Medical terminology Ch. 1

The foundation of the word

• added to the front of terms.
• Frequently give information about the
• location of an organ
• the number of parts
• time or frequency

• attached to the end of the word to add meaning
• condition
• disease
• procedure
• can be added directly to the end of a prefix

pain

hernia, protusion

cut

cell

pain (cardiodynia)

dilation

that which produces

produces, generates

producing, produced by

state, condition

state of

inflammation

one who studies

study of

destruction

abnormal softening

enlargement, large

tumor, mass

abnormal condition

disease

development, growth

formation, development

drooping

excessive, abnormal flow

discharge, flow

rupture

hardening

narrowing

treatment

nourishment, development

• -ac
• -al
• -an
• -ar
• -ary
• -eal
• -iac
• -ic
• -ical
• -ile
• -ior
• -ory
• -ose
• -ous
• -tic

• suffixes that indicate surgical procedures
• -centisis; puncture to withdrawl fluid
• -ectomy; surgical removal
• -ostomy; surigically create an opening
• -otomy; cutting into
• -pexy; surgical fixation
• -plasty; surigcal repair
• -rrhaphy; suture

• Suffixes that indicate procedural processes or instruments
• -gram; record or picture
• -graph; instrument for recording
• -graphy; process of recording
• -meter; instrument for measuring
• -metry; process of measuring
• -scope; instrument for viewing
• -scopy; process of visually examining

• Words ending in Singular Plural
• -a vertebra vertebrae
• -ax thorax thoraces
• -ex or -ix appendix appendices
• -is metastasis metastases
• -ma sarcoma sarcomata
• -nx phalanx phalanges
• -on ganglion ganglia
• -us nucleus nuclei
• -um ovum ova
• -y biopsy biopsies

• Written or dictated by the admitting physician; details the patient's hx
• physician's exam
• initial diagnosis
• phyiscian plan of tx

• Complete list of
• care
• medication
• tests
• treatments

• Record of the patient's care throughout the day
• includes vital signs
• tx specfics
• patient's response to treatment
• patients condition

• Physician's daily record of the patient's condition,
• results of the physician's exams
• summary of test results
• updated assessment and diagnosis
• further plans for the patient's care

Reports given by specialists

Reports from various treatments and therapies the patient has received, rehab, social services, respiratory therapy

• Results of diagnostic tests
• labs
• x-rays

Documented voluntarily signed by the patient or responsible party that clearly describes the purpose, methods, procedures, benefits, and risks of a diagnostic or tx procedure.

• Report from the surgeon
• detailing an operation
• pre and post operative diagnosis
• specific details of the surgical procedure
• how patient tolerated the procedure

• Details regarding the substances given to the patient
• pt response to the anesthesia
• vital signs during surgery

Report given by pathologist who studies tissue removed from the patient

• Comprehensive outlne of pt entire hospital stay
• condition on admission
• admitting dx
• test results
• tx and pt response
• final dx
• follow-up plan

• Acute Care or General Hospital
• Specialty Care Hospital
• Nursing Homes/Long Term Care Facilities
• Ambulatory Care/ Surgical Centers/Outpatient Clinics
• Physicians Offices
• Health Maintainance Organization (HMO)
• Home Health Care
• Rehabilitation Centers
• Hospice