FOR THE MASSAGE THERAPIST NCBTMB Approved Provider #154019-00 Florida Board of Massage CE Broker Provider #50-1997 CE Broker Course Tracking # 20-6749 The Institute for Advanced Therapeutics, Inc. P.O. Box 848152 Pembroke Pines, Florida 33084 1-954-441-9553 1 MEDICAL LANGUAGE FOR THE MASSAGE THERAPIST Consultants: Joel D. Stein, D.O., A.O.B.F.P., A.O.B.O.M.M. Research and Development: Charles Edwin Cook, L.M. T., C.R. T. Editor: Mark D. Blum, D.D.S. By: Renee J. Demmery, C.R.T. ©2002 Renee J. Demmery All Rights Reserved 2 MEDICAL LANGUAGE FOR THE MASSSAGE THERAPIST Published By: The Institute for Advanced Therapeutics, Inc. P.O. Box 848152 Pembroke Pines, Florida 33084 1-954-441-9553 tel 1-954-432-1824 fax This course was developed to help expand the knowledge and skills of massage therapists with respect to the subject of medical language. The information in this course has been carefully researched and is generally accepted as factual at the time of publication. The Institute for Advanced Therapeutics, Inc. disclaims responsibility for any contradictory data prior to the publication of the next revision of this course. *The image used herein was obtained from IMSI's MasterClips® and MasterPhotos™ Premium Image Collection, 1895 Francisco Blvd. East, San Rafael, CA 94901-5506, USA. 3 TABLE OF CONTENTS COURSE DIRECTIONS MAILING INSTRUCTIONS COURSE OBJECTIVES CHAPTER 1 THE BUILDING BLOCKS OF MEDICAL LANGUAGE UNRAVELING THE MYSTERY OF MEDICAL LANGUAGE ROOTS COMBINING VOWELS PLURAL AND SINGULAR WORD ENDINGS CHAPTER 2 PREFIXES AND SUFFIXES PREFIXES SUFFIXES MUSCULOSKELETAL AND ARTICULAR SYSTEM WORDS MEDICAL LANGUAGE FOR MASSAGE THERAPIST TEST TEST ANSWER CARD/COURSE EVALUATION REFERENCE LIST 4 COURSE DIRECTIONS HOW TO BEST PROCEED WITH THIS COURSE Each chapter should be approached systematically in a careful and objective manner. It is important to master each chapter before going on to the next. Relax, take your time, and go at your own pace. As 2 credits of continuing education are rewarded after successfully completing this course, the reading of this manual and completion of the test questions should not take less than 2 hours. Only after you have successfully mastered all the material in the course should you proceed to the test questions. COMPLETING THE TEST Before beginning, please clearly write your name, address, zip code, and license number on your test answer card. Read each question carefully before answering. Please use a ballpoint pen to fill-in your answers on the answer card by completely shading your choice. Keep in mind that each question has only one correct answer. The test consists of 20 questions. For a passing grade, you must correctly answer 16 questions. We encourage your input and would welcome any suggestions to improve our course or test questions. Please feel free to note your suggestions or comments on the course evaluation found at the bottom of the test answer card. INFORMATION FOR CERTIFICATION In order to receive your 2 hours of continuing education credit, you must be a registered purchaser of this course. Please notify us of any address or name changes as we keep permanent records for certification and licensure. 5 MAILING INSTRUCTIONS Please send your completed test answer card and course evaluation to: The Institute for Advanced Therapeutics, Inc. P.O. Box 848152 Pembroke Pines, Florida 33084 If you have any questions regarding this course, please contact our Customer Service Department at 1-954-441-9553 or fax us at 1-954432-1824. 6 COURSE OBJECTIVES Upon completion of this course, you will be able to: 1. Learn how to break down medical terms into their component parts. 2. List singular and plural endings to common medical terms. 3. Define common prefixes, roots, and suffixes. 4. Understand the meaning of words used to describe common conditions of the musculoskeletal and articular system. 7 CHAPTER 1 THE BUILDING BLOCKS OF MEDICAL LANGUAGE UNRAVELING THE MYSTERY OF MEDICAL LANGUAGE As massage therapists increasingly interact with doctors, nurses, and other healthcare professionals, understanding the language of medicine becomes an important tool in communicating effectively. The language of medicine may seem foreign to most as many are derived from Greek and Latin words. In this course, we will attempt to unravel the mystery of medical terminology by breaking down terms into their component parts. Most medical terms are made up of small parts that fit together like pieces of a jigsaw puzzle. Each word part has a specific meaning. When one learns to recognize the word parts and their meanings, previously unfamiliar terms can be unraveled and understood. The first step in understanding medical language is to break down terms into their component parts. Most medical terms only contain two parts: a prefix and root or root and suffix. Some medical terms contain a prefix, root, and suffix. 1. Root. 2. Prefix. 3. Suffix. ROOTS The root is what gives basic meaning to the word. Other names for root include stem, core, core element, and root element. It is the foundation or essential core of the word. Medical terms can have one or more roots. Roots can be combined with prefixes, suffixes, and other roots to form medical terms. Some examples include: 8 ROOT MEANING cervic cheil chrond dactyl encephal gastr gingiv gnath hepat hyster leiomy mamm myring odont omphal onych opthalm optic oophor pector pyo splen neck lip cartilage finger or toe brain stomach gum jaw liver uterus smooth muscle breast eardrum teeth navel fingernail or toenail eye eye or vision ovary or egg chest pus spleen COMBINING VOWELS Many times, a vowel is added between the ending consonant of one root and the beginning consonant of the next word part. This is done to make the word easier to pronounce. Some examples include: Blepharoplasty – Surgical repair of the eyelid. Cardiopathy – Disease of the heart. Hepatomegaly – Enlargement of the liver. Mastopathy – Disease of the breast. Ovariogenic – Originating from the ovary. Proctocele – Prolapse of the rectum. Sideropenia – Abnormally low iron level. Splenomegaly – Enlargement of the spleen. Unguiculate – Having nails or claws. 9 PLURAL AND SINGULAR WORD ENDINGS SINGULAR PLURAL antrum cecum commisura curvatura epididymis exostosis folium folliculus foramen fornix fossa globus gumma gyrus helix hilum ilium incisura incus insula lamina lentigo mandibula musculus nervus oliva ovarium papilla phalanx pinna radius rete scapula stoma tentorium vertebra antra ceca commisurae curvaturae epididymides exostoses folia folliculi foramina fornicis or fornices fossae globi gummata or gummas gyri helices hila ilia incisurae incudes insulae laminae lentigines mandibulae musculi nervi olivae ovaria papillae phalanges pinnae radii retia scapulae stomas or stomata tentoria vertebrae 10 CHAPTER 2 PREFIXES AND SUFFIXES PREFIXES As stated previously, many medical terms can be broken down into three parts: prefix, root, and suffix. A prefix is part of the word that comes before the root and modifies the meaning of the root word. It is usually a letter or syllable. Prefixes can be categorized by how they modify the root. They can indicate: 1. 2. 3. 4. 5. 6. 7. Size. Location. Time. Position. Amount. Color. Negation. Prefixes are commonly used in the English language but the following examples are specific to medical language: PREFIX MEANING a- without, not ab- away from, from, off acro- extremity, tip, peak actino- ray of light, beam ad- increase, adherence, toward adeno- gland, glandular adipo- fat, fatty aero- air, a gas 11 PREFIX MEANING alge-, algia-, algesi-, algio-, algo- pain allo- differing from the usual ambi- , ambo- both, around, double ambly- blunt, dull, dim amphi-, ampho- on both sides, double ana- again, back, up andro- masculine angio-, angi- blood or lymph vessels anhydro- without water aniso- unlike, unequal ankylo- crooked, bent ano- anus ante- before antero- anterior anti- opposing, against apico- summit or tip arche-, archi- primitive, first, extreme arthro- joint 12 PREFIX MEANING athero- soft, pasty atmo- steam or vapor auri- ear auto- self auxano-, auxo-, aux- to increase balan-, balano- glans penis baro- weight, pressure basi-, baso-, basio-, base bathy-, batho- depth bi- twice, double bili- bile bio- life blepharo- eyelid brady- slow bronch-, bronchi-, broncho- bronchus caco-, caci-, cac- bad carcino- cancer, malignant cardio- the heart cata- down 13 PREFIX MEANING caud- tail celio- the abdomen centri-, centro- center cephalo- head cero- wax cervico- neck, cervix chemo- chemistry chilo- lips chiro- the hand chloro- green chole- bile cholecysto- gall bladder choledocho- common bile duct chorio- membrane chromato-, chromo- color chrono- time chryso- gold cine- movement 14 PREFIX MEANING cis- on this side cleido- the clavicle colo- the large intestine colpo- the vagina con- with, together contra- opposed, against copro- feces costo- rib cranio- skull cryo- cold crypto- hidden cyano- blue cysto- bladder dactylo- the fingers or toes de- away from, without denti-, dento- teeth dermato- skin desmo- ligament 15 PREFIX MEANING dextro- right side diplo- double dynamo- force, energy ec- away from, out of ecto- on the outside encephalo- the brain endo- inner, within entero- the intestine epi- following, subsequent to episio- the vulva ergo- work erythro- red, red blood cell etio- cause eu- good, well extra- without, outside of facio- the face ferro- the presence of iron galvano- electrical 16 PREFIX MEANING gastro- the stomach gen- birth geronto- old age giganto- huge gingivo- the gums of the mouth glio- glue-like glosso- tongue glyco- relating to sugars gnatho- the jaw gonio- angle grapho- writing gyne-, gyno-, gyneco- female hemato-, heme-, hemo- blood hemi- one-half hepato- the liver hetero- the opposite, different hidro- sweat histio-, histo- tissue 17 PREFIX MEANING holo- whole, complete homeo-, homo- the same, alike hydro- water hygro- moisture, dampness hyo- U-shaped hyper- above normal, excessive hypno- sleep hypo- below normal, deficient hystero- the uterus ileo- the ileum ilio- the ilium intra- inside, within intro- into, inward iso- like, equal kerato- the cornea kino-, kinesi-, kinesio-, kineso- movement labio- the lips lacti-, lacto- milk laparo- abdomen 18 PREFIX MEANING latero- to one side leio- smooth lepto- thin, frail leuko- white, white blood cell levo- left side linguo- the tongue lipo- fatty litho- a stone lyso- dissolution macro- large mal- bad malaco- soft mammo- the breasts masto- the breast medio- middle melano- black meno- menstruation meso- middle meta- after, behind 19 PREFIX MEANING metra-, metro- the uterus micro- small mid- middle mio- less mono- single, one morpho- shape multi- many myco- fungus myelo- bone marrow myo- muscle nano- dwarfism narco- stupor necro- death nemato- threadlike neo- new nephro- the kidney neuri-, neuro- nerve noct- night normo- normal 20 PREFIX MEANING noso- disease odonto- teeth odyno- pain oligo- a little, too few omo- the shoulder onco- a tumor onycho- a fingernail or toenail oophoro- the ovary ophthalmo- relationship to the eye opistho- behind, dorsal orchido-, orchio- the testes oro- the mouth ortho- straight, normal oscheo- the scrotum osseo-, osteo-, ossi- bone oto- the ear ovo-, ovi- egg pachy- thick paleo- primitive, early 21 PREFIX MEANING pan- all parieto- a wall path-, patho- disease penta- denoting five peri- near, around phaco- shaped like a lens phago- eating pharmaco- drugs phlebo- vein phos- light phreno- the diaphragm phyllo- leaf-like pico- small pilo- hair plagio- oblique plano- flat pleo- more pleura-, pleuro- side, rib pluri- several 22 PREFIX MEANING pneo- denoting breath pneumo-, pneumato- air, gas, lungs, breathing podo- foot poikilo- irregular post- posterior, behind, after pre- before, anterior presby- old age proto- first proximo- nearest pseudo- false psycho- the mind ptero- wing or feather pulmono- the lungs pyelo- pelvis, renal pelvis pykno- dense pyo- pus pyro- fire, heat quadri- denoting four rachio- the spine 23 PREFIX MEANING radio- radiation recto- the rectum reno-, reni- the kidney retro- behind, backward rhabdo- rod-shaped rhino- the nose rhizo- root rhodo- red salpingo- a tube sarco- flesh or muscular substance schisto- division schizo- division, split sclero- hardness semi- half, part sialo- saliva sidero- iron somato- the body sphygmo- pulse spiro- coil-shaped 24 PREFIX MEANING spleno- the spleen spondylo- the vertebrae steno- narrowness stereo- solid, three-dimensional stetho- denoting the chest stomato- mouth strepto- twisted sub- beneath, inferior super- excessive, above supra- over, above syn- joined, together syndesmo- ligament tachy- fast talo- ankle bone tele- distant tendo- or teno- a tendon terato- deformed, misshapen thermo- heat thoraco- the chest, thorax 25 PREFIX MEANING thrombo- blood clot toxico- poison tracheo- the trachea trans- across tri- denoting three tricho- the hair tympano- drum, eardrum ultra- excess uni- single, one uro- urine vasculo- a blood vessel veno-, veni- the veins vivi- alive xantho- yellow xeno- foreign substance xero- dry 26 SUFFIXES As stated previously, many medical terms can be broken down into three parts: prefix, root, and suffix. A suffix is part of the word that comes after the root and modifies the meaning of the root word. It is usually a letter or syllable. Suffixes can change roots into nouns or adjectives. They can describe a condition, appearance, or symptom. Suffixes can also describe surgical procedures. The following is a list of some of the common suffixes encountered in medical language. SUFFIX MEANING -agogue, -agog a promoter or stimulant of -agra sudden attack of acute pain -ase denotes an enzyme -ate a replacement for “-ic acid” -cele a swelling, hernia -ceptor receiver, taker -chrome relationship to color -cide an agent that kills -cleisis closure -didymus fused parts -ectasia, -ectasis dilation -ectomy removal of part -esis condition or process -facient causing 27 SUFFIX MEANING -form in the form, shape of -fugal to move away from -fuge flight -gen precursor of -genia producing, formed by -graph written or recorded -graphy a writing -ia a condition, usually abnormal -iasis a condition, usually unhealthy -ic pertaining to -ics practice or treatment -ine forms names of chemicals -ism a condition or disease -ismus implies contraction or spasm -ite resembling -itis denotes inflammatory disorders -legia reading -lepsis, lepsy a seizure -logia the study of 28 SUFFIX MEANING -mania an abnormal love for -megaly large -mer member of a particular group -mone denoting a hormone -odes resembling -oid resemblance to -ol denotes an alcohol -oma a tumor -ology the study of a subject -one indicating a ketone group -opia vision -ose indicating a carbohydrate -osis an abnormal or diseased process -ostomy creating an opening -otomy cutting into -pagus fused parts -paresis paralysis -pathy disease -penia deficiency 29 SUFFIX MEANING -phage, -phagia, -phagy eating -phil, -phile, -philia, -philic craving or affinity for -phrenia the diaphragm, the mind -plasty molding or surgical repair -plegia paralysis -pnea breath -poiesis producing -ptosis prolapse or sinking down -rrhagia discharge or hemorrhage -rrhaphy suturing -rrhea flowing -scope a device used to view -scopy activity involving a device to view -stat to keep from changing or moving -thymia mind, emotions -trophic nutrition -trophy nutrition -tropic having an affinity for -uretic urine 30 MUSCULOSKELETAL AND ARTICULAR SYSTEM WORDS As a massage therapist, it is important to understand the meaning of words used to describe conditions of the musculoskeletal and articular system. This understanding will help you to communicate with other members of the healthcare team and treat your patients more effectively. The following is a list of common musculoskeletal and articular system words broken down into their component parts and defined. WORD COMPONENTS AND MEANING arthritis arthr- = joint -itis = inflammation inflammation of a joint bursitis burs- = bursa -itis = inflammation inflammation of a bursa COMPONENTS AND MEANING WORD hemarthrosis hem- = blood arthr- = joint -osis = an abnormal process blood in a joint laminectomy lamin- = lamina -ectomy = removal of removal of the lamina leiomyoma leio- = smooth myo- = muscle -oma = a tumor a tumor of the smooth muscle myopathy myo- = muscle -pathy = disease disease of the muscular tissues myositis myo- = muscle -itis - inflammation inflammation of a muscle 31 myorrhaphy myo- = muscle -rrhaphy = suturing suturing of a muscle osteomyelitis osteo- = bone myel- = bone marrow -itis = inflammation inflammation of the bone marrow osteonecrosis osteo- = bone necro- = death -osis = an abnormal process the death of bone osteogenic osteo- = bone -genic = formed by formed by bone COMPONENTS AND MEANING WORD osteoid osteo- = bone resembling bone pseudoarthritis pseudo- = false false arthritis somatology somat- = the body -ology = the study of the study of the body subpatellar sub- = beneath beneath the patella suprascapular supra- = above above the scapula 32 -oid = resemblance to syndesmitis syndesm- = ligament -itis = inflammation inflammation of a ligament tenoplasty teno- = tendon -plasty = surgical repair surgical repair of a tendon END OF BOOK 33 REFERENCE LIST 1. “Stedman’s Medical Dictionary”. Edition. 2000. Lippincott Williams & Wilkins. 27th 2. “Stedman’s Orthopaedic & Rehab Words”. Wilkins. Third Edition. 1999. Lippincott Williams & 3. “Merriam Webster’s Collegiate Dictionary”. Tenth Edition. 1994. Merriam-Webster, Inc. 4. “Stedman’s Medical Speller”. Lippincott Williams & Wilkins. 3rd Edition. 2001. 5. “The Medical Transcription Workbook”. Health Professions Institute. 1999. 6. “Vera Pyle’s Current Medical Terminology”. Health Professions Institute. Eighth Edition. 2000. 34 Attention IAT Student: For immediate grading and to print your certificate from your computer you must take the online test. To take the test online now, visit: http://www.iatcourses.com/T-NCBTMB015.htm Note: Faxed or mailed in answer sheets may take up to 3 business days to process after arrival.
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