Basic medical terminology Winter period 2014 Teacher: J. Artimová Objectives of the course •To familiarize with basic medical terminology •To understand rules of creating Latin terms and to understand meaning of particular terms based on: –Morphological analysis –Syntactical analysis •To create correct Latin terms (both from anatomical and clinical terminology) •To understand basics of pharmacological Latin •To master the vocabulary in a systematic way Translate/Explain •Cryocautery •Hydrocephaly •Sideropenia •Tocograph •Styloid (process) •Xiphocostal (articulatio) • • Latin in the anatomical terminology •Definite set of terms that name the parts and structures of the human body •First worldwide official standard terminology appeared 1895 (Basiliensia Nomina Anatomica) •Current terminology is approved by FCAT and published in 1998 as TERMINOLOGIA ANATOMICA (cf. http://www.unifr.ch) BNA.jpg BNA porovnanie.png TELO SVALY.png Musculi obliqui abdominis Musculus rectus abdominis Musculi adductores m. adductor longus m. adductor brevis Musculus deltoideus Musculus pectoralis major Musculus biceps brachii Musculus flexor carpi Musculus quadriceps femoris Case and number endings Prefixes Roots of the compound words Suffixes Special forms Latin in the clinical terminology •Non-definite set of terms that names diseases, health conditions or causes of death •First authoritative list of diseases and causes of death 1868 (Nomenclature of diseases), 1893 Bertillon's classification of diseases •Current terminology ICD-10 is approved by WHO and published every ± 10 years (www.who.int/classifications/icd/en/) •Widely used in medical documentation e.g. medical reports, surgical and hospital reports, pathological reports (central Europe, Russia and former republics of USSR, partly Western Europe - Germany, Austria) 09_Dg_padak.pdf ICD Fracture of upper end of humerus : S 42. 2 (http://apps.who.int/classifications/icd10) VulnusScissum-01.jpg Transcription of the medical report •Dg.: •S610 Vulnus scissum digiti II manus l. sin •W268 Kontakt s nožem, mečem nebo dýkou •Před 8 hod. si seřízl dorsolater. stranu II prstu L. ruky •Th.: •V LA mesokainem revisio et revitalisatio marginum, sutura, krytí a obvaz Latin in the pharmacologic terminology •Definite set of terms used in European Pharmacopoea (current version is 8th ed.) to name: –essential medicines (acidum phosphoricum) –classes of medicines (antipyretica, spasmolytica) –forms of medicines (solutio, injectio, tabuletta) –drugs (calendula officinalis) •Prescriptions –main part of the prescription including name and quantity of the medicine as well as the way of its administration is usually written in Latin, using system of routine abbreviations Historical background •Much of the medical terminology used today is attributed to Hippocrates and Greek authors •Terminology arises from need to identify the anatomical structures, diagnoses, instruments, procedures, protocols and medications •Many ancient terms are based on metaphors and similes, i.e. they are formed from words of nonmedical origin: • „The father of medicine“ Hippocrates 460-370 BC Animals Letters of alphabet, Musical instruments Household utensils, Military objects Agricultural tools/products.... gladius.png Cochlear.png konik.png furca.png Word parts, combinig forms and rules of word-building •card-i-a •card-i-acus •card-i-alis •peri-card-ium •endo-card-ium •myo-card-ium •card-itis •peri-card-itis •card-i-o-logia •card-i-o-graphia •card-i-o-my-o-pathia • • • • • • puzzle.png prefix ALPHABET AND PRONUNCIATION •BASIC MEDICAL TERMINOLOGY Vowels A Ā B C D E Ē F G H I Ī K L M N O Ō P Q R S T U Ū V X Y Y Z Vowels Long Short Ā (father) frāctūra A (cut) lingua Ē (term) artēria E (met) vertebra Ī (intrigue) spīna I (intrigue) digitus I (iatros) > J Ō (door) sensōrius O (on) skeleton Ū (boom) ruptūra U (put) uterus Y (analysis) hypophysis Y (lady) tympanum • • Diphtongs AE (care) anaemia OE (care) lagoena OE (o-e) EU (e-u) Read aloud and guess the meaning: •hypnosis •ala •olla •eupnoe •ileus •mucus •haematoma •iliacus • • • • • •ossa •diploe •cubitus •venae •diameter •sacralis •ulcus •iris • • •sutura •sigmoideus •depressor •area •oesophagus •melior •meatus •leucocytus • • • • Consonants I. A Ā B C D E Ē F G H I Ī K L M N O Ō P Q R S T U Ū V X Y Ŷ Z Consonant/group of consonants Pronunciation Example 1: c c + ae, oe, e, i, y [k] medical [ts] tsar camera, costa, cultivatio, cranium caecus, coeliacia, centrum, circulatio, cynismus 2: ch [x] loch chirurgia, cholera Consonants II. 4: h [h] house herba, haematologia 5: j + vowel [y] yes iniectio/injectio, maior/major 6: p p + h [p] present [f] physiology pneumonia, pulmo phantasia, pharmacia 7: qu+ vowel [kv] aqua, quadriceps 8: r r+h [r] rupture [r] vertebra, ruptura rheuma, rhinitis Consonant/group of consonants Pronunciation Example 3: g gu + vowel [g] ground [gv] gramma, gastritis lingua, sanguis Consonants III. Consonant/group of consonants Pronunciation Example 9: s/ss s between two vowels and following after l, r, n [s] some [z] serum, fossa nasus, incisura, pulsus, tonsilla, inversus, suspensio 10: t ti + vowel s/t/x + ti + vowel t+h [t] tongue [tsi] [ty] [t] trauma, tactus operatio, substantia tibia, ostium, mixtio therapia, thermometrum 11: z [z] zone zoologia Read aloud and guess the meaning: GRAMMATICAL CATEGORIES BASIC LINGUISTIC TERMINOLOGY •BASIC MEDICAL TERMINOLOGY What will you find in the dictionary? English noun is presented only in its single form (nominative singular) Latin noun is presented in three forms Muscle = MUSCULUS, I, M. Bone = OS, OSSIS, N. Main form (full nominative) Genitive ending/or even full Genitive form Gender abbreviation CAUTION! When learning new words ALL THREE FORMS are EQUALLY important for the future ability to use the noun in the context. Genitive ending = Declension DECLENSION 1st 2nd 3rd 4th 5th GENITIVE ENDING -ae (-es) -i -(?)-is -us -ei EXAMPLE coxa, ae, f. humerus, i, m. cranium, ii, n. coccyx, gis, f. dens, dentis, m. femur, oris, n. pelvis, is, f. arcus, us, m. genu, us, n. facies, ei, f. Declensions are groups of nouns (or adjective) that use the same set of suffixes (=endings). Latin and Greek declensions ENDINGS PHOTO.png Read and write down the number of declension 3 3 3 2 5 3 1 2 1 2 2 2 2 3 1 2 2 3 3 4 3 2 2 3 1 2 3 3 3 2 2 4 3 2 2 3 3 Genitive ending = stem of a word •A stem is a form to which affixes (endings) can be attached •In some declensions (1st, 4th, 5th, and in majority of cases also 2nd) the nominative and genitive forms of the word have identical stem •In some declensions (3rd, partially 2nd) word’s stem can greatly different •In Latin we need to remove the genitive ending in order to gain the genitive stem ven-a ven-ae humer-us humer-i diamet-er diametr-i dol-or dolor-is corp-us corpor-is de-ns dent-is arc-us arc-us gen-u gen-us faci-es faci-ei Decide what the stem of the noun is