A – Z Medical Terminology
Acquired: Anything that is not present at birth but develops some time later. In medicine, the word “acquired” implies “new” or “added.” An acquired condition is “new” in the sense that it is not genetic (inherited) and “added” in the sense that was not present at birth.
Aphasia: One in a group of speech disorders in which there is a defect or loss of the power of expression by speech, writing, or signs, or a defect or loss of the power of comprehension of spoken or written language. See, for example, auditory aphasia.
Appendicitis: Inflammation of the appendix, the small worm-like projection from the first part of the colon. Appendicitis usually involves infection of the appendix by bacteria that invade it and infect the wall of the appendix. Appendicitis can progress to produce an abscess (a pocket of pus) and even peritonitis (inflammation of the lining of the abdomen and pelvis).
Arms: An appendage in anatomy and in clinical trials.
Asphyxia: Impaired or impeded breathing.
Atonic: Without normal muscle tone or strength. An atonic seizure is one in which the person suddenly loses muscle tone and strength and cannot sit or stand upright and, unless supported, falls down.
Basal ganglia: A region consisting of 3 clusters of neurons (called the caudate nucleus, putamen, and the globus pallidus) located at the base of the brain that are responsible for involuntary movements such as tremors, athetosis, and chorea. The basal ganglia are abnormal in a number of important neurologic conditions including Parkinson disease and Huntington disease. The term “basal ganglia” refers to the fact that this region is in the “basement” of the brain.
Bladder: Any pouch or other flexible enclosure that can hold liquids or gases but usually refers to the hollow organ in the lower abdomen that stores urine — the urinary bladder. The kidneys filter waste from the blood and produce urine, which enters the bladder through two tubes called ureters. Urine leaves the bladder through another tube, the urethra. In women, the urethra is a short tube that opens just in front of the vagina. In men, it is longer, passing through the prostate gland and then the penis. Infection of the bladder is called cystitis.
Blind: 1. Unable to see. Without part or all of the sense of sight. 2. In a clinical trial, not to know the treatment given or received. The participant is not told whether they are in the experimental or control arm of the study. Also called masked.
Blood clots: Blood that has been converted from a liquid to a solid state. Also called a thrombus.
Botulinum toxin: A toxin produced by the bacterium Clostridium botulinum that is the most poisonous biological substance known. Botulinum toxin acts as a neurotoxin. It binds to the nerve ending at the point where the nerve joins a muscle, blocking the release by the nerve of the chemical acetylcholine (the principal neurotransmitter at the neuromuscular junction), preventing the muscle from contracting. The result is weakness and paralysis of the muscle. The muscle atrophies. The blockage of acetylcholine release is irreversible. Function can be recovered by the sprouting of nerve terminals and the formation of new synaptic contacts, which usually takes 2 to 3 months.
Brain: That part of the central nervous system that is located within the cranium (skull). The brain functions as the primary receiver, organizer and distributor of information for the body. It has two (right and left) halves called “hemispheres.”
Brain lesions: an anatomical abnormality of any part of the brain. A brain lesion may be due to trauma or any other disease that can cause inflammation, malfunction, or destruction of a brain cells or brain tissue. A lesion may be localized to one part of the brain or may be widespread. Examples of brain lesions include head injuries, tumors, vascular malformations, damage due to stroke, and damage due to inflammation resulting from infections or chronic diseases.
Calf: The belly or fleshy hind part of the leg below the knee. The calf is made up mainly of the gastrocnemius muscle (which comes from the Greek “gastroknemia” meaning calf of the leg, from “gaster” (gastr-), belly, + “kneme,” leg). 
Catheter: A thin, flexible tube. For example, a catheter placed in a vein provides a pathway for giving drugs, nutrients, fluids, or blood products. Samples of blood can also be withdrawn through the catheter.
Cerebral: Pertaining to the brain, the cerebrum or the intellect.
Cerebral cortex: A thin mantle of gray matter about the size of a formal dinner napkin covering the surface of each cerebral hemisphere. The cerebral cortex is crumpled and folded, forming numerous convolutions (gyri) and crevices (sulci). It is made up of six layers of nerve cells and the nerve pathways that connect them. The cerebral cortex is responsible for the processes of thought, perception and memory and serves as the seat of advanced motor function, social abilities, language, and problem solving.
Cerebral palsy: An abnormality of motor function (the ability to move and control movements) that is acquired at an early age, usually less than a year of age, and is due to a brain lesion that is non-progressive. Cerebral palsy (CP) is frequently the result of abnormalities that occur in utero, while the fetus is developing inside the mother’s womb. Such abnormalities may include accidents of brain development, genetic disorders, stroke due to abnormal blood vessels or blood clots, or infection of the brain. In rare instances, obstetrical accidents during particularly difficult deliveries can cause brain damage and result in CP. CP may be divided into spastic, choreoathetoid, and hypotonic (flaccid) CP. In spastic CP, there is an abnormality of muscle tone in which one or more extremities (arm or leg) is held in a rigid posture. Choreoathetoid CP is associated with abnormal, uncontrollable, writhing movements of the arms and/or legs. The child with hypotonic CP appears floppy — like a rag doll. Treatment may include casting and braces to prevent further loss of limb function, speech therapy, physical therapy, occupational therapy, the use of augmentative communication devices, and the use of medications of botox injections to treat spasticity.
Cerebrospinal fluid: CSF. A watery fluid, continuously produced and absorbed, which flows in the ventricles (cavities) within the brain and around the surface of the brain and spinal cord.
Clinical trials: Trials to evaluate the effectiveness and safety of medications or medical devices by monitoring their effects on large groups of people.
Cognitive: Pertaining to cognition, the process of knowing and, more precisely, the process of being aware, knowing, thinking, learning and judging. The study of cognition touches on the fields of psychology, linguistics, computer science, neuroscience, mathematics, ethology and philosophy.
Constipation: Infrequent (and frequently incomplete) bowel movements. The opposite of diarrhea, constipation is commonly caused by irritable bowel syndrome, diverticulosis, and medications (constipation can paradoxically be caused by overuse of laxatives). Colon cancer can narrow the colon and thereby cause constipation. The large bowel (colon) can be visualized by barium enema x-rays, sigmoidoscopy, and colonoscopy. Barring a condition such as cancer, high-fiber diets can frequently relieve the constipation.
Cortex: The outer portion of an organ.
Cortical: Having to do with the cortex, the outer portion of an organ.
Cuts: Severed skin. Washing a cut or scrape with soap and water and keeping it clean and dry is all that is required to care for most wounds. Putting alcohol hydrogen peroxide, and iodine into a wound can delay healing and should be avoided. Seek medical care early if you think that you might need stitches. Any delay can increase the rate of wound infection. Any puncture wound through tennis shoes has a high risk of infection and should be seen by your healthcare professional. Any redness, swelling, increased pain, or pus draining from the wound may indicate an infection that requires professional care.
Deglutition: The act of swallowing, particularly the swallowing of food. The muscles of deglutition are the muscles employed in the act of swallowing.
Developmental delay: Behind schedule in reaching milestones of early childhood development.
Diagnosis: 1 The nature of a disease; the identification of an illness. 2 A conclusion or decision reached by diagnosis. The diagnosis is rabies. 3 The identification of any problem. The diagnosis was a plugged IV.
Dorsal: Relating to the back or postterior of a structure. As opposed to the ventral, or front, of the structure. Some of the dorsal surfaces of the body are the back, buttocks, calves, and the knuckle side of the hand.
Dysarthria: Speech that is characteristically slurred, slow, and difficult to produce (difficult to understand). The person with dysarthria may also have problems controlling the pitch, loudness, rhythm, and voice qualities of their speech.
Dysfunction: Difficult function or abnormal function.
Dystonia: Involuntary movements and prolonged muscle contraction, resulting in twisting body motions, tremor, and abnormal posture. These movements may involve the entire body, or only an isolated area. Symptoms may even be “task specific,” such as writer’s cramp. Dystonia can be inherited, occur sporadically without any genetic pattern, or be associated with medications or diseases (for example, a specific form of lung cancer). The gene responsible for at least one form of dystonia has recently been identified. Some types of dystonia respond to dopamine, or can be controlled with sedative-type medications, or surgery.
Ear: The hearing organ. There are three sections of the ear, according to the anatomy textbooks. They are the outer ear (the part we see along the sides of our head behind the temples), the middle ear, and the inner ear. But in terms of function, the ear has four parts: those three and the brain. Hearing thus involves all parts of the ear as well as the auditory cortex of the brain. The external ear helps concentrate the vibrations of air on the ear drum and make it vibrate. These vibrations are transmitted by a chain of little bones in the middle ear to the inner ear. There they stimulate the fibers of the auditory nerve to transmit impulses to the brain.
EEG: Electroencephalogram, e technique for studying the electrical current within the brain. Electrodes are attached to the scalp. Wires attach these electrodes to a machine which records the electrical impulses. The results are either printed out or displayed on a computer screen. Electroencephalogram is abbreviated EEG.
Electroencephalogram: A study of electrical current within the brain. Electrodes are attached to the scalp. Wires attach these electrodes to a machine which records the electrical impulses. The results are either printed out or displayed on a computer screen. Electroencephalogram is abbreviated EEG.
Encephalopathy: Disease, damage, or malfunction of the brain. In general, encephalopathy is manifested by an altered mental state that is sometimes accompanied by physical changes. Although numerous causes of encephalopathy are known, the majority of cases arise from infection, liver damage, anoxia, or kidney failure. The term encephalopathy is very broad and, in most cases, is preceded by various terms that describe the reason, cause, or special conditions of the patient that leads to brain malfunction. For example, anoxic encephalopathy means brain damage due to lack of oxygen, and hepatic encephalopathy means brain malfunction due to liver disease. Depending upon the cause and severity of the condition, symptoms may range from mild alterations in mental status to severe and potentially fatal manifestations such as dementia, seizures, and coma.
Encopresis: Inability to control the elimination of stool (fecal incontinence). Encopresis can have a variety of causes, including inability to control the anal sphincter muscle or gastrointestinal problems, particularly chronic diarrhea and Crohn’s disease. Several neurological disorders are also occasionally associated with the symptom of encopresis, particularly in children, including Tourette’s syndrome and obsessive-compulsive disorder. Preventive care for encopresis including frequent scheduled toileting, and pads or diapers to prevent embarrassing soiling. Careful cleaning is important to prevent skin breakdown. Treatment of encopresis usually involves treatment of the underlying disorder; cognitive behavioral therapy or behavior modification is also sometimes helpful.
Enuresis: Involuntary urination, which may be caused by a variety of factors. These include disorders of the kidneys, bladder, or ureter; and poor control of the muscles that control release of urine. Enuresis is also occasionally associated with neurological disorders, such as Tourette’s syndrome, particularly in children. Nighttime (nocturnal) enuresis may be related to any of the above, or may be a symptom of a sleep disorder. Palliative treatment options include regularly scheduled toileting, increasing awareness of the need to urinate, exercises intended to strengthen the muscles that control release of urine (see Kegel exercises), pads or diapers to prevent embarrassing and uncomfortable wetness, and in some cases special devices that alert the patient to initial signs of wetness. Treatment of enuresis usually involves treatment of the underlying disorder. Cognitive behavioral therapy or behavior modification techniques may also prove helpful.
Epilepsy (seizure disorder): When nerve cells in the brain fire electrical impulses at a rate of up to four times higher than normal, this causes a sort of electrical storm in the brain, known as a seizure. A pattern of repeated seizures is referred to as epilepsy. Known causes include head injuries, brain tumors, lead poisoning, maldevelopment of the brain, genetic and infectious illnesses. But in fully half of cases, no cause can be found. Medication controls seizures for the majority of patients.
Extremity: The extremities in medical language are not freezing cold or scorching heat but rather the uttermost parts of the body. The extremities are simply the hands and feet.
Fetus: The unborn offspring from the end of the 8th week after conception (when the major structures have formed) until birth. Up until the eighth week, the developing offspring is called an embryo.
Focal: Pertaining to a focus which in medicine may refer to: 1. The point at which rays converge as, for example, in the focal point. 2. A localized area of disease. A focal cancer is limited to one specific area.
Folic acid: One of the B vitamins that is a key factor in the synthesis (the making) of nucleic acid (DNA and RNA).
Gait: A manner of walking. Observation of the gait can provide clues to a number of diagnoses including Parkinson disease, cerebral palsy, congenital dislocation of the hip, and stroke.
Gastroesophageal: Pertaining to both the stomach and the esophagus, as in the gastroesophageal junction, the place where the esophagus connects to the stomach.
Gastroesophageal reflux: The return of stomach contents back up into the esophagus This frequently causes heartburn because of irritation of the esophagus by stomach acid.
Gastrostomy: A surgical opening into the stomach. This opening may be used for feeding usually via a feeding tube called a gastrostomy tube. This can also be done by percutaneous endoscopic gastrostomy (PEG). PEG is a surgical procedure for placing a feeding tube but does not necessitate doing an open laparotomy (operation on the abdomen). The aim of PEG (as with any gastrostomy) is to feed those who cannot swallow. PEG may be done by a. surgeon, otolaryngologist (ENT specialist) or gastroenterologist (GI specialist). It is done in a. hospital or outpatient surgical facility. Local anesthesia (usually lidocaine or another spray) is used to anesthetize the throat. An endoscope (a flexible, lighted instrument) is passed through the mouth, throat and esophagus to the stomach. The surgeon then makes a small incision (cut) in the skin of the abdomen and pushes an intravenous cannula (an IV tube) through the skin into the stomach and sutures (ties) it in place. The patient can usually go home the same day or the next morning. Possible complications include wound infection (as in any kind of surgery) and dislodging or malfunction of the tube. Percutaneous endoscopic gastrostomy may be a mouthful (as a term) but it describes the procedure accurately. A gastrostomy (a surgical opening into the stomach) is made percutaneously (through the skin) using an endoscope to put the feeding tube in place. PEG, when feasible, takes less time, carries less risk and costs less than a classic surgical gastrostomy which requires opening the abdomen.
Genetic: Having to do with genes and genetic information.
Gray matter: The cortex of the brain which contains nerve cell bodies. The gray matter is in contrast to the white matter, the part of the brain that contains myelinated nerve fibers. The gray matter is so named because it in fact appears gray. The white matter is white because that is the color of myelin, the insulation covering the nerve fibers. In “The Mysterious Affair at Styles” (1920), Agatha Christie first quoted the fictional Belgian detective Hercule Poirot in regard to his gray matter: “‘This affair must be unravelled from within.’ He tapped his forehead. ‘These little grey cells. It is “up to them”-as you say over here.’”
Hammer: The malleus.
Hemiparesis: Weakness on one side of the body.
Hemorrhage: Bleeding or the abnormal flow of blood.
Herbal: 1. An adjective, referring to herbs, as in an herbal tea. 2. A noun, usually reflecting the botanical or medicinal aspects of herbs; also a book which catalogs and illustrates herbs. The word “herbal” was pronounced with a silent “h” on both sides of the Atlantic until the 19th century but this usage persists only on the American side.
Hyperactivity: A higher than normal level of activity. An organ can be described as hyperactive if it is more active than usual. Behavior can also be hyperactive.
Hyperbaric: Pertaining to gas pressures greater than 1 atmosphere* of pressure. Also pertaining to solutions that are more dense than the medium to which they are added. The term “hyperbaric” is derived from Greek roots: “hyper-” meaning high, beyond, excessive, above normal + “baros” meaning weight.
Hypotonia: Decreased tone of skeletal muscles. In a word, floppiness. Hypotonia is a common finding in cerebral palsy and other neuromuscular disorders. Untreated hypotonia can lead to hip dislocation and other problems. Treatment is via physical therapy. In some cases braces may be needed to permit a full range of movement despite hypotonia.
Incontinence: Inability to control excretions. Urinary incontinence is inability to keep urine in the bladder. Fecal incontinence is inability to retain feces in the rectum.
Indicate: In medicine, to make a treatment or procedure advisable because of a particular condition or circumstance. For example, certain medications are indicated for the treatment of hypertension during pregnancy while others are contraindicated.
Infant: A child up to 2 years (24 months) of age.
Infection: The growth of a parasitic organism within the body. (A parasitic organism is one that lives on or in another organism and draws its nourishment therefrom.) A person with an infection has another organism (a “germ”) growing within him, drawing its nourishment from the person.
Injury: Harm or hurt. The term “injury” may be applied in medicine to damage inflicted upon oneself as in a hamstring injury or by an external agent on as in a cold injury. The injury may be accidental or deliberate, as with a needlestick injury. The term “injury” may be synonymous (depending on the context) with a wound or with trauma.
Intervention: The act of intervening, interfering or interceding with the intent of modifying the outcome. In medicine, an intervention is usually undertaken to help treat or cure a condition. For example, early intervention may help children with autism to speak. “Acupuncture as a therapeutic intervention is widely practiced in the United States,” according to the National Institutes of Health. From the Latin intervenire, to come between.
Intractable: Unstoppable. For example, intractable diarrhea or intractable pain.
Involuntary: Done other than in accordance with the conscious will of the individual. The opposite of voluntary.
Joint: A joint is the area where two bones are attached for the purpose of motion of body parts. A joint is usually formed of fibrous connective tissue and cartilage. An articulation or an arthrosis is the same as a joint.
Laboratory: A place for doing tests and research procedures and preparing chemicals, etc. Although “laboratory” looks very like the Latin “laboratorium” (a place to labor, a work place), the word “laboratory” came from the Latin “elaborare” (to work out, as a problem, and with great pains), as evidenced by the Old English spelling “elaboratory” designating “a place where learned effort was applied to the solution of scientific problems.”
Leg: In popular usage, the leg extends from the top of the thigh down to the foot. However, in medical terminology, the leg refers to the portion of the lower extremity from the knee to the ankle.
Lesion: Pronounced “lee-sion” with the emphasis on the “lee,” a lesion can be almost any abnormality involving any tissue or organ due to any disease or any injury.
Lethargy: 1. Abnormal drowsiness, stupor. 2. A state of indifference. From the Greek lethargia, drowsiness.
Limb: The arm or leg.
Liver:An organ in the upper abdomen that aids in digestion and removes waste products and worn-out cells from the blood. The liver is the largest solid organ in the body. The liver weighs about three and a half pounds (1.6 kilograms). It measures about 8 inches (20 cm) horizontally (across) and 6.5 inches (17 cm) vertically (down) and is 4.5 inches (12 cm) thick.
Lungs: The lungs are a pair of breathing organs located with the chest which remove carbon dioxide from and bring oxygen to the blood. There is a right and left lung.
Magnetic resonance imaging: A special radiology technique designed to image internal structures of the body using magnetism, radio waves, and a computer to produce the images of body structures. In magnetic resonance imaging (MRI), the scanner is a tube surrounded by a giant circular magnet. The patient is placed on a moveable bed that is inserted into the magnet. The magnet creates a strong magnetic field that aligns the protons of hydrogen atoms, which are then exposed to a beam of radio waves. This spins the various protons of the body, and they produce a faint signal that is detected by the receiver portion of the MRI scanner. A computer processes the receiver information, and an image is produced. The image and resolution is quite detailed and can detect tiny changes of structures within the body, particularly in the soft tissue, brain and spinal cord, abdomen and joints.
Malformation: A structural defect in the body due to abnormal embryonic or fetal development. There are many types of malformations. For example, cleft lip and cleft palate.
Medical history: 1. In clinical medicine, the patient’s past and present which may contain clues bearing on their health past, present, and future. The medical history, being an account of all medical events and problems a person has experienced, including psychiatric illness, is especially helpful when a differential diagnosis is needed. 2. The history of medicine.
Metabolism: The whole range of biochemical processes that occur within an organism. Metabolism consists both of anabolism and catabolism (the buildup and breakdown of substances, respectively). The biochemical reactions are known as metabolic pathways and involve enzymes that transform one substance into another substance, either breaking down a substance or building a new chemical substance. The term is commonly used to refer specifically to the breakdown of food and its transformation into energy.
Microcephaly: An abnormally small head due to failure of brain growth. In precise terms, microcephaly is a head circumference that is more than 2 standard deviations below the normal mean for age, sex, race, and gestation. (Some authorities define microcephaly as more than 3 standard deviations below the mean.)
Motor: In medicine, having to do with the movement of a part of the body. Something that produces motion or refers to motion. For example, a motor neuron is a nerve cell that conveys an impulse to a muscle causing it to contract. The term “motor” today is also applied to a nerve that signals a gland to secrete. Motor is as opposed to sensory.
Mouth: 1. The upper opening of the digestive tract, beginning with the lips and containing the teeth, gums, and tongue. Foodstuffs are broken down mechanically in the mouth by chewing and saliva is added as a lubricant. Saliva contains amylase, an enzyme that digests starch. 2. Any opening or aperture in the body. The mouth in both senses of the word is also called the os, the Latin word for an opening, or mouth. The o in os is pronounced as in hope. The genitive form of os is oris from which comes the word oral.
MRI: Abbreviation and nickname for magnetic resonance imaging.
Muscle: Muscle is the tissue of the body which primarily functions as a source of power. There are three types of muscle in the body. Muscle which is responsible for moving extremities and external areas of the body is called “skeletal muscle.” Heart muscle is called “cardiac muscle.” Muscle that is in the walls of arteries and bowel is called “smooth muscle.”
Muscle relaxant: Muscle relaxant is a term usually used to refer to skeletal muscle relaxants (drugs), which act on the central nervous system (CNS) to relax muscles. These drugs are often prescribed to reduce pain and soreness associated with sprains, strains, or other types of muscle injury. Some examples of commonly prescribed skeletal muscle relaxant medications include carisoprodol (Soma), cyclobenzaprine (Flexeril), and metaxalone (Skelaxin), which are taken in tablet form. Muscle relaxant drugs are only available by prescription in the U.S.
Neck: The part of the body joining the head to the shoulders. Also, any narrow or constricted part of a bone or organ that joins its parts as, for example, the neck of the femur bone.
Neonatal: Pertaining to the newborn period which, by convention, is the first four weeks after birth.
Neonatology: The art and science of caring medically for the newborn.
Nerve: A bundle of fibers that uses chemical and electrical signals to transmit sensory and motor information from one body part to another.
Neurological: Having to do with the nerves or the nervous system.
Neurologist: A doctor who specializes in the diagnosis and treatment of disorders of the nervous system.
Nuclear medicine: The branch of medicine concerned with the use of radioisotopes in the diagnosis, management, and treatment of disease. Nuclear medicine uses small amounts of radioactive materials or radiopharmaceuticals, substances that are attracted to specific organs, bones, or tissues. The radiopharmaceuticals used in nuclear medicine emit gamma rays that can be detected externally by special types of cameras: gamma or PET cameras. These cameras work in conjunction with computers used to form images that provide data and information about the area of body being imaged. The amount of radiation from a nuclear medicine procedure is comparable to that received during a diagnostic x-ray.
Obesity: The state of being well above one’s normal weight.
Occupational therapist: A licensed health professional who is trained to evaluate patients with joint conditions, such as arthritis, to determine the impact the disease on their activities of daily living. Occupational therapists can design and prescribe assistive devices that can improve the quality of the activities of daily living for patients with arthritis and other conditions of the muscles and joints.
Operation: Although there are many meanings to the word “operation”, in medicine it refers to a surgical procedure.
Osteoporosis: Thinning of the bones with reduction in bone mass due to depletion of calcium and bone protein. Osteoporosis predisposes a person to fractures, which are often slow to heal and heal poorly. It is more common in older adults, particularly post-menopausal women; in patients on steroids; and in those who take steroidal drugs. Unchecked osteoporosis can lead to changes in posture, physical abnormality (particularly the form of hunched back known colloquially as “dowager’s hump”), and decreased mobility.
Oxygen: A colorless, odorless and tasteless gas that makes up about 20% of the air we breathe (and at least half the weight of the entire solid crust of the earth) and which combines with most of the other elements to form oxides. Oxygen is essential to human, animal and plant life.
Palate: The roof of the mouth. The front portion is bony (hard palate), and the back portion is muscular (soft palate).
Palsy: Paralysis, generally partial, whereby a local body area is incapable of voluntary movement (motor function). For example, Bell’s palsy is localized paralysis of the muscles on one side of the face. The word “palsy” is a corruption (and contracture) of the French word “paralysie” which means “paralysis.”
Pathologist: A doctor who identifies diseases by studying cells and tissues under a microscope.
Pediatric: Pertaining to children.
PEG: Stands for percutaneous endoscopic gastrostomy, a surgical procedure for placing a feeding tube without having to perform an open laparotomy (operation on the abdomen). The aim of PEG is to feed those who cannot swallow. PEG may be done by a surgeon, otolaryngologist (ENT specialist) or gastroenterologist (GI specialist). It is done in a. hospital or outpatient surgical facility. Local anesthesia (usually lidocaine or another spray) is used to anesthetize the throat. An endoscope (a flexible, lighted instrument) is passed through the mouth, throat and esophagus to the stomach. The surgeon then makes a small incision (cut) in the skin of the abdomen and pushes an intravenous cannula (an IV tube) through the skin into the stomach and sutures (ties) it in place. The patient can usually go home the same day or the next morning. Possible complications include wound infection (as in any kind of surgery) and dislodging or malfunction of the tube. Percutaneous endoscopic gastrostomy may be a mouthful (as a term) but it describes the procedure accurately. A gastrostomy (a surgical opening into the stomach) is made percutaneously (through the skin) using an endoscope to put the feeding tube in place. PEG takes less time, carries less risk and costs less than a classic surgical gastrostomy which requires opening the abdomen.
Peripheral: Situated away from the center, as opposed to centrally located.
Physical therapist: A person trained and certified by a state or accrediting body to design and implement physical therapy programs. Physical therapists may work within a hospital or clinic, in a school providing assistance to special education students, or as an independent practitioner.
Physical therapy: A branch of rehabilitative health that uses specially designed exercises and equipment to help patients regain or improve their physical abilities. Physical therapists work with many types of patients, from infants born with musculoskeletal birth defects, to adults suffering from sciatica or the after- effects of injury, to elderly post-stroke patients.
Postural: Pertaining to the posture or position of the body, the attitude or carriage of the body as a whole, or the position of the limbs (the arms and legs). Postural hypotension is a drop in blood pressure (hypotension) due to a change in body position (a change in posture). It occurs when a person, often an older person, moves to a more vertical position: from sitting to standing or from lying down to sitting or standing. The change in posture causes a temporary reduction in blood flow and therefore a shortage of oxygen to the brain, which leads to lightheadedness and, sometimes, a “black out” episode, a loss of consciousness.
Posture: The carriage of the body as a whole, the attitude of the body, or the position of the limbs (the arms and legs).
Pregnancy: The state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over-the-counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the date of the woman’s last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long.
Premature birth: A birth that takes place before 37 weeks of gestation have passed. Historically, the definition of prematurity was 2500 grams (about 5 1/2 pounds) or less at birth. The current World Health Organization definition of prematurity is a baby born before 37 weeks of gestation, counting from the first day of the Last Menstrual Period (the LMP).
Prematurity: Historically, the definition of prematurity was 2500 grams (about 5 1/2 pounds) or less at birth. The current World Health Organization definition of prematurity is a baby born before 37 weeks of gestation, counting from the first day of the Last Menstrual Period (LMP).
Prenatal: Occurring or existing before birth.
Primary care: The “medical home” for a patient, ideally providing continuity and integration of health care. All family physicians and most pediatricians and internists are in primary care. The aims of primary care are to provide the patient with a broad spectrum of care, both preventive and curative, over a period of time and to coordinate all of the care the patient receives.
Prognosis: 1. The expected course of a disease. 2. The patient’s chance of recovery. The prognosis predicts the outcome of a disease and therefore the future for the patient. His prognosis is grim, for example, while hers is good. See the entire definition of Prognosis
Quadriparesis: Weakness of all four limbs, both arms and both legs, as for example from muscular dystrophy.
Quadriplegia: Paralysis of all four limbs, both arms and both legs, as from a high spinal cord accident or stroke.
Quality of life: An important consideration in medical care, quality of life refers to the patient’s ability to enjoy normal life activities. Some medical treatments can seriously impair quality of life without providing appreciable benefit, while others greatly enhance quality of life.
Range of motion: The range through which a joint can be moved, usually its range of flexion and extension. Due to an injury, the knee may for example lack 10 degrees of full extension.
Red blood cells: The blood cells that carry oxygen. Red cells contain hemoglobin and it is the hemoglobin which permits them to transport oxygen (and carbon dioxide). Hemoglobin, aside from being a transport molecule, is a pigment. It gives the cells their red color (and their name).
Reflex: A reaction that is involuntary. The corneal reflex is the blink that occurs with irritation of the eye. The nasal reflex is a sneeze.
Reflux: The term used when liquid backs up into the esophagus from the stomach.
Relaxant: Something that relaxes, relieves, reduces tension. For example, a muscle relaxant is often administered during abdominal surgery to relax the diaphragm and keep it from moving during the surgery.
Respiratory: Having to do with respiration, the exchange of oxygen and carbon dioxide. From the Latin re- (again) + spirare (to breathe) = to breathe again.
Risk factor: Something that increases a person’s chances of developing a disease.
Scoliosis: Sideways (lateral) curving of the spine (the backbone).
Sedative: A drug that calms a patient down, easing agitation and permitting sleep. Sedatives generally work by modulating signals within the central nervous system. These sedatives can dangerously depress important signals needed to maintain heart and lung function if they are misused or accidentally combined, as in the case of combining prescription sedatives with alcohol. Most sedatives also have addictive potential. For these reasons, sedatives should be used under supervision, and only as needed.
Seizure: Uncontrolled electrical activity in the brain, which may produce a physical convulsion, minor physical signs, thought disturbances, or a combination of symptoms.
Sensory: Relating to sensation, to the perception of a stimulus and the voyage made by incoming (afferent) nerve impulses from the sense organs to the nerve centers.
Sodium: The major positive ion (cation) in fluid outside of cells. The chemical notation for sodium is Na+. When combined with chloride, the resulting substance is table salt.
Spasticity: A state of increased tone of a muscle (and an increase in the deep tendon reflexes). For example, with spasticity of the legs (spastic paraplegia) there is an increase in tone of the leg muscles so they feel tight and rigid and the knee jerk reflex is exaggerated.
SPECT: An acronym that stands for Single Photon Emission Computed Tomography, a nuclear medicine procedure in which a gamma camera rotates around the patient and takes pictures from many angles, which a computer then uses to form a tomographic (cross-sectional) image.
Speech therapist: An older term for a speech- language pathologist.
Speech therapy: The treatment of speech and communication disorders. The approach used depends on the disorder. It may include physical exercises to strengthen the muscles used in speech (oral-motor work), speech drills to improve clarity, or sound production practice to improve articulation.
Spinal cord: The major column of nerve tissue that is connected to the brain and lies within the vertebral canal and from which the spinal nerves emerge. Thirty-one pairs of spinal nerves originate in the spinal cord: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. The spinal cord and the brain constitute the central nervous system (CNS). The spinal cord consists of nerve fibers that transmit impulses to and from the brain. Like the brain, the spinal cord is covered by three connective-tissue envelopes called the meninges. The space between the outer and middle envelopes is filled with cerebrospinal fluid (CSF), a clear colorless fluid that cushions the spinal cord against jarring shock. Also known simply as the cord.
Spine: 1) The column of bone known as the vertebral column, which surrounds and protects the spinal cord. The spine can be categorized according to level of the body: i.e., cervical spine (neck), thoracic spine (upper and middle back), and lumbar spine (lower back). See also vertebral column. 2) Any short prominence of bone. The spines of the vertebrae protrude at the base of the back of the neck and in the middle of the back. These spines protect the spinal cord from injury from behind.
Stage: As regards cancer, the extent of a cancer, especially whether the disease has spread from the original site to other parts of the body. See also: Staging.
Stomach: 1. The sac-shaped digestive organ that is located in the upper abdomen, under the ribs. The upper part of the stomach connects to the esophagus, and the lower part leads into the small intestine.
Strabismus: A condition in which the visual axes of the eyes are not parallel and the eyes appear to be looking in different directions. In divergent strabismus, or exotropia, the visual axes diverge. If the visual axes converge, it is called convergent strabismus or esotropia. The danger with strabismus is that the brain cones may come to rely more on one eye than the other and that part of the brain circuitry connected to the less-favored eye fails to develop properly, leading to amblyopia (blindness) in that eye.
Stress: Forces from the outside world impinging on the individual. Stress is a normal part of life that can help us learn and grow. Conversely, stress can cause us significant problems.
Stroke: The sudden death of some brain cells due to a lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain. A stroke is also called a cerebrovascular accident or, for short, a CVA.
Surgeon: A physician who treats disease, injury, or deformity by operative or manual methods. A medical doctor specialized in the removal of organs, masses and tumors and in doing other procedures using a knife (scalpel). The definition of a “surgeon” has begun to blur in recent years as surgeons have begun to minimize the cutting, employ new technologies that are “minimally invasive,” use scopes, etc.
Surgery: The word “surgery” has multiple meanings. It is the branch of medicine concerned with diseases and conditions which require or are amenable to operative procedures. Surgery is the work done by a surgeon. By analogy, the work of an editor wielding his pen as a scalpel is s form of surgery. A surgery in England (and some other countries) is a physician’s or dentist’s office.
Symptom: Any subjective evidence of disease. Anxiety, lower back pain, and fatigue are all symptoms. They are sensations only the patient can perceive. In contrast, a sign is objective evidence of disease. A bloody nose is a sign. It is evident to the patient, doctor, nurse and other observers.
Syndrome: A set of signs and symptoms that tend to occur together and which reflect the presence of a particular disease or an increased chance of developing a particular disease.
Tendon: The tissue by which a muscle attaches to bone. A tendon is somewhat flexible, but fibrous and tough. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis. Inflamed tendons are at risk for rupture.
Therapeutic: Relating to therapeutics, that part of medicine concerned specifically with the treatment of disease. The therapeutic dose of a drug is the amount needed to treat a disease.
Therapy: The treatment of disease.
Thigh: The thigh extends from the hip to the knee. The thigh has only one bone, the femur which is the largest bone in the human body.
Tongue: The tongue is a strong muscle anchored to the floor of the mouth. It is covered by the lingual membrane which has special areas to detect tastes.
Toxin: One of a number of poisons produced by certain plants, animals, and bacteria.
Tubes: The “tubes” are medically known as the Fallopian tubes. There are two Fallopian tubes, one on each side, which transport the egg from the ovary to the uterus (the womb). The Fallopian tubes have small hair-like projections called cilia on the cells of the lining.
Urinary: Having to do with the kidneys, ureters, and bladder. The urinary system represents the functional and anatomic aspects of the kidneys, ureters, and bladder.
Urinary tract: The organs of the body that produce and discharge urine. These include the kidneys, ureters, bladder, and urethra.
Urine: Liquid waste. The urine is a clear, transparent fluid. It normally has an amber color. The average amount of urine excreted in 24 hours is from 40 to 60 ounces (about 1,200 cubic centimeters). Chemically, the urine is mainly an aqueous (watery) solution of salt (sodium chloride) and substances called urea and uric acid. Normally, it contains about 960 parts of water to 40 parts of solid matter. Abnormally, it may contain sugar (in diabetes), albumen (a protein) (as in some forms of kidney disease), bile pigments (as in jaundice), or abnormal quantities of one or another of its normal components.
Voluntary: Done in accordance with the conscious will of the individual. The opposite of involuntary.
White matter: The part of the brain that contains myelinated nerve fibers. The white matter is white because it is the color of myelin, the insulation covering the nerve fibers. The white matter is as opposed to the gray matter (the cortex of the brain which contains nerve cell bodies).
Womb: The womb (uterus) is a hollow, pear-shaped organ located in a woman’s lower abdomen between the bladder and the rectum. The narrow, lower portion of the uterus is the cervix; the broader, upper part is the corpus. The corpus is made up of two layers of tissue.
