Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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Epithelium

This is a word of Greek origin. The prefix [epi] means "outer" or "above"; the root term [-thel-] means "nipple" or "female", and the suffix [-ium] means "layer" or "membrane.  The reason for the origin of this words is that in c.1700 Ryusch used this term to refer to the surface layer of cells in the nipple and areola. It was later used to denote any covering superficial layer of cells.  The plural form for epithelium is epithelia.

There are many types of epithelia in the body, and they are described by their histology, or how they look under the microscope: single-layer, multilayered, cuboidal, columnar, etc.

- Although the above is the standard accepted etymology for this word, I have a different interpretation, as the Latin term [tela], meaning "fabric" or "cover" could have been used. Thus explained, the word means "outer cover layer". Who knows?. Dr. Miranda -

"The origin of Medical Terms" Skinner, AH, 1970

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Cerebellum

Superior view of the cerebellum (modified from Gray's Anatomy)
Cerebelum

The word [cerebellum] is Latin and means "little brain". The cerebellum is one of the three main gross components of the brain (encephalon), the other two being the cerebral hemispheres and the brain stem.

The cerebellum is characterized by a tightly folded external cortex where the gyri are long and parallel to each other and the sulci are not very deep. Upon gross examination, the cerebellum presents with two lateral lobes (left and right) and a median lobe known as the vermis. Other authors divide the cerebellum into an anterior and posterior lobe separated by a primary fissure or sulcus, also known as the preclival sulcus.

Median section of the cerebellar vermis
Cerebellar vermis

The cerebellum is located posterior to the brain stem and posteroinferior to the cerebral hemispheres. It is separated from the occipital lobes of the brain by an extension of dura mater called the tentorium cerebelli. Because of its location, the cerebellum serves as a roof for the 4th ventricle, a component of the ventricular system of the brain. Click here to see a median section, of the cerebellum where you can observe its location and relation to the brain stem, 4th ventricle, and occipital lobe.

The cerebellum is part of the motor control of the brain and is involved in motor coordination, precision, balance and accurate motor timing. Cerebellar dysfunction does not cause paralysis, but produces fine motor control disorders.

Median section image link courtesy of UCLA Radiology.

Sources:
1 "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
2. "Anatomy of the Human Body" Henry Gray 1918. Philadelphia: Lea & Febiger
Image modified by CAA, Inc. Original image courtesy of bartleby.com


Abraham Vater


This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.To search all the articles in this series, click here.

Abraham Vater (1684 - 1751) German anatomist and physician, Abraham Vater was the son of a distinguished physician and was born on the city of Wittenberg. He obtained a Doctorate in Philosophy (PhD) in 1706 and his medical degree in 1710 at the University of Leipzig. He became a professor “extraordinarius” of Anatomy and Botany in 1719, continuing his career in anatomy until he obtained the highest professorial degree at the University.

After the death of his father in 1733 Abraham Vater was appointed to the chair of Anatomy. In 1720 he published the discovery of a “biliary diverticulum” , the hepatopancreatic ampulla, known today as the “Ampulla of Vater” or duodenal papilla. His original article was entitled “Dissertatio anatomica qua novum bilis diverticulum circa orificium ductus choledochi”. He also described a large subcutaneous sensory nerve terminal known as the “Vater–Pacinian corpuscle”.

Known as an anatomist, Vater also wrote on surgery, gynecology, pharmacology, pathology, chemistry, and botany, making him a complete scientist. In a twist of fate, Vater died in 1751 after being afflicted with jaundice, probably a consequence of biliary blockage of his eponymic ampulla.

Abraham VaterOriginal image courtesy of www.nih.gov
Sources:
1. "Abraham Vater (1684-1751)" Brit Med J; 2,(4) (1951), 1214
2. "Abraham Vater of the Ampulla (Papilla) of Vater" Lerch, MM; Domschke, W. Gastroenterology (2000) 118: (2) 379
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Epicardium

The word [epicardium] is composed by the prefix [epi-], meaning "outer" or "above"; the root term [-card-], meaning "heart"; and the suffix [-ium], meaning "layer" or "membrane". Thus, the word means "outer layer of the heart".

The epicardium is part of a larger structure called the pericardium, in fact, since the pericardium is in contact with a viscus (the heart), it can also be called "visceral pericardium". It must be noted that these two terms are synonyms: "epicardium" and "visceral pericardium".

The epicardium is a type of serosa composed of an outer layer formed by mesothelial cells and an inner layer formed by loose connective tissue containing varying amounts of fat. This inner layer known as the "subepicardial layer" (a misnomer) also contains elastic fibers.

HeartImage property of: CAA.Inc.Artist: Victoria G. Ratcliffe
The main arterial and venous components of the coronary circulation are found in the subepicardial layer. When performing a Coronary Artery Bypass Graft (CABG), a surgeon has to open the outer layer of the epicardium, and enter the subepicardial layer to perform the graft anastomosis

As a serosa, the epicardium is involved in the production and absorption of a clear fluid, the "pericardial fluid". This fluid acts as a lubricant for the pericardium, allowing for the effortless movement of the heart within the pericardial sac.

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-iasis

The suffix [-iasis] has an original Greek root (such as in [iatros] meaning "healer" or "hospital"). It later became a Latin root meaning "condition, pathology, or disease".

This suffix can be found in many medical terms such as:

• Choledocolithiasis - a condition of stones in the bile duct.
• Elephantiasis - A condiction where a body part grows unusually large, usually lower extremities and/ or scrotum
• Phthiriasis- A condition or infestarion with public or crab lice
• Helminthiasis- Anbodily infestation with a type of parasitic worms called helminths (tapeworms)
• Cystolithiasis -  Bladder stones

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Pteryg / pter

Anterior view of the sphenoid bone. Public domain
Anterior view of the sphenoid bone


Both these root terms have their origin from the Greek [πτέρυγα] (ptéryga) and mean "wing".

In human anatomy the most common use of this root term is in the word [pterygoid]. Since the suffix [-oid] means "similar to", the word pterygoid means "similar to a wing", or "wing-like".

On the inferior aspect of the sphenoid bone (os sphenoidale) there are two very thin bat-wing-like bony appendages that are called the lateral and medial pterygoid plates. The medial pterygoid plate has a hook-like bony appendage called the hamulus (Latin: little hook).

Related to the pterygoid plates are the lateral and medial pterygoid muscles, both these muscles aid inthe process of mastication.

The root term [pter-] can be found in words such as [pterodactyl] meaning "winged finger", it refers to a phrehistoric winged animal; [pteranodon], and [pterosaurus].

Sources:
1 "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
2. "Anatomy of the Human Body" Henry Gray 1918. Philadelphia: Lea & Febiger
Image modified by CAA, Inc. Original image courtesy of bartleby.com

Note: Google Translate includes the symbol (?). Clicking on it will allow you to hear the pronunciation of the word.