(Medical term) WHat the Hell did you just say to me?


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I realized I didnt like the medical term lecture in the communications section for the course I was teaching, but didnt have one to teach on tap. So I made my own. Written for AEMT's and/or medics. 1-2 hours.

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  • Pneumonoultramicroscopicsilicovolcanoconiosis is, according to the Oxford English Dictionary, "a factitious word alleged to mean 'a lung disease caused by the inhalation of very fine silica dust, causing inflammation in the lungs.'"[1] A condition meeting the word's definition is normally called silicosis.It occurs chiefly as an instance of a very long word.[2] The 45-letter word was coined to serve as the longest English word and is the longest word ever to appear in an English language dictionary. It is listed in the current editions of several dictionaries.[3]
  • Errors endanger patient’’s health & paramedic’’s reputationProficient use demonstrates professionalism to patients, families, health care providers Establishes credibility
  • The word root is derived from a source language such as Greek or Latin and usually describes a body part. The word root tells the subject of the medical term. A prefix or suffix is added to the word root to expand and describe in more detail. The prefix may be added to the front of a word root and will give additional information about the location of an organ, the number of parts, or time involved. The suffix may be added to the end of a word root to add meaning such as condition, disease process, or procedure.
  • If the word root is in the Greek language, a Greek prefix or suffix would be used. If the word root is in the Latin language, a Latin prefix or suffix would be used.
  • This porridge is…._______! Hyper-ThermicThis porridge is…._______! Hypo-thermicThis porridge is…. ______! Iso-Thermic
  • Combining forms & vowelsSome word roots cannot combine with other rootsCombining form•• Word root with added vowelh Combining vowelGuidelines for use•• Use before suffix that begins with consonanth Use to join other root words•• Do not use before suffix beginning with vowel
  • peri-around or surrounding:perimeternear:perinatal
  • This word was invented in 1935 by Everett M. Smith, president of the National Puzzlers' League, at its annual meeting. The word figured in the headline for an article published by the New York Herald Tribune on February 23, 1935, titled "Puzzlers Open 103d Session Here by Recognizing 45-Letter Word":Pneumonoultramicroscopicsilicovolcanoconiosis succeeded electrophotomicrographically as the longest word in the English language recognized by the National Puzzlers' League at the opening session of the organization's 103rd semi-annual meeting held yesterday at the Hotel New Yorker. The puzzlers explained that the forty-five-letter word is the name of a special form of silicosis caused by ultra-microscopic particles of silica volcanic dust...Subsequently, the word was used in a puzzle book, Bedside Manna, after which members of the NPL campaigned to have it included in major dictionaries.[4]This 45-letter word, referred to as P45,[5] first appeared in the 1939 supplement to the Merriam-Webster New International Dictionary, Second Edition.[6]
  • Coal workers' pneumoconiosis (CWP), colloquially referred to as black lung disease, is caused by long exposure to coal dust. It is a common affliction of coal miners and others who work with coal, similar to both silicosis from inhaling silica dust, and to the long-term effects of tobacco smoking. Inhaled coal dust progressively builds up in the lungs and is unable to be removed by the body; that leads to inflammation, fibrosis, and in worse cases, necrosis.Coal workers' pneumoconiosis, severe state, develops after the initial, milder form of the disease known as anthracosis (anthrac — coal, carbon). This is often asymptomatic and is found to at least some extent in all urban dwellers[1] due to air pollution. Prolonged exposure to large amounts of coal dust can result in more serious forms of the disease, simple coal workers' pneumoconiosis andcomplicated coal workers' pneumoconiosis (or Progressive massive fibrosis, or PMF). More commonly, workers exposed to coal dust develop industrial bronchitis,[2] clinically defined as chronic bronchitis (i.e. productive cough for 3 months per year for at least 2 years) associated with workplace dust exposure. The incidence of industrial bronchitis varies with age, job, exposure, and smoking. In nonsmokers (who are less prone to develop bronchitis than smokers), studies of coal miners have shown a 16%[3] to 17%[4] incidence of industrial bronchitis.
  • (Medical term) WHat the Hell did you just say to me?

    3. 3. HERE IS A CLUE….
    4. 4. STILL DON’T GET IT?
    5. 5. OBJECTIVES• Explain why using correct medical terminology inmedical settings is important• Identify, describe three word parts that make upmedical terms• State why understanding how each word part functions isimportant• Pronounce various medical terms correctly byapplying appropriate pronunciation guideline• State why correct pronunciation is important
    6. 6. OBJECTIVES• Correctly change various medical terms fromsingular to plural form• Define & give example of homonym, antonym,synonym• Describe impact on patient care when EMSProviders have solid grasp of correct medicalterminology
    7. 7. • Medical terminology is the knowledge of thelanguage used in medicine & health care• Used to describe every aspect of patient care
    8. 8. WHAT ABOUT WHEN WE DON’T USE ITCORRECTLY?• Use of incorrect medical terminology• Decreases and marginalizes out role as professionals in thehealthcare enviroment….• May result in ineffective, or harmful treatment• May be detrimental in litigation• May result in loss of trust in the EMS provider• Violates the second Norris Rule:• “Don’t make the rest of us look bad!”
    9. 9. ORIGINS• Medical language combination of Greek, Latin,eponyms• Majority come from Greek, Latin words• Greek• Tends to refer to to disease• Latin• Tends to refer to anatomic structures• Eponyms• Words named for specific person, place, thing• i.e. Grey-Turner‟s Sign; Murphy‟s Pouch, Cullens Sign, Beck‟s triad
    10. 10. KEY POINT• “American” medical terminology and “English”terminology are often different…• Pediatrics vs. Paeditrics• Orthopedics vs. Orthopeadics
    11. 11. SOUTHERN MEDICAL TERMINOLOGY“The educatedSoutherner has no usefor an „r,‟ except at thebeginning of a word.”- Mark Twain
    12. 12. WORD-BUILDING SYSTEM• Parts of the word:• Pre-fix• Word root/Body• Su-fix• Combining Vowel
    13. 13. WORD ROOTS• Word roots• Establish basic meaning of word• Compound roots• Words with more than one root• Each word root keeps basic meaning
    14. 14. PREFIX• Prefix is a word part that goes in front of a wordroot, changing the meaning of the word.
    15. 15. PREFIXES• Introduces another thought, explains word root• Added before word root• Does not change meaning of root• Changes meaning of medical term• Describes what, how, why, when of root• WHAT: Anti-biotic• HOW: endoscopic• WHY:• WHEN: preoperative
    16. 16. PREFIX• Ex- + tension = Extension• Ex- + press = Express• Dis-+ please = Displease• Dis-+ ease = Disease• Im- + plant = Implant• Sup-+ plant = Supplant• Trans-+ plant = Transplant
    17. 17. PREFIX• Hyper- Too much!• Hypo- Too Little!• Iso- Just Right!
    18. 18. • This porridgeis…._______!• This porridgeis…._______!• This porridgeis…. ______!GOLDILOCKSSAYS…..
    19. 19. YOU WILL SEE THIS AGAIN• When talking about IV solutions• Hypertonic, Isotonic, Hypotoic• When talking about respiratory balance• Hypercarbic, Hyperoxemia, Hypoxic
    20. 20. COMBINING VOWEL/FORM• Adding a vowel (a, e, i, o, u, or y) to a word root tocreate a combining form allows 2 or more word rootsto be joined to form a compound word. It also allowsa word root to be joined with a suffix (word ending) toform a word. Vowel makes the term easier topronounce.• Examples: Cyt/o/meter, micr/o/scope, micr/o/film, micr/o/be,neur/o/spasm, therm/o/meter, micr/o/surgery
    21. 21. COMBINING VOWELS/FORMS• Word root + vowel = Combining form• Micr/ o = Micr/oWord root Combining vowel combining form• Gastr/o, therm/o, micr/o• Combining vowel = (a, e, i, o, u, or y)• Gastr/ o/ duoden/ -ostomyWord root combining vowel word root suffix
    22. 22. COMBINING VOWEL/FORM• Combining form (word root + vowel) is usually used tojoin a word root to a suffix or other root that begins witha consonant.• Combining form + Suffix = Compound Word• Gastr/o duoden/o -scopy =Gastroduodenoscopycombining form combining form suffix compound word
    23. 23. COMBINING VOWEL/FORM• A word root, not a combining form, is used to join aword root with a suffix or another word root thatbegins with a vowel.• Word root + Suffix = Word• Dermat + itis = Dermatitisword root suffix word
    24. 24. COMPOUND WORD• Compound words can be formed when 2 or moreword roots are used to build the word. Sometimesword roots are words.• Word root + word root = Compound word• Chicken + Pox = ChickenpoxWord root word root compound word• Examples: underage, shorthand, download,brainstem
    25. 25. COMPOUND WORD• Compound word can also be formed from acombining form and a whole word.• Therm/o + meter = Therm/o/meterCombining form word compound word
    26. 26. COMPOUND WORD• Micr/o + scope• Micr/o + surgery• Micr/o + meter• Hydr/o + phobia• Hydr/o + cele• Hydr/o + therapy• Microscope• Microsurgery• Micrometer• Hydrophobia• Hydrocele• Hydrotherapy
    27. 27. SUFFIX• Suffix:• Added at end of word root• Changes, adds to word‟‟s meaning, provides further definition• Singular vs. Pleural• Noun vs. Adjective• Able to change medical term to noun or adjective as needed• Combining form + Word root + Suffix = Compoundword• Micr/o + scop + -icCombining form word root suffix• Examples: therm/o/metr/ic, electr/o/stat/ic, hydr/o/chlor/ic
    28. 28. SUFFIX• Word root + Suffix = Noun• Anem -ia Anemia• Word root + Suffix = Adjective• Anem -ic Anemic• Suffix may change the part of the speech betweena noun and an adjective
    29. 29. SUFFIXNoun• -osis cyanosis• -ia anemia• -us mucus• -um ilium• -e condyle• -us carpus• -itis arthritis• -sis emesisAdjective• -otic cyanotic• -ic anemic• -ous mucous• -ac iliac• -ar condylar• -al carpal• -iticarthritic• -tic emetic
    30. 30. SUFFIX• Verbs are words that represent action or a state ofbeing.• The suffixes –ed or –ing added to the word alter thetense of this verb.• Past tense: Vomited, Injected• Present Participle: Vomiting, Injecting
    31. 31. SUFFIX - NOUN• -ism = condition,state, of theory• -tion = condition• -ist = specialist• -er = one who• -ity = qualityExamples:•Hyperthyroidism,Darwinism, Mendelism•Contraction,relaxation•Psychiatrist•Radiographer•Sensitivity, conductivity
    32. 32. SUFFIX - ADJECTIVE• -ous = possessing,having, full of• -able = ability• -ible = abilityExamples:•Nervous, mucous,serous•Injectable,inflatable•Edible, reducible
    33. 33. COMMON SUFFIXES• -logy = (noun) Studyof• -logist = (noun) Onewho studies• -logos = Greek forstudy
    34. 34. SUFFIX: SINGULAR VS. PLURALGreekSingular Suffixeso-ono Spermatozoon, gangliono-mao Carcinoma, lipomao-siso Crisis, prognosiso-nxo Larynx, pharynxPlural Suffixeso-ao Spermatozoa, gangliao-matao Carcinomata, lipomatao-seso Crises, prognoseso-geso Larynges, pharynges
    35. 35. SUFFIX: SINGULAR VS. PLURALLatinSingular Suffixes• -a• Vertebra, conjunctiva• -us• Bacillus, bronchus• -um• Bacterium, ilium• -is• TestisPlural Suffixes• -ae• Vertebrae,conjunctivae• -i• Bacilli, bronchi• -a• Bacteria, ilia• -es• Testes
    36. 36. SUFFIX: SINGULAR VS. PLURALLatinSingular Suffixes• -ex• cortex• -ix• Appendix• -ax• thoraxPlural Suffixes• -ices• cortices• -ices• appendices• -aces• thoraces
    37. 37. SPELLING AND HOMONYMSSpelling and Homonyms• Incorrect can cause confusion, misdiagnosis• Homonyms• Medical terms sound alike, spelled differently with differentmeanings• Dysphagia: Difficulty Swallowing• Dysphasia: Difficulty Speaking• Aphasia: Inability to speak• Expressive Aphasia: Inability to express the correct words• “In aphasia, swear words go last.” – Dr. Brian Bledsoe
    38. 38. ANTONYMS• Root words, prefixes, suffixes have oppositemeaning of another word
    39. 39. SYNONYMS• Can be root words, prefixes, suffixes• Same or similar meaning as another word• Ex; Dys, Dis• Arrhythmia vs. Dysrythmia• EKG vs. ECG
    40. 40. ABBREVIATIONS• Abbreviations• Not really standard, though some are very common…• Varies by field of medicine• CP (Chest Pain, Calling Party, Cerebral Palsey)• PT (Patient, or Physical Therapy)• SOB (Shortness of Breath, Son of a B*tch)• Many medical personnel find it faster and easier todocument using abbreviations and acronyms formedical terminology.• This practice is acceptable in medical documentation.• Especially in hand written charts• Pay attention to the context surrounding the medical term oracronyms in a medical record. The documentation itself canassist in deciphering medical terminology or acronyms
    41. 41. ABBREVIATIONS• Check with local EMS provider/hospital forapproved list• Ada County Paramedics List made available.• When in doubt, write word out fully
    42. 42. COMMON ABBREVIATIONS• Common abbreviations:• BP(blood pressure)• CV(cardiovascular)• c/o(complain of)• CC(chief complaint)• CXR(chest x-ray)• CTS(carpal tunnelsyndrome)• DJD(degenerative jointdisease)• Dx(diagnosis)• ETOH(alcohol)• HA(head ache)• MVC, MVA• HR(heart rate)• Hx(history)• IDDM(insulindependent diabetesmellitus)• LBP(low back pain)• LOC(level ofconsciousness)• MVC(motor vehiclecrash)• MD(medical doctor)• PA(physicians assistant)• RN(registered nurse)• MA(medical assistant)
    43. 43. MEDICAL JARGON
    44. 44. MEDICAL JARGON• In addition to the scientific language, we all haveour own cultural language that is probably not wellunderstood outside our profession.• Our jargon changes region to region, county tocounty, service to service• Remember: There is a time and place foreverything. What is acceptable at one momentand time will often not be 5 minutes later….
    45. 45. COMMON MEDICAL JARGON• What is anambulance?• Car• Bus• Rig• MICU• Meat wagon• Cabulance• Code 1, 2, 3?• Alpha response?• Code 4• 10-100• Coded• Code blue• Code brown• Banana Wrap• “SHAMU”
    47. 47. ACR/O = EXTREMITIES• Acr/o = extremities (arms and legs)• Acr = word root• O = vowel• Acr/o = combining form• Acr/o/paralysis: Paralysis of extremities• Acr/o/cyan/osis: Condition of blueextremities• Acr/o/dermat/itis: Inflammation of skin ofthe extremities, like red inflamed hands
    48. 48. MEGAL/O = ENLARGED, LARGE• -megaly = Suffix for “enlarged”• Acr/o/megaly: Enlargement of the extremities• Acromegalic Gigantism = A specific disorder of thebody with enlargement of the bones of the hands,feet, and head.• Cardio-megaly• Enlarged heart• AKA: Cardiac Hypertophy• -y = Suffix that means “the process or condition”.Makes a word a noun.
    49. 49. DERMAT/O = SKIN• -logy = (noun) Study of• -logist = (noun) One who studies• -logos = Greek for study• Dermat/o/logist: The person who specializes indiseases of the skin• Dermat/o/logy: The study of skin• Eti/o/logy: Study of the origin of disease
    50. 50. -ITIS = INFLAMMATION• Dermat/itis: Inflammation of the skin• i.e. Contact (allergic reaction) dermatitis, or due toinfection, inflammation, trauma• Acr/o/dermat/itis: Inflammation of the skin of theextremities
    51. 51. -OSIS = CONDITION, STATUS, PROCESS• Dermat/osis: Any skin condition. (abnormalcondition). (noun)• Cyan/osis: Condition of blueness
    52. 52. CYAN/O = BLUE, BLUENESS• Cyan/osis: (noun) Condition of blueness• Cyan/otic: (adj.) Pertaining to a condition ofblueness• -tic = adjective suffix for “pertaining to”• Acr/o/cyan/osis: Blueness of the extremities• Cyan/o/derma: Bluish discoloration of the skin
    53. 53. PERI-= AROUND, NEAR• Peri/meter- Surrounding area• Peri/natal- Near birth• Peri/morbid – Near Death
    54. 54. REMEMBER THAT WORD?• Pneumonoultramicroscopicsilicovolcanoconiosis• Longest word in the English dictionary, sometimes referredto as P45 by English Language geeks!• Before this, electrophotomicrographically, also a medicalword, was the longest word at 28 letters
    55. 55. PNEUMONOULTRAMICROSCOPICSILICOVOLCANOCONIOSIS• A variant of Industrial Silicosis, which is a type of COPD• More commonly referred to as Coalworkers pneumoconiosis….AKA “Black Lung”• Related to “Brown Lung”
    56. 56. SUMMARY• Paramedics use medical terminology daily, mustknow how to determine meaning of term• Word parts used to build medical words are rootwords, prefixes, suffixes• Understanding function of word parts helpsdetermine meaning of unfamiliar medical terms