Medical
Terminology
A Short Course
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11-NHPjoy-2838
Davi-Ellen Chabner, BA, MAT
Medical
Terminology
A Short Course
6
th
EDITION
11830 Westline Industrial Drive
St. Louis, Missouri 63146
MEDICAL TERMINOLOGY: A SHORT COURSE,
SIXTH EDITION
ISBN: 978-1-4377-3440-9
Copyright © 2012, 2009, 2005, 2003, 1999, 1991, by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form
or by any means, electronic or mechanical, including photocopying, recording, or any information
storage and retrieval system, without permission in writing from the publisher. Permissions
may be sought directly from Elsevier’s Rights Department: phone: (11) 215 239 3804 (US) or
(144) 1865 843830 (UK); fax: (144) 1865 853333; e-mail:
[email protected]. You
may also complete your request on-line via the Elsevier website at http://www.elsevier.com/
permissions.
Notice
Neither the Publisher nor the Authors assume any responsibility for any loss or injury and/
or damage to persons or property arising out of or related to any use of the material
contained in this book. It is the responsibility of the treating practitioner, relying on
independent expertise and knowledge of the patient, to determine the best treatment and
method of application for the patient.
The Publisher
Library of Congress Cataloging in Publication Data
Chabner, Davi-Ellen.
Medical terminology : a short course / Davi-Ellen Chabner.—6th ed.
p. ; cm.
Includes index.
ISBN 978-1-4377-3440-9 (pbk. : alk. paper)
1. Medicine—Terminology—Programmed instruction. I. Title.
[DNLM: 1. Terminology as Topic—Problems and Exercises. W 15 C427m 2009]
R123.C434 2009
610.1’4--dc22
2008022436
Vice-President and Publisher: Andrew Allen
Publisher: Jeanne Olson
Managing Editor: Linda Woodard
Developmental Editor: Luke Held
Publishing Services Manager: Julie Eddy
Senior Project Manager: Andrea Campbell
Senior Designer: Ellen Zanolle
Illustrations by Jim Perkins
Printed in United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
For Solomon, Gus, Bebe, Louisa, Amari, and Ben
These are the children whose smiles and
laughter help me relax!
and
For Greta and Owen
These are the canine companions whose loyalty
and affection brighten my days!
This page intentionally left blank
Preface to the 6th Edition
I wrote the first edition of Medical Terminology: A Short Course more than
20 years ago with the hope that it would fill a specific niche in the education
of allied health professionals. My goal was to present a comprehensive intro
duction and overview of medical terminology in a straightforward and easy
manner for students who had no previous background in biology or medicine.
It is gratifying to know that this book is now widely used in career
schools, colleges, hospitals, and other medical settings in the United States
and abroad, where allied health workers use medical language and interpret
it for patients and their families. There is no doubt that the method used in
Medical Terminology: A Short Course takes potentially complicated subject
matter and makes it manageable and understandable. In this sixth edition,
the text has been updated and carefully
reviewed for clarity, simplicity, and practicality,
but its essential elements remain. Here are its
important features:
WORKBOOK-TEXT FORMAT. In this book,
you learn by doing. On nearly every page
you are writing and interacting with medical
terminology. You complete exercises (and
check your answers), label diagrams, test
your understanding with review sheets, and
practice pronunciation. The best path to
success is to write terms and their meanings
as you test yourself. I really believe this
method of learning will work for you!
EASY TO READ AND UNDERSTAND.
Explanations of terms are worded simply and
clearly, and repetition reinforces learning
throughout the text. Answers to questions are
located easily so that you can check and correct your responses while gaining
additional explanation of terminology.
vii
viii
PREFACE TO THE 6TH EDITION
DYNAMIC ILLUSTRATIONS AND PHOTOGRAPHS. Medical terms come
alive with images on nearly every page! Learning is reinforced by seeing
parts of the body, diseases, conditions and real medical procedures. At the end
of each chapter, Picture Shows highlight key images and allow you to apply
your knowledge of terminology.
INTRODUCTION TO BODY SYSTEMS. Appendix 1 includes the following
five sections:
• Anatomy—shows full-color images of each body system, labeled for
easy reference with combining forms for each body part.
• Terminology—repeats each combining form and gives a medical term
illustrating the use of the combining form. Definitions are in the
Mini-Dictionary: Glossary of Medical Terms at the end of the book.
• Pathology—presents explanations of disease conditions related to
each body system.
• Diagnostic and Treatment Procedures—explains and defines
common examples for each body system.
• Matching Exercises—tests your understanding of the material, with
answers included.
REFERENCE GUIDE FOR MEDICAL
AND HOSPITAL WORK. This book is
also a useful resource. Diagnostic Tests
and Procedures (radiological, nuclear
medicine, and clinical and laboratory
tests) are found in Appendix 2.
Abbreviations, symbols, acronyms, and
eponyms are located in Appendix 3.
The Mini-Dictionary: Glossary of Medical
Terms helps you study each chapter
and also will be a reference for you in
the workplace. Each definition has been
crafted carefully to explain terms using
plain, nontechnical language.
PRACTICAL APPLICATIONS.
Throughout the text, and on the Student
Evolve website, you will find exciting
images, medical case reports, and
vignettes that illustrate terminology in
the context of stories about patients and
procedures. Medical Detective is a
special feature on the Evolve website. A medical case is presented, and you
answer questions to test your understanding of the situation.
PREFACE TO THE 6TH EDITION
New to This Edition
While the essential elements
of Medical Terminology: A
Short Course remain in place,
the new sixth edition is even
more dynamic and engaging.
IN PERSON
These compelling first-person
narratives describe procedures
and conditions from a uniquely
personal perspective. After
reading each story, medical
terms take on new meaning as
you experience intimately how
it feels to be in a patient’s
“shoes,” living through a
diagnosis, disease, and
treatment.
TERMINOLOGY CHECKUP
This new feature recaps and
reinforces key concepts and
easily confused terms in each
chapter.
ix
x
PREFACE TO THE 6TH EDITION
PRINCIPAL DIAGNOSIS
These new sections highlight
the concept of principal
diagnosis, which is essential
when working with billing and
coding.
Also Available
STUDENT EVOLVE WEBSITE (access included with text purchase)
The Evolve website included with this new edition
contains additional information, images, and video
clips to test and expand your understanding. Chapter
by chapter, you will find case studies, games, and activities, as well as a
wealth of images to illustrate medical terminology. Visit http://evolve.elsevier.
com/Chabner/medtermshort to access your resources.
MEDICAL LANGUAGE INSTANT
TRANSLATOR (for sale separately)
My Medical Language Instant Translator
is a uniquely useful resource for all allied
health professionals and students of medical
terminology. It is a pocket-sized medical
terminology reference with convenient
information at your fingertips!
PREFACE TO THE 6TH EDITION
Medical Terminology: A Short Course is exactly what you need to begin
your medical career—whether in an office, hospital, or other medical setting.
Use this handy book in a classroom with an instructor, or study it on your own.
The combination of visually reinforced hands-on learning plus easily accessible
reference material will mean success for you in your allied health career.
My more comprehensive workbook-text, The Language of Medicine, 9th
edition, may be of interest to you as you continue your study of medical
terminology. It can also serve as a valuable reference in the workplace.
I still experience the thrill and joy of teaching new students. I love
being in the classroom and feel privileged to continue to write this text.
I am available for help at any time. Please communicate your comments,
questions, and suggestions to me at
[email protected]. For technical
assistance, please contact
[email protected].
Most of all, I hope this book brings to you excitement and enthusiasm for
the medical language. It can ignite your imagination for new challenges and
make your job more interesting. Work hard and have fun learning medical
terminology!
Davi-Ellen Chabner
xi
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Acknowledgments
Maureen Pfeifer, my editor extraordinaire, has once again delivered superb guidance,
assistance, and painstaking attention to detail in every aspect of this edition. Her keen
intelligence, willingness to tackle and solve difficult problems, and unflagging optimism
helped every step of the way. With great affection and appreciation, thank you, Maureen!
Ellen Zanolle, senior book designer, Art and Design, brilliantly created the cover and
interior design and skillfully executed page layouts. Ellen’s superb artistic talent and keen
understanding of my work continue to make her an invaluable partner with every edition.
William Donnelly executed the page layout with precision and creativity.
Luke Held, developmental editor, Health Professions II Editorial, was helpful and
diligent through all stages of this book.
Jim Perkins, assistant professor of medical illustration, Rochester Institute of
Technology, was responsible for the excellent, first-rate individual drawings that
illustrate this edition. As always, he has done an outstanding job.
Andrea Campbell, senior project manager, Book Production, coordinated production
aspects with great care and thoughtful consideration of my time and work schedule.
Elizabeth Galbraith did a meticulous and thoughtful job of copyediting. I appreciated
her intelligent comments and questions.
My association with the Health Professions II team has always been positive. I
appreciate their confidence and cooperation throughout the years. In particular, I am
grateful to Andrew Allen, vice-president and publisher, Health Professions II Editorial;
Jeanne Olson, publisher, Health Professions II Editorial; Linda Woodard, managing
editor, Health Professions II Editorial; Peggy Fagen, director of publishing services,
Book Production; Julie Eddy, publishing services manager, Book Production; Jeanne
Crook, Multimedia Production; and Sharon Korn, creative director, Creative Services.
I am particularly grateful to the In Person contributors who shared their personal
medical stories. Thanks so much to Ruthellen Sheldon, Cathy Ward, Elizabeth Chabner
Thompson, Sidra DeKoven Ezrahi, and Nancy J. Brandwein.
I appreciate the valuable suggestions of the instructors who reviewed Medical
Terminology: A Short Course for this new edition. They are listed with their credentials
on page xiii. Their helpful comments are incorporated in this text. Kathleen A. Carbone,
CPC, CHISP, a medical coding specialist, gave valuable help in creating the Principal
Diagnosis feature, new to this edition.
Teachers and students continue to contact me with questions and insights. Thank
you to instructors Peggy Nolan, Joyce Y. Nakano, Cindy Mason-Young, Judith Lytle,
Melissa Hilker, N. Lee Price, Julie Cox, Hollie Dungan, Georgine Bills, and Dennis
Cowart. Thank you to students Donna Young, Nyesha Mills, Rory Alexander, Kieran
Vogel, and Jori Zama.
xiii
xiv
ACKNOWLEDGMENTS
Special thanks to Norman Simon, MD, who contributed his expertise in reviewing
Appendix 2, Diagnostic Tests and Procedures. Dr. Simon is a renowned nephrologist
and internist who always has time to assist his grateful niece.
I still rely on my husband Bruce A. Chabner, MD, and my daughter, Elizabeth
Chabner Thompson, MD, MPH, for expert medical advice and consultation. I am grateful
for their unwavering support, patience, and availability, no matter what else is going on in
their busy lives and work. During the writing of this edition, I experienced the pain and
discomfort of sciatica (pressure and inflammation of the sciatic nerve in my leg) resulting
from a herniated (bulging) disk (see Chapter 2, page 54). I am much improved but
appreciate even more keenly the treasure of good health and absence of pain.
Enjoy every day!
Davi-Ellen Chabner
Reviewers
Debbie J. Ball, CPS, MBE
Business Systems Technology Instructor
Tennessee Technology Center
Murfreesboro, Tennessee
Rosalie Griffith, RN, MSN, MAEd
Nursing Success Coordinator
Chesapeake College
Wye Mills, Maryland
Kathleen Bredberg
Director, Vocational Nursing Program
Grayson County College
Denison, Texas
Janis Grimland, RN, BSN
Vocational Nursing Interim Coordinator
Hill College
Hillsboro, Texas
Bruce A. Chabner, MD
Director of Clinical Research
Massachusetts General Hospital Cancer
Center
Professor of Medicine
Harvard Medical School
Boston, Massachusetts
Brooke Irving Haver, CPhT
Jefferson Adult Division, Jefferson Union
High School District
Daly City, California
Elizabeth Chabner Thompson, MD,
MPH
Founder/Principal Bffl Co.
Scarsdale, New York
Karen Duckworth, RN, BSN, MHSA,
IL-CSN
Highland High School - Highland, Illinois
Southwestern Illinois College – Belleville,
Illinois
Suzanne B. Garrett, MSA, RHIA
Professor/Program Manager, Health
Information Technology
College of Central Florida
Ocala, Florida
Marilyn J. Lovasi, MSN, RN
Dean of Nursing
Center for Allied Health & Nursing
Education
Hackensack, New Jersey
Anne Marie K. McCauley, RN, BS, MS
Instructor
Chester County Technical College High
School
West Grove, Pennsylvania
Constance Phillips, MA, MPH
Director, Biomedical Laboratory &
Clinical Sciences
City Lab Academy
Boston University
Boston, Massachusetts
(More reviewers listed
on next page)
xv
xvi
REVIEWERS
Norman M. Simon, MD
Evanston Northwestern Healthcare
Professor of Medicine
Northwestern University
Feinberg School of Medicine
Chicago, Illinois
La Tanya Young, MMsc, MPH, RMA,
PA-C
Clayton State University
Morrow, Georgia
Contents
CHAPTER 1
•
Basic Word Structure, 1
CHAPTER 2
•
Organization of the Body, 47
CHAPTER 3
•
Suffixes, 83
CHAPTER 4
•
Prefixes, 127
CHAPTER 5
•
Medical Specialists and Case Reports, 171
A
PPENDIX 1 • Body Systems, 211
A
PPENDIX 2 • Diagnostic Tests and Procedures, 291
A
PPENDIX 3 • Abbreviations, Acronyms, Symbols, and Eponyms, 311
A
PPENDIX 4 • Allied Health Careers, 331
G
LOSSARY 1 • Mini-Dictionary: Glossary of Medical Terms, 341
G
LOSSARY 2 • Glossary of Word Parts, 375
G
LOSSARY 3 • Glossary of English Spanish Terms, 393
—
xvii
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Basic Word
Structure
CHAPTER 1
CHAPTER SECTIONS
Word Analysis, 2
Combining Forms, Suffixes, and Prefixes, 5
In Person, 21
Exercises and Answers, 23
Pronunciation of Terms, 33
Practical Applications, 37
Picture Show, 39
Review, 43
Terminology CheckUp, 46
CHAPTER OBJECTIVES
• To divide medical terms into component
parts
To analyze, pronounce, and spell medical
terms using common combining forms,
suffixes, and prefixes
•
1