Supplemental Chapter 6 Assignments
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Combining Forms (p. 146)
b. Suffixes and Prefixes (p. 148)
c. Medical Terminology Word Building (p. 149)
d. Medical Vocabulary Recall (p. 158)
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e. Pronunciation and Spelling (p. 159)
f. Chart Notes Terminology (p. 160)
g. Chart Note Analysis (p. 162)
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h. Demonstrate What You Know! (p. 163)
Supplemental Chapter 6 Assignments
CHAPTER 6: BLOOD, LYMPHATIC, AND IMMUNE SYSTEMS
Terminology
The terms below come from the chart note Impetigo that follows. Use a medical dictionary such as
Taber’s Cyclopedic Medical Dictionary, the appendices of the textbook, or other resources to define
each term. Review the pronunciations for each term and practice by reading the chart note aloud.
1.
ANA – anitinuclear antibody
2.
arthralgia (ăr-THRĂL-jē-ă) – pain in a joint
3.
axillary (ĂK-sĭ-lār-ē) – pertaining to armpit
4.
CBC – complete blood count
5.
chronic (KRŎ-nĭk) – long term
6.
ESR – erythrocyte sedimentation rate
7.
immunosuppressant (ĭm-ū-nō-sū-PRĔSS-ănt) – drug that suppresses the immune response of an individual
8.
lymphadenitis (lĭm-făd-ĕn-Ī-tĭs) – inflammation of a lymph node
9.
lymphedema (lĭmf-ĕ-DĒ-mă) – tissue swelling caused by an accumulation of protein-rich fluid normally drained by lymphatic system
10. malaise (mă-LĀZ) – general feeling of discomfort
11. malar (MĀ-lĕr) – relating to cheek
12. myalgia (mī-ĂL-jē-ŭ) – muscle pain
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13. NSAID – non-steroidal anti-inflammatory drugs
14. RF – rheumatoid factor
15. splenomegaly (splē-nō-MĔG-ă-lē) – enlargement of spleen
16. UA - urinalysis
Chart Note: Systemic Lupus Erythematosus
This 29-year-old Asian female presents with a chief complaint of extreme fatigue along with general muscle aches and joint pain of the elbows, wrists, hands, and knees. She also mentions a chronic low-grade fever and night sweats. She has a family history of systemic lupus erythematosus and rheumatoid arthritis. Vital signs: T 99.1°F, P 80, R 14, BP 144/88. Heart and lung sounds are normal but she has dyspnea with deep inspiration and expiration. There is a malar rash of both cheeks with a “butterfly” appearance. There is bilateral axillary lymphadenitis with tenderness. No evidence of splenomegaly on palpation. Pitting edema of 1+ in both feet. Labs are ordered including UA, CBC, ANA, RF, and ESR. Order full-body CT scan with and without contrast. Prescribe NSAID for joint pain and fever and topical steroid cream for rash. Schedule follow-up visit to review labs and discuss possible immunosuppressant therapy.
Diagnoses:
1. Malaise.
2. Arthralgia multiple sites.
3. Myalgia.
4. Lymphadenitis.
5. Pitting edema.
6. Rule out lymphedema.
7. Rule out systemic lupus erythematosus.
Chart Note Analysis
Select the term in the above chart note that means:
1. feeling of fatigue and weakness: fatigue
2. pertaining to the armpits (axilla): axillary
3. localized fluid retention and tissue swelling caused by a blockage in the lymphatic system: lymphedema
4. joint pain: arthralgia
5. enlargement of the spleen: splenomegaly
6. pertaining to the cheek: malar
7. inflammation and enlargement of the lymph nodes: lymphadentis
8. muscle pain: myalgia
9. lasting over a period of time: chronic
10. agent used to suppress the immune response: immunosuppressant
Clinical Applications
Complete the clinically related sentences by selecting a medical term from the list below.
AIDS lymphangiography sickle cell anemia
hemophilia mononucleosis vaccination
Hodgkin disease opportunistic infection
Kaposi sarcoma pernicious anemia
1. This 28-year-old African American male’s chief complaint is fatigue, joint pain, and difficulty
breathing while exercising. Blood tests are ordered to determine if he has a hereditary disease that affects his red blood cells. This disorder is called ___________sickle cell anemia_______________ .
2. Mr. J. is a 22-year-old male who has a positive diagnosis for HIV. He presents with a concern about a developing rash. His physician examines the lesions and determines a malignancy of connective tissue closely associated with AIDS. This condition is known as _______Kaposi sarcoma__________.
3. A 16-year-old girl presents to the physician with her mother. She has a sore throat, temperature of 101.4oF, and extreme fatigue. The physician also finds that she has enlarged cervical lymph nodes. He diagnoses her with an infection caused by the Epstein-Barr virus called
___________mononucleosis______________.
4. A 24-year-old male with a history of IV drug abuse presents with complaints of fever, night
sweats, and weight loss. The physician suspects he has an infectious disease caused by the human immunodeficiency virus and charts his diagnosis as ___________AIDS_______________.
5. Lisa, a 1-year-old girl, is brought to the physician by her father for immunizations. The MA explains that these will help Lisa fight several diseases and build up her immune system.
Administration of these immunizations is called __________vaccination_____________.
6. Mr. K. sees his physician for a follow-up diagnosis of autoimmune chronic gastritis. His physician tells him he also has a condition that inhibits his body’s ability to absorb vitamin B12. This condition can then lead to a deficiency in the number of erythrocytes, and is known as ___________pernicious anemia____________.
7. Philip is admitted to the hospital for treatment of Pneumocystis pneumonia secondary to AIDS. The physician explains that Pneumocystis pneumonia results from a defective immune system that cannot protect the body against common environmental pathogens. This type of infection is known as a(n ) ___________opportunistic infections______________.
8. This 21-year-old male is seen for a routine physical examination. The physician finds an enlarged cervical lymph node and splenomegaly. A biopsy of the lymph node is ordered to look for the presence of Reed-Sternberg cells and determine if the patient has __________Hodgkin’s
disease_____________.
9. This 19-year-old male presents for a presurgical consult. While reviewing the results of his blood tests, the physician notes a low platelet count and orders additional tests to verify the blood’s coagulation ability. Before surgery is performed, it’s important to rule out the disease known as ___________hemophilia______________.
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10. Mrs. T presents with a complaint of swollen feet and legs. The physician confirms a diagnosis of edema on the face, neck, and chest. She orders a radiographic examination of the lymph glands and lymphatic vessels to view the path of lymph flow. This procedure is called a(n)
______________lymphangiography____________________.
Ch. 6 Crossword Puzzle Activity (10 points Extra Credit)
ACROSS
1. Smallest formed elements in the blood; platelets
9. Combining form that means “granule”
13. Abbreviation for eyes, ears, nose, and throat
14. Word root that means “sternum”
15. Cellist YoYo ___________
16. Providence postal code
17. Word root that means “shape”
21. Medical term that means “tumors of the
lymphatic system”
24. Another term that means tissue fluid: “___________ fluid”
25. Sharing expenses is known as “going ___________ treat”
29. Detergent
32. Prefix that means “same or equal”
33. Combining form that means “dawn
(rose-colored)”
34. Plasma minus fibrinogen is known as “blood ___________”
37. Suffix that means “separation, destruction, loosening”
38. Blood and lymph are essential for ___________ gases, nutrients, and waste
to and from body cells
41. Prefix that means “middle”
43. Combining form that means “fungus”
44. Opposite of reject
46. Postal code for the Windy City
47. Combining form that means “nucleus”
49. B cells are responsible for ___________ immunity
50. Red blood cell
DOWN
1. Lymphatic tissue in the mouth and throat
2. Abbreviation for erythrocyte
3. Some activated T cells and B cells act as
___________ cells in specific immunity.
4. The NFL’s Chicago ___________
5. Not off
6. Abbreviation for computerized
tomography
7. Abbreviation for erythrocyte
sedimentation rate
8. The suffix -stasis means “standing ___________.”
9. Abbreviation for grain
10. Abbreviation for registered nurse
11. Combining form that means nose
12. Suffix that means condition of
17. He/him, she/her, I/ ___________
18. Suffix that means “prolapse, downward
displacement”
19. Honolulu postal abbreviation
20. Disagree
22. Combining form that means “one”
23. Section of a circle
25. Agent that increases the secretion of urine
26. International peacekeeping org.
27. Suffix that means “poison”
28. Malignant disease of the lymph nodes, spleen, and liver: “___________ disease”
30. Suffix that means “pertaining to”
31. Combining form that means “varied, irregular”
33. Abbreviation for emergency medical
service
34. Common synonym for cerebrovascular accident
35. Abbreviation for right atrium
36. Abbreviation for ulnar nerve
37. Interstitial fluid in blind-ended capillaries
39. Word root that means “pleura”
40. Suffix that means “blood”
42. Not bright
44. Suffix that means “pertaining to”
45. Word root that means “cell”
48. Little Rock postal abbreviation