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Chapter 7 & 8
Medical Terminology
160
Physiology
Undergraduate 3
11/12/2011

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Term
carbon dioxide
Definition
tasteless, colorless, odorless gas produced by body cells during the metabolic process.

a product of cell respiration, CO2, is carried by the blood to the lunds and exhaled.
Term
Cartilage
Definition
tough, elastic connective tissue that is more rigid than ligaments but less dense than bone.

The tip of the nose and the outer ear are composed of this
Term
Cilia
Definition
any hairlike structure.

In the trachea they move particles upward to the pharynx, where they are removed by coughing, sneezing, or swallowing. This mechanism is called the c. escalator. Habitual smoking destroys c. escalator.
Term
Diffuse
Definition
moving or spreading out of a seubstance at random, rather than by chemical reaction or application of external forces.
Term
homeostasis
Definition
state in which the regulatory mechanisms of the body maintain a constant internal environment despite changes in the external environment.

the regulatory mechanisms of the body control temperature, acidity, and the concentration of salt, food, and wast products.
Term
mucous membrane
Definition
moist tissue layer lining hollow organs and cavities of the body that open to the environment; aka mucosa
Term
oxygen
Definition
tasteless,odorless, colorless gas essential for human respiration.

makes up about 1/5th (by volume) of the atmosphere
Term
pH
Definition
symbol that indicates the degree of acidity or alkalinity of a substance.

increasing acidity is expressed as a number less than 7; increasing alkalinity as a number greater than 7; with 7 being neutral
Term
septum
Definition
wall dividing two cavities, such as the nasal septum, which separates the two nostrils.
Term
serous membrane
Definition
thin layer of tissue that covers internal body cavities, the cells of which secrete a fluid that keeps the membrane moist; also called serosa
Term
nas/o
Definition
nose
Term
rhin/o
Definition
nose
Term
sept/o
Definition
septum
Term
sinus/o
Definition
sinus, cavity
Term
adenoid/o
Definition
adenoids
Term
-ectomy
Definition
excision, removal
Term
-tomy
Definition
incision
Term
-plasty
Definition
surgical repair
Term
sinusotomy
Definition
performed to improve ventilation or drainage in unresponsive sinusitis
Term
tonsill/o
Definition
tonsils
Term
pharyng/o
Definition
pharynx (throat)
Term
epiglott/o
Definition
epiglottis
Term
epiglottitis
Definition
treated as a medical emergency
Term
laryng/o
Definition
larynx (voice box)
Term
trache/o
Definition
trachea (windpipe)
Term
bronchi/o

bronch/o
Definition
bronchus (plural, bronchi)
Term
bronchiol/o
Definition
bronchiole
Term
alveol/o
Definition
alveolus; air sac
Term
pleur/o
Definition
pleura
Term
pneumon/o

pneum/o
Definition
air;lung
Term
pulmon/o
Definition
lung
Term
anthrac/o
Definition
coal, coal dust
Term
atel/o
Definition
incomplete; imperfect
Term
atelectasis
Definition
collapsed lung (incomplete expansion of the lungs)
Term
coni/o
Definition
dust
Term
pneumoconiosis
Definition
forms= silicosis, asbestosis, and anthacosis
Term
cyan/o
Definition
blue
Term
cyanosis
Definition
cold temps, hear failure, lung diseases, and smothering causes unusual blueness of the skin and mucous membranes due to the build-up of CO2 in the blood
Term
lob/o
Definition
lobe
Term
orth/o
Definition
straight
Term
-pnea
Definition
breathing
Term
ox/i

ox/o
Definition
oxygen
Term
pector/o
Definition
chest
Term
steth/o
Definition
chest
Term
thorac/o
Definition
chest
Term
phren/o
Definition
diaphragm; mind
Term
spir/o
Definition
breathe
Term
spirometer
Definition
measures how much air the lungs can hold (vital capacity) and how much and how quickly air can be exhaled
Term
-capnia
Definition
carbon dioxide (CO2)
Term
-osmia
Definition
smell
Term
-phonia
Definition
voice
Term
dysphonia
Definition
bad (impaired) voice quality

includes: hoarseness, voice fatigue, or decreased projection
Term
-pnea
Definition
breathing
Term
-ptysis
Definition
spitting
Term
-thorax
Definition
chest
Term
py/o
Definition
pus
Term
brady-
Definition
slow
Term
eu-
Definition
good, normal
Term
tachy-
Definition
rapid
Term
acidosis
Definition
excessive acidity of body fluids

Respiratory A. is associated with pulmonary insufficiency and the subsequent retention of CO2
Term
anosmia
Definition
absence of the sense of smell

usually occurs as a temp conditon resulting from an upper resp. infection or a condition that causes intranasal swelling
Term
apnea
Definition
temporary loss of breathing

3 types:
(1) obstructive: enlarged tonsils and adenoids)
(2) central: failure of the brain to transmit impulses for breathing
(3) mixed: combination of obstructive and cental apnea
Term
asphyxia
Definition
condition caused by insufficient intake of oxygen

causes: drowning, electric shock, lodging of a foreign body in the respiratory trace, inhalation of toxic smoke, and poisoning
Term
atelectasis
Definition
collapsed or airless state of the lung, which may be acute or chronic and affect all or part of a lung
Term
cheyne-Stokes respiration
Definition
repeated breathing pattern characterized by fluctuation in the depth of respiration, first deeply, then shallow, then not at all
Term
compliance
Definition
ease with which lung tissue can be stretched

low compliance means lungs are less elastic; therefore, more effort is required to inflate the lungs.
Term
coryza
Definition
head cold; upper respiratory infection
Term
crackle
Definition
abnormal respiratory sound heard on auscultation, caused by exudates, spasms, hyperplasia, or when air enters moisture-filled alveoli; aka rale
Term
croup
Definition
common childhood condition involving inflammation of the larynx, trachea, bronchial passages and, sometimes, lungs

signs and symptoms: barking cough w/ suffocative, difficult breathing; laryngeal spasms, and sometimes, the narrowing of the top of the air passages.
Term
deviated nasal septum
Definition
displacement of cartilage dividing the nostrils
Term
epiglottitis
Definition
severe, life-threatening ifection of the epiglottis and supraglottic structures that occurs most commonly in children b/w 2 and 12

signs and symptoms: fever, dysphagia, inspiratory stridor, and severe respiratory distress. intubation or tracheostomy may be required to open the obstructed airway
Term
epitaxis
Definition
nosebleed; nasal hemorrhage
Term
finger clubbing
Definition
enlargement of the terminal phalanges of the fingers and toes, commonly associated with pulmonary diesase
Term
hypoxemia
Definition
deficiency of oxygen in the blood
Term
hypoxia
Definition
deficiency of oxygen in tissues
Term
pertussis
Definition
acute infectious disease characterized by a cough that has a "whoop" sound; aka whopping cough
Term
pleurisy
Definition
inflammation of the pleural membrane characterized by a stabbing pain that is intensified by coughing or deep breathing; aka pleuritis
Term
pneumoconiosis
Definition
disease caused by inhaling dust particles, including coal dust (anthracosis), stone dust (chalicosis), iron dust (siderosis), and asbestos particles (asbestosis)
Term
pulmonary edema
Definition
accumulation of extravascular fluid in the lung tissues and alveoli, caused most commonly by heart failure
Term
pulmonary embolus
Definition
blockage in an artery of the lungs caused by a mass of undissolved matter (such as a blood clot, tissue, air bubbles, and bacteria)
Term
rhoncus
Definition
abnormal breath sound heard on auscultation

course, rattling noise that resembles snoring, commonly suggesting secretions in the larger airways
Term
stridor
Definition
high-pitched, harsh, adventitious breath sound caused by a spasm or swelling of the larynx or an obstruction in the upper airway
Term
sudden infant death syndrome (SIDS)
Definition
completely unexpected and unexplained death of an apparently normal, healthy infant, usually less than 12 months of age; aka crib death

has decreased since babies have been instructed to place babies on backs for sleeping
Term
wheeze
Definition
whistling or sighing sound heard on auscultation that results from narrowing of the lumen of the respiratory passageway

characteristic of asthma, croup, hay fever, obstructive emphysema, and other obstructive respiratory conditions.
Term
Mantoux test
Definition
intradermal test to determine tuberculin sensitivity based on a positive reaction where the area around the test site becomes red and swollen.

positive test suggests a past or present exposure to Tb or past TB vaccination. Does not differentiate b/w active and inactive infection
Term
Oximetry
Definition
noninvasive method of monitoring the percentage of hemoglobin (Hb) saturated with oxygen; aka pulse o.
Term
polysomnography
Definition
test of sleep cycles and stages using continuous recordings of brain waves (EEGs), electrical activity of muscles, eye movement (electro-oculogram), respiratory rate, blood pressure, blood oxygen saturation, heart rhythm, and sometimes, direct observation of the person during sleep using a video camera
Term
pulmonary function tests (PFTs)
Definition
multiple tests used to evaluate the ability of the lungs to take in and expel air as well as perform gas exchange across the alveolocapillary membrane
Term
spirometry
Definition
measurement of ventilatory ability by assessing lung capacity and flow, including the time neccessary for exhaling the total volume of inhaled air
Term
bronchoscopy
Definition
visual examination of the bronchi using an endoscope inserted through the nose or mouth and trachea for direct viewing of structures or for projection on a monitor

can be used to suction mucus, remove foreign bodies, collect sputum, or perform biobsy
Term
laryngoscopy
Definition
visual examination of the larynx to detect tumors, foreign bodies, nerve or structural injury, or other abnormalities
Term
mediastinoscopy
Definition
visual examination of the mediastinal structures including the heart, trachea, esophagus, bronchus, thrymus, and lymph nodes.

through small incision made avove the sternum
Term
arterial blood gas (ABG)
Definition
test that measures partial pressures of oxygen (PO2), carbon dioxide (PCO2), pH (acidity or alkalinity), and bicarbonate level of an arterial blood sample

helps guide treatment of acid-base imbalances
Term
sputum culture
Definition
microbial test used to identify disease-causing organisms of the lower respiratory tract, especially those that cause pneumonia
Term
sweat test
Definition
measurement of the amount of salt (sodium chloride) in sweat

used exclusively in children to confirm cystic fibrosis
Term
throat culture
Definition
test used to identify pathogens, especially group A streptococci
Term
radiography
Definition
Term
radiography
Definition
process of producing images using an X-ray passed through the body or area and captured on a film
Term
thoracic Radiography
Definition
images of the chest taken from anteroposterior projection, posteranterior projection, lateral projection, or a combination of these projections\

used to diagnose rig fractures and lung diseases, including atelectasis, masses, pneumonia, and emphysema
Term
scan
Definition
imaging procedure that gathers info about a specific organ or structure of the body. In some cases, small amounts of injected radionuclide are used to enhance images
Term
lung scan
Definition
Nuclear scanning test primarily used to detect pulmonary emboli

used to detect presence of a blood clot that may be interfering with blood flow in or to the lung
Term
aerosol therapy
Definition
lung treatment using various techniques to deliver medication in mist form directly to the lungs or air passageways. Techniques include nebulizers, metered-dose inhalers, and dry powder inhalers

Nebulizers change liquid medication into droplets to be inhaled through a mouthpiece.

MDIs deliver a specific amount when activated.
Term
Lavage
Definition
irrigating or washing out of an organ, stomach, bladder, bowel, or body cavity with a stream of water or other fluid
Term
antral
Definition
irrigation of the antrum (maxillary sinus) in chronic or nonresponsive sinusitus
Term
postural drainage
Definition
positioning a patient so that gravity aids in the drainage of secretions from the bronchi and lobes of the lungs
Term
pleurectomy
Definition
excision of part of the pleura, usually parietal

ineffective in the treatment of malignancy of the pleura
Term
pneumectomy
Definition
excision of the lung

The removal of a lobe of the lung is called lobectomy
Term
rhinoplasty
Definition
reconstructive surgery of the nose to correct deformities or for cosmetic purposes
Term
septoplasty
Definition
surgical repair of a deviated nasal septum usually pefomred when the septum is encroaching on the breathing passages or nasal structures
Term
thoracentesis
Definition
surgical puncture and drainage of the pleural cavity; aka pleurocentesis
Term
tracheostomy
Definition
surgical procedure in which an opening is made in the neck and into trachea which a breathing tube may be inserted
Term
Antihistamine
Definition
- block histamine from binding with histamine receptor sites in tissues

-FEXOFENADINE/Allegra
-LORATADINE/ Claritan
Term
Antitussives
Definition
- Relieves or suppress coughing by blocking the cough reflex in the medulla of the brain.
*alleviate nonproductive dry coughs and should not be used with productive coughs.

-HYDROCODONE/Hycodan
-DEXTROMETHORPHAN/Vicks Formula 44
Term
Bronchodilators
Definition
-stimulates bronchial muscles to relax, thereby expanding air passages, resulting in increased air flow
*used to treat chronic symptoms and prevent acute attacks in respiratory diseases, such as asthma and COPD. Pharmacological agents may be delivered by an inhaler either orally or IV.

-ALBUTEROL/ Proventil, Venolin
-SALMETEROL/ Serevent
Term
Corticosteriods
Definition
-Acto on the immune system by blocking production of substances that trigger allergic and inflammatory actions.
*available as nasal sprays and oral forms to treat chronic lung conditions such as asthma and COPD

-BECLOMETHASONE DIPROPIONATE/ Vanceril, Beclovent
-TRIAMCINOLONE/ Azmacort
Term
Decongestants
Definition
-Constrict blood vessels of nasal passages and limit blood flow, which causes swollen tissues to shrink so that air can pass more freely through the passageways
*prescribed for allergies and colds and are usually combined with anti-histamines in cold remedies. Can be administered orally or topically as nasal sprays and nasal drops

-OXYMETAZOLINE/ Dristan
-PSEUDOEPHEDRINE/ Drixoral, Sudafed
Term
Expectorants
Definition
-Liquify respiratory secretions so that they are more easily dislodged during coughing episodes
* prescribed for productive cough

-GUAIFENESIN/ Robitussing, Organidin
Term
electrolytes
Definition
Mineral salts (sodium, potassium, and calcium) that carry an electrical charge in solution
Term
angiotensin-converting enzyme inhibitors
(ACE)
Definition
-Lower blood pressure by inhibiting the conversion of angiotensin I (an inactive enzyme to angiotensin II (a potent vasoconstrictor)
*used to treat hypertension alone or with other agents and aid in the management of heart failure

-BENAZEPRIL/lotensin
-CAPTOPRIL/ Capoten
Term
antiarrhythmics
Definition
-Prevent, alleviate, or correct cardiac arrhythmias (dysrhythmias) by stabilizing the electrical conduction of the heart.
*used to treat atrial and ventricular dysrhythmias

-FLECAINIDE/ Tambocor
Term
Beta-blockers
Definition
-Block the effect of adrenaline on beta receptors, which slow nerve pules that pass through the hear, thereby causing a decrease heartrate and contractility
*prescribed for hypertension, angina, and arrythmias (dysrhythmias)

-ATENOLOL/Tenormin
-METOPROLOL/Lopressor, Toprol-XL
Term
Calcium channel blockers
Definition
-block the movement of Calcium (required for blood vessel contraction) into myocardial cells and arterial walls, causing heart rate and blood pressure to decrease.
* used to treat angina pectoris, hypertension, arrhythmias, and heart failure

-AMLODIPINE/Norvasc
-DILTIAZEM/Cardizem CD
-NIFEDIPINE/Adalat CC, Procardia
Term
diuretics
Definition
-Act on kidneys to increase excretion of water and sodium.
*reduce fluid build-up in the body, including fluid in the lungs, a common symptom of heart failure. also used to treat hypertension

-FUROSEMIDE/Lasix
Term
Nitrates
Definition
-Dilate blood vessels of the heart, causing an increase in the amount of oxygen delivered to the myocardium, and decrease venous return and arterial resistance, which decreases myocardial oxygen demand an relieves angina.
*can be administered: sublingually, orally, transdermally (patch), topically, or IV

-NITROGLYCERIN/Nitrolingual, Nitrogard, Nitrostat
Term
peripheral vasodilators
Definition
treat peripheral vascular diseases, diabetic peripheral vascular insufficiency, and Raynaud disease

-CYCLANDELATE/Cyclan
-ISOXUPRINE/Vasodilan
Term
Statins
Definition
-Lowers cholesterol in the blood and reduce its production in the liver by blocking the enzyme that produces it
*Viortin combined with a cholesterol absorption inhibitor not only lowers cholesterol in the blood and reduces its production in the liver, but also decreases absorption of dietary cholesterol from the intestine. Dilate arteries in skeletal muscles, thus improving peripheral blood flow.

-ATORVASTATIN/Lipitor
-SIMVASTATIN/Zocor
-SIMVASTATING AND EZETIMIBE/Vytorin
Term
venipuncture
Definition
puncture of a vein by a needle attached to a syringe or catheter to withdraw a specimen of blood; AKA phlebotomy
Term
Valotomy
Definition
incision of a valve to increase the size of the opening; used in treating mitral stenosis
Term
Thrombolysis
Definition
destruction of a blood clot using anticlotting agents called clot-busters, such as tissue plasminogen activator
Term
pericardiocentesis
Definition
Puncturing of the pericardium to remove excess fluid from the pericardial sac or to test for protein, sugar, and enzymes or determine the causative organism of pericarditis
Term
open heart surgery
Definition
types: coronary artery bypass graft, valve replacement, and heart transplant
Term
ligation and stripping
Definition
tying a varicose vein (ligation) followed by removal of the affected segment (stripping)
*usual treatemt for varicose veings is laser ablation in combination with microphlebectomies and sclerotherapy
Term
laser ablation
Definition
procedure used to remove or treat varicose veins.
* the laser's heat coagulates blood inside the vessel, causing it to collapse and seal. Later, the vessels dissolve within the body, becoming less visible, or disappear altogether.
Term
commissurotomy
Definition
surgical separation of the leaflets of the mitral valve, which have fused together at their "commissures" (points of touching)
*many candidates are now treated with balloon mitral valvuloplasty
Term
catheter ablation
Definition
destruction of conduction tissue of the heart to interrupt the abnormal conduction pathway causing the arrhythmia, thus allowing normal heart rhythm to resume
*catheter ablation is usually performed under fluoroscopic guidance.
Term
biopsy
Definition
removal and examination of a small piece of tissue for diagnostic purposes
Term
atherectomy
Definition
removal of material from an occluded vessel using a specially designed catheter fitted with a cutting or grinding device
Term
PTCA
Definition
Dilation of an occluded vessel using a balloon catheter under fluoroscopic guidance
Term
Angioplasty
Definition
Procedure that alters a vessel through surgery or dilation of the vessel using a balloon
Term
Sclerotherapy
Definition
Injection of a chemical irritant into vein to produce inflammation and fibrosis that destroys the lumen of the vein
Term
Embolization
Definition
Technique used to block blood flow to a site by passing a catheter to the area and injecting a synthetic material or medication specially designed to occlude the blood vessel
Term
Cardioversion
Definition
Procedure to restore normal rhythm to the heart by applying a controlled electrical shock to the exterior of the chest
Term
Scintigraphy
Definition
Identifies infarcted or scarred areas of tue heart that show up as "cold spots"
Term
Phonocardiography
Definition
Imaging technique that provides a graphic display of heart sounds and murmurs during the cardiac cycle
*overall cardiac performance
Term
MUGA
Definition
Shows motion of the heart wall and ventricle's ability to eject blood
Term
Coarction
Definition
Narrowing of aorta
Term
Aneurysm
Definition
Localized abnormal dilation of an artery
Term
Bruit
Definition
Murmur
Term
Arehythmia
Definition
Inability of the heart to maintain a normal sinus rhythm, possibly including a rapid or slow beating or skipping a beat
Term
Fibrillation
Definition
Quivering or spontaneous muscle contractions causing ineffectual contractions
Term
Hemostasis
Definition
Arrest of bleeding or circulation
Term
Infarct
Definition
area of tissue thy undergoes necrosis following cessation of blood supply
Term
Ishemia
Definition
Local and temp deficiency of blood supply due to circulatory obstruction
Term
Palpitation
Definition
Sensation thy the heart is not beating normally, possibly including thumping, fluttering, skipped beats, or a pounding feeling in the chest
Term
electrolytes
Definition
mineral salts(sodium, potassium, and calcium) that carry an electrical charge in solution
Term
filtrate
Definition
fluid that passes form the blood through the capillary walls of the glomeruli of the kidney
*similar to plasma, but has less protein. Urine is formed from this
Term
nitrogenous wastes
Definition
products of cellular metabolism that contain nitrogen
*include urea, uric acid, creatine, creatinine, and ammonia
Term
peristaltic waves
Definition
sequence of rhythmic contraction of smooth muscles of a hollow organ to force material forward and prevent backflow
Term
peritoneum
Definition
serous membrane that lines the abdominopelvic cavity ad covers most of the organs within the cavity
Term
plasma
Definition
liquid portion of the blood, composed primarily of water (90%), and containing dissolved proteins, nutrients, lipids, and various waste products
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