dimensions
– iso/cellular = composed of cells of same size
– iso/dactyl/ism = fingers or toes of equal length
– iso/therm/al = pertaining to equal temperature
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Prefix: iso-
• Examples:– iso/ton/ic = having same osmotic pressure as RBCs and
will not destroy them• E.g., normal saline, intravenous glucose
• hyper/tonic = having higher osmotic pressure than RBCs
• hypo/tonic = having lower osmotic pressure than RBCs
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Movement of Matter
• Diffusion– Intermingling of substances by natural movement of their
particles
• Osmosis– Movement of particles through semipermeable membrane
until levels of concentration equal
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Movement of Matter
• Filtration– Filtering to remove solid particles
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Terms with aniso
• anis/o = combining form for unequal
• Example:– aniso/cyt/osis = condition with cells of unequal size
• Normal RBCs are same size
• Possible cause:– Unhealthy bone marrow
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Terms with mast/o
• mast/o = combining form for breast
• Examples:– aniso/mast/ia = unequal size of woman’s breasts
– mast/o/carcin/oma = cancerous tumor of breast
– mast/ectomy = excision of all or part of breast• Radical and simple
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Prefixes of Place
Prefix Meaning Differentiationdia- through
or complete
Greek prefix used with combining forms for medical terminology
per- through Latin prefix used more often in ordinary English
peri- around Greek prefix used with combining forms for medical terminology
circum-
around Latin prefix used more often in ordinary English
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Prefix: peri-
• peri- = around
• Examples:– peri/articular = around articulations and joints
– peri/tonsill/ar = around tonsil
– peri/col/ic = around colon
– peri/chondr/al = around cartilage
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Prefix: peri-
• Examples:– peri/odont/al = pertaining to diseases of support structures
around teeth
– peri/cardi/ectomy = excision of tissue around heart• Pericardium
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Prefix: peri-
• Words meaning inflammation around:– peri/aden/itis = gland
– peri/colp/itis = vagina
– peri/hepat/itis = liver
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Prefixes: para- and peri-
• para- – Used more often for conditions with suffixes -ia, -osis, -
itis, and -oma
• peri- – Common anatomic term prefix
– E.g., peri/cardium, peri/toneum, peri/osteum
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Prefix: circum-
• circum- = around
• Examples:– circum/duct/ion = moving around in circular motion
– circum/ocul/ar = around eyes
– circum/oral = around mouth
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Prefix: circum-
• Examples:– circum/cis/ion = to cut around
• Surgical removal of foreskin of penis
– circum/scrib/ed = limited in space as if line drawn around it
– circum/scrib/ed lesions = skin lesions limited in space they cover
• E.g.,. boils, pimples, pustules
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Prefix: dia-
• dia- = through
• Examples:– dia/gnosis = knowing through
– dia/thermy = heating through
– dia/rrhea = flowing through
– di/ur/etic = substance that causes increase in urine output
– di/ur/esis = process of causing urine to flow more rapidly
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Suffix: -esis
• -esis = suffix meaning action or process– dia/phor/esis = action of profuse sweating
– arthr/o/desis = action of immobilizing joint
– hemat/o/poi/esis = process of forming blood
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Prefix: per-
• per- = through
• per/for/ated = adjectival form
• Examples:– per/for/ate = to make hole through something
– per/for/ation = puncture or hole through something
– per/for/ated ulcer = ulcer that has eaten hole through stomach wall
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Prefix: per-
• Examples:– per/cuss/ion= striking through
• Tapping on surface to determine underlying conditions
– per/fus/ion = supplying tissues with oxygen and nutrients through blood supply or other tissue fluids
• per/fus/ate = adjectival form
• per/fuse = verb form
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Terms with necr/o
• necr/o = combining form for death
• Origin– Greek
– necros = corpse
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Terms with necr/o
• Examples:– necr/osis = condition when dead tissue surrounded with
healthy tissue• Loss of blood supply
• Gangrene sets in – Localized death of tissue
– necr/o/tic = pertaining to dead tissue
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Terms with necr/o
• Examples:– de/bride/ment of necr/o/tic tissue = treatment for severe
burns• de/bride/ment = removal of damaged tissue
– necr/ectomy = excision of dead tissue
– necr/o/phobia = abnormal fear of dead bodies
– necr/o/philia = abnormal or unusual attraction to dead bodies
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Terms with necr/o
• Postmortem examination– Examination of body after death
– Terms for this procedure:• aut/o/psy
• necr/o/psy
• necr/o/scopy
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Suffixes: -phobia and -philia
Subject Abnormal Fear Abnormal Attractiondead bodies necr/o/phobia necr/o/philia
water hydr/o/phobia hydr/o/philia
fire pyr/o/phobia pyr/o/philia
air aer/o/phobia aer/o/philia
self aut/o/phobia aut/o/philia