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Medical Terminology A LIVING LANGUAGE Fifth Edition CHAPTER 8 Digestive System Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Multimedia Directory Slide Slide Slide Slide Slide Slide 16 75 86 115 121 122 Digestive System Animation Orthodontics Video GERD Video Sigmoidoscopy Video Nasogastric Intubation Animation Dieticians Video Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System at a Glance • Function of the Digestive System Mechanical and chemical digestion of food Absorption of nutrient molecules Elimination of solid wastes Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System at a Glance • Organs of the Gastrointestinal tract Oral cavity Pharynx Esophagus Stomach Small intestine Colon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System at a Glance • Accessory Organs Pancreas Liver Gallbladder Salivary glands Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Illustrated Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Combining Forms • • • • • • • • an/o – anus append/o – appendix appendic/o – appendix bar/o – weight bucc/o – cheek cec/o – cecum cholangi/o – bile duct chol/e – bile, gall Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Combining Forms • • • • • • • • cholecyst/o – gallbladder choledoch/o – common bile duct cirrh/o – yellow col/o – colon colon/o – colon dent/o – tooth diverticul/o – pouch duoden/o – duodenum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Combining Forms • • • • • • • • enter/o – small intestine esophag/o – esophagus gastr/o – stomach gingiv/o – gums gloss/o – tongue hepat/o – liver ile/o – ileum jejun/o – jejunum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Combining Forms • • • • • • • • labi/o – lip lapar/o – abdomen lingu/o – tongue lith/o – stone odont/o – tooth or/o – mouth palat/o – palate pancreat/o – pancreas Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Combining Forms • • • • • • • • pharyng/o – throat, pharynx polyp/o – polyp proct/o – anus and rectum pylor/o – pylorus pyr/o – fire rect/o – rectum sialaden/o – salivary gland sigmoid/o – sigmoid colon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Suffixes • • • • • • • • –emesis –istry –lithiasis –orexia –pepsia –phagia –prandial –tripsy vomit specialty of stone appetite digestion eat, swallow pertaining to a meal surgical crushing Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Also called: Gastrointestinal system (GI) Gut Alimentary canal • Approximately 30 feet of continuous muscular tube between mouth and anus Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Organs of the continuous gut tube in order: Oral cavity Pharynx Esophagus Stomach Small intestine Colon (including rectum and anus) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Accessory organs are connected to gut tube by ducts • Include: Salivary glands Pancreas Liver Gallbladder Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Animation Click on the screenshot to view an animation of the digestive system. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Three main functions of Digestive system Digesting food Absorbing nutrients Eliminating waste Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digesting Food • Physical and chemical breakdown of large food particles • Produces simple nutrient molecules Glucose Triglycerides Amino acids Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Absorbing Nutrients • Simple molecules are absorbed from intestine • Circulated through body by cardiovascular system • Used for growth and repair of cells, tissues, and organs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Eliminating Waste • Some ingested food cannot be digested or absorbed • Expelled from body as solid waste Feces Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Oral Cavity • Roof is palate Hard – bony anterior Soft – flexible posterior • Hanging down from soft palate is uvula Speech production Location of gag reflex Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Oral Cavity • Cheeks are lateral walls • Lips are anterior opening • Entire cavity lined with mucous membrane Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.1 Anatomy of the oral cavity. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Oral Cavity • Digestion begins when food enters mouth Mechanically broken up by chewing • Tongue moves food within mouth • Mixes with saliva Digestive enzymes Lubricates • Taste buds on tongue surface Detect bitter, sweet, salty, sour flavors Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Teeth • Cutting teeth Bite Tear Cut • Incisors • Cuspids (canines) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Teeth • Grinding teeth Bicuspids (premolars) Molars Third molar is wisdom tooth Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.3A The name and shape of the adult teeth. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.3B Color enhanced X-ray of teeth showing four wisdom teeth that have not erupted. (Science Photo Library/Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Tooth Structure • Gums Mucous membrane + connective tissue Seals off teeth in socket Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Tooth Structure • Tooth is divided into: Crown – above gum Root – below gum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Tooth Structure • Enamel Outer covering In crown only Hardest substance • Dentin Under enamel In crown and root Bulk of tooth Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Tooth Structure • Pulp cavity In crown and root canal Blood vessels, nerves • Cementum and periodontal ligaments Anchors root in jawbone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.4 Internal structures of the crown and root. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Humans Have 2 Sets of Teeth • Deciduous teeth First set, baby teeth 20 teeth erupt between ages 6 and 28 months Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Humans Have 2 Sets of Teeth • Permanent teeth Second set, adult teeth About 6 years of age, baby teeth fall out Replaced by 32 permanent teeth Process continues until 18-20 years of age Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pharynx • Swallowed food enters oropharynx • Proceeds down pharynx into laryngopharynx • Epiglottis Covers larynx and trachea Shunts food away from lungs & into esophagus Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.2 Structures of the oral cavity, pharynx, and esophagus. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Esophagus • • • • 10-inch long muscular tube Food enters from pharynx Delivered to stomach Propelled along by wavelike muscular movements Called peristalsis Pushes food through entire gut tube Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Stomach • J-shaped muscular organ • Collects & churns food Mixes it with hydrochloric acid (HCl) • Forms chyme Watery mix of food and digestive juices Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Stomach • Three regions Fundus – upper Body – main Antrum – lower • Rugae are folds in stomach lining Stretch out to allow stomach to expand with food Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Sphincters • Muscular valves Control flow of food • Lower esophageal (cardiac) sphincter Keeps food from backing up into esophagus Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Sphincters • Pyloric sphincter Allows highly acidic chyme to enter small intestine Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.5 The regions and internal structures of the stomach. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Small Intestine • Longest portion of alimentary canal Averages 20 feet Between pyloric sphincter and colon • Site of: Completion of digestion Majority of absorption Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Three Sections of Small Intestine • Duodenum First section – about 10-12 inches long Starts at pyloric sphincter • Jejunum Second section – about 8 feet long • Ileum Third section – about 12 feet long Connects to colon at ileocecal valve Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.6 The small intestine – duodenum, jejunum, ileum – begins at the pyloric sphincter and ends at the colon. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Colon • 5 feet long • Extends from ileocecal valve to anus • Fluid that remains after digestion and absorption enters colon • Most is water and is reabsorbed into body • Solid waste left over is feces • Evacuated in bowel movements Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Regions of the Colon • Cecum Appendix • Ascending colon • Transverse colon • Descending colon • Sigmoid colon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Rectum and Anus • Rectum is area for storage of feces • Leads to anus External opening of alimentary canal • Feces are evacuated Called defecation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.7 The regions of the colon. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Accessory Organs • Generally function by producing substances necessary for chemical breakdown of food Salivary glands Liver Gallbladder Pancreas Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Salivary Glands • Produce saliva • Allows food to be swallowed without choking • Saliva + food = bolus • Contains amylase Begins digestion of carbohydrates Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Salivary Glands • Three pairs Parotid glands Sublingual glands Submandibular glands Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.8 The salivary glands, parotid, sublingual, and submandibular. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Liver • Located in right upper quadrant of abdomen • Processes nutrients • Detoxifies harmful substances • Produces bile Emulsification Breaks up large fat globules into smaller droplets Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.9 The accessory organs of the digestive system: the liver, gallbladder, and pancreas. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Gallbladder • Lies under liver • Stores bile produced by liver Hepatic duct Cystic duct • Common bile duct carries bile to duodenum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.9 The accessory organs of the digestive system: the liver, gallbladder, and pancreas. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pancreas • Digestive juices include: Buffers – neutralize acidic chyme Enzymes – digest carbohydrates, lipids, and proteins Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.9 The accessory organs of the digestive system: the liver, gallbladder, and pancreas. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Combining Forms • • • • • • cutane/o – skin hem/o – blood hemat/o – blood nas/o – nose orth/o – straight ven/o – vein Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -al -algia -centesis -eal -ectomy -gram -ic -itis pertaining to pain process of removing fluid pertaining to surgical removal record pertaining to inflammation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -logy -oma -osis -graphy -ostomy -otomy -ous -pexy study of tumor abnormal condition process of recording create a new opening cutting into pertaining to surgical fixation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • -plasty -plegia -ptosis -scope -scopy -tic surgical repair paralysis drooping instrument to view process of viewing pertaining to Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Prefixes • • • • • • • • aanantibradydysendohyperhypo- without without against slow abnormal within excessive under Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Prefixes • • • • • • • • intraperperipolypostretrosubtrans- within through around many after backwards under across Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms anal pertaining to the anus buccal pertaining to the cheeks buccolabial pertaining to the cheeks and lips cecal pertaining to the cecum cholecystic pertaining to the gallbladder colonic pertaining to the colon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms colorectal pertaining to the colon and rectum dental pertaining to the teeth duodenal pertaining to the duodenum enteric pertaining to the small intestine esophageal pertaining to the esophagus gastric pertaining to the stomach Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms gingival pertaining to the gums glossal pertaining to the tongue hepatic pertaining to the liver hypoglossal pertaining to the under the tongue ileal pertaining to the ileum jejunal pertaining to the jejunum nasogastric pertaining to the nose and stomach Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms oral pertaining to the mouth pancreatic pertaining to the pancreas pharyngeal pertaining to the pharynx pyloric pertaining to the pylorus rectal pertaining to the rectum sigmoidal pertaining to the sigmoid colon sublingual pertaining to the under the tongue Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Anatomical Terms • Buccolabial bucc/o + labi/o + -al Pertaining to the cheeks and lips • Colorectal col/o + rect/o + -al Pertaining to the colon and rectum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Anatomical Terms • Nasogastric nas/o + gastro/o + -ic Pertaining to the nose and stomach • Sublingual sub- + lingu/o + -al Pertaining to under the tongue Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialties dentistry Branch of healthcare involved with the prevention, diagnosis, and treatment of conditions involving the teeth, jaw, and mouth. Practitioner is a dentist. gastroenterology Branch of medicine involved in diagnosis and treatment of diseases and disorders of the digestive system. Physician is a gastroenterologist. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialties oral surgery Branch of dentistry that uses surgical means to treat dental conditions. Specialist is an oral surgeon. Branch of dentistry concerned with orthodontics correction of problems with tooth alignment. Specialist is an orthodontist. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Orthodontics Video Click on the screenshot to view a video on the topic of orthodontics. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialties periodontics Branch of dentistry concerned with treating conditions involving the gums and tissues surrounding the teeth. Specialist is a periodontist. proctology Branch of medicine involved in diagnosis and treatment of diseases and disorders of the anus and rectum. Physician is a proctologist. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms anorexia loss of appetite with other conditions; different from anorexia nervosa aphagia being unable to swallow or eat ascites collection of fluid in peritoneal cavity bradypepsia having a slow digestive system cachexia loss of weight and wasting occurring during chronic disease cholecystalgia gallbladder pain constipation difficult or infrequent defecation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms dentalgia tooth pain diarrhea frequent, watery bowel movements dysorexia having an abnormal, usually diminished, appetite dyspepsia indigestion; having an upset stomach dysphagia having difficulty swallowing or eating emesis vomiting gastralgia stomach pain hematemesis vomiting blood Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms hematochezia passing bright red blood in stools hyperemesis excessive vomiting jaundice yellow cast to skin; caused by deposit of bile pigment; often caused by liver disease melena passage of dark tarry stool, due to digested blood nausea urge to vomit Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms obesity weight above healthy levels polyphagia excessive eating postprandial after a meal pyrosis stomach acid splashing into esophagus; heartburn regurgitation backflow of stomach contents into mouth Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Signs & Symptoms Terms • Dysorexia dys- + -orexia Abnormal appetite • Hyperemesis hyper- + -emesis Excessive vomiting Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Signs & Symptoms Terms • Polyphagia poly- + -phagia Excessive eating • Postprandial post- + -prandial Pertaining to after a meal Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Oral Cavity Pathology aphthous ulcers ulcers in the mouth; commonly called canker sores cleft lip congenital anomaly where upper lip and jaw fail to fuse in the midline, leaving a gap cleft palate congenital anomaly where hard palate fails to fuse in the midline, leaving an opening into nasal cavity dental caries decay of tooth due to bacterial infection; tooth cavity Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Oral Cavity Pathology gingivitis inflammation of the gums herpes labialis herpes simplex virus type 1 (HSV-1) infection; fever blisters or cold sores periodontal disease disease of supporting structures around the teeth; especially the gums; most common cause of tooth loss sialadenitis inflammation of a salivary gland Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pharynx & Esophagus Pathology esophageal varices varicose veins in the esophagus; hemorrhaging occurs if rupture gastroesophageal reflux disease (GERD) acid from stomach flows backward up into esophagus causing inflammation and pain pharyngoplegia paralysis of the throat muscles Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht GERD Video Click on the screenshot to view a video on the topic of gastroesophageal reflux disease. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Stomach Pathology gastric carcinoma malignant tumor in stomach gastroenteritis inflammation of the stomach and small intestine gastritis inflammation of the stomach hiatal hernia protrusion of stomach through diaphragm into thoracic cavity; also called diaphragmatocele Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.10 A hiatal hernia or diaphragmatocele. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Stomach Pathology peptic ulcer disease (PUD) ulcer in the lower portion of esophagus, stomach, and/or duodenum; caused by high acid of stomach juices; may be a result of Helicobacter pylori infection Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.11A The location and appearance of a peptic ulcer in both the stomach and the duodenum. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.11B Photomicrograph of a gastric ulcer. (Dr. E. Walker/Science Photo Library/Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Small Intestine & Colon Pathology anal fistula abnormal passageway from surface directly into rectum; around anal opening appendicitis inflammation of the appendix bowel incontinence inability to control defecation colorectal carcinoma malignant tumor in the colon or rectum Crohn’s disease chronic inflammatory bowel disease, primarily in ileum and/or colon; results in scarring; also called regional ileitis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Small Intestine & Colon Pathology diverticulitis inflammation of a diverticulum, an outpouching off the colon; results from food being trapped inside diverticulosis condition of having diverticula, may lead to diverticulitis dysentery diarrhea with mucus and blood, severe abdominal pain, and fever; caused by contaminated food or water enteritis inflammation of the small intestine Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.12 Diverticulosis. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Small Intestine & Colon Pathology hemorrhoids varicose veins in the anal region ileus severe abdominal pain, inability to defecate, abdominal distension; caused by intestinal blockage inguinal hernia protrusion of a loop of bowel through abdominal muscle and into groin region; may become incarcerated or strangulated if muscle pinches the loop of bowel Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.13 An inguinal hernia. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Small Intestine & Colon Pathology intussusception one part of intestine slips or telescopes into another section disturbance in function of intestine for unknown reason; causes abdominal irritable bowel cramping and alternating diarrhea and syndrome (IBS) constipation; also called functional bowel syndrome polyposis having polyps, tumor with a stem-like attachment, growing on the mucous membrane of the colon; may become cancerous Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.14 Intussusception. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.15 Endoscopic view of a polyp in the colon. Note the mushroom-like shape, an enlarged top growing at the end of a stem. It is being removed by means of a wire loop slipped over the polyp and then tightened to cut it off. (David M. Martin, M.D./ Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Small Intestine & Colon Pathology proctoptosis prolapse or drooping rectum ulcerative colitis chronic inflammatory condition with numerous small ulcers on the lining of the colon; also called inflammatory bowel disease (IBD) volvulus bowel twists upon itself causing an obstruction Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.16 Volvulus. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Accessory Organ Pathology cholecystitis inflammation of gallbladder; commonly caused by gallstones cholelithiasis presence of gallstones; may or may not cause symptoms cirrhosis chronic liver disease due to liver failure hepatitis inflammation of liver; usually due to a viral infection hepatoma tumor in the liver pancreatitis inflammation of the pancreas Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.17A Common sites for cholelithiasis. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.17B A gallbladder specimen with multiple gallstones. (Biophoto Associates/Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Pathology Terms • Diverticulosis diverticul/o + -osis Abnormal condition of having pouches (diverticula) • Diverticulitis diverticul/o + -itis Inflammation of pouches (diverticula) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Pathology Terms • Cholelithiasis chol/e + -lithiasis Condition of bile stones • Cirrhosis cirrh/o + -osis Abnormal condition of being yellow Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Clinical Laboratory Tests alanine transaminase (ALT) normal enzyme in the bloodstream; increased levels indicate liver disease aspartate transaminase (AST) normal enzyme in the bloodstream; increased levels indicate liver disease fecal occult blood test (FOBT) examines feces for microscopic amounts of blood; also called hemoccult Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Clinical Laboratory Tests ova and parasites (O&P) examination of feces for presence of parasites or their eggs serum bilirubin determines amount of bilirubin in bloodstream; indicates liver disease stool culture culture of feces to look for presence of pathogenic bacteria Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Diagnostic Imaging bite-wing X-ray X-ray of teeth with film holder held in the teeth cholecystogram X-ray record of the gallbladder intravenous X-ray of gallbladder and bile ducts cholecystography after intravenous injection of dye lower gastrointestinal series (lower GI) X-ray of colon and rectum after barium dye injected via an enema; also called a barium enema (BE) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.18 Color enhanced X-ray of the colon taken during a barium enema. (CNRI/Science Photo Library/Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Diagnostic Imaging percutaneous transhepatic X-ray of liver and bile duct after dye is cholangiography injected directly into liver (PTC) upper gastrointestinal series (upper GI) X-ray of esophagus, stomach, and duodenum after swallowing barium; also called barium swallow Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Endoscopic Procedures colonoscope instrument used to visually examine the colon colonoscopy process of visually examining the colon endoscopic retrograde cholangiopancreatography (ERCP) visual examine inside hepatic duct, common bile duct, and pancreatic duct Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Endoscopic Procedures esophagogastrousing a scope to view inside the duodenoscopy esophagus, stomach, and duodenum (EGD) gastroscope instrument used to visually examine the stomach gastroscopy process of visually examining inside of stomach laparoscope instrument used to visually examine inside the abdominal cavity Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Endoscopic Procedures laparoscopy process of visually examining inside of abdominal cavity sigmoidoscope instrument used to visually examine the sigmoid colon sigmoidoscopy process of visually examining inside of sigmoid colon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Sigmoidoscopy Video Click on the screenshot to view a video on the topic of sigmoidoscopy. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Diagnostic Procedures paracentesis insertion of needle into abdominal cavity to withdraw fluid Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Diagnostic Terms • Intravenous intra- + ven/o + -ous Pertaining to within a vein • Cholecystography cholecyst/o + -graphy Process of recording the gallbladder Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Diagnostic Terms • Endoscopy endo- + -scopy Process of viewing inside • Percutaneous per- + cutane/o + -ous Pertaining to through the skin Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Dental Procedures bridge dental appliance attached to adjacent teeth to replace missing teeth crown artificial tooth to replace original crown denture partial or complete set of artificial teeth extraction removing teeth implant prosthetic device in jaw to anchor a tooth root canal drilling out of pulp cavity of a tooth; used to save a tooth that is badly infected Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Procedures gavage placing liquid nourishment directly into stomach via a nasogastric tube lavage washing out stomach using a nasogastric tube nasogastric intubation (NG tube) flexible catheter inserted into nose and down esophagus into the stomach total providing 100% of patient nutrition; parenteral used when patient is unable to eat nutrition (TPN) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Nasogastric Intubation Animation Click on the screenshot to view an animation on nasogastric intubation. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Dieticians Video Click on the screenshot to view a video on registered dieticians. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures anastomosis surgical creation of a connection between two organs; like joining together two sections of colon appendectomy surgical removal of appendix bariatric surgery surgical procedures to treat morbid obesity; like stomach stapling cholecystectomy surgical removal of gallbladder choledocholithotripsy surgical crushing of a gallstone in the common bile duct Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures colectomy surgical removal of the colon colostomy surgical creation of opening into some portion of colon through abdominal wall diverticulectomy surgical removal of diverticula exploratory laparotomy surgical procedure to examine the abdominal organs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.19A The colon illustrating various –ostomy sites. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 8.19B Colostomy in the descending colon. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures fistulectomy removal of a fistula gastrectomy surgical removal of the stomach gastric stapling procedure to close off large section of stomach with rows of staples; results in much smaller stomach gastrostomy surgical procedure to create a new opening into the stomach through abdominal wall hemorrhoidectomy surgical removal of hemorrhoids Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures hernioplasty surgical repair of a hernia ileostomy surgical creation of a new opening into the ileum laparoscopic cholecystectomy surgical removal of gallbladder through a laparoscopic incision laparotomy to cut into the abdominal cavity liver transplant implantation of a donor liver Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures palatoplasty surgical repair of the palate pharyngoplasty surgical repair of the pharynx proctopexy surgical fixation of the rectum and anus Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Therapeutic Terms • Nasogastric nas/o + gastr/o + -ic Pertaining to the nose and stomach • Appendectomy append/o + -ectomy Surgical removal of the appendix Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Therapeutic Terms • Choledochlithotripsy choledoch/o + lith/o + -tripsy Crushing a stone in the common bile duct • Colostomy col/o + -ostomy Create a new opening into the colon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Pharmacology anorexiant suppresses appetite to treat obesity Adipost, Obezine antacid neutralizes stomach acid Tums, Maalox, Mylanta antidiarrheal used to control diarrhea Imodium, Lomotil antiemetic treats nausea and vomiting Compazine, Phenergan Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Pharmacology emetic induces vomiting Ipecac syrup H2-receptor antagonist blocks the production of stomach acid Zantac, Pepcid, Tagament laxative stimulates a bowel movement Senokot, Metamucil proton pump inhibitor blocks stomach’s ability to secrete acid Nexium, Prilosec Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Abbreviations ac before meals ALT alanine transaminase AST aspartate transaminase Ba barium BE barium enema BM bowel movement BS bowel sounds Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Abbreviations CBD common bile duct EGD esophagogastroduodenoscopy ERCP endoscopic retrograde cholangiopancreatography FOBT fecal occult blood test GB gallbladder GERD gastroesophageal reflux disease GI gastrointestinal Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Abbreviations HAV hepatitis A virus HBV hepatitis B virus HCl hydrochloric acid HCV hepatitis C virus HDV hepatitis D virus HEV hepatitis E virus HSV-1 herpes simplex virus type 1 Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Abbreviations IBD inflammatory bowel disease IBS irritable bowel syndrome IVC intravenous cholangiography NG nasogastric NPO nothing by mouth n&v nausea and vomiting O&P ova and parasites Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Digestive System Abbreviations pc after meals PO by mouth pp postprandial PTC percutaneous transhepatic cholangiography PUD peptic ulcer disease TPN total parenteral nutrition UGI upper gastrointestinal series Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Combining Forms Match Up 1. 2. 3. 4. 5. bucc/o cirrh/o dent/o gloss/o or/o a. b. c. d. e. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht tooth yellow tongue cheek mouth Classroom Response System Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 1 Which is NOT an accessory organ of the digestive system? A. Spleen B. Liver C. Pancreas D. Salivary glands Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 1 Which is NOT an accessory organ of the digestive system? A. Spleen B. Liver C. Pancreas D. Salivary glands Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 2 The roof of the oral cavity is formed by the: A. Uvula B. Gingiva C. Palate D. Salivary gland Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 2 The roof of the oral cavity is formed by the: A. Uvula B. Gingiva C. Palate D. Salivary gland Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 3 The _______ is the part of a tooth visible above the gum line. A. Cementum B. Crown C. Dentin D. Root Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 3 The _______ is the part of a tooth visible above the gum line. A. Cementum B. Crown C. Dentin D. Root Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 4 The folds in the lining of the stomach are called: A. Antra B. Pylorus C. Fundus D. Rugae Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 4 The folds in the lining of the stomach are called: A. Antra B. Pylorus C. Fundus D.Rugae Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 5 The first section of the small intestine is the: A. Ileum B. Jejunum C. Cecum D. Duodenum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 5 The first section of the small intestine is the: A. Ileum B. Jejunum C. Cecum D.Duodenum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 6 Which organ is responsible for producing bile? A. Liver B. Pancreas C. Stomach D. Gallbladder Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 6 Which organ is responsible for producing bile? A. Liver B. Pancreas C. Stomach D. Gallbladder Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 7 Which term means inflammation of the gallbladder? A. Choledochitis B. Cholecystitis C. Cholecystolithiasis D. Cholecystalgia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 7 Which term means inflammation of the gallbladder? A. Choledochitis B. Cholecystitis C. Cholecystolithiasis D. Cholecystalgia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 8 Which term means being unable to swallow or eat? A. Polyphagia B. Dysphagia C. Aphagia D. Bradyphagia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 8 Which term means being unable to swallow or eat? A. Polyphagia B. Dysphagia C. Aphagia D. Bradyphagia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 9 Which term is a small tumor on a stem attachment? A. B. C. D. Polyp Varices Diverticulum Ascites Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 9 Which term is a small tumor on a stem attachment? A. B. C. D. Polyp Varices Diverticulum Ascites Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 10 Which term refers to the burning sensation caused by stomach acid splashing up into the esophagus? A. Emesis B. Melena C. Pyrosis D. Cachexia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 10 Which term refers to the burning sensation caused by stomach acid splashing up into the esophagus? A. Emesis B. Melena C. Pyrosis D. Cachexia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 11 Herpes labialis is also called: A. Fever blisters B. Polyps C. Cleft lip D. Hemorrhoids Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 11 Herpes labialis is also called: A. Fever blisters B. Polyps C. Cleft lip D. Hemorrhoids Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 12 The condition in which the bowel twists upon itself is called: A. Intussusception B. Ileus C. Volvulus D. Dysentery Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 12 The condition in which the bowel twists upon itself is called: A. Intussusception B. Ileus C. Volvulus D. Dysentery Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 13 Which of the following is a chronic liver disease? A. Cholecystitis B. Polyposis C. Varices D. Cirrhosis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 13 Which of the following is a chronic liver disease? A. Cholecystitis B. Polyposis C. Varices D.Cirrhosis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 14 The condition of having outpouches off the colon is called: A. Diverticulosis B. Crohn’s disease C. Ulcerative colitis D. Peptic ulcer disease Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 14 The condition of having outpouches off the colon is called: A. Diverticulosis B. Crohn’s disease C. Ulcerative colitis D. Peptic ulcer disease Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 15 A lower GI series is also called a: A. Colonoscopy B. Barium enema C. Sigmoidoscopy D. Barium swallow Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 15 A lower GI series is also called a: A. Colonoscopy B. Barium enema C. Sigmoidoscopy D. Barium swallow Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 16 Which of the following procedures examines the inside of the abdominal cavity? A. Laparoscopy B. Colonoscopy C. Gastroscopy D. Esophagogastroduodenoscopy Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 16 Which of the following procedures examines the inside of the abdominal cavity? A. Laparoscopy B. Colonoscopy C. Gastroscopy D. Esophagogastroduodenoscopy Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 17 Which procedure is used to wash out the stomach? A. Gavage B. Lavage C. Anastomosis D. Paracentesis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 17 Which procedure is used to wash out the stomach? A. Gavage B. Lavage C. Anastomosis D. Paracentesis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 18 Which procedure is used to remove an abnormal tube-like passageway? A. Gastric stapling B. Extraction C. Hemorrhoidectomy D. Fistulectomy Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 18 Which procedure is used to remove an abnormal tube-like passageway? A. Gastric stapling B. Extraction C. Hemorrhoidectomy D.Fistulectomy Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 19 Which medication is NOT used to reduce stomach acid or treat stomach ulcers? A. Proton pump inhibitor B. Anorexiant C. H2-receptor antagonist D. Antacid Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 19 Which medication is NOT used to reduce stomach acid or treat stomach ulcers? A. Proton pump inhibitor B. Anorexiant C. H2-receptor antagonist D. Antacid Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 20 Which of the following abbreviations is NOT a lab test? A. FOBT B. ALT C. O&P D. GERD Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 20 Which of the following abbreviations is NOT a lab test? A. FOBT B. ALT C. O&P D.GERD Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht