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Medical Terminology A Short Course Additional resources for the classroom and beyond! evolve.elsevier.com/Chabner/MedTermShort Student Resources on Evolve Online learning tools help you succeed in your coursework and on exams. Medical Language Instant Translator, 4th Edition • Concentration game Davi-Ellen Chabner, BA, MAT • Quizzes •  lossary with audio, definitions, G images, and word parts • Body Spectrum Electronic Anatomy  Coloring Book •  atching, multiple-choice, short-answer, M spelling, and word building exercises •  edical animations M • WebLinks •  lectronic flash cards E Included with your textbook! This pocket-sized reference equips you with the tools needed to analyze medical terms, form medical plurals, and identify the leading prescription drugs. It also provides quick access to common clinical tests, diagnoses, and procedures. • Audio Study Guide with all terms pronounced and defined •  heel of Terminology game W •  edical Mix game M 2011 • 344 pp., illustd. ISBN: 978-1-4377-0564-5 Sold separately. Educator Resources on Evolve Save class preparation time and teach more effectively with the TEACH Lesson Plan Manual and other online resources. • Customizable lesson plans •  owerPoint® lecture slides P •  est bank with more than 650 questions T • Instructor’s Manual • Image collection FREE with qualified adoptions! Start using your Evolve resources today! Visit your bookstore | Call 1-800-545-2522 | Go online evolve.elsevier.com 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 This page intentionally left blank 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 This page intentionally left blank 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
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