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Anatomy and Terminology Module

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Preface
This document is designed as a tool for all Covidien employees. Our goal is to provide the user with
information on medical terminology, human anatomy and surgical procedures as they apply to
Covidien products.

Acknowledgements

Molly Borman BioMedical Illustrations and Thieme Medical Publishers, Inc. images are used with permission.

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Section 1: Word Construction


Most medical terms can be broken down into two or more components or word elements. This
guide teaches you how to use this fact to your advantage, providing you with a basic approach for
understanding unfamiliar medical terms. To define an unfamiliar term, you will simply:
1. Identify its word elements
2. Analyze the meaning of each word element
3. Put the meanings of all the word elements together to define the word as a whole
In order to use this approach, you will need to be familiar with the three basic types of word elements:
root words, suffixes and prefixes.
Root Words
The central meaning of a term is conveyed by a word element called the root word. It is the foundation
to which other word elements are added to build a complete, meaningful word. All terms have at least
one root word.
When being connected to other word elements, root words are converted into combining forms. A
combining form is a root word to which a combining vowel has been added in order to link the root
to a second root word or to a suffix. The most common combining vowel is o. Combining forms are
typically represented by the root word, followed by a slash (/), followed by the combining vowel.
In medical terminology, root words (and their associated combining forms) usually refer to anatomic
structures or physiological concepts. Memorizing just a few will enable you to understand a wide
variety of medical terms.

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Root Word and Combining Forms

Meaning

anter/o

front

arthr/o

joint

bil/o

bile, gall

carcin/o

cancer

cardi/o

heart

chol/e

bile, gall

col/o

colon, intestine

cysto/o

urinary bladder

duoden/o

duodenum

esophag/o

esophagus

gastr/o

stomach

gyn/o

woman, female

hepat/o

liver

hyster/o

uterus

ile/o

ileum

jejun/o

jejunum

mamm/o

breast

mast/o

breast

muscul/o

muscle

nas/o

nose

nephr/o

kidney

neur/o

nerves

oophor/o

ovaries

ovari/o

ovaries

pancreat/o

pancreas

peritone/o

peritoneum

pharyng/o

pharynx

proct/o

anus

pulmon/o

lungs

rect/o

rectum

respir/o

respiration

salping/o

fallopian tube

sigmoid/o

sigmoid colon

ur/o

urine

ureter/o

ureter

urethr/o

urethra

uter/o

uterus

vagin/o

vagina

ven/o

vein

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Suffixes
A suffix is a word element added after a root word to modify the basic meaning of the word.
Suffix

Meaning

-ectomy

surgical removal

-edema

swelling

-esis

condition

-gram

record

-graphy

recording

-itis

inflammation

-lysis

dissolution

-ology

study of

-oma

tumor, growth

-ostomy

surgical opening

-otomy

surgical incision

-pathy

disease

-plasty

surgical repair

-sclerosis

hardening

-scopy

visual exam

-stenosis

narrowing

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Prefixes
A prefix is a word element added before one or more root words to modify the basic meaning of the
root(s) and create a new word.
Prefix

Meaning

ante-

before, forward

anti-

against

bi-

two

brady-

slow

contra-

against, opposite side

di-

two

electro-

electrical

endo-

inside, within

hemi-

one-half

hyper-

excessive

hypo-

too little

inter-

between, among

intra-

within, inside

ipsi-

same, same side

laparo-

abdomen

macro-

large

micro-

small

para-

beside, beyond

peri-

surrounding

post-

after

pre-

before

pro-

before, in front of

pseudo-

false

quadri-

four

retro-

backward

semi-

one-half

sub-

under, beneath

supra-

over, above

tachy-

fast

trans-

across, through

tri-

three

uni-

one

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Word-Building Exercises
Break each of the following terms into its word elements. As in the examples below, draw a slash
between the letters to indicate where you think the word should be divided. Then write the definition
for the term.
Word

First Word Definition

Second Word Definition

Definition

cardi / ology

cardi = heart

ology = study of

study of the heart

vascu / litis

vascu = blood vessels

itis = inflammation

inflammation of blood vessels

bradycardia
cardiovascular
nephritis
arthroscopy
retroperitoneal
transurethral
peri-anal
transabdominal
colectomy
arthritis
mammoplasty
laparoscopy
peritonitis
ileostomy
hypothermic
postoperative
cholecystitis
gastrotomy
hyperthermic

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Using Suffixes in Word Building


Use the suffixes you have learned to build medical terms describing the following surgical procedures
Medical Term

Definition

1.

Surgical removal of the spleen

2.

Surgical removal of the gall bladder

3.

Surgical repair of a joint

4.

Creation of an opening in the stomach

5.

Surgical removal of all of the stomach

6.

Visualization of the abdomen using a scope/camera

7.

Surgical repair of the breast or breasts

8.

Inflammation of the peritoneum

9.

Surgical removal of the urinary bladder

10.

Freeing up or separating of tissue from surrounding structures or organs

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Section 2: Position and Direction

Direction
anterior
ascending
axillary
descending
distal

Positioned toward the front


Having an upward course
Commonly referred to as the underarm
Having a downward course
Farthest from the point of reference

inferior

Situated below; in reference to the lower surface or portion of an


organ or structure

lateral

Toward the side, farthest from the middle or median

medial

Toward the middle

posterior

Positioned toward the back

proximal

Closest to the point of reference

superior

Situated above, in reference to the upper surface or portion of an


organ or structure

transverse

Having a lateral course; a feature or organ that proceeds across

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Position
lateral position

lithotomy

prone

Patient lying on side


(left or right)

Patient on back with legs up


in stirrups, with head tilted
down slightly

Patient lying on front,


face down

reverse Trendelenburg

Patient on back with feet


tilted down and head slightly
elevated

supine

Patient lying on back, face up

Trendelenburg

Patient on back with head


tilted down and feet slightly
elevated

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Self-Test
1. If a surgeon refers to something as having a lateral course, or a feature or organ that proceeds
across, they are referring to which term?
a. transverse
b. ascending
c. descending
2. If a clinician refers to something being situated below a particular structure, it is _________.
a. anterior
b. posterior
c. inferior
3. A patient in the prone position would be lying on his/her_________.
a. back
b. side
c. front
4. If the point of origin is the duodenum, the ileum is _________ in relationship.
a. distal
b. proximal
c. superior
d. medial

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Task: You are describing the location of particular organs or structures to a colleague. Use the X as
the point of origin in describing the location of the subject organ/structure; e.g., anterior, posterior,
superior, etc.

A. ___________________________________
B. ___________________________________
C. ___________________________________
D. ___________________________________

E. ___________________________________
F. _ __________________________________

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Correctly label the following patient positions

1.

_________________________________

2.

_________________________________

3.

_________________________________

4.

_________________________________

5.

_________________________________

6.

_________________________________

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Notes

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Section 3: Abdominal Anatomy

antrum
appendix

ascending colon

cecum

colon

descending colon

Distal section of the stomach


Supplementary or dependent part attached to a main structure,
located in right lower quadrant
Extending from the cecum to the upper abdominal area, on
patients right
Pouch or cul-de-sac of the ascending colon connected to the
distal small bowel (ileum)
This comprises the main length of the large intestine and is
responsible for water absorption. It is divided into four sections,
lies distal to the cecum, and proximal to the rectum
Extending from the upper to the lower abdominal area, on
patients left

duodenum

Proximal portion of the small bowel; it connects to the distal


stomach

gallbladder

Pear-shaped reservoir for bile; lies just posteriorly to the liver

hemorrhoidal or gonadal vessels

hilum

hiler vessels
ileum
ileocecal valve

ileocecal vessels

I MA (general)

Blood supply to and from the rectum; branch off of the inferior
mesenteric artery and vein
A depression or pit at that part of an organ where the major
vessels and nerves enter
The vessels that enter an organ through the hilum
Distal portion of the small intestine
Located between the ileum and cecum, it controls passage of fluid
waste from the small bowel to the colon
Blood supply to and from the ileum (distal small bowel) and
cecum (proximal colon), branch off of the inferior mesenteric
artery and vein

Inferior mesenteric artery

inferior mesenteric artery and vein

Blood supply to and from the left colon, sigmoid colon, and
rectum

jejunum

Small bowel that extends between the duodenum and ileum

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left colic vessels

liver
mesentery

middle colic vessel

Blood supply to and from the left (descending) colon; branch off
of the inferior mesenteric artery and vein
Stores and filters blood; located in right upper quadrant
Membranous fold attaching various organs to the body wall and
carrying the blood supply to these organs
Blood supply to and from the transverse colon; branches off of
the superior mesenteric artery and vein

omentum

A peritoneal fold extending from the stomach to adjacent organs


in the abdominal cavity

pancreas

Situated transversely behind the stomach; it produces and


secretes insulin directly into the bloodstream

pylorus
pyloric sphincter

right colic vessels

sigmoid colon
sigmoidal vessels

Junction point between the stomach and the duodenum


A ring of muscles that controls the passage of food from the
stomach into the duodenum
Blood supply to and from the right (ascending) colon; branch off
of the superior mesenteric artery and vein
The S-shaped end of the colon that leads into the rectum
Blood supply to and from the sigmoid colon; branch off of the
inferior artery and vein

small bowel

A coiled 20-foot-long tube that winds from the pyloric sphincter


of the stomach to the beginning of the large intestine, filling
much of the abdominal cavity, where the nutrients are removed
from the bowel contents

spleen

Located in the left upper quadrant; it breaks down the red blood
cells and releases the hemoglobin

stomach

Lies between the esophagus and duodenum, stores food, located


in the upper left quadrant

superior mesenteric artery and vein

transverse colon
umbilicus
viscera

Blood supply to and from the right colon, liver, stomach, spleen
and small bowel
Extending from one side of the abdomen to the other
The navel or belly button
General term for contents of the abdomen

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Figure 3.1

Stomach in situ

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Figure 3.2

Arteries of stomach, liver and spleen

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Figure 3.3

Greater Omentum & Abdominal Viscera

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Figure 3.4

Omentum Raised

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Figure 3.5

Mucosa and
musculature of large intestine

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Figure 3.6

Arteries of large intestine

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Figure 3.7

Hepatic portal
vein and tributaries: portocaval anastomoses

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Be able to verbally trace the digestive system from beginning to end, including all structures and
landmarks:
oral cavity
pharynx
esophagus
stomach
duodenum
jejunum
ileum
cecum
ascending colon
hepatic flexure
transverse colon
splenic flexure
descending colon
sigmoid colon
rectum
anus

Figure 3.8

Alimentary canal

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Self-Test
1. The proximal portion of the small bowel is called the __________.
a. ileum
b. duodenum
c. jejunum
d. appendix
2. The appendix comes off of what part of the intestines?
a. ascending colon
b. cecum
c. ileum
d. descending colon
3. Which organ is located in the upper left quadrant and is responsible for disintegrating red blood
cells?
a. kidney
b. liver
c. pancreas
d. spleen

Write the definition for each of the anatomical terms below


Medical Term

Definition

1. ileum
2. liver
3. sigmoid colon

Write the terms for the definitions below


Medical Term

Definition

1.

Inflammation of the colon

2.

Blood supply to and from the left colon, sigmoid and rectum

3.

Surgical removal of the appendix

4.

Surgical creation of an opening between the colon and surface of the abdomen, usually to
allow elimination of bowel content

5.

Surgical repair of the abdomen

6.

Visual examination of the abdomen using a scope/camera

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Section 4: Pelvic Anatomy

Terminology

anus

bladder
cardinal ligament ( )

cervix ( )

fallopian tube ( )
Infundibular Pelvic (IP) vessel

inguinal

The sphincter muscle that regulates the lower digestive tract, just
distal to the rectum.
Sac-like organ in the pelvis that stores urine until excreted
Suspensory ligament for the posterior aspect of the uterus; contains
the uterine artery
Lower part of the uterus leading to the vagina, also referred to as the
neck of the uterus
Transport tube through which the egg travels to the uterus
The ligament that supports and supplies the blood to the fallopian
tube
Pertaining to the groin

ovarian ligament ( )

Attaches the ovaries to the fallopian tubes and upper portion of the
exterior uterus

ovary ( )

Almond-shaped structure responsible for generating the egg in the


female; one on each side of the uterus

perineum

The region between the anus and the external genitalia

prostate ( )

pubis
rectum

A donut-shaped muscular/glandular structure located beneath the


urinary bladder that surrounds the urethra
Pubic bone; the bladder rests upon it
Structure that stores feces and lies between the colon and the anus

round ligament ( )

Suspensory ligament for the anterolateral aspect of the uterus

ureter

Narrow tube that carries urine from the kidney to the bladder

urethra

uterosacral ligament ( )
uterus ( )

Membranous tube that carries urine from the bladder to the external
exit of the body
Fibrous ligament that anchors the posterior uterus to the pelvic wall
A hollow, muscular, pear-shaped structure suspended in the pelvic
cavity by bands of connective tissue called ligaments

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Anatomy
Figure 4.1

Pelvic contents: female

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Figure 4.2

Female pelvic viscera

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Figure 4.3

Figure 4.4

Uterus and adnexa: anterior view

Frontal section

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Figure 4.5


Prostate and seminal vesicles (sagittal section)

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Figure 4.6


Urethra (male): anterior view

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Self-Test
Write the term for the definitions below
Medical Term

Definition

1.

Almond-shaped structure responsible for generating the egg in females

2.

The region between the anus and external genitalia

3.

Pelvic bone; the bladder rests on it

4.

A hollow, pear-shaped structure suspended in the female pelvic cavity

5.

Inflammation of the kidney

6.

Surgical removal of the urinary bladder

7.

Visualization of the ureter using a scope/camera

8.

Referring to the kidney

9.

Transurethral resection of the prostate

1. The structure that carries urine from the kidney to the bladder is called the __________.
a. urethra
b. ureter
c. uterus
d. prostate
2. The structure that acts as a transport tube for the female eggs to travel to the uterus is the
__________.
a. ovary
b. cervix
c. perineum
d. fallopian tube
3. What is the suspensory ligament for the posterior aspect of the uterus that contains the uterine
artery?
a. round ligament
b. cardinal ligament
c. uterosacral ligament
d. ovarian ligament
Write the definition for the terms below.
Medical Term

Definition

1. urethra
2. inguinal
3. hysteroscopy
4. perineum

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Section 5: Head and Neck Anatomy and Terminology

Glossary of Terms
jugular

mandible
parotid gland
parotidectomy
sternocleidomastoid muscle

strap muscle

thyroid

thyroidectomy

Large veins that return blood to the heart from the head and
neck
Referring to the jaw
Gland located near the ear, just above the jaw line
Surgical removal of the parotid gland, usually for malignancy
One of two muscles in the neck rising from the clavicle toward
the ear
The muscles on each side of the Adams apple that run from the
collarbone up under the jaw
An endocrine gland in the neck, anterior to and partially
surrounding the thyroid cartilage and upper rings of the trachea
Surgical removal of the thyroid gland

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Anatomy
Figure 5.1

Facial nerve branches and parotid gland

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Figure 5.2

Superficial veins and cutaneous nerves of neck


Figure 5.3


Thyroid gland: anterior view

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Figure 5.4

Head and neck ateries and nerves: anterior view

Gilroy et al., Atlas of Anatomy. All rights reserved.


Thieme 2008, www.thieme.com

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Figure 5.5

Head and neck veins: left lateral view

Gilroy et al., Atlas of Anatomy. All rights reserved.


Thieme 2008, www.thieme.com

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Self-Test
1. The generic term for jaw is the __________.
a. torso
b. crucible
c. tactile
d. mandible
2. The gland located just above the jaw near the ear is the __________.
a. tricuspid
b. carotid
c. parotid
d. thyroid
3. If a surgeon is surgically removing the endocrine gland in the neck that surrounds the upper rings
of the trachea, he or she is performing a __________.
a. parotidectomy
b. thyroidectomy
c. septoplexy
4. The muscles that lie on each side of the Adams apple and run from the collarbone up under the
jaw are known as the __________.
a. lat muscles
b. flap muscles
c. strap muscles
5. The term for any of the large vessels that return blood to the heart from the head and neck is
__________.
a. carotid
b. jugular
c. epiploic
d. mesenteric

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Section 6: Other Anatomy

Terminology
abdomen

Lies between the thoracic cavity and pelvic cavity, lined by the
peritoneum

aorta

The main vessel carrying oxygen-rich blood from the heart and
lungs to the body

artery

Blood vessel that carries oxygen-rich blood from the heart and
lungs throughout the body

Calots triangle

duct
esophagus
fundus

hemorrhoid

IMA (cardiac)

Area bordered by the cystic duct, common hepatic duct and


lower edge of the liver, referenced during cholecystectomy
A tube or hollow structure
Passageway between pharynx and the stomach
Refers to the upper portion of a hollow organ or structure; e.g.,
stomach or uterus
Swollen veins in the lining of the anus, often causing rectal
bleeding and pain
Internal mammary artery, located on posterior aspect of chest
wall, used to bypass occluded blood vessels in the heart (CABG)

kidney

Filters toxins, waste, and ingested water and minerals from the
blood

larynx

Passageway between the oral cavity and the lungs

lumen

The inside of a tube-shaped structure; e.g., blood vessel

lymph node

Bean-shaped organ that filters and cleanses the clear fluid


transported by the lymphatic vessels

peritoneum

Serous membrane lining the pelvic and abdominal walls

pharynx
sphincter

Passageway for food between the oral cavity and esophagus


A circular shaped muscle that surrounds a natural opening; its
form helps close the opening; e.g., anal sphincter

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thorax

vein

vena cava

vessel

Part of the body between the neck and respiratory diaphragm,


encased by the ribs; i.e., the chest
Blood vessel that carries deoxygenated blood from the body back
to the heart and lungs
Large vein running along the right side of the spine that returns
the deoxygenated blood from the body back to the heart and
lungs
Any channel for carrying fluid, such as blood

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Figure 6.1

Kidneys in situ: anterior view

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Figure 6.2


Gross structure of the kidney

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Self-Test
Write the definition for each of the terms below
Anatomy

Definition

larynx
esophagus
sphincter
peritoneum
duct
kidney
artery
vein
lumen
fundus
IMA (general)

1. The term for high blood pressure is ________.


a. extension
b. hypotension
c. hypertension
d. normotension
2. The term intra-abdominal refers to structures ________ the abdomen.
a. outside
b. inside
c. above
d. below
3. All of the following prefixes are used to describe a structures location except ________.
a. endo b. poly c. inter d. sub 5. The suffix -pathy means ________.
a. deficiency
b. disease (any type)
c. tumor (or other type of growth)
d. nourishment or development
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Section 7: Terminology

ablation

Removal of dead or diseased tissue, or the destruction of its


function

abscess

Collection of pus, usually as a result of infection

acute

adhesion

anastomosis

anemic
anomaly
aneurysm
aspirate
avascular

benign

bifurcate
bile
chronic
costal
distended
edema
embolus

endoscope

A condition that has a sudden onset or lasts a short period of


time
A fibrous band or structure by which structures abnormally
adhere or stick together
The joining of two (natural or man-made) tube-shaped
structures; e.g., blood vessels or bowel
A condition marked by a decrease in red blood cells
Deviation from what is accepted as normal
Swelling of a blood vessel at a weakened point in the vessel wall
To withdraw air or fluid, usually by a needle
Refers to tissue having no blood vessels or inadequate blood
supply
Refers to a tumor that is not cancerous and does not spread to
other sites
To divide or separate into two parts
The yellow-green secretion of the liver that aids in digestion
Refers to long duration and frequent occurrence
Pertaining to the rib
Being enlarged
Swelling caused by a collection of large amounts of fluid in tissue
A mass of undisolved matter present in a vessel. Emboli may
be solid, gas, or liquid (e.g., air-embolusan air bubble in the
patients vein)
A scope that allows the surgeon to view virtually any structure in
the body

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extra-peritoneal

extubate

Outside the peritoneal cavity; e.g., the kidneys lie extraperitoneally (outside the peritoneal cavity on the patients
posterior side)
Removal of a tube; e.g., removal of the endotracheal tube from
the patients mouth/throat

fistula

An abnormal passage from one structure/organ to another or


from one structure/organ to the surface of the body

hematoma

Collection of blood that has escaped from the vessels and


become trapped in the tissue of the skin or in an organ; e.g., a
blood blister or blood clot

in vitro

Biological process performed in the laboratory rather than in the


body

in vivo

Biological process performed in the body

incision
indication

intra-muscular
intravenous

A cut made into body tissue with a surgical scalpel


A sign or reason for prescribing a treatment or medication for
disease
Within the muscle
Refers to the inside of a vein

intubate

Insertion of a tube into any hollow organ, as into the larynx or


trachea (endotracheal tube in patients mouth/throat)

ischemia

Temporary lack of blood supply to an area

lesion

ligation or ligate

lipoma

A pathological change in tissue, an injury, wound or any other


tissue damage
To tie or bind with a ligature; e.g., suture, clips and staplers
(mechanical) or LigaSure and ultrasonics (energy-based)
A benign tumor containing fat

malignant

The process of disease that is severe, progressive and does not


respond to treatment

metastasis

The process by which tumor cells multiply and spread to other


organs

mobilization

To free up from surrounding or attached structures or organs

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morsilate

necrosis

To chew-up or break down into small pieces; e.g., to morsilate


a large structure or organ, enabling it to be removed through a
small incision
The death and breakdown of tissue

occlusion

Blockage, as in an artery

palliative

Term for soothing and/or relieving

palpate

To examine by hand, exerting light pressure with the fingers for


the purpose of feeling or examining

pedicle

A stem-like narrow part of a structure, a narrow strip of flap


tissue through which a structure receives its blood supply

peristalsis

pronate

renal

Involuntary muscular contractions occurring in a tubular


structure or organ; how food is moved through the intestines
The act of turning so as to face down; e.g., turning your hand so
the palm is facing downward
Relating to the kidneys

resection

Surgical removal of a structure or organ

stenosis

Narrowing or stricture of a canal or duct

stoma

stricture

Any opening between two structures or on the surface of a


structure; e.g., the opening between two portions of the intestine
in an anastomosis
Narrowing of a canal, duct or other passage

subcostal

Pertaining to below the rib

supinate

The act of turning so as to face up; e.g., turning your hand so the
palm is facing upward

transection
tumor

Cutting of tissue
An abnormal mass of tissue within the body

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Self-Test
Write the terms for the definitions below
Medical Term

Definition

1.

Being enlarged

2.

Refers to the cutting of tissue

3.

Process by which tumor cells multiply and spread to other organs

4.

Refers to the biological process performed in the body

5.

The death and breakdown of tissue

6.

Narrowing of a canal, duct or other passage

7.

Collection of pus, usually as a result of infection

8.

Swelling caused by a collection of large amounts of fluid in tissue

9.

Refers to long duration and frequent occurrence

10.

A tumor that is not cancerous and does not spread to other sites

11.

The joining of two (natural or man-made) tube-shaped structures; e.g., blood vessels or bowel

Write the definitions for the each of the following medical terms
Medical Term

Definition

1. peristalsis
2. aspirate
3. lipoma
4. anemic
5. sub-costal
6. hematoma
7. resection
8. palpate
9. lesion
10. ischemia

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Section 8: Surgical Procedures

abdominal perineal resection

appendectomy
cholecystectomy

Surgical removal of affected colon, rectum and anus.


Indication cancer of the lower rectum
Surgical removal of the appendix
Surgical removal of the gallbladder; if the procedure is performed
through a tube placed into the abdomen, it is called laparoscopic
cholecystectomy

colectomy

Surgical removal of all or part of the colon, often to treat patients


with chronic colitis or Crohns disease

colostomy

Surgical creation of an opening between the colon and the


surface of the abdomen, usually to allow elimination of the feces
into a bag attached to the skin

cystectomy
esophagogastrectomy

gastrectomy
gastrotomy
hemorrhoidectomy

Surgical removal of the urinary bladder


Surgical removal of diseased portions of the esophagus and
stomach
Surgical removal of the stomach
Creating a hole in the wall of the stomach
Surgical removal of hemorrhoids

hysterectomy ( )

Surgical removal of the uterus; surgery may be trans-abdominal


(TAH) or vaginal (TVH)

laparoscopy

Visual examination of the abdominal cavity using a laparoscope

low anterior resection

mammoplasty ( )
mastectomy ( )
nephrectomy
Nissen fundoplication

Surgical removal of affected distal colon and portion of proximal


rectum.
Indication cancer
Surgical reconstruction of one or both breasts (bilateral)
Surgical removal of the breast
Surgical removal of the kidney
Surgical wrapping of the stomach around the esophagus and
suturing it to itself, usually to prevent gastric reflux

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oophorectomy ( )

orchiectomy ( )

Surgical removal of one or both ovaries; if both ovaries are


removed, the procedure is called a bilateral oophorectomy
Surgical removal of one or both testes

prostatectomy ( )

Surgical removal of all or part of the prostate gland

radical cystectomy

( ) Resection of the urinary bladder, distal ureters, pelvic lymph

nodes, and prostate

( ) Resection of the urinary bladder, distal ureters, urethra,

uterus, cervix, proximal third of the vagina

radical hysterectomy ( )

radical mastectomy ( )
salpingectomy ( )
sigmoidectomy

splenectomy
transplantation

Transurethral Resection of the Prostate


(TURP) ( )

Whipple procedure

Surgical removal of uterus, fallopian tubes, ovaries, cervix and all


recognizable lymph nodes
Resection of the breast and axillary lymph nodes
Surgical removal of one or both fallopian tubes
Surgical removal of the sigmoid colon
Indication cancer
Surgical removal of the spleen
Surgical implantation of an organ or structure from a compatible
donor into a recipient
Surgical removal of all or part of the prostate gland by placing
a special prostatectomy endoscope (resectoscope) through the
urethra and removing pieces of the prostate gland through this
tube
Resection of the head of the pancreas, the entire duodenum,
portion of the jejunum, distal third of the stomach and lower
half of the common bile duct with reestablishment of biliary,
pancreatic and gastrointestinal tract systems

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Self-Test
Procedure

Definition (include all structures being removed)

1. laparoscopy
2. low anterior resection
3.

Visualization of the sigmoid colon using a scope

4.

Surgical wrapping of the stomach around the esophagus and suturing it to itself, usually for
gastric reflux

5. cystectomy
6. hemicolectomy
7. lap-cholecystectomy
8.

Abdominal approach to resection of the uterus, fallopian tubes and ovaries

9.

Surgical removal of all or part of the prostate gland

10. splenectomy
11. mastectomy
12.

Resection of the affected colon, rectum and anus

13.

Resection of the uterus, fallopian tubes, ovaries, cervix and all recognizable lymph nodes

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Section 9: Medical Conditions

cirrhosis

colitis
Crohns disease

cystitis
diverticulosis

endometriosis

gastritis

gastroenteritis

hemorrhoid

hepatitis

hernia

nephritis
nephroma
pancreatitis

peritonitis
prolapse

Chronic liver disease characterized by the destruction of liver cells,


eventually leads to impaired liver function and jaundice
Inflammation of the colon or large intestine, usually due to infection
Type of chronic inflammatory bowel disease, usually affects the
distal ileum, but may affect any part of the GI tract from the lips to
the anus
Inflammation of the urinary bladder, usually due to infection
Condition characterized by the presence of diverticula (abnormal
outpouchings of the intestinal wall); if the diverticula are inflamed,
the condition is called diverticulitis
When fragments of the lining of the uterus migrate out through
the fallopian tubes into the pelvis, becoming implanted in the
peritoneum and causing severe pain
Inflammation of the stomach, usually due to irritation, infection or
stress
Inflammation of the stomach and small intestine, usually due to
irritation or infection
Swollen, varicosed veins that protrude from the rectum and/or
anorectal canal; may be internal or external
Inflammation of the liver, usually caused by viral infection; the
infection is generally transmitted through blood products or sexual
contact
The protrusion of an organ or structure through weakened
abdominal tissue or membrane
Inflammation of the kidney, usually due to infection
Tumor arising from kidney tissue
Inflammation of the pancreas, often resulting in damage to the tissue
by digestive enzymes
Inflammation of the peritoneum, usually due to infection
Slipping of the uterus or rectum from its usual position, usually due
to stretching of the supportive ligaments

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Self-Test
1. Inflammation of the urinary bladder, usually due to infection, is called _________.
a. prolapse
b. hepatitis
c. cystitis
2. A tumor rising from the kidney is called a _________.
a. nephritis
b. nephroma
c. nephrotomy
3. Inflammation of the colon or large intestine, usually due to infection, is called _________.
a. colitis
b. colectomy
c. colpotomy
d. Crohns disease
4. A slipping of the uterus from its usual position due to a stretching of the supportive ligaments is
known as _________.
a. hernia
b. prolapse
c. pronate

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appendix a: answer Key to Self-Tests


Section 1: Word Construction
Word

First Word Definition

Second Word Definition

Definition

cardi / ology

cardi = heart

ology = study of

study of the heart

vascu / litis

vascu = blood vessels

itis = inflammation

inflammation of blood vessels

bradycardia

brady = slow

cardia = heart

slow heart rate

cardiovascular

cardio = heart

vascular = blood

blood supply to the heart

nephritis

nephr = kidney

itis = inflamation

inflammation of the kidney

arthroscopy

arthro = joint

oscopy = viewing of

viewing of the joint

retroperitoneal

retro = behind

peritoneal = peritoneum

behind the peritoneum

transurethral

trans = through

urethral = urethra

through the urethra

peri-anal

peri = around

anal = anus

around the anus

transabdominal

trans = through

abdominal = abdomen

through the abdomen

colectomy

col = colon

ectomy = removal of

removal of the colon

arthritis

arthr = joint

itis = inflammation

inflammation of the joint

mammoplasty

mamm = breast

plasty = repair of

surgical repair of the breast

laparoscopy

laparo = abdomen

scopy = viewing of

viewing of the abdomen

peritonitis

periton(e) = peritoneum

itis = inflammation

inflammation of the peritoneum

ileostomy

ile = ileum

ostomy = an opening

an opening in the ileum

hypothermic

hypo = too little

thermic = temperature

below normal temperature

postoperative

post = after

operative = surgery

after surgery

cholecystitis

cholecyst = gall bladder

itis = inflammation

inflammation of the gall bladder

gastrotomy

gastr = stomach

otomy = incision

surgical incision into the stomach

hyperthermic

hyper = too high

thermic = temperature

above normal temperature

Medical Term

Definition

1. splenectomy

Surgical removal of the spleen

2. cholecystectomy

Surgical removal of the gall bladder

3. arthroplasty

Surgical repair of a joint

4. gastrotomy

Creation of an opening in the stomach

5. gastrectomy

Surgical removal of all of the stomach

6. laparoscopy

Visualization of the abdomen using a scope/camera

7. mammoplasty

Surgical repair of the breast or breasts

8. peritonitis

Inflammation of the peritoneum

9. cystectomy

Surgical removal of the urinary bladder

10. mobilization

Freeing up or separating of tissue from surrounding structures or organs

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Section 2: Position and Direction


1. If a surgeon refers to something as having a lateral course, or a feature or organ that proceeds
across, they are referring to which term?
a. transverse
b. ascending
c. descending
2. If a clinician refers to something being situated below a particular structure, it is _________.
a. anterior
b. posterior
c. inferior
3. A patient in the prone position would be lying on his/her_________.
a. back
b. side
c. front
4. If the point of origin is the duodenum, the ileum is _________ in relationship.
a. distal
b. proximal
c. superior
d. medial

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A. superior
B. posterior
C. inferior
D. anterior

E. medial
F. lateral

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1.

lateral

2.

lithotomy

3.

reverse Trendelenberg

4.

supine

5.

Trendelenberg

6.

prone

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Section 3: Abdominal Anatomy


1. The proximal portion of the small bowel is called the __________.
a. ileum
b. duodenum
c. jejunum
d. appendix
2. The appendix comes off of what part of the intestines?
a. ascending colon
b. cecum
c. ileum
d. descending colon
3. Which organ is located in the upper left quadrant and is responsible for disintegrating red blood
cells?
a. kidney
b. liver
c. pancreas
d. spleen

Medical Term

Definition

1. ileum

the distal portion of the small intestine

2. liver

stores and filters blood, located in the upper right quadrant

3. sigmoid colon

the S-shaped end of the colon that leads to the rectum

Medical Term

Definition

1. colitis

Inflammation of the colon

2. inferior mesenteric artery

Blood supply to and from the left colon, sigmoid, and rectum

3. appendectomy

Surgical removal of the appendix

4. colostomy

Surgical creation of an opening between the colon and surface of the abdomen, usually to
allow elimination of bowel content

5. abdominoplasty

Surgical repair of the abdomen

6. laparoscopy

Visual examination of the abdomen using a scope/camera

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Section 4: Pelvic Anatomy


Medical Term

Definition

1. ovaries

Almond-shaped structure responsible for generating the egg in females

2. perineum

The region between the anus and external genitalia

3. pubis

Pelvic bone; the bladder rests on it

4. uterus

A hollow, pear-shaped structure suspended in the female pelvic cavity

5. nephritis

Inflammation of the kidney

6. cystectomy

Surgical removal of the urinary bladder

7. ureteroscopy

Visualization of the ureter using a scope/camera

8. renal

Referring to the kidney

9. TURP

Transurethral resection of the prostate

1. The structure that carries urine from the kidney to the bladder is called the __________.
a. urethra
b. ureter
c. uterus
d. prostate
2. The structure that acts as a transport tube for the female eggs to travel to the uterus is the
__________.
a. ovary
b. cervix
c. perineum
d. fallopian tube
3. What is the suspensory ligament for the posterior aspect of the uterus that contains the uterine
artery?
a. round ligament
b. cardinal ligament
c. uterosacral ligament
d. ovarian ligament

Medical Term

Definition

1. urethra

membranous tube that carries urine from the bladder to the external exit
of the body

2. inguinal

pertains to the groin

3. hysteroscopy

visualization of the uterus using a scope/camera

4. perineum

the region located between the anus and the external genitalia

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Section 5: Head and Neck Anatomy and Terminology


1. The generic term for jaw is the __________.
a. torso
b. crucible
c. tactile
d. mandible
2. The gland located just above the jaw near the ear is the __________.
a. tricuspid
b. carotid
c. parotid
d. thyroid
3. If a surgeon is surgically removing the endocrine gland in the neck that surrounds the upper rings
of the trachea, he or she is performing a __________.
a. parotidectomy
b. thyroidectomy
c. septoplexy
4. The muscles that lie on each side of the Adams apple and run from the collar bone up under the
jaw are known as the __________.
a. lat muscles
b. flap muscles
c. strap muscles
5. The term for any of the large vessels that return blood to the heart from the head and neck is
__________.
a. carotid
b. jugular
c. epiploic
d. mesenteric

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Section 6: Other Anatomy


Anatomy

Definition

larynx

passageway between the oral cavity and the lungs

esophagus

passageway between the pharynx and the stomach

sphincter

a circular shaped muscle that surrounds a natural opening

peritoneum

serous membrane lining the pelvic and abdominal walls

duct

a tube or hollow structure

kidney

filters toxins, waste, and ingested water and minerals

artery

vessel that carries oxygen-rich blood from the heart and lungs to the body

vein

vessel that carries deoxygenated blood from the body to the heart and lungs

lumen

the inside of a tube-shaped structure; e.g., blood vessel

fundus

the upper portion of a hollow structure or organ; e.g., uterus or stomach

IMA (general)

inferior mesenteric artery

1. The term for high blood pressure is ________.


a. extension
b. hypotension
c. hypertension
d. normotension
2. The term intra-abdominal refers to structures ________ the abdomen.
a. outside
b. inside
c. above
d. below
3. All of the following prefixes are used to describe a structures location except ________.
a. endo b. poly c. inter d. sub 5. The suffix -pathy means ________.
a. deficiency
b. disease (any type)
c. tumor (or other type of growth)
d. nourishment or development

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Section 7: Terminology
Medical Term

Definition

1. distended

Being enlarged

2. transection

Refers to the cutting of tissue

3. metastasis

Process by which tumor cells multiply and spread to other organs

4. in vivo

Refers to the biological process performed in the body

5. necrosis

The death and breakdown of tissue

6. stricture

Narrowing of a canal, duct or other passage

7. abscess

Collection of pus, usually as a result of infection

8. edema

Swelling caused by a collection of large amounts of fluid in tissue

9. chronic

Refers to long duration and frequent occurrence

10. benign

A tumor that is not cancerous and does not spread to other sites

11. anastomosis

The joining of two (natural or man-made) tube-shaped structures; e.g., blood vessels or bowel

Medical Term

Definition

1. peristalsis

involuntary muscle contractions occuring in a tubular structure

2. aspirate

to withdraw air or fluid

3. lipoma

a benign tumor containing fat

4. anemic

a condition marked by a decrease in red blood cells

5. sub-costal

below the rib

6. hematoma

collection of blood that has escaped from vessels and become trapped in the tissue
of the skin or in an organ

7. resection

the surgical removal of an organ or structure

8. palpate

to examine by hand; light pressure with the fingers

9. lesion

pathological change in tissue, an injury or wound to tissue

10. ischemia

temporary lack of blood supply to an area

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Section 8: Surgical Procedures


Procedure

Definition (include all structures being removed)

1. laparoscopy

visual examination of the abdomen using a scope/camera

2. low anterior resection

surgical removal of the affected distal colon and portion of the proximal
rectum

3. sigmoidoscopy

Visualization of the sigmoid colon using a scope

4. Nissen fundoplication

Surgical wrapping of the stomach around the esophagus and suturing it to itself, usually
for gastric reflux

5. cystectomy

surgical removal of the urinary bladder

6. hemicolectomy

surgical removal of half the colon

7. lap-cholecystectomy

resecting the gall bladder using laparoscopic approach

8. TAH-BSO

Abdominal approach to resection of the uterus, fallopian tubes and ovaries

9. prostatectomy

Surgical removal of all or part of the prostate gland

10. splenectomy

surgical removal of the spleen

11. mastectomy

surgical removal of the breast

12. abdominal perineal resection

Resection of the affected colon, rectum and anus

13. radical hysterectomy

Resection of the uterus, fallopian tubes, ovaries, cervix and all recognizable lymph nodes

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Section 9: Medical Conditions


1. Inflammation of the urinary bladder, usually due to infection, is called _________.
a. prolapse
b. hepatitis
c. cystitis
2. A tumor rising from the kidney is called a _________.
a. nephritis
b. nephroma
c. nephrotomy
3. Inflammation of the colon or large intestine, usually due to infection, is called _________.
a. colitis
b. colectomy
c. colpotomy
d. Crohns disease
4. A slipping of the uterus from its usual position due to a stretching of the supportive ligaments is
known as _________.
a. hernia
b. prolapse
c. pronate

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2014 Covidien. M130592 2014/03

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