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Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 1
The Language Of The Language Of MedicineMedicine
1010thth edition editionDavi-Ellen ChabnerDavi-Ellen Chabner
Chapter 10Nervous System
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc. 2
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Chapter Goals
Name, locate, and describe major organs of the nervous system and their functions.
Learn nervous system combining forms and use them with suffixes and prefixes.
Define pathological conditions affecting the nervous system.
3
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Chapter Goals (cont’d)
Describe laboratory tests, clinical procedures, and abbreviations that pertain to the system.
Apply your new knowledge to understanding medical terms in the proper contexts, such as medical reports and records.
4
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Chapter 10Lesson 10.1
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Introduction
Nervous system:
Complex: 10 billion nerve cells
Voluntary and involuntary functions
Carries electrical messages
External and internal receptors
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Introduction (cont’d)
Nerve cells (neurons):
Microscopic
Collected into macroscopic nerves
Carry electrical messages all over the body
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General Structure of the Nervous System Two major divisions:
Central nervous system—CNS
Brain
Spinal cord
Peripheral nervous system—PNS
Cranial nerves
Spinal nerves
Plexuses
Peripheral nerves throughout the body
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General Structure of the Nervous System (cont’d)
Cranial and spinal nerves
Sensory nerves carry messages toward the brain
Motor nerves carry messages from the brain
Mixed nerves carry both sensory and motor fibers
Sensory receptors
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General Structure of the Nervous System (cont’d)
Autonomic nervous system: Carries impulses from the central nervous system
to the organs Sympathetic nerves stimulate the body under
stress Parasympathetic nerves balance the
sympathetic system Slow heart rate
Lower blood pressure
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Divisions of the Central and Peripheral Nervous System
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Neurons, Nerves, and Glia
Neuron = Individual nerve cell
Dendrite Cell nucleus Axon
Myelin sheath Neurilemma
Terminal end fibers (secrete neurotransmitters)
Neurotransmitters transfer impulse across synapse
Ganglia = Small clusters of nerve cell bodies
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Neurons, Nerves, and Glia (cont’d)
Label the parts of a neuron, and review the path of a nervous impulse.
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Neurons, Nerves, and Glia (cont’d)
The image shows the parts of a neuron. Review the path of a nervous impulse.
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Neurons, Nerves, and Glia (cont’d)
Glia cells:
Maintain the health of the nervous system
Do not transmit impulses
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Neurons, Nerves, and Glia (cont’d)
Four types: Astrocytes (astroglial cells) Microglia (microglial cells) Oligodendroglia (oligodendroglial cells) Ependymal cells
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Chapter 10Lesson 10.2
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The Brain
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The Brain (cont’d)
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The Brain (cont’d)
Cerebrum
The largest section of the brain
Surface nerve cells called cerebral cortex
Manages speech, vision, smell, movement, hearing, and thought
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The Brain (cont’d)
Cerebellum
Coordinates voluntary movements
Maintains balance
Thalamus
Integrates and monitors impulses from skin (pain)
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The Brain (cont’d)
Hypothalamus
Controls body temperature, sleep, appetite, sexual desire, and emotions
Regulates release of hormones from the pituitary gland
Monitors sympathetic and parasympathetic nervous systems
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The Brain (cont’d)
Brainstem
Pons
Bridges the cerebrum and cerebellum with the rest of the brain
Houses nerves for the face and eyes
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The Brain (cont’d)
Brainstem
Medulla oblongata
Connects the spinal cord to the brain
Nerve tracts from side to side
Regulates:
Blood vessels
Heart
Respiratory system
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The Spinal Cord and Meninges
Spinal cord
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The Spinal Cord and Meninges (cont’d)
Meninges
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The Spinal Cord and Meninges (cont’d)
Meninges
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Vocabulary
acetylcholine
afferent nerve
arachnoid membrane
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Vocabulary (cont’d)
acetylcholine
afferent nerve
arachnoid membrane
Neurotransmitter chemical released at ends of nerve cells
Carries messages toward the brain and spinal cord
Middle layer of the three membranes that surround the brain and spinal cord
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Vocabulary (cont’d)
astrocyte
autonomic nervous system
axon
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Vocabulary (cont’d)
astrocyte
autonomic nervous system
axon
Glial cell that transports water and salts from capillaries
Nerves that control involuntary body functions of muscles, glands, and internal organs
Microscopic fiber that carries the nervous impulse along a nerve cell
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Vocabulary (cont’d)
blood-brain barrier
brainstem
cauda equina
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Vocabulary (cont’d)
blood-brain barrier
brainstem
cauda equina
Protective separation between the blood and brain cells that keeps substances (such as anticancer drugs) from penetrating capillary walls and entering the brain
Posterior portion of the brain that connects the cerebrum with the spinal cord
Collection of spinal nerves below the end of the spinal cord
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Vocabulary (cont’d)
cell body
central nervous system (CNS)
cerebellum
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Vocabulary (cont’d)
cell body
central nervous system (CNS)
cerebellum
The part of a nerve cell that contains the nucleus
The brain and spinal cord
The posterior part of the brain that coordinates muscle movements and maintains balance
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Vocabulary (cont’d)
cerebral cortex
cerebrospinal fluid
cerebrum
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Vocabulary (cont’d)
cerebral cortex
cerebrospinal fluid
cerebrum
Outer region of the cerebrum; contains sheets of nerve cells; gray matter
Circulates throughout the brain and spinal cord
The largest part of the brain; responsible for voluntary muscle activity, vision, speech, taste, hearing, thought, and memory
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Vocabulary (cont’d)
cranial nerves
dendrite
dura mater
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Vocabulary (cont’d)
cranial nerves
dendrite
dura mater
Twelve pairs; carry messages to and from the brain with regard to the head and neck (except the vagus nerve)
Microscopic branching fiber of a nerve cell; the first part to receive the nervous impulse
The thick, outermost layer of the meninges surrounding and protecting the brain and spinal cord
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Vocabulary (cont’d)
efferent nerve
ependymal cell
ganglion (plural: ganglia)
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Vocabulary (cont’d)
efferent nerve
ependymal cell
ganglion (plural: ganglia)
Carries messages away from the brain and spinal cord; motor nerve
Glial cell that lines the membranes within the brain and spinal cord; helps form cerebrospinal fluid
Collection of nerve cell bodies in the peripheral nervous system
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Vocabulary (cont’d)
glial cell (neuroglial cell)
gyrus (plural: gyri)
hypothalamus
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Vocabulary (cont’d)
glial cell (neuroglial cell)
gyrus (plural: gyri)
hypothalamus
Supportive and connective nerve cell that does not carry nervous impulses; can reproduce itself
Sheet of nerve cells that produces a rounded ridge on the surface of the cerebral cortex; convolution
The portion of the brain beneath the thalamus; controls sleep, appetite, body temperature, and pituitary gland secretions
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Vocabulary (cont’d)
medulla oblongata
meninges
microglial cell
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Vocabulary (cont’d)
medulla oblongata
meninges
microglial cell
The part of the brain just above the spinal cord; controls breathing, heartbeat, and size of blood vessels
Three protective membranes that surround the brain and spinal cord
Phagocytic glial cell that removes waste products from the central nervous system
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Vocabulary (cont’d)
motor nerve
myelin sheath
nerve
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Vocabulary (cont’d)
motor nerve
myelin sheath
nerve
Carries messages away from the brain and spinal cord to muscles and organs; efferent nerve
Covering of white fatty tissue that surrounds and insulates the axon of a nerve cell; speeds impulse conduction
Macroscopic cord-like collection of fibers (axons and dendrites) that carry electrical impulses
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Vocabulary (cont’d)
neuron
neurotransmitter
oligodendroglial cell
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Vocabulary (cont’d)
neuron
neurotransmitter
oligodendroglial cell
Nerve cell that carries impulses throughout body; parenchyma of the nervous system
Chemical messenger released at the end of a nerve cell; stimulates or inhibits another cell
Glial cell that forms the myelin sheath covering axons; oligodendrocyte
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Vocabulary (cont’d)
parasympathetic nerves
parenchyma
peripheral nervous system
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Vocabulary (cont’d)
parasympathetic nerves
parenchyma
peripheral nervous system
Involuntary, autonomic nerves that regulate normal body functions such as heart rate, breathing, and muscles of the gastrointestinal tract
Essential, distinguishing tissue of any organ or system; for the nervous system, neurons and nerves that carry impulses
Nerves outside the brain and spinal cord; cranial, spinal, and autonomic nerves
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Vocabulary (cont’d)
pia mater
plexus (plural: plexuses)
pons
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Vocabulary (cont’d)
pia mater
plexus (plural: plexuses)
pons
The thin, delicate inner membrane of the meninges
A large, interlacing network of nerves
The part of the brain anterior to the cerebellum and between the medulla and the rest of the midbrain
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Vocabulary (cont’d)
receptor
sciatic nerve
sensory nerve
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Vocabulary (cont’d)
receptor
sciatic nerve
sensory nerve
An organ that receives a nervous stimulus and passes it on to afferent nerves; the skin, ears, eyes, and taste buds are receptors
The nerve extending from the base of the spine down the thigh, lower leg, and foot
Carries messages toward the brain and spinal cord from receptor; afferent nerve
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Vocabulary (cont’d)
spinal nerves
stimulus (plural: stimuli)
stroma
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Vocabulary (cont’d)
spinal nerves
stimulus (plural: stimuli)
stroma
Thirty-one pairs arising from the spinal cord
An agent of change (light, sound, touch) in the internal or external environment that evokes a response
Connective and supporting tissue of an organ; glial cells are the stromal tissue of the brain
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Vocabulary (cont’d)
sulcus (plural: sulci)
sympathetic nerves
synapse
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Vocabulary (cont’d)
sulcus (plural: sulci)
sympathetic nerves
synapse
Depression or groove in the surface of the cerebral cortex; fissure
Autonomic nerves that influence bodily functions involuntarily in times of stress
The space through which a nervous impulse travels between nerve cells or between nerve and muscle or glandular cells
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Vocabulary (cont’d)
thalamus
vagus nerve
ventricles of the brain
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Vocabulary (cont’d)
thalamus
vagus nerve
ventricles of the brain
Main relay center of the brain; conducts impulses between the spinal cord and the cerebrum
Tenth cranial nerve; branches reach to the larynx, trachea, bronchi, lungs, aorta, esophagus, and stomach
Canals in the brain that contain cerebrospinal fluid
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QUICK QUIZ:
1. A sheet of nerve cells that produces a rounded fold on the surface of the cerebellum is the:
A. microglial B. gyrusC. parenchymaD. stroma
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QUICK QUIZ: (cont’d)
2. The thin, delicate inner membrane of the meninges is the:
A. pia materB. dura materC. parenchymaD. stroma
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Terminology
ORGANS AND STRUCTURES
cerebell/o cerebellum
cerebr/o cerebrum
dur/o dura mater
encephal/o brain
gli/o glial cells
Combining FormCombining Form MeaningMeaning
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Terminology (cont’d)
ORGANS AND STRUCTURES
lept/o thin, slender
mening/o, membranes, meningi/o meninges
my/o muscle
myel/o spinal cord
neur/o nerve
Combining FormCombining Form MeaningMeaning
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Terminology (cont’d)
ORGANS AND STRUCTURES
pont/o pons
radicul/o nerve root
thalam/o thalamus
thec/o sheath (refers to meninges)
vag/o vagus nerve
Combining FormCombining Form MeaningMeaning
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Terminology (cont’d)
SYMPTOMS
alges/o, -algesia
-algia
caus/o
comat/o
esthesi/o, -esthesia
kines/o, -kinesia
excessive sensitivity to pain
pain
burning
deep sleep
feeling, nervous sensation
movement
Combining FormCombining Form MeaningMeaning
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Terminology (cont’d)
SYMPTOMS
-kinesis, kinetic
-lepsy
lex/o
-paresis
-phasia
movement
seizure
word, phrase
slight paralysis
speech
Combining FormCombining Form Meaning Meaning
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Terminology (cont’d)
SYMPTOMS
-plegia
-praxia
-sthenia
syncop/o
tax/o
paralysis
action
strength
cut off
order, coordination
Combining FormCombining Form Meaning Meaning
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QUICK QUIZ:
3. Which term means nerve pain?
A. CephalgiaB. AnalgesiaC. HypalgesiaD. Neuralgia
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QUICK QUIZ: (cont’d)
4. Which type of hematoma occurs between the skull and the dura as a result of a ruptured meningeal artery, usually after a fracture of the skull?
A. SubduralB. Epidural C. Intracerebral
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Chapter 10Lesson 10.3
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Pathology
Congenital disorders
Hydrocephalus
Spina bifida
Spina bifida cystica
Spina bifida occulta
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Degenerative Movement, and Seizure Disorders
Alzheimer disease (AD) Amyotrophic lateral sclerosis (ALS) Epilepsy Huntington disease (Huntington chorea) Multiple sclerosis (MS) Myasthenia gravis (MG) Palsy Parkinson disease Tourette syndrome
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Infectious Disorders
Herpes zoster (shingles) Meningitis Human immunodeficiency
virus (HIV) encephalopathy
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Traumatic Disorders Cerebral concussion:
Temporary brain dysfunction after injury
There may be no evidence of structural damage to brain tissue or loss of consciousness
Rest is very important to allow the brain to heal
Usually clears within 24 hours
Cerebral contusion:
Bruising of brain tissue through direct trauma to the head
Usually associated with skull fracture as well as edema and an increase in intracranial pressure
Neurological deficits persist longer than 24 hours
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Vascular Disorders Cerebrovascular accident (CVA)
Thrombotic — A blood clot in an artery leaving the brain
Embolic — A dislodged clot that travels to the cerebral arteries
Hemorrhagic — A blood vessel, such as the cerebral artery, breaks and bleeding occurs
Migraine — A severe, recurring, unilateral, vascular headache
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Vascular Disorders (cont’d)
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Clinical Procedures
X-ray tests:
Cerebral angiography
Computed tomography (CT) of the brain
Myelography
Other procedures:
MRI—Magnetic resonance Imaging
PET—Positron emission scan
EEG—Electroencephalography
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Abbreviations
AD AFP ALS AVM BBB CNS CT CSF CVA
Alzheimer diseasealpha-fetoproteinamyotrophic lateral sclerosisarteriovenous malformationblood brain barriercentral nervous systemcomputed tomographycerebrospinal fluidcerebrovascular accident
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Abbreviations (cont’d)
• EEG
• GABA
• ICP
• LP
• MAC
• MG
• MRA
• MRI
electroencephalogram
gamma-aminobutyric acid (neurotransmitter)
intracranial pressure; normal pressure is 5 to 15 mmHG
lumbar puncture
monitored anesthetic care
myasthenia gravis
magnetic resonance angiography
magnetic resonance imaging
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Abbreviations (cont’d)
1/2 P PCA PNS PET Sz TBI TENS
TIA TLE tPA
hemiparesis patient-controlled anesthesia peripheral nervous system positron emission tomography seizure traumatic brain injury transcutaneous electrical nerve
stimulation transient ischemic attack temporal lobe epilepsy tissue plasminogen activator
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Practical Applications
What symptoms signal nervous system problems?
What tests are conducted to diagnose these problems?
Why are an MRI and an MRA ordered?
What are common pathologies of the nervous system?
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Review Sheet
COMBINING FORMS
alges/o ___________
angi/o ___________
caus/o ___________
cephal/o ___________
cerebell/o ___________
cerebr/o ___________
Combining Form MeaningCombining Form Meaning
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Review Sheet (cont’d)
COMBINING FORMS
alges/o sensitivity to pain
angi/o vessel, blood
caus/o burn, burning
cephal/o head
cerebell/o cerebellum
cerebr/o cerebrum
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
comat/o ___________
crani/o ___________
cry/o ___________
dur/o ___________
encephal/o ___________
esthesi/o ___________
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
comat/o deep sleep
crani/o skull
cry/o cold
dur/o dura mater
encephal/o brain
esthesi/o nervous sensation
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
gli/o _________ hydr/o _________ kines/o _________ lept/o _________ lex/o _________ mening/o, meningi/o _________ my/o _________
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
gli/o glue hydr/o water kines/o movement lept/o thin, slender lex/o word, phrase mening/o, meningi/o membranes, meninges my/o muscle
Combining FormCombining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
myel/o ___________
narc/o ___________
neur/o ___________
olig/o ___________
pont/o ___________
radicul/o ___________
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
myel/o spinal cord
narc/o sleep
neur/o nerve
olig/o scanty
pont/o pons
radicul/o nerve root
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
spin/o ___________ syncop/o ___________ tax/o ___________ thalam/o ___________ thec/o ___________ troph/o ___________ vag/o ___________
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
spin/o spine
syncop/o cut off
tax/o order
thalam/o thalamus
thec/o sheath (refers to meninges)
troph/o nourishment
vag/o vagus nerve
Combining FormCombining Form MeaningMeaning
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The Language Of The Language Of MedicineMedicine
1010thth edition editionDavi-Ellen ChabnerDavi-Ellen Chabner
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Chapter 12 Respiratory System
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Chapter Goals
Name the organs of the respiratory system and describe their location and function.
Identify various pathological conditions that affect the system.
Learn medical terms that pertain to respiration.
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Chapter Goals (cont’d)
Describe important clinical procedures related to the respiratory system, and recognize relevant abbreviations.
Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records.
Chapter 12Lesson 12.1
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Introduction
External respiration: Exchange of air in lung capillaries
Oxygen inhaled into the air sacs of the lungs
Immediately passes into capillaries
Carbon dioxide passes from capillaries into air sacs, to be exhaled
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Introduction (cont’d)
Internal respiration: Exchange of gases in the cells
Occurs simultaneously between cells and capillaries
Oxygen passes out of the bloodstream into the tissues
Carbon dioxide passes out of tissues back into the bloodstream to travel to the lungs
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Respiratory Anatomy
Mediastinum: Middle of chest where trachea divides into two branches
Bronchi: Each leads to a separate lung
Lungs: Lobes are not mirror images
Hilum: Blood vessels, nerves, lymphatic tissue, and bronchial tubes enter and exit
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Anatomy of Respiration
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Anatomy of Respiration (cont’d)
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Respiratory Structures
Conduct air
Nose Nasal cavities
and paranasal sinuses
Pharynx Larynx Trachea
Exchange gases
Bronchioles Alveoli Lung capillaries
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Respiratory Flow Chart
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Respiratory Flow Chart (cont’d)
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Vocabulary
adenoids
alveolus (plural: alveoli)
apex of the lung
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Vocabulary (cont’d)
adenoids
alveolus (plural: alveoli)
apex of the lung
Lymphatic tissue in the nasopharynx; pharyngeal tonsils
Air sac in the lung
Tip or uppermost portion of the lung
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Vocabulary (cont’d)
base of the lung
bronchioles
bronchus (plural: bronchi)
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Vocabulary (cont’d)
base of the lung
bronchioles
bronchus (plural: bronchi)
The lower portion of the lung
The smallest branches of the bronchi
The branch of the trachea (windpipe) that is a passageway into the lung; bronchial tube
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Vocabulary (cont’d)
carbon dioxide (CO2)
cilia
diaphragm
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Vocabulary (cont’d)
carbon dioxide (CO2)
cilia
diaphragm
Gas produced by body cells when oxygen and carbon atoms from food combine; exhaled through the lungs
Thin hairs attached to mucous membrane epithelium lining the respiratory tract
Muscle separating the chest and abdomen; contracts to pull air into lungs; relaxes to push air out
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Vocabulary (cont’d)
epiglottis
expiration
glottis
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Vocabulary (cont’d)
epiglottis
expiration
glottis
Lid-like piece of cartilage that covers the larynx; keeps food from entering the larynx and trachea during swallowing
Breathing out (exhalation)
Slit-like opening to the larynx
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Vocabulary (cont’d)
hilum (of lung)
inspiration
larynx
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Vocabulary (cont’d)
hilum (of lung)
inspiration
larynx
Midline region where the bronchi, blood vessels, and nerves enter and exit the lungs
Breathing in (inhalation)
Voice box; contains the vocal cords
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Vocabulary (cont’d)
lobe
mediastinum
nares
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Vocabulary (cont’d)
lobe
mediastinum
nares
Division of a lung
The region between lungs in the chest cavity; contains the trachea, heart, lymph nodes, aorta, esophagus, and bronchial tubes
Openings through the nose carrying air into the nasal cavities
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Vocabulary (cont’d)
oxygen (O2)
palatine tonsil
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Vocabulary (cont’d)
oxygen (O2)
palatine tonsil
Gas that makes up 21% of air; passes into the bloodstream at the lungs and travels to all body cells
One of a pair of almond-shaped masses of lymphatic tissue in the oropharynx
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Vocabulary (cont’d)
paranasal sinus
parietal pleura
pharynx
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Vocabulary (cont’d)
paranasal sinus
parietal pleura
pharynx
One of the air cavities in the bones near the nose
Outer fold of pleura lying closer to the ribs and chest wall
The throat; including the nasopharynx, oropharynx, and laryngopharynx
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Vocabulary (cont’d)
pleura
pleural cavity
pulmonary parenchyma
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Vocabulary (cont’d)
pleura
pleural cavity
pulmonary parenchyma
Double-folded membrane surrounding each lung
Space between the folds of the pleura
Essential parts of the lung, responsible for respiration; bronchioles and alveoli
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Vocabulary (cont’d)
respiration
trachea
visceral pleura
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Vocabulary (cont’d)
respiration
trachea
visceral pleura
The process of moving air into and out of the lungs; breathing
Windpipe
Inner fold of pleura lying closer to the lung tissue
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QUICK QUIZ:
1. What is the tip or uppermost portion of the lung?
A. Base
B. Lobe
C. Apex
D. Nares
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Combining Formsand Terminology
adenoid/o adenoids
alveol/o alveolus, air sac
bronch/o bronchial tube
bronchi/o bronchus
bronchiol/o bronchiole, small bronchus
capn/o carbon dioxide
Combining FormCombining Form MeaningMeaning
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Combining Formsand Terminology (cont’d)
coni/o dust
cyan/o blue
epiglott/o epiglottis
laryng/o larynx, voice box
lob/o lobe of the lung
mediastin/o mediastinum
Combining FormCombining Form MeaningMeaning
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Combining Formsand Terminology (cont’d)
nas/o nose
orth/o straight, upright
ox/o oxygen
pector/o chest
pharyng/o pharynx, throat
phon/o voice
Combining FormCombining Form MeaningMeaning
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Combining Formsand Terminology (cont’d)
phren/o diaphragm
pleur/o pleura
pneum/o air, lung
pneumon/o lung
pulmon/o lung
rhin/o nose
Combining FormCombining Form MeaningMeaning
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Combining Formsand Terminology (cont’d)
sinus/o sinus cavity
spir/o breathing
tel/o complete
thorac/o chest
tonsill/o tonsils
trache/o trachea, windpipe
Combining FormCombining Form MeaningMeaning
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Combining Forms, Suffixes, and Terminology
SUFFIXES
-ema condition
-osmia smell
-pnea breathing
-ptysis spitting
-sphyxia pulse
-thorax pleural cavity, chest
SuffixSuffix MeaningMeaning
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Chapter 12Lesson 12.2
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Diagnostic Terms
Auscultation
Percussion
Pleural rub
Rale (crackle)
Rhonchus
Sputum
Stridor
Wheeze
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Pathology
Upper respiratory disorders
Croup Diphtheria Epistaxis Pertussis
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Pathology (cont’d)
Bronchial tube disorders
Asthma Bronchiectasis Chronic bronchitis Cystic fibrosis
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Pathology (cont’d)
Lung disorders
Atelectasis Emphysema Lung cancer Pneumoconiosis Pneumonia Pulmonary
abscess
Pulmonary edema
Pulmonary embolism (PE)
Pulmonary fibrosis
Sarcoidosis
Tuberculosis (TB)
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Pathology Lung DisordersAtelectasis
Two forms
Proximal obstruction of distal airways
Accumulations of fluid, blood, or air in the pleural cavity
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Pathology
Pleural disorders
Mesothelioma
Pleural effusion
Pleurisy (pleuritis)
Pneumothorax
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Pathology Pleural Disorders
Pneumothorax: Air gathers in the pleural cavity
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Study Section
Anthracosis
Asbestosis
Bacilli
Chronic obstructive pulmonary disease (COPD)
Cor pulmonale
Exudate
Hydrothorax
Infiltrate
Palliative
Paroxysmal
Pulmonary infarction
Purulent
Silicosis
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Chapter 12Lesson 12.3
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Clinical Procedures
X-rays
Chest x-ray (CXR)
Computed tomography (CT) scan of the chest
Pulmonary angiography
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Clinical Procedures (cont’d)
X-rays: radiographic imaging
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Clinical Procedures (cont’d)Magnetic resonance imaging (MRI): magnetic waves
create images
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Clinical Procedures (cont’d)
Nuclear tests
Positron emission tomography (PET) scan of the lung
Ventilation-perfusion (V/Q) scan: inhalation of radioactive gas for imaging, followed by injection of different radioactive material for imaging
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Clinical Procedures (cont’d)
Bronchoscopy: fiberoptic or rigid endoscope inserted into the bronchial tubes for diagnosis, biopsy, or collection of secretions
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Clinical Procedures (cont’d)
Endotracheal intubation: placement of tube from mouth to trachea to establish airway
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Clinical Procedures (cont’d) Laryngoscopy
Lung biopsy
Mediastinoscopy
Pulmonary function tests (PFTs)
Thoracentesis
Thoracotomy
Thorascopy
Tracheostomy
Tuberculin test
Tube thoracostomy
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Clinical Procedures (cont’d)
Thoracentesis: surgical puncture to
remove fluid from pleural space
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Clinical Procedures (cont’d)
Tracheostomy: surgical creation of an
opening into the trachea through the neck
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Abbreviations
ABGs AFB ARDS BAL Bronch CF CO2
COPD CPAP CPR
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Abbreviations (cont’d)
ABGs AFB ARDS BAL Bronch CF CO2
COPD CPAP CPR
Arterial blood gases
Acid-fast bacillus
Acute respiratory distress syndrome
Bronchioalveolar lavage
Bronchoscopy
Cystic fibrosis
Carbon dioxide
Chronic obstructive pulmonary disease
Continuous positive airway pressure
Cardiopulmonary resuscitation
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Abbreviations (cont’d)
C & S CTPA CXR DICO
DOE DPT FEV1
FVC HCO3
-
ICU
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Abbreviations (cont’d)
C & S CTPA CXR DICO
DOE DPT FEV1
FVC HCO3
-
ICU
Culture and sensitivity testing (of sputum)
Computed tomography pulmonary angiography
Chest x-ray (film)
Diffusion capacity of lung for carbon monoxide
Dyspnea on exertion
Diphtheria, pertussis, tetanus
Forced expiratory volume in 1 second
Forced vital capacity
Bicarbonate
Intensive care unit
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Abbreviations (cont’d)
LLL LUL MDI NSCLC O2
OSA PaCO2
PaO2
PCP PE
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Abbreviations (cont’d)
LLL LUL MDI NSCLC O2
OSA PaCO2
PaO2
PCP PE
Left lower lobe (of lung)
Left upper lobe (of lung)
Metered-dose inhaler
Non-small cell lung cancer
Oxygen
Obstructive sleep apnea
Carbon dioxide partial pressure
Oxygen partial pressure
Pneumocystis pneumonia
Pulmonary embolism
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Abbreviations (cont’d)
PEP PEEP PFTs PND PPD RDS RLL RSV RUL RV
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Abbreviations (cont’d)
PEP PEEP PFTs PND PPD RDS RLL RSV RUL RV
Positive expiratory pressure
Positive end-expiratory pressure
Pulmonary function tests
Paroxysmal nocturnal dyspnea
Purified protein derivative
Respiratory distress syndrome
Right lower lobe (of lung)
Respiratory syncytial virus
Right upper lobe (of lung)
Residual volume
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Abbreviations (cont’d)
SABA SCLC SOB TB TLC URI VT
VATS VC V/Q scan
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Abbreviations (cont’d)
SABA SCLC SOB TB TLC URI VT
VATS VC V/Q scan
Short-acting beta agonist
Small cell lung cancer
Shortness of breath
Tuberculosis
Total lung capacity
Upper respiratory infection
Tidal volume
Video-assisted thoracic surgery
Vital capacity
Ventilation-perfusion scan
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Review Sheet
COMBINING FORMS
adenoid/o ____________
alveol/o ____________
bronch/o ____________
bronchi/o ____________
bronchiol/o ____________
capn/o ____________
Combining FormCombining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
adenoid/o adenoids
alveol/o alveolus; air sac; small sac
bronch/o bronchial tube
bronchi/o bronchial tube
bronchiol/o bronchiole
capn/o carbon dioxide
Combining Form Combining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
coni/o ___________
cyan/o ___________
epiglott/o ___________
laryng/o ___________
lob/o ___________
mediastin/o ___________
Combining Form Combining Form MeaningMeaning
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Review Sheet (cont’d)
COMBINING FORMS
coni/o dust
cyan/o blue
epiglott/o epiglottis
laryng/o larynx (voice box)
lob/o lobe
mediastin/o mediastinum
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
nas/o __________
orth/o __________
ox/o __________
pector/o __________
pharyng/o __________
phon/o __________
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
nas/o nose
orth/o straight
ox/o oxygen
pector/o chest
pharyng/o throat (pharynx)
phon/o voice; sound
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
phren/o ___________
pleur/o ___________
pneum/o ___________
pneumon/o ___________
pulmon/o ___________
rhin/o ___________
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
phren/o diaphragm; mind
pleur/o pleura
pneum/o lung; air; gas
pneumon/o lung; air; gas
pulmon/o lung
rhin/o nose
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
sinus/o ___________
spir/o ___________
tel/o ___________
thorac/o ___________
tonsill/o ___________
trache/o ___________
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
COMBINING FORMS
sinus/o sinus
spir/o to breathe
tel/o complete
thorac/o chest
tonsill/o tonsil
trache/o trachea (windpipe)
Combining Form Combining Form Meaning Meaning
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Review Sheet (cont’d)
SUFFIXES
-ema ___________
-osmia ___________
-pnea ___________
-ptysis ___________
-sphyxia ___________
-thorax ___________
SuffixSuffix Meaning Meaning
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Review Sheet (cont’d)
SUFFIXES
-ema condition
-osmia smell
-pnea breathing
-ptysis spitting
-sphyxia pulse
-thorax chest; pleural cavity
SuffixSuffix Meaning Meaning