The A to Z of Anatomical Histological and Medical terms Dr A. L. Neill BScMScMBBSPhDFACBS [email protected] The A to Z l l of i e Anatomical Histological N and Medical terms a d n a m A r D © Dr A. L. Neill BSc MSc MBBS PhD FACBS [email protected] The A to Z of Anatomical Histological and Medical terms Introduction The following is a glossary of anatomical and histological (miclroscopic anatomy) terms: their etymology – derivation where relavenlt, their word roots, prefixes, suffixesand their pronunciationi. Other common medical terminology used in health studies are also included. e Many of these terms will appear again and again in medical/health related subjects. N Why such an array of vocabularly in this living document? Because of reader feedback!! This is a living document and it has been expanded with suggestions from students and colleagues alike. Already it is much changed from its first printing, due to thais feedback. Initially it was only a glossary of anatomical terms, then as I took my students through Anatomy and onto Histology, they dtold me these terms too were also foreign to them in many cases and also caused them difficulty hence some common histological and cytological terms (by no means complete) were added. Latenr a commonality of terms were noted by the students who asked for an inclusion of their word roots and regular repeated prefixes anda suffixes; derivations so they could build up and analyse the ANATOMY of the medical words themselves. Hence a section of common prefixes, suffixes and word roots was m added to the beginning of the book with some included in the main text in blue with a pronunciation guide. With the presentation of student seminas in anatomy and histology, it A became obvious that some guide on how to pronounce many these terms for the new and the non-medical student was needed and so a pronunciation gu ide and common explanation of some terms were also included in red. r As you can see any contribution is greatly valued and can only make D this and other A to Z publications more helpful for the reader, so please send any suggestions to me directly or via Aspenpharmacare who have graciously sponsored much of A to Z projects. Dr Amanda© NeillBSc MSc MBBs PhD FACBS Director of Anatomy Anatomy @ Mac fax 93651000 mobile 0414248747 or email [email protected] www.amandasatoz.com 1 © A. L. Neill The A to Z of Anatomical Histological and Medical terms Acknowledgement and Future Plans This is the second update of the A to Z books now numlbering 5, including: the A to Z of Skeletal muscles, the A to lZ of the Bones of the Skull, the A to Z of Bones, Joints and Ligaiments, the A to Z of Peripheral Nervesand this book the A to Z of Anatomical e Histological and Medical terms. Please see the back of the book for ordering details and the availability of the other titles in the series. The N A to Z of Histological and anatomical imagesis still present on the website although yet to be turned into an A to Z book., and the further suggestions of books such as the A to Z of Surface Anatomy, the A to Z of Gynecological terms, The A to Z of Radiology, The A to Z of Organs and Systems and the A to Z oaf Emergency Medicine, the A to Z of the skin and the A to Z of Neurology and the Nervous systemare also being discussed. Ads always we value your input and response as to the order and the need for this works. A feedback form at the back of the book is designed to collate any suggestions or ideas n you may have. You are always welcome to visit our website and leave your suggestions there. Students, doctors and others, it is hoped you will use these guides and finad them helpful in your studies, practice or other aspects of your healthy life. m Dedication I thank Aspenpharmacare for their ongoing support, in particular the Australian CEO GreAg Lan. My family Ali, Zoe, Quentin, Jody and Mickey are my raison d’etre,although I may not always show them how much their support means to me. Changesr to the second edition Changes to this volume are as follows: inclusion of additional D acronyms used in medical and other related health areas, particularly in reference to students and including common abbreviations used on most medical wards and in emergency medicine; inclusion of some common Histological/Immunohistochemical stains and their uses; © additional medical facts and tables and basic anatomical concepts and descriptions; guides to degrees diplomas and postnominals and other qualifications and an inclusion of some helpful medical memonics. © A. L. Neill 2 The A to Z of Anatomical Histological and Medical terms Anatomical, Medical and Clinical Abbreviations and Acronyms in common use l l A ARF = acute renal failure i AS = aortic stenosis AA = amino acids / androgenic AS = Alternative speelling, generally alopecia referring to the differences b/n AAA = abdominal aortic aneurysm British and American spelling AAD = antibiotic-associated diarrhoea ASAP = as soon aNs possible AAO = alert, awake, and orientated ASCVD= atherosclerotic cardiovascular A&O = alert & orientated disease Ab = antibody ASD = atrial septal defect ABD/Abd = abdomen ASHD = atherosclerotic heart disease ABG = arterial blood gas AC = before eating AST = aanal skin tag AV = atrioventricular ACD = acute contact dermatitis A-V = arteriovenous ACLS = advanced cardiac life support ACTH = adrenocorticotropic hormone A-VO2d= arteriovenous oxygen ad libitum/ad lib = take as needed / no B restrictions ADD = attention deficit disorder b/nn = between BBB bundle branch block /blood brain ADH = anti-diuretic hormone barrier ADHD = attention deficit hyperactivity BCAA = branched chain amino acids disorder a BCC = basal cell carcinoma adj. = adjective bd/bid = twice a day ADR = adverse drug reaction / acute dystonic reaction mBD = Bowen’s disease / twice daily BE = barium enema AED = antiepileptic drug BEE = basal energy expenditure AF = atrial fibrillation / afebrile BF = blood flow AFB = acid-fast bacilli BKA = below the knee amputation AFP = alpha-fetoprotein AFX = atypical fibroxanthomAa BLK = benign lichenoid keratosis / benign lymphocytic keratosis A /G = albumin/globulin ratio BL = basal lamina Ag = antigen BM = bone marrow /bowel AI = aortic insufficie ncy movement/basement membrane AK = actinic keratosis AKA = above the knree amputation BMR = basal metabolic rate BOM = bilateral otitis media ALD = alcoholic liver disease ALL = acute lymDphocytic leukaemia BP = blood pressure / bullous pemphigoid alt. = alternative BPH = benign prostatic hypertrophy Amb = ambulate BPM = beats per minute AML = acute myelogenous leukaemia ANA = an tinuclear antibody BRBPR= bright red blood per rectum BRP = bathroom privileges ANS = autonomic nervous system © BS = bowel sounds / breath sounds / AOB = alcohol on breath blood stream AODM = adult onset diabetes mellitus BUN = blood urea nitrogen AP = anteroposterior or abdominal - BV = blood vessels perineal BW = body weight ARDS = acute respiratory distress Bx = biopsy syndrome 3 © A. L. Neill The A to Z of Anatomical Histological and Medical terms C dermatitis CT = connective tissue / computerized c = with tomographyl c.f. = as demonstrated / that means C&S = culture and sensitivity CTCL = cutaneousl T cell lymphoma cut. = cutaneous CA = cancer/carcinoma i CUT HORN = cutaneous horn Ca = calcium /carcinoma CAA = crystalline amino acids CVA = cereberovascular accident /costovertebral angle CABG = coronary artery bypass graft CVAT = tenderness at the costovertebral CAD = coronary artery disease aNngle CAT (scan) = computerized axial tomography CVP = central venous pressure CBC = complete blood count CX = cicatrix CBG = capillary blood gas CXR/CX= chest X-ray CC = chief complaint CCF = chronic cardiac failure D CCU = cardiac care unit a DA = dermatitis artifacta CCV = critical closing volume DAT = diet as tolerated CF = cystic fibrosis CGL = chronic granulocytic leukaemia dDAW = dispense as written DC = discontinue /discharge CHF = congestive heart failure D&C = dilation and curettage CHO = carbohydrate DDx = differential diagnosis chol. = cholesterol n DF = dermatofibroma CI = cardiac index DFSP = dermatofibrosarcoma CIN = carcinoma in situ protuberans CK = creatinine kinase a D5W = 5% dextrose in water CML = chronic myelogenous leukaemia DI = diabetes insipidus CMV = cytomegalovirus DIC = disseminated intravascular CN = cranial nerves / commpound coagulopathy naevus DIF = direct immunofluorescence CNH = chondrodermatits nodularis DIP = distal interphalangeal joint helicis DH = dermatitis herpetiformis CNS = central nervous system CO = cardiac outpAut DJD = degenerative joint disease DKA = diabetic ketoacidosis C/O = complaining of dL/dl = decilitre COAD = chronic obstructive airways DM = diabetes mellitus disease DMS = dermatomyositis coag. = coagulation COLD = chrornic obstructive lung disease DN = dermal naevus DNR = do not resuscitate COPD = chronic obstructive pulmonary DNS = did not survive processing (e.g. dDisease tissue sample) CONN = congenital naevus DOA = dead on arrival CP = chest pain/cerebral palsy DOE = dyspnea on exertion CPAP = continuous positive airway pressure DPL = diagnostic peritoneal lavage DPT = diphtheria, pertussis, tetanus CPDN = compound naevus © Ds = disease CPK = creatinine phosphokinase DSAP = disseminated superficial actinic CPR = cardiopulmonary resuscitation porokeratosis CRCL = creatinine clearance DTR = deep tendon reflexes CRF = chronic renal failure DVT = deep venous thrombosis CRP = C-reactive protein DX = diagnosis CSF = Cerebrospinal fluid Dysp = dysplastic CSSD = chronic superficial scaling © A. L. Neill 4 The A to Z of Anatomical Histological and Medical terms E gr = grain; 1 grain = 65mg. Therefore Vgr = 325mg EAA = essential amino acids GSW = gun shot wound l EAC = erythema annular centrificum EBA = epidermolysis bullosa acquisita Gt/gtt = drops l GTT = glucose tolerance test EBL = estimated blood loss i GU = genitourinary EC = extracellular (outside the cell) ECG = electrocardiogram GVDH = graft versus heost disease GXT = graded exercise tolerance test ECT = electroconvulsive therapy (Stress test) EED = erythema elevatum diutinum N EEG = electroencephalogram H EFAD = essential fatty acid deficiency H = hormone e.g. = example HA = headache EMG = electromyogram HAA = hep atitis B surface antigen EMS = erythema multiforma EMV = eyes, motor, verbal response HAV = haepatitis A virus Hb = haemoglobin (Glasgow coma scale) HBP = high blood pressure ENT = ears, nose, and throat EOM = extraocular muscles HCG d= human chorionic gonadotropin HCT = hematocrit ESR = erythrocyte sedimentation rate HDL = high density lipoprotein ET = endotracheal HEENT = head, eyes, ears, nose andthroat ETT = endotracheal tube n Hg = haemorrage ERCP = endoscopic retrograde Hgb = haemoglobin cholangio-pancreatography H/H = haemoglobin/haematocrit ETOH = ethanol a HIV = human immunodeficiency virus EUA = examination under anaesthesia HK = solar keratosis F HLA = histocompatibility locus antigen m HMF = Hutchinson’s melanotic freckle FB = foreign body HJR = hepatojugular reflex FBS = fasting blood sugar HO = history of FDE = fixed drug eruption HOB = head of bed FEV = forced expiratory volume FFP = fresh frozen plasmaA HP = high power HPF = high power field FFFT = fits, faints and/or funny turns HPV = human papilloma virus FRC = functional residual capacity HPI = history of present illness FTT = failure to thrive HR = heart rate FU = follow-up FUO = fever of unkrnown origin HS = at bedtime HSM = hepatosplenomegaly FVC = forced vital capacity HSP = herpes simplex virus Fx = fractureD HTLV-III= human lymphotropic virus, type G III (AIDS agent, HIV) HSV = herpes simplex virus GA = granuloma annulare GC = Go norrhoea HTN = hypertension Hx = history GD = Grover’s disease © GETT = general by endotracheal tube I GFR = glomerular filtration rate I&D = incision and drainage GH = growth hormone I&O = intake and output GI = gastrointestinal IBR = insect bite reaction GIT = gastrointestinal tract IC = intracellular (inside the cell) Gk. = Greek ICD = irritant contact dermatitis g/gm = gram 5 © A. L. Neill The A to Z of Anatomical Histological and Medical terms ICS = intercostal space LLL = left lower lobe ICU = intensive care unit LMM = lentigo maligna (melanoma) ID = infectious disease/identification LMP = last menstrulal period IDDM = insulin dependent diabetes LNMP = last normall menstrual period mellitus LOC = loss of consciousness/level of i IEC = intradermal carcinoma consciousness IG/Ig = immunoglobulin LP = lumbaer puncture / lichen planus IHSS = idiopathic hypertrophic subaortic Lt. = Latin stenosis M IM/im = intramuscular N IMV = intermittent mandatory ventilation M = margin (generally of the skin) INF = intravenous nutritional fluid MAO = monoamine oxidase IPPB = intermittent positive pressure MAP = mean arterial pressure breathing MAST = medical anti-shock trousers IRBBB = incomplete right bundle branch MBTa = maternal blood type block MCH = mean cell haemoglobin IRDM = insulin resistant diabetes MCHC = mean cell haemoglobin mellitus dconcentration IT = intrathecal MCTD = mixed connective tissue disease ITP = idiopathic thrombocytopenic MCV = mean cell volume purpura MI = myocardial infarction/mitral n IV/iv = intravenous insufficiency IVC = intravenous mL/ml = millilitre cholangiogram/inferior vena cava MLE = midline episiotomy a IVP = intravenous pyelogram MM = malignanat melanoma MMEF = maximal mid expiratory flow J Mmol = millimole m JN = junctional naevus MMR = measles, mumps, rubella JODM = juvenile onset diabetes mellitus MRI = magnetic resonance imaging JVD = jugular venous distention MRSA = methicillin resistant staph aureus MS = multiple sclerosis/mitral K A stenosis/morphine sulphate KA = keratocanthoma MSSA = methicillin-sensitive staph aureus KOR = keep open rate MVA = motor vehicle accident KP = keratous pilaris MVI = multivitamin injection KUB = kidney s, ureters, bladder MVV = maximum voluntary ventilation KVO = keepr vein open N L NAD = no active disease/ no D L = left abnormality detected LAD = left axis deviation/left anterior NAS = no added salt descending NCV = nerve conduction velocity LAE = left atrial enlargement NED = no evidence of recurrent disease LAHB = left anterior hemi-block Ng = nanogram LAP© = left atrial pressure or leukocyte NG = nasogastric alkaline phosphatase NIDDM = non-insulin dependent diabetes LBBB = left bundle branch block mellitus LDH = lactate dehydrogenase NKA = no known allergies LE = lupus erythematosus NKDA = no known drug allergies LIH = left inguinal hernia NMR = nuclear magnetic resonance LK = lichinoid keratosis nocte = at night © A. L. Neill 6 The A to Z of Anatomical Histological and Medical terms NPO = nothing by mouth /nil by mouth PMI = point of maximal impulse NRM = no regular medications PMN = polymorphonuclear leukocyte NSAID = non-steroidal anti- inflammatory (neutrophil, polymorplh) drugs PN = peripheral nerve l NS = nervous system PND = paroxysmal nocturnal dyspnea i NSR = normal sinus rhythm PNS = peripheral nervous system NT = nervous tissue / nasotracheal PPD = pigmented puerpuric dermatosis PR = petechial rash O prn = given as required no set OB = obstetrics treatmenNt regime OCG = oral cholecystogram PS = pulmonic stenosis OD = overdose / right eye PT = prothrombin time, or physical OE / O/E = on examination therapy OM = otitis media Pt = pat ient OOB = out of bed PTCA = paercutaneous transluminal OP = out patients - hospital patients coronary angioplasty treated but not admitted PTH = parathyroid hormone OPV = oral polio vaccine PTHC d= percutanous transhepatic OR = operating room cholangiogram OS = left eye PTT = partial thromboplastin time OU = both eyes PUD = peptic ulcer disease n PUPP = puritic urticarial papules and P plaques of pregnancy P = para PVC = premature ventricular contraction a PA = posteroanterior PVD = peripheral vascular disease PAC = premature atrial contraction Q PAO2 = alveolar oxygen m PaO2 = peripheral arterial oxygen content q = every (e.g. q6h = every 6 hours) PAP = pulmonary artery pressure qd = every day PAS = periodic acid Schiff’s stain qh = every hour q4h, q6h.... every 4 PAT = paroxysymal atrial tachycardia hours, every 6 hours etc. P&PD = percussion and postAural drainage qid = four times a day Pb = prothrombin time / lead QNS = quantity not sufficient PC = after eating Qod = every other day PCWP = pulmonary capillary wedge Qs/Qt = shunt fraction pressure Qt = total cardiac output PD = pathologicalr diagnosis R PDA = patent ductus arteriosus PDR = physicians desk reference R = right D PDx = provisional diagnosis RA = rheumatoid arthritis or rightatrium PE = pulmonary embolus /physical RAD = right atrial axis deviation exam / pleural effusion RAE = right atrial enlargement PEEP = po sitive end expiratory pressure RAP = right atrial pressure PFT = pulmonary function tests RBBB = right bundle branch block Pg/pg = ©pictogram RBC = red blood cell PHx = past history RBP = retinol-binding protein PI = pulmonic insufficeny disease / RBS = random blood sugar pulmonary index RBT = random breath test PKU = phenylketonuria RDA = recommended daily allowance pl. = plural RDW = red cell distribution width PMH = previous medical history RIA = radioimmunoassay 7 © A. L. Neill The A to Z of Anatomical Histological and Medical terms RIH = right inguinal hernia SLE = systemic lupus erythematous RLL = right lower lobe SMO = slips made out RLQ = right lower quadrant SN = spinal nerve l RML = right middle lobe SO = standing olrders RNA = ribonucleic acid SOAP = Subjective, Objective, i R/O = rule out Assessment, Plan ROM = range of motion SOB = shortneess of breath ROS = review of systems SQ = subcutaneous RPG = retrograde pyelogram ss = one-half /same side /signs and RRR = regular rate and rhythm sNymptoms RT = respiratory therapy / radiation SSM = superficial spreading melanoma therapy SSMM = superficial spreading malignant RTA = renal tubular acidosis melanoma RTC = return to clinic STAT = immediately RU = resin uptake STDa = sexually transmitted disease RUG = retrograde urethogram sup. = superior RUL = right upper lobe supf. = superficial RUQ = right upper quadrant dSVD = spontaneous vaginal delivery RV = residual volume Sx = symptoms RVH = right ventricular hyperthrophy T Rx = treatment / regime n T&C = type and cross S TAH = total abdominal hysterectomy s = without T&H = type and hold (blood or serum a SA = sinoatrial products) SAA = synthetic amino acid TB = tuberculosis S&E = sugar and acetone TBG = total binding globulin m SBE = subacute bacterial endocarditis Td = tetanus-diphtheria toxoid SBFT = small bowel follow through tds = three times daily SBS = short bowel syndrome TIA = transient ischemic attack SC = spinal cord / subcutaneously TIBC = total iron binding capacity sc = subcutaneouAsly Tid/td = three times a day SCC = squamous cell carcinoma TIG = tetanus immune globulin SCr = serum creatinine TKO = to keep open SEB K = seborraeic keratosis TLC = total lung capacity SEM = systolic ejection murmur TMJ = temporo-mandibular joint SG = Swarn-Ganz (catheter) TNTC = too numerous to count SGA = small for gestational age TO = telephone order SGGT = serum gamma- glutamyl TOPV = trivalent oral polio vaccine D transpeptidase TPN = total parenteral nutrition SGOT = serum glutamic- oxaloacetic TSH = thyroid stimulating hormone transaminase TT = thrombin time SGPT = serum glutamic- pyruvic TTP = thrombotic thrombocytopenic transaminase purpura SIA©DH = syndrome of inappropriate TU = tuberculin units / transurethral antidiuretic hormone TUR = transurethral resection Sig = write on label TURBT = TUR bladder tumors SIMV = synchronous intermittent TURP = transurethral resection of prostate mandatory ventilation TV = tidal volume sing. = singular TVH = total vaginal hysterectomy SK = solar keratosis Tw = twice a week sl = sublingual Tx = treatment, transplant © A. L. Neill 8