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A-Z of Medical Terminology 2 - Finding your way

Mohan is a family physician and a Postgraduate Associate Dean working in the UK. He has a keen interest in self-regulated learning.

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Whether you are just curious visitor hoping to learn more about those mysterious sounding words Doctors use, or someone who is entering into a clinical or allied profession and want to learn the lingo - you've come to the right place.

The First Chapter

Finding your way


Welcome back. In the introductory chapter, we learnt about how almost all medical terminology originates from Greek and Latin roots. We also learnt about how the construction of these words gives us clues to their meaning. Once we understand and remember the prefixes and suffixes, it is actually a doddle to work out what these terminologies mean.

Compared to other technical professions, medical words are easier to pick up once we get past their scary countenance.

Whether you are just curious visitor hoping to learn more about those mysterious sounding words Doctors use, or someone who is entering into a clinical or allied profession and want to learn the lingo - you've come to the right place.

Remember, learning the basic of medical terminology has much more benefits. It helps expand your vocabulary and inculcates a curiosity towards new words as well as the skill of 'working out' what the word means.

In the last chapter we learnt about how these words come together and we also picked up a few of the prefixes that pertain to specific organs. Here we'll talk more about finding your way around the body. Rather than use the common words of front and back, top and bottom- medical parlance uses specific terms to indicate positions.This is no mere snobbery, there is a logic to this. The words define a clear place in the human body so there is no confusion whichever position the body is in.

anatomical positions

anatomical positions

Rather than use the common words such as front and back, top and bottom - medical parlance uses specific terms to indicate positions.This is no mere snobbery, there is a logic to this. The words define a clear place and position in the human body so there is no confusion whichever position the body is in.

Positional Words

The anatomical terms denoting top and bottom of the body (or an individual organ) are superior and inferior. The term for the front and back of the body or an organ are anterior and posterior. Anatomists also use the terms ventral to indicate facing the front and dorsal for that facing the back. And anything towards the head is called cranial and towards the feet is called caudal.

Anything towards the midline is called medial - for example the medial border of the arm is the inner border of your arm when you stand palm facing forward. The lateral border will be the outer border, moving away from the midline.

The proximal aspect of the body is oriented towards the body and the distal aspect is moving away from the body.

This way, the surgeon handling an organ knows exactly which the anterior surface is irrespective of how this organ is oriented. This avoids anatomical confusion. For example of I say to a medical student examine the front of the hand, there could some confusion in semantics. Whereas if I say examine the palmar or the ventral aspect of the hand the student will know exactly which surface to focus on.

One of the very first lessons for a medical student is to learn what these positional terms are. This way when we take medical history, order a test or convey a message to another specialist, we can say exactly what we mean and avoid confusion.

Anatomical orientation

Anatomical orientation

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a-z-of-medical-terminology-2-finding-your-way

Descriptive Terms

In order to understand a lot of medical terminology, familiarising with common descriptive prefixes and suffixes will make life a lot easier.

While the list is long, many of the roots here will be familiar as they are used in normal parlance.

For example we all know the numerical prefixes of uni - bi- tri- quadri ( one, two, three, four) in Latin and their Greek equivalents mono- di- tri- tetra .

In medicine these same numerical adjectives are used. The muscle at the front of your upper arm is called biceps simply because it has two distinct 'bellies' whereas the one on the back of our upper arm is called triceps because it has three segments. If you then move to the front of your thigh, we have the quadriceps muscle by the same logic.

If something is mononuclear it is because it has one nucleus. Diplopia is the medical term for double vision. while the Triscuspid valve is a valve with three 'leaves' inside our heart.

You will be familiar with the Hypodermic needle. The prefix hypo- means under or below. If you remember that dermis means skin then you know that hypodermic is something that goes under- penetrates the skin. The prefix hypo- is used to denote anything that is below par. Hypotension is low blood pressure; Hypoxia is when oxygen saturation drops.

Supra- means above or higher ( superior) . So when talking about anything above the Eyesocket (orbit) the doctor will say supraorbital. Infra, the opposite, means below or inferior. So an infrascapular artery will be something below the scapula ( shoulder blade)


The table below is a reference for prefixes and suffixes used as similar positional and descriptive adjectives.

a-z-of-medical-terminology-2-finding-your-way

Descriptive & Positional Terms

A list of Medical Terms for positions ( Medical Etymology)

Prefix/SuffixRootExamples

a-, an-

Greek : without

Anemia, Analgesia

allo-

Greek: others

Allograft, Allopathy

ambi-

Greek: both sides, on either side

Ambidextrous , Ambiguous

ankylo-

Greek: Crooked, bent

Ankylosis

antero-

Greek: in front

Anterior

auto-

Greek: self

Autoimmune

bi-

Greek: double

Bicuspid ( valve)

brady-

Greek: slow

Bradycardia ( slow heart beat)

- cide

Latin: killing, destroying

Bacteriocide, Genocide

circum-

Latin: around

Circumcision ( cut around)

co-

Latin- together

coenzyme

contra-

Latin- against

Contraindicate

-desis

Greek: binding, fusing

Arthrodesis ( fusing a joint)

di-

Latin- two, double

Diplopia ( double vision)

dis-

Latin- spearate

Dissect, Disengage

dorso-

Latin- pertaining to the back

Dorsal fin

ecto-

Greek: outside

Ectopic pregnancy

endo-

Greek: inside

Endoscopy

epi-

Greek: on, upon, outside of

Epithelium, Epidermis

hemi-

Greek: one half

Hemisphere

homo-

Greek: similar, same

homogenous, homosexual

hyper-

Greek: above normal

Hypertension ( high BP) , Hyperhidrosis ( excessive sweating)

hypo-

Greek: below, below normal

Hypotension, Hypodermic

infra-

Latin: below

Infrahyoid

inter-

Latin: between

Intercostal ( between the ribs)

intra-

Latin: within

Intraperitoneal

Latero-, Lateral

Latin: lateral, towards the flank

Lateral epicondyle

Macro-

Greek: large, big

Macrocyte

Micro-

Greek: small

Microscope

Meta-

Greek: after, behind

Metacarpal

Neo-

Greek: new

Neoplasm

Normo-

Greek: normal

Normotensive

-oid

Greek: looks like, resembles

Sarcoid, Adenoid

para-

Greek: alongside

Parasympathetic

-penia

Greek: deficiency

Osteopenia, Neutropenia

per-

Latin: through

Percutaneous

peri-

Greek: surrounding

Pericardium

-poisis

Greek: production

Haemopoisis

quadri-

Latin: four

Quadriceps

retro-

Latin: behind

Retroversion

steno-

Greek: short, narrow

Stenosis

sub-

Latin: beneath, below

subcutaneous

supra-

Latin: above

supraorbital

tachy-

Greek: fast

Tachycardia ( fast heartbeat)

trans-

Greek: across

Transfusion

tri-

Latin: three

Triscuspid

ventro-

Latin: belly, front

Ventral

xeno-

Greek: stranger, foreigner

xenograft, xenophobia

xero-

Greek: dry

xerostomia (dry mouth)

a-z-of-medical-terminology-2-finding-your-way

Revision

I am sure there is plenty to ponder from the above list. It is useful to familiarise with these terms before we move on to the next chapter. So if you think you're getting away lightly think again. There's a nifty little quiz for your homework and revision.

Let's see how you get on.

a-z-of-medical-terminology-2-finding-your-way

Finding Your Way : Medical Terminology

For each question, choose the best answer. The answer key is below.

  1. An ambidextrous person ...
    • can use both eyes with equal skill
    • can use both arms with equal skill
    • can use both legs with equal skill
  2. An autoimmune disease is one where...
    • One's own immune system attacks the body
    • An external agent attacks the body's immunity
    • One immunity gets attacked by a car
  3. Circumcorneal injection (redness) is described as...
    • Redness above the cornea
    • Redness below the cornea
    • Redness around the cornea
  4. Endocarditis is an inflammation...
    • Outside the Heart
    • Inside the Heart
    • Around the heart
  5. Hypertrophy means...
    • above normal growth
    • below normal growth
    • no growth
  6. Intraocular lens is...
    • outside the eye
    • inside the eye
    • on the eye
  7. Metatarsal bones are in the feet...
    • after the Tarsal bones
    • before the tarsal bones
    • on top of the tarsal bones
  8. Paraspinal muscles lie...
    • inside the spine
    • on top of the spine
    • by the side of the spine
  9. A sublingual swelling...
    • is on top of the tongue
    • below the tongue
    • by the side of the tongue
  10. Xerophthalmia is the other name for...
    • Wet eyes
    • Dry eyes
    • blank eyes

Answer Key

  1. can use both arms with equal skill
  2. One's own immune system attacks the body
  3. Redness around the cornea
  4. Inside the Heart
  5. above normal growth
  6. inside the eye
  7. after the Tarsal bones
  8. by the side of the spine
  9. below the tongue
  10. Dry eyes

Interpreting Your Score

If you got between 0 and 3 correct answers: Be glad you're not a surgeon. No organ is safe in your hands.

If you got between 4 and 6 correct answers: You are bound to get lost in the body. You may need GPS.

If you got between 7 and 8 correct answers: Getting there... could be improved.

If you got 9 correct answers: Very Good, indeed!

If you got 10 correct answers: Awesome. you certainly know your way around.

a-z-of-medical-terminology-2-finding-your-way
Surface anatomy

Surface anatomy

Surface anatomy

Surface anatomy

Surface anatomy

Surface anatomy

Lines and Landmarks

In addition to the terms above, a Doctor uses imaginary surface lines to indicate location. These lines have been generally agreed upon and are positioned using visible and easily locatable landmark.

If you imagine how the Earth is divided into longitudes and latitudes but these lines don't really exist physically, you get the picture.

In our front, we have the midsternal line going right through the middle and is called so as it runs down the centre of the chest from the sternal bone. The two collar bones are called clavicles and hence a line running through the middle of them on either side are called the right mid-clavicular line and the left mid-clavicular line.

If you take a side view, a line running in the front end of the armpits will be the anterior axillary line and the one at the back the posterior axillary line. Running through the middle will be the mid-axillary line.

In addition to this, the abdomen is also divided into four or nine distinct regions to help clinicians communicate accurately to each other regarding positions of organs and growths.

Abdominal Regions

Abdominal Regions

a-z-of-medical-terminology-2-finding-your-way

Onwards and upwards...

I am sure there is plenty to go on in this chapter. In the next chapter, we will rejoin the rest of the organ names we left off in chapter one. You'll then find it easier to spot your -ologist.

We will also look at surgical terminology. this way you'll soon catch up on the difference between your -otomy and your -ectomy, between a -rraphy and -plasty.

Hope you found this useful and comprehensible.

Docmo

Copyright © Mohan Kumar 2013

Docmo's Medical Hubs

Thank You!

Thank you for your time and hope you enjoyed this hub.


Please leave some comments below as it is nice to know what you think. If you like this and think others will too, do share on Facebook, Twitter, Google + or Pinterest or other sites using the buttons below and please don't forget to vote .


Do visit often and read the other hubs if you like the writing. There's plenty to entertain you!



Docmo

Copyright © Mohan Kumar 2013

a-z-of-medical-terminology-2-finding-your-way

Comments

Mohan Kumar (author) from UK on October 20, 2016:

Glad to be of help, Mary and all the very best with your studies. This is part 2 and hope you got a chance to look up part 1. You may have inspired me to write part 3!

Mary on October 19, 2016:

I am beginning nursing school in the fall and wanted to learn some medical terms and general info so I would be on top of my classes, WOW, this is amazing, I feel I'll be more than ready when my classes begin!! THANKS A MILLION FOR THIS!!

Abdelhakim Elbarsha from Benghazi/Libya on November 26, 2015:

Excellent terminology introduction! Very helpful for those who struggle reading medical articles bolstered with those terms.

drbj and sherry from south Florida on June 02, 2013:

I felt like I was back in class listening to an anatomy lecture, Mohan, only this time I was not falling asleep. Bravo, my friend. You do know how to make a subject interesting.

Pamela Oglesby from Sunny Florida on May 24, 2013:

This is a great review for me as I haven't worked as a nurse for a dozen years now. A very informative hub. Rated up!

ARUN KANTI CHATTERJEE from KOLKATA on May 23, 2013:

I am confused when my cardiologist finally diagnosed ASYMETRICAL SEPTAL HYPERTROPHY and SINGLE VESSEL CORONARY ARTERY DISEASE ruling out any scope of ANGIOPLASTY and prescribing instead a few oral medicines. Thank you for the great hub.

Nell Rose from England on May 23, 2013:

This is wonderful Doc, we always get muddled up with all the 'Doctor speak' if you know what I mean, I took the quiz and even after reading just got 60 percent, need to read again! lol!

Mary Craig from New York on May 23, 2013:

Where were you when I was taking the First Responders Course? BTW, I scored 100 on your quiz.

This is really great. It will help many understand what is being talked about when they go to the doctor or hospital. Thank you.

Voted up, useful, interesting and shared.

Ruby Jean Richert from Southern Illinois on May 23, 2013:

Doc. you are doing a wonderful service here. I wish i'd had this when i was in training. Thank you for sharing your expertise with us...

Jim Higgins from Eugene, Oregon on May 23, 2013:

This is great Docmo! It will be a good reference point to retain on HP. I missed the first chapter but will visit soon. I wish I had understood all this when my then days old daughter was diagnosed with a "ventral septal defect." But it was repaired when she was 17 months old and she is now 24 and healthy. A good heart doc named Cobanaglu operated.