equilibrium
The sense of balance
gestation
The sense of taste; Latin geusis means “taste”
hearing
The sense or perception of sound
olfaction
The sense of smell; root osm/o means “smell”
proprioception
The awareness of posture, movement, and changes in equilibrium; receptors are located in muscles, tendons, and joints
sensory receptor
A sensory nerve ending or a specialized structure associated with a sensory nerve that responds to a stimulus
tactile
Pertaining to the sense of touch
vision
The sense by which the shape, size, and color of objects are perceived by means of the light they give off
auditory tube
The tube that connects the middle ear with the nasopharynx and serves to equalize pressure between the outer and middle ear (root: salping/o); pharyngotympanic tube; originally called the eustachian tube
cerumen
The brownish, waxlike secretion formed in the external ear canal to protect the ear and prevent infection; adjective: ceruminous
cochlea
The coiled portion of the inner ear that contains the receptors for hearing (root: cochle/o)
eustachian tube
The tube that connects the middle ear with the nasopharynx and serves to equalize pressure between the outer and middle ear (root: salping/o); auditory tube
external auditory canal
Tube that extends from the pinna of the ear to the tympanic membrane; external auditory meatus
incus
The middle ossicle of the ear
labyrinth
The inner ear, named for its complex structure, which resembles a maze
malleus
The ossicle of the middle ear that is in contact with the tympanic membrane and the incus
ossicles
The small bones of the middle ear, the malleus, incus, and stapes
pinna
The projecting part of the outer ear; auricle
semicircular canals
The three curved channels of the inner ear that hold receptors for equilibrium
spiral organ
The hearing receptor, which is located in the cochlea of the inner ear; organ of Corti
stapes
The ossicle that is in contact with the inner ear (root: staped, stapedi/o)
tympanic membrane
The membrane between the external auditory canal and the middle ear (tympanic cavity); the eardrum. It serves to transmit sound waves to the ossicles of the middle ear (root: myring/o, tympan/o)
vestibular apparatus
The portion of the inner ear that is concerned with the sense of equilibrium; consists of the vestibule and the semicircular canals (root: vestibul/o)
vestibule
The chamber in the inner ear that holds some of the receptors for equilibrium
vestibulocochlear nerve
The nerve that transmits impulses for hearing and equilibrium from the ear to the brain; eighth cranial nerve; auditory or acoustic nerve
acoustic neuroma
A tumor of the eighth cranial nerve sheath; although benign, it can press on surrounding tissue and produce symptoms; also called a schwannoma or neurilemoma
conductive hearing loss
Hearing impairment that results from blockage of sound transmission to the inner ear
Ménière disease
A disease associated with increased fluid pressure in the inner ear and characterized by hearing loss, vertigo, and tinnitus
otitis externa
Inflammation of the external auditory canal; swimmer's ear
otitis media
Inflammation of the middle ear with accumulation of serous (watery) or mucoid fluid
otosclerosis
Formation of abnormal and sometimes hardened bony tissue in the ear. It usually occurs around the oval window and the footplate (base) of the stapes, causing immobilization of the stapes and progressive loss of hearing
sensorineural hearing loss
Hearing impairment that results from damage to the inner ear, eighth cranial nerve, or auditory pathways in the brain
tinnitus
A sensation of noises, such as ringing or tinkling, in the ear
vertigo
An illusion of movement, as of the body moving in space or the environment moving about the body; usually caused by disturbances in the vestibular apparatus. Used loosely to mean dizziness or lightheadedness
myringotomy
Surgical incision of the tympanic membrane; performed to drain the middle ear cavity or to insert a tube into the tympanic membrane for drainage
stapedectomy
Surgical removal of the stapes; it may be combined with insertion of a prosthesis to correct otosclerosis
aural
Pertaining to or perceived by the ear
decibel (dB)
A unit for measuring the relative intensity of sound
hertz (Hz)
A unit for measuring the frequency (pitch) of sound
mastoid process
A small projection of the temporal bone behind the external auditory canal; it consists of loosely arranged bony material and small, air-filled cavities
stapedius
A small muscle attached to the stapes. It contracts in the presence of a loud sound, producing the acoustic reflex
cholesteatoma
A cystlike mass containing cholesterol that is most common in the middle ear and mastoid region; a possible complication of chronic middle ear infection
labyrinthitis
Inflammation of the labyrinth of the ear (inner ear); otitis interna
mastoiditis
Inflammation of the air cells of the mastoid process
presbycusis
Loss of hearing caused by aging; also presbyacusis
audiometry
Measurement of hearing
electronystagmography (ENG)
A method for recording eye movements by means of electrical responses; such movements may reflect vestibular dysfunction
otorhinolaryngology (ORL)
The branch of medicine that deals with diseases of the ear(s), nose, and throat (ENT); also called otolaryngology (OL)
otoscope
Instrument for examining the ear
Rinne test
Test that measures hearing by comparing results of bone conduction and air conduction
spondee
A two-syllable word with equal stress on each syllable; used in hearing tests; examples are toothbrush, baseball, cowboy, pancake
Weber test
Test for hearing loss that uses a vibrating tuning fork placed at the center of the head
accommodation
Adjustment of the lens’s curvature to allow for vision at various distances
aqueous humor
Fluid that fills the eye anterior to the lens
choroid
The dark, vascular, middle layer of the eye (roots: chori/o, choroid/o); part of the uvea (see below)
ciliary body
The muscular portion of the uvea that surrounds the lens and adjusts its shape for near and far vision (root: cycl/o)
cone
A specialized cell in the retina that responds to light; cones have high visual acuity, function in bright light, and respond to colors
conjunctiva
The mucous membrane that lines the eyelids and covers the eyeball’s anterior surface
convergence
Coordinated movement of the eyes toward fixation on the same point
cornea
The clear, anterior portion of the sclera (root: corne/o, kerat/o)
eye
The organ of vision (root: opt/o, ocul/o, ophthalm/o)
fovea
The tiny depression in the retina that is the point of sharpest vision; fovea centralis, central fovea
iris
The muscular colored ring between the lens and the cornea; regulates the amount of light that enters the eye by altering the size of the pupil at its center (roots: ir, irid/o, irit/o) plural: irides
lacrimal glands
Pertaining to tears (roots: lacrim/o, dacry/o)
lens
The transparent, biconvex structure in the anterior portion of the eye that refracts light and functions in accommodation (roots: lent/i, phak/o)
macula
A small spot or colored area; used alone to mean the yellowish spot in the retina that contains the fovea
optic disk
The point where the optic nerve joins the retina; at this point there are no rods or cones; also called the blind spot or optic papilla
orbit
The bony cavity that contains the eyeball
palpebra
An eyelid; a protective fold (upper or lower) that closes over the anterior surface of the eye (root: palpebr/o, blephar/o; adjective” palpebral; plural: palpebrae)
pupil
The opening at the center of the iris (root: pupill/o)
refraction
The bending of light rays as they pass through the eye to focus on a specific point on the retina; also the determination and correction of ocular refractive errors
retina
The innermost, light-sensitive layer of the eye; contains the rods and cones, the specialized receptor cells for vision (root: retin/o)
rod
A specialized cell in the retina of the eye that responds to light; rods have low visual acuity, function in dim light, and do not discriminate color
sclera
The tough, white, fibrous outermost layer of the eye; the white of the eye (root: scler/o)
uvea
The middle, vascular layer of the eye (root: uve/o); consists of the choroid, ciliary body, and iris
visual acuity
Sharpness of vision
vitreous body
The transparent jellylike mass that fills the main cavity of the eyeball; also called vitreous humor
age-related macular degeneration (AMD)
Deterioration of the macula associated with aging; macular degeneration impairs central vision
astigmatism
An error of refraction caused by irregularity in the curvature of the cornea or lens
cataract
Opacity of the lens of the eye
conjunctivitis
Inflammation of the conjunctiva; pinkeye
diabetic retinopathy
Degenerative changes in the retina associated with diabetes mellitus
glaucoma
A disease of the eye caused by increased intraocular pressure that damages the optic disk and causes loss of vision. Usually results from faulty fluid drainage from the anterior portion of the eye
hyperopia
An error of refraction in which light rays focus behind the retina and objects can be seen clearly only when far from the eye; farsightedness; also called hypermetropia
myopia
An error of refraction in which light rays focus in front of the retina and objects can be seen clearly only when very close to the eye; nearsightedness
ophthalmia neonatorum
Severe conjunctivitis usually caused by infection with gonococcus during birth
phacoemulsification
Removal of a cataract by ultrasonic destruction and extraction of the lens
presbyopia
Changes in the eye that occur with age; the lens loses elasticity and the ability to accommodate for near vision
retinal detachment
Separation of the retina from the underlying layer of the eye
trachoma
An infection caused by Chlamydia trachomatis leading to inflammation and scarring of the cornea and conjunctiva; a common cause of blindness in underdeveloped countries
canthus
The angle at either end of the slit between the eyelids
diopter
A measurement unit for the refractive power of a lens
emmetropia
The normal condition of the eye in refraction, in which parallel light rays focus exactly on the retina
fundus
A bottom or base; the region farthest from the opening of a structure. The fundus of the eye is the back portion of the inside of the eyeball as seen with an ophthalmoscope
meibomian gland
A sebaceous gland in the eyelid
tarsus
The framework of dense connective tissue that gives shape to the eyelid; tarsal plate
zonule
A system of fibers that holds the lens in place; also called suspensory ligaments
amblyopia
A condition that occurs when visual acuity is not the same in the two eyes in children (prefix ambly means “dim”). Disuse of the poorer eye will result in blindness if not corrected. Also called “lazy eye”
anisocoria
Condition in which the two pupils (root: cor/o) are not of equal size
blepharoptosis
Drooping of the eyelid
chalazion
A small mass on the eyelid resulting from inflammation and blockage of a meibomian gland
drusen
Small growths that appear as tiny yellowish spots beneath the retina of the eye; typically occur with age but also occur in certain abnormal conditions
floater
A small moving object in the field of vision that originates in the vitreous body. Floaters appear as spots or threads and are caused by benign degenerative or embryonic deposits in the vitreous body that cast a shadow on the retina
hordeolum
Inflammation of a sebaceous gland of the eyelid; a sty
keratoconus
Conical protrusion of the corneal center
miosis
Abnormal contraction of the pupils (from Greek, meaning “diminution”)
mydriasis
Pronounced or abnormal dilation of the pupil
nyctalopia
Night blindness. Inability to see well in dim light or at night (root: nyct/o); often due to lack of vitamin A, which is used to make the pigment needed for vision in dim light
nystagmus
Rapid, involuntary, rhythmic movements of the eyeball; may occur in neurologic diseases or disorders of the inner ear's vestibular apparatus
papilledema
Swelling of the optic disk (papilla); choked disk
phlyctenule
A small blister or nodule on the cornea or conjunctiva
pseudophakia
A condition in which a cataractous lens has been removed and replaced with a plastic lens implant
retinitis
Inflammation of the retina; causes include systemic disease, infection, hemorrhage, exposure to light
retinitis pigmentosa
A hereditary chronic degenerative disease of the retina that begins in early childhood. There is atrophy of the optic nerve and clumping of pigment in the retina.
retinoblastoma
A malignant glioma of the retina; usually appears in early childhood and is sometimes hereditary; fatal if untreated, but current cure rates are high
scotoma
An area of diminished vision within the visual field
strabismus
A deviation of the eye in which the visual lines of each eye are not directed to the same object at the same time. Also called heterotropia or squint. The various forms are referred to as -tropias, with the direction of turning indicated by a prefix, such as esotropia (inward), exotropia (outward), hypertropia (upward), and hypotropia (downward). The suffix -phoria is also used, as in esophoria
synechia
Adhesion of parts, especially adhesion of the iris to the lens and cornea (plural: synechiae)
xanthoma
A soft, slightly raised, yellowish patch or nodule usually on the eyelids; occurs in the elderly; also called xanthelasma
canthotomy
Surgical division of a canthus
cystitome
Instrument for incising the lens capsule
electroretinography (ERG)
Study of the electrical response of the retina to light stimulation
enucleation
Surgical removal of the eyeball
gonioscopy
Examination of the angle between the cornea and the iris (anterior chamber angle) in which fluids drain out of the eye (root goni/o means “angle”)
keratometer
An instrument for measuring the curvature of the cornea
mydriatic
A drug that causes dilation of the pupil
phorometer
An instrument for determining the degree and kind of strabismus
retinoscope
An instrument used to determine refractive errors of the eye; also called a skiascope
slit-lamp biomicroscope
An instrument for examining the eye under magnification
Snellen chart
A chart printed with letters of decreasing size used to test visual acuity when viewed from a set distance; results reported as a fraction giving a subject's vision compared with normal vision at a distance of 20 feet
tarsorrhaphy
Suturing together of all or part of the upper and lower eyelids
tonometer
An instrument used to measure fluid pressure in the eye
aorta
The largest artery. It receives blood from the left ventricle and branches to all parts of the body (root: aort/o)
aortic valve
The valve at the entrance to the aorta
apex
The point of a cone-shaped structure (adjective, apical). The apex of the heart is formed by the left ventricle and is pointed toward the inferior and left
artery
A vessel that carries blood away from the heart. All except the pulmonary and umbilical arteries carry oxygenated blood (root: arteri/o)
arteriole
A small vessel that carries blood from the arteries into the capillaries (root: arteriol/o)
atrioventricular (AV) node
A small mass in the lower septum of the right atrium that passes impulses from the sinoatrial (SA) node toward the ventricles
AV bundle
A band of fibers that transmits impulses from the atrioventricular (AV) node to the top of the interventricular septum. It divides into the right and left bundle branches, which descend along the two sides of the septum; the bundle of His
atrioventricular (AV) valve
A valve between the atrium and ventricle on the right and left sides of the heart. The right AV valve is the tricuspid valve; the left is the mitral valve
atrium
An entrance chamber, one of the two upper receiving chambers of the heart (root atri/o)
blood pressure
The force exerted by blood against the wall of a vessel
bundle branches
Branches of the AV bundle that divide to the right and left sides of the interventricular septum
capillary
A microscopic blood vessel through which materials are exchanged between the blood and the tissues
cardiovascular system
The part of the circulatory system that consists of the heart and the blood vessels
depolarization
A change in electrical charge from the resting state in nerves or muscles
diastole
The relaxation phase of the heartbeat cycle; adjective, diastolic
electrocardiography (ECG)
Study of the electrical activity of the heart as detected by electrodes (leads) placed on the surface of the body. Also abbreviated EKG from the German electrokardiography
endocardium
The thin membrane that lines the chambers of the heart and covers the valves
epicardium
The thin outermost layer of the heart wall
functional murmur
Any sound produced as the heart functions normally
heart
The muscular organ with four chambers that contracts rhythmically to propel blood through vessels to all parts of the body (root: cardi/o)
heart rate
The number of times the heart contracts per minute; recorded as beats per minute (BPM)
heart sounds
Sounds produced as the heart functions. The two loudest sounds are produced by alternate closing of the valves and are designated S1 and S2
inferior vena cava
The large inferior vein that brings blood back to the right atrium of the heart from the lower body
left AV valve
The valve between the left atrium and the left ventricle; the mitral valve or bicuspid valve
mitral valve
The valve between the left atrium and the left ventricle; the left AV valve or bicuspid valve
pericardium
The fibrous sac that surrounds the heart
pulmonary artery
The vessel that carries blood from the right side of the heart to the lungs
pulmonary circuit
The system of vessels that carries blood from the right side of the heart to the lungs to be oxygenated and then back to the left side of the heart
pulmonary veins
The vessels that carry blood from the lungs to the left side of the heart
pulmonary valve
The valve at the entrance to the pulmonary artery
pulse
The wave of increased pressure produced in the vessels each time the ventricles contract
Purkinje fibers
The terminal fibers of the conducting system of the heart. They carry impulses through the walls of the ventricles.
repolarization
A return of electrical charge to the resting state in nerves or muscles
right AV valve
The valve between the right atrium and right ventricle; the tricuspid valve
septum
A wall dividing two cavities, such as the chambers of the heart
sinus rhythm
Normal heart rhythm
sinoatrial (SA) node
A small mass in the upper part of the right atrium that initiates the impulse for each heartbeat; the pacemaker
sphygmomanometer
An instrument for determining arterial blood pressure (root sphygm/o means “pulse”); blood pressure apparatus or cuff
superior vena cava
The large superior vein that brings deoxygenated blood back to the right atrium from the upper body
systemic circuit
The system of vessels that carries oxygenated blood from the left side of the heart to all tissues except the lungs and returns deoxygenated blood to the right side of the heart
systole
The contraction phase of the heartbeat cycle; adjective: systolic
valve
A structure that keeps fluid flowing in a forward direction (root: valv/o, valvul/o)
vein
A vessel that carries blood back to the heart. All except the pulmonary and umbilical veins carry blood low in oxygen (root: ven/o, phleb/o)
ventricle
A small cavity. One of the two lower pumping chambers of the heart (root: ventricul/o)
venule
A small vessel that carries blood from the capillaries to the veins
vessel
A tube or duct to transport fluid (root: angi/o, vas/o, vascul/o)
aneurysm
A localized abnormal dilation of a blood vessel, usually an artery, caused by weakness of the vessel wall; may eventually burst
angina pectoris
A feeling of constriction around the heart or pain that may radiate to the left arm or shoulder, usually brought on by exertion; caused by insufficient blood supply to the heart
arrhythmia
Any abnormality in the rate or rhythm of the heartbeat (literally “without rhythm;” note doubled r). Also called dysrhythmia
arteriosclerosis
Hardening (sclerosis) of the arteries, with loss of capacity and loss of elasticity, as from fatty deposits (plaque), deposit of calcium salts, or formation of scar tissue
atherosclerosis
The development of fatty, fibrous patches (plaques) in the lining of arteries, causing narrowing of the lumen and hardening of the vessel wall. The most common form of arteriosclerosis (hardening of the arteries). The root ather/o means “porridge” or “gruel”
bradycardia
A slow heart rate of less than 60 bpm
cerebrovascular accident (CVA)
Sudden damage to the brain resulting from reduction of blood flow. Causes include atherosclerosis, embolism, thrombosis, or hemorrhage from a ruptured aneurysm; commonly called stroke
clubbing
Enlargement of the ends of the fingers and toes caused by growth of the soft tissue around the nails. Seen in a variety of diseases in which there is poor peripheral circulation.
coarctation of the aorta
Localized narrowing on the aorta with restriction of blood flow
C-reactive protein
Protein produced during systemic inflammation, which may contribute to atherosclerosis; high CRP levels can indicate cardiovascular disease and its prognosis
cyanosis
Bluish discoloration of the skin caused by lack of oxygen
deep vein thrombosis (DVT)
Thrombophlebitis involving the deep veins
diaphoresis
Profuse sweating
dissecting aneurysm
An aneurysm in which blood enters the arterial wall and separates the layers. Usually involves the aorta
dyslipidemia
Disorder in serum lipid levels, which is an important factor in development of atherosclerosis. Includes hyperlipidemia (high lipids), hypercholesterolemia (high cholesterol), and hypertriglyceridemia (high triglycerides)
dyspnea
Difficult or labored breathing (-pnea)
edema
Swelling of body tissues caused by the presence of excess fluid (see Fig. 6-4). Causes include cardiovascular disturbances, kidney failure, inflammation, and malnutrition
embolism
Obstruction of a blood vessel by a blood clot or other matter carried in the circulation
embolus
A mass carried in the circulation. Usually a blood clot, but also may be air, fat, bacteria, or other solid matter from within or from outside the body
fibrillation
Spontaneous, quivering, and ineffectual contraction of muscle fibers, as in the atria or the ventricles
heart block
An interference in the conduction system of the heart resulting in arrhythmia
heart failure
A condition caused by the inability of the heart to maintain adequate circulation of blood
hemorrhoid
A varicose vein in the rectum
hypertension
A condition of higher-than-normal blood pressure. Essential (primary, idiopathic) hypertension has no known cause
infarct
An area of localized necrosis (death) of tissue resulting from a blockage or a narrowing of the artery that supplies the area
ischemia
Local deficiency of blood supply caused by obstruction of the circulation (root: hem/o)
murmur
An abnormal heart sound
myocardial infarction (MI)
Localized necrosis (death) of cardiac muscle tissue resulting from blockage or narrowing of the coronary artery that supplies that area. Myocardial infarction is usually caused by formation of a thrombus (clot) in a vessel
occlusion
A closing off or obstruction, as of a vessel
patent ductus arteriosus
Persistence of the ductus arteriosus after birth. The ductus arteriosus is a vessel that connects the pulmonary artery to the descending aorta in the fetus to bypass the lungs
phlebitis
Inflammation of a vein
plaque
A patch. With regard to the cardiovascular system, a deposit of fatty material and other substances on a vessel wall that impedes blood flow and may block the vessel. Atheromatous plaque
rheumatic heart disease
Damage to heart valves after infection with a type of streptococcus (group A hemolytic streptococcus). The antibodies produced in response to the infection produce valvular scarring, usually involving the mitral valve
septal defect
An opening in the septum between the atria or ventricles; a common cause is persistence of the foramen ovale (for-Ā-men ō-VAL-ē), an opening between the atria that bypasses the lungs in fetal circulation
shock
Circulatory failure resulting in an inadequate supply of blood to the tissues. Cardiogenic shock is caused by heart failure; hypovolemic shock is caused by a loss of blood volume; septic shock is caused by bacterial infection
sinus rhythm
A normal heart rhythm originating from the sinoatrial (SA) node
stenosis
Constriction or narrowing of an opening
stroke
See cerebrovascular accident
syncope
A temporary loss of consciousness caused by inadequate blood flow to the brain; fainting
tachycardia
An abnormally rapid heart rate, usually over 100 bpm
thrombophlebitis
Inflammation of a vein associated with formation of a blood clot
thrombosis
Development of a blood clot within a vessel
thrombus
A blood clot that forms within a blood vessel (root: thromb/o)
varicose vein
A twisted and swollen vein resulting from breakdown of the valves, pooling of blood, and chronic dilatation of the vessel (root: varic/o); also called varix (VAR-iks) or varicosity (var-i-KOS-i-tē)
angioplasty
A procedure that reopens a narrowed vessel and restores blood flow. Commonly accomplished by surgically removing plaque, inflating a balloon within the vessel, or installing a device (stent) to keep the vessel open
artificial pacemaker
A battery-operated device that generates electrical impulses to regulate the beating of the heart. It may be external or implanted, may be designed to respond to need, and may have the capacity to prevent tachycardia
cardiopulmonary resuscitation (CPR)
Restoration of cardiac output and pulmonary ventilation after cardiac arrest using artificial respiration and chest compression or cardiac massage
cardioversion
Correction of an abnormal cardiac rhythm. May be accomplished pharmacologically, with antiarrhythmic drugs, or by application of electric current (see defibrillation)
coronary angiography
Radiographic study of the coronary arteries after introduction of an opaque dye by means of a catheter
coronary artery bypass graft (CABG)
Surgical creation of a shunt to bypass a blocked coronary artery. The aorta is connected to a point past the obstruction with another vessel or a piece of another vessel, usually the left internal mammary artery or part of the leg's saphenous vein
creatine kinase MB (CK-MB)
Enzyme released in increased amounts from cardiac muscle cells following myocardial infarction (MI). Serum assays help diagnose MI and determine the extent of muscle damage
defibrillation
Use of an electronic device (defibrillator) to stop fibrillation by delivering a brief electric shock to the heart. The shock may be delivered to the surface of the chest, as by an automated external defibrillator (AED), or directly into the heart through wire leads, using an implantable cardioverter defibrillator (ICD)
echocardiography (ECG)
A noninvasive method that uses ultrasound to visualize internal cardiac structures
lipoprotein
A compound of protein with lipid. Lipoproteins are classified according to density as very low density (VLDL), low density (LDL), and high density (HDL). Relatively higher levels of HDLs have been correlated with health of the cardiovascular system
percutaneous transluminal coronary angioplasty (PTCA)
Dilatation of a sclerotic blood vessel by means of a balloon catheter inserted into the vessel and then inflated to flatten plaque against the artery wall
stent
A small metal device in the shape of a coil or slotted tube that is placed inside an artery to keep the vessel open after balloon angioplasty
stress test
Evaluation of physical fitness by continuous ECG monitoring during exercise. In a thallium stress test, a radioactive isotope of thallium is administered to trace blood flow through the heart during exercise
troponin (Tn)
A protein in muscle cells that regulates contraction. Increased serum levels, primarily in the forms TnT and TnI, indicate recent myocardial infarction (MI)
appendix
A small, fingerlike mass of lymphoid tissue attached to the first part of the large intestine
lymph
The thin plasmalike fluid that drains from the tissues and is transported in lymphatic vessels (root: lymph/o)
lymph node
A small mass of lymphoid tissue along the path of a lymphatic vessel that filters lymph (root: lymphaden/o)
lymphatic system
The system that drains fluid and proteins from the tissues and returns them to the bloodstream. This system also participates in immunity and aids in absorption of fats from the digestive tract
Peyer patches
Aggregates of lymphoid tissue in the lining of the intestine
right lymphatic duct
The lymphatic duct that drains fluid from the upper right side of the body
spleen
A large reddish-brown organ in the upper left region of the abdomen. It filters blood and destroys old red blood cells (root: splen/o)
thoracic duct
The lymphatic duct that drains fluid from the upper left side of the body and all of the lower body/ left lymphatic duct
thymus gland
A gland in the upper part of the chest beneath the sternum. It functions in immunity (root: thym/o).
tonsils
Small masses of lymphoid tissue located in regions of the throat (pharynx)
lymphadenitis
Inflammation and enlargement of lymph nodes, usually as a result of infection
lymphangiitis
Inflammation of lymphatic vessels as a result of bacterial infection. Appears as painful red streaks under the skin. (Also spelled lymphangitis)
lymphedema
Swelling of tissues with lymph caused by obstruction or excision of lymphatic vessels
lymphoma
Any neoplastic disease of lymphoid tissue
apical pulse
Pulse felt or heard over the apex of the heart. It is measured in the fifth left intercostal space (between the ribs) about 8 to 9 cm from the midline
cardiac output
The amount of blood pumped from the right or left ventricle per minute
Korotkoff sounds
Arterial sounds heard with a stethoscope during determination of blood pressure with a cuff
perfusion
The passage of fluid, such as blood, through an organ or tissue
precordium
The anterior region over the heart and the lower part of the thorax; adjective, precordial
pulse pressure
The difference between systolic and diastolic pressure
stroke volume
The amount of blood ejected by the left ventricle with each beat
Valsalva maneuver
Bearing down, as in childbirth or defecation, by attempting to exhale forcefully with the nose and throat closed. This action has an effect on the cardiovascular system
bruit
An abnormal sound heard in auscultation
cardiac tamponade
Pathologic accumulation of fluid in the pericardial sac. May result from pericarditis or injury to the heart or great vessels.
ectopic beat
A heartbeat that originates from some part of the heart other than the SA node
extrasystole
Premature contraction of the heart that occurs separately from the normal beat and originates from a part of the heart other than the SA node
flutter
Very rapid (200 to 300 bpm) but regular contractions, as in the atria or the ventricles
hypotension
A condition of lower-than-normal blood pressure
intermittent claudication
Pain in a muscle during exercise caused by inadequate blood supply. The pain disappears with rest
mitral valve prolapse
Movement of the cusps of the mitral valve into the left atrium when the ventricles contract
occlusive vascular disease
Arteriosclerotic disease of the vessels, usually peripheral vessels
palpitation
A sensation of abnormally rapid or irregular heartbeat
pitting edema
Edema that retains the impression of a finger pressed firmly into the skin
polyarteritis nodosa
Potentially fatal collagen disease causing inflammation of small visceral arteries. Symptoms depend on the organ affected
Raynaud disease
A disorder characterized by abnormal constriction of peripheral vessels in the arms and legs on exposure to cold
regurgitation
A backward flow, such as the backflow of blood through a defective valve
stasis
Stoppage of normal flow, as of blood or urine. Blood stasis may lead to dermatitis and ulcer formation
subacute bacterial endocarditis (SBE)
Growth of bacteria in a heart or valves previously damaged by rheumatic fever
tetralogy of Fallot
A combination of four congenital heart abnormalities: pulmonary artery stenosis, interventricular septal defect, displacement of the aorta to the right, and right ventricular hypertrophy
thromboangiitis obliterans
Inflammation and thrombus formation resulting in occlusion of small vessels, especially in the legs. Most common in young men and correlated with heavy smoking. Thrombotic occlusion of leg vessels may lead to gangrene of the feet. Patients show a hypersensitivity to tobacco. Also called Buerger disease
vegetation
Irregular outgrowths of bacteria on the heart valves; associated with rheumatic fever
Wolff–Parkinson–White syndrome (WPW)
A cardiac arrhythmia consisting of tachycardia and a premature ventricular beat caused by an alternative conduction pathway
cardiac catheterization
Passage of a catheter into the heart through a vessel to inject a contrast medium for imaging, diagnosing abnormalities, obtaining samples, or measuring pressure
central venous pressure (CVP)
Pressure in the superior vena cava
cineangiocardiography
The photographic recording of fluoroscopic images of the heart and large vessels using motion picture techniques
computed tomography angiography (CTA)
Method for imaging the interior of arteries using computed tomography; uses less dye and is less invasive than standard angiography
Doppler echocardiography
An imaging method used to study the rate and pattern of blood flow
heart scan
Imaging of the heart after injection of a radioactive isotope. The PYP (pyrophosphate) scan using technetium-99m (99mTc) is used to test for myocardial infarction because the isotope is taken up by damaged tissue. The MUGA (multigated acquisition) scan gives information on heart function
Holter monitor
A portable device that can record up to 24 hours of an individual's ECG readings during normal activity
homocysteine
An amino acid in the blood that at higher-than-normal levels is associated with increased risk of cardiovascular disease
phlebotomist
Technician who specializes in drawing blood
phonocardiography
Electronic recording of heart sounds
plethysmography
Measurement of changes in the size of a part based on the amount of blood contained in or passing through it. Impedance plethysmography measures changes in electrical resistance and is used in the diagnosis of deep vein thrombosis
pulmonary capillary wedge pressure (PCWP)
Pressure measured by a catheter in a branch of the pulmonary artery. It is an indirect measure of pressure in the left atrium
Swan–Ganz catheter
A cardiac catheter with a balloon at the tip that is used to measure pulmonary arterial pressure. It is flow-guided through a vein into the right side of the heart and then into the pulmonary artery transesophageal
echocardiography (TEE)
Use of an ultrasound transducer placed endoscopically into the esophagus to obtain images of the heart
triglycerides
Simple fats that circulate in the bloodstream
ventriculography
X-ray study of the ventricles of the heart after introduction of an opaque dye by means of a catheter
atherectomy
Removal of atheromatous plaque from the lining of a vessel. May be done by open surgery or through the lumen of the vessel
commissurotomy
Surgical incision of a scarred mitral valve to increase the size of the valve opening
embolectomy
Surgical removal of an embolus
intraaortic balloon pump (IABP)
A mechanical assist device that consists of an inflatable balloon pump inserted through the femoral artery into the thoracic aorta. It inflates during diastole to improve coronary circulation and deflates before systole to allow blood ejection from the heart
left ventricular assist device (LVAD)
A pump that takes over the function of the left ventricle in delivering blood into the systemic circuit. These devices are used to assist patients awaiting heart transplantation or those who are recovering from heart failure
angiotensin-converting enzyme (ACE) inhibitor
A drug that lowers blood pressure by blocking the formation in the blood of angiotensin II, a substance that normally acts to increase blood pressure
angiotensin receptor blocker (ARB)
A drug that blocks tissue receptors for angiotensin II; angiotensin II receptor antagonist
antiarrhythmic agent
A drug that regulates the rate and rhythm of the heartbeat
agranulocytes
A white blood cell that does not have visible granules in its cytoplasm. Agranulocytes include lymphocytes and monocytes
albumin
A simple protein found in blood plasma
antibody
A protein produced in response to and interacting specifically with an antigen
antigen
A substance that induces the formation of an antibody
B cell
A lymphocyte that matures in lymphoid tissue and is active in producing antibodies; B lymphocyte (LIM-fō-sīt)
band cell
An immature neutrophil with a nucleus in the shape of a band; also called a stab cell. Band cell counts are used to trace infections and other diseases
basophil
A granular leukocyte that stains with basic dyes; active in allergic reactions
blood
The fluid that circulates in the cardiovascular system (root: hem/o, hemat/o)
coagulation
Blood clotting
cross-matching
Testing the compatibility of donor and recipient blood in preparation for a transfusion. Donor red cells are mixed with recipient serum, and red cells of the recipient are mixed with donor serum to look for an immunologic reaction. Similar tests are done on tissues before transplantation
electrolyte
A substance that separates into charged particles (ions) in solution; a salt. Term also applied to ions in body fluids
eosinophil
A granular leukocyte that stains with acidic dyes; active in allergic reactions and defense against parasites
erythrocyte
A red blood cell (root: erythr/o, erythrocyt/o)
erythropoietin (EPO)
A hormone produced in the kidneys that stimulates red blood cell production in the bone marrow. This hormone is now made by genetic engineering for clinical use
fibrin
The protein that forms a clot in the process of blood coagulation
fibrinogen
The inactive precursor of fibrin
formed elements
The cellular components of blood
gamma globulin
The fraction of the blood plasma that contains antibodies; given for passive transfer of immunity
granulocytes
A white blood cell that has visible granules in its cytoplasm. Granulocytes include neutrophils, basophils, and eosinophils
hemoglobin (Hb, Hgb)
The iron-containing pigment in red blood cells that transports oxygen
hemostasis
The stoppage of bleeding
immunity
The state of being protected against a specific disease (root: immun/o)
immunoglobulin (Ig)
An antibody. Immunoglobulins fall into five classes, each abbreviated with a capital letter: IgG, IgM, IgA, IgD, IgE
leukocyte
A white blood cell (root: leuk/o, leukocyt/o)
lymphocyte
An agranular leukocyte active in immunity (T cells and B cells); found in both the blood and in lymphoid tissue (root: lymph/o, lymphocyt/o)
megakaryocyte
A large bone marrow cell that fragments to release platelets
macrophage
A phagocytic cell derived from a monocyte; usually located within the tissues. Macrophages process antigens for T cells
monocyte
An agranular phagocytic leukocyte
neutrophil
A granular leukocyte that stains with acidic or basic dyes. The most numerous of the white blood cells. A type of phagocyte
phagocytosis
The engulfing of foreign material by white blood cells
plasma
The liquid portion of the blood
plasma cell
A mature form of a B cell that produces antibodies
platelet
A formed element of the blood that is active in hemostasis; a thrombocyte (root: thrombocyt/o)
serum
The fraction of the plasma that remains after blood coagulation; it is the equivalent of plasma without its clotting factors (plural: sera, serums)
T cell
A lymphocyte that matures in the thymus gland and attacks foreign cells directly; T lymphocyte
thrombocyte
A blood platelet (root: thrombocyt/o)
AIDS (acquired immunodeficiency syndrome)
Failure of the immune system caused by infection with HIV (human immunodeficiency virus). The virus infects certain T cells and thus interferes with immunity
allergen
A substance that causes an allergic response
allergy
Hypersensitivity
anaphylactic reaction
An exaggerated allergic reaction to a foreign substance (root phylaxis means. “protection”). It may lead to death caused by circulatory collapse, and respiratory distress if untreated. Also called anaphylaxis
anemia
A deficiency in the amount of hemoglobin in the blood; may result from blood loss, malnutrition, a hereditary defect, environmental factors, and other causes
angioedema
A localized edema with large hives (wheals) similar to urticaria but involving deeper layers of the skin and subcutaneous tissue
aplastic anemia
Anemia caused by bone marrow failure resulting in deficient blood cell production, especially of red cells; pancytopenia
autoimmune disease
A condition in which the immune system produces antibodies against an individual's own tissues (prefix auto means “self”)
Cooley anemia
A form of thalassemia (hereditary anemia) which affects production of the β (beta) hemoglobin chain; thalassemia major
delayed hypersensitivity reaction
An allergic reaction involving T cells that takes at least 12 hours to develop. Examples are various types of contact dermatitis, such as poison ivy or poison oak; the tuberculin reaction (test for TB); and rejections of transplanted tissue
disseminated intravascular coagulation (DIC)
Widespread formation of clots in the microscopic vessels; may be followed by bleeding caused by depletion of clotting factors
ecchymosis
A collection of blood under the skin caused by leakage from small vessels (root chym means “juice”)
hemolysis
The rupture of red blood cells and the release of hemoglobin (adjective: hemolytic)
hemophilia
A hereditary blood disease caused by lack of a clotting factor and resulting in abnormal bleeding
HIV (human immunodeficiency virus)
The virus that causes AIDS
Hodgkin disease
A neoplastic disease of unknown cause that involves the lymph nodes, spleen, liver, and other tissues; characterized by the presence of giant Reed-Sternberg cells
hypersensitivity
An immunologic reaction to a substance that is harmless to most people; allergy
immunodeficiency
A congenital or acquired failure of the immune system to protect against disease
intrinsic factor
A substance produced in the stomach that aids in the absorption of vitamin B12, necessary for the manufacture of red blood cells. Lack of intrinsic factor causes pernicious anemia
Kaposi sarcoma
Cancerous lesion of the skin and other tissues, seen most often in patients with AIDS
leukemia
Malignant overgrowth of immature white blood cells; may be chronic or acute; may affect bone marrow (myelogenous leukemia) or lymphoid tissue (lymphocytic leukemia)
lymphadenopathy
Any disease of the lymph nodes
multiple myeloma
A tumor of the blood-forming tissue in bone marrow
non-Hodgkin lymphoma (NHL)
A widespread malignant disease of lymph nodes that involves lymphocytes. It differs from Hodgkin disease in that giant Reed-Sternberg cells are absent.
Philadelphia chromosome (Ph)
An abnormal chromosome found in the cells of most individuals with chronic granulocytic (myelogenous) leukemia
pernicious anemia
Anemia caused by failure of the stomach to produce intrinsic factor, a substance needed for the absorption of vitamin B12. This vitamin is required for the formation of erythrocytes.
petechiae
Pinpoint, flat, purplish-red spots caused by bleeding within the skin or mucous membrane (singular: petechia)
purpura
A condition characterized by hemorrhages into the skin, mucous membranes, internal organs, and other tissues (from Greek word meaning “purple”). Thrombocytopenic purpura is caused by a deficiency of platelets
sideroblastic anemia
Anemia caused by inability to use available iron to manufacture hemoglobin. The excess iron precipitates in normoblasts (developing red blood cells)
Sjögren syndrome
An autoimmune disease involving dysfunction of the exocrine glands and affecting secretion of tears, saliva, and other body fluids. Deficiency leads to dry mouth, tooth decay, corneal damage, eye infections, and difficulty in swallowing
sickle cell anemia
A hereditary anemia caused by the presence of abnormal hemoglobin. Red blood cells become sickle shaped and interfere with normal blood flow to the tissues. Most common in black populations of West African descent
splenomegaly
Enlargement of the spleen
systemic lupus erythematosus
Inflammatory connective tissue disease affecting the skin and multiple organs. Patients are sensitive to light and may have a red butterfly-shaped rash over the nose and cheeks
systemic sclerosis
A diffuse disease of connective tissue that may involve any system causing inflammation, degeneration, and fibrosis. Also called scleroderma because it causes thickening of the skin
thalassemia
A group of hereditary anemias mostly found in populations of Mediterranean descent (the name comes from the Greek word for “sea”)
thrombocytopenia
A deficiency of thrombocytes (platelets) in the blood
urticaria
A skin reaction consisting of round, raised eruptions (wheals) with itching; hives
adrenaline
See epinephrine
CD4+ T lymphocyte count
A count of the T cells that have the CD4 receptors for the AIDS virus (HIV). A count of less than 200/µL of blood signifies severe immunodeficiency.
epinephrine
A powerful stimulant produced by the adrenal gland and sympathetic nervous system. Activates the cardiovascular, respiratory, and other systems needed to meet stress. Used as a drug to treat severe allergic reactions and shock. Also called adrenaline
reticulocyte counts
Blood counts of reticulocytes, a type of immature red blood cell; reticulocyte counts are useful in diagnosis to indicate the rate of erythrocyte formation
Reed-Sternberg cells
Giant cells that are characteristic of Hodgkin disease. They usually have two large nuclei and are surrounded by a halo
agglutination
The clumping of cells or particles in the presence of specific antibodies
bilirubin
A pigment derived from the breakdown of hemoglobin. It is eliminated by the liver in bile
complement
A group of plasma enzymes that interacts with antibodies
corpuscle
A small mass or body. A blood corpuscle is a blood cell
hemopoietic stem cell
A primitive bone marrow cell that gives rise to all varieties of blood cells
heparin
A substance found throughout the body that inhibits blood coagulation; an anticoagulant
plasmin
An enzyme that dissolves clots; also called fibrinolysin
thrombin
The enzyme derived from prothrombin that converts fibrinogen to fibrin
agranulocytosis
A condition involving a decrease in the number of granulocytes in the blood; also called granulocytopenia
erythrocytosis
Increase in the number of red cells in the blood; may be normal, such as to compensate for life at high altitudes, or abnormal, such as in cases of pulmonary or cardiac disease
Fanconi syndrome
Congenital aplastic anemia that appears between birth and 10 years of age; may be hereditary or caused by damage before birth, as by a virus
graft-versus-host reaction (GVHR)
An immunologic reaction of transplanted lymphocytes against tissues of the host; a common complication of bone marrow transplantation.
Hairy cell leukemia
A form of leukemia in which cells have filaments, making them look “hairy”
hematoma
A localized collection of blood, usually clotted, caused by a break in a blood vessel
hemolytic disease of the newborn (HDN)
Disease that results from incompatibility between the blood of a mother and her fetus, usually involving Rh factor. An Rh-negative mother produces antibody to an Rh-positive fetus that, in later pregnancies, will destroy the red cells of an Rh-positive fetus. The problem is usually avoided by treating the mother with antibodies to remove the Rh antigen; erythroblastosis fetalis
hemosiderosis
A condition involving the deposition of an iron-containing pigment (hemosiderin) mainly in the liver and the spleen. The pigment comes from hemoglobin released from disintegrated red blood cells
idiopathic thrombocytopenic purpura (ITP)
A clotting disorder caused by destruction of platelets that usually follows a viral illness. Causes petechiae and hemorrhages into the skin and mucous membranes
infectious mononucleosis
An acute infectious disease caused by Epstein–Barr virus (EBV). Characterized by fever, weakness, lymphadenopathy, hepatosplenomegaly, and atypical lymphocytes (resembling monocytes)
hemolytic disease of the newborn (HDN)
Disease that results from incompatibility between the blood of a mother and her fetus, usually involving Rh factor. An Rh-negative mother produces antibody to an Rh-positive fetus that, in later pregnancies, will destroy the red cells of an Rh-positive fetus. The problem is usually avoided by treating the mother with antibodies to remove the Rh antigen; erythroblastosis fetalis
hemosiderosis
A condition involving the deposition of an iron-containing pigment (hemosiderin) mainly in the liver and the spleen. The pigment comes from hemoglobin released from disintegrated red blood cells
idiopathic thrombocytopenic purpura (ITP)
A clotting disorder caused by destruction of platelets that usually follows a viral illness. Causes petechiae and hemorrhages into the skin and mucous membranes
infectious mononucleosis
An acute infectious disease caused by Epstein–Barr virus (EBV). Characterized by fever, weakness, lymphadenopathy, hepatosplenomegaly, and atypical lymphocytes (resembling monocytes)
polycythemia vera
A condition in which overactive bone marrow produces too many red blood cells. These interfere with circulation and promote thrombosis and hemorrhage. Treated by blood removal. Also called erythremia, Vasquez–Osler disease
septicemia
Presence of microorganisms in the blood
spherocytic anemia
Hereditary anemia in which red blood cells are round instead of disk-shaped and rupture (hemolyze) excessively
thrombotic thrombocytopenic purpura (TTP)
An often fatal disorder in which multiple clots form in blood vessels
von Willebrand disease
A hereditary bleeding disease caused by lack of von Willebrand factor, a substance necessary for blood clotting
Bence Jones protein
A protein that appears in the urine of patients with multiple myeloma
Coombs test
A test for detection of antibodies to red blood cells such as appear in cases of autoimmune hemolytic anemias
electrophoresis
Separation of particles in a liquid by application of an electrical field; used to separate components of blood.
ELISA
Enzyme-linked immunosorbent assay. A highly sensitive immunologic test used to diagnose HIV infection, hepatitis, and Lyme disease, among others
monoclonal antibody
A pure antibody produced in the laboratory; used for diagnosis and treatment
pH
A scale that measures the relative acidity or alkalinity of a solution. Represents the amount of hydrogen ion in the solution
Schilling test
Test used to determine absorption of vitamin B12 by measuring excretion of radioactive B12 in the urine. Used to distinguish pernicious from nutritional anemia
seroconversion
The appearance of antibodies in the serum in response to a disease or an immunization
Western blot assay
A very sensitive test used to detect small amounts of antibodies in the blood
Wright stain
A commonly used blood stain
anticoagulant
An agent that prevents or delays blood coagulation
antihistamine
A drug that counteracts the effects of histamine and is used to treat allergic reactions
apheresis
A procedure in which blood is withdrawn, a portion is separated and retained, and the remainder is returned to the donor. Apheresis may be used as a suffix with a root meaning the fraction retained, such as plasmapheresis, leukapheresis
autologous blood
A person's own blood. May be donated in advance of surgery and transfused if needed
cryoprecipitate
A sediment obtained by cooling. The fraction obtained by freezing blood plasma contains clotting factors
desensitization
Treatment of allergy by small injections of the offending allergen. This causes an increase of antibody to destroy the antigen rapidly on contact
homologous blood
Blood from animals of the same species, such as human blood used for transfusion from one person to another. Blood used for transfusions must be compatible with the blood of the recipient
immunosuppression
Depression of the immune response. May be correlated with disease but also may be induced therapeutically to prevent rejection in cases of tissue transplantation
protease inhibitor
An anti-HIV drug that acts by inhibiting an enzyme the virus needs to multiply
adrenal gland
A gland on the superior surface of the kidney. The outer region (cortex) secretes steroid hormones; the inner region (medulla) secretes epinephrine (adrenaline) (root: adren/o)
endocrine
Pertaining to a ductless gland that secretes directly into the blood
hormone
A secretion of an endocrine gland. A substance that travels in the blood and has a regulatory effect on tissues, organs, or glands
hypophysis
The pituitary gland (root: hypophys); named from hypo, meaning “below,” and physis, meaning “growing,” because the gland grows below the hypothalamus
hypothalamus
A portion of the brain that controls the pituitary gland and is active in maintaining homeostasis
pancreatic islets
Clusters of endocrine cells in the pancreas that secrete hormones to regulate sugar metabolism; also called islets of Langerhans or islet cells (root insul/o means “island”)
parathyroid glands
Small endocrine glands on the posterior thyroid that act to increase blood calcium levels; there are usually four to six parathyroid glands (root: parathyr/o, parathyroid/o); the name literally means “near the thyroid”
pineal gland
A small gland in the brain. Appears to regulate mood, daily rhythms, and sexual development in response to environmental light. Secretes the hormone melatonin
pituitary gland
A small endocrine gland at the base of the brain. The anterior lobe secretes growth hormone and hormones that stimulate other glands; the posterior lobe releases ADH and oxytocin manufactured in the hypothalamus
prostaglandins
A group of hormones produced throughout the body that have a variety of effects, including stimulation of uterine contractions and regulation of blood pressure, blood clotting, and inflammation
receptor
A site on the cell membrane or within the cell to which a substance, such as a hormone, attaches
steroid hormone
A hormone made from lipids and including the sex hormones and the hormones of the adrenal cortex
target tissue
The specific tissue on which a hormone acts; may also be called the target organ
thyroid gland
An endocrine gland on either side of the larynx and upper trachea. It secretes hormones that affect metabolism and growth and a hormone (calcitonin) that regulates calcium balance (root: thyr/o, thyroid/o).
acromegaly
Overgrowth of bone and soft tissue, especially in the hands, feet, and face, caused by an excess of growth hormone in an adult. The name comes from acro meaning “extremity” and megal/o meaning “enlargement”
Addison disease
A disease resulting from deficiency of adrenocortical hormones. It is marked by darkening of the skin, weakness, and alterations in salt and water balance
adenoma
A neoplasm of a gland
adult hypothyroidism
A condition caused by hypothyroidism in an adult. There is dry, waxy swelling, most notable in the face; formerly called myxedema
Cushing disease
Overactivity of the adrenal cortex resulting from excess production of ACTH by the pituitary
Cushing syndrome
A condition resulting from an excess of hormones from the adrenal cortex. It is associated with obesity, weakness, hyperglycemia, hypertension, and hirsutism (excess hair growth)
diabetes insipidus
A disorder caused by insufficient release of ADH from the posterior pituitary. It results in excessive thirst and production of large amounts of very dilute urine. The word insipidus means “tasteless,” referring to the dilution of the urine
diabetes mellitus
A disorder of glucose metabolism caused by deficiency of insulin production or failure of the tissues to respond to insulin. Type 1 results from autoimmune destruction of pancreatic islet cells; it generally appears in children and requires insulin administration. Type 2 generally occurs in obese adults; it is treated with diet, exercise, drugs to improve insulin production or activity, and sometimes insulin. The word mellitus comes from the Latin root for honey, referring to the sugar content of the urine
exophthalmos
Protrusion of the eyeballs, as seen in Graves disease
gigantism
Overgrowth caused by an excess of growth hormone from the pituitary during childhood; also called giantism
glycated hemoglobin (HbA1c) test
A test that measures the binding of glucose to hemoglobin during the lifespan of a red blood cell. It reflects the average blood glucose level over two to three months and is useful in evaluating long-term therapy for diabetes mellitus. Also called A1c test
glycosuria
Excess sugar in the urine
goiter
Enlargement of the thyroid gland. May be toxic or nontoxic. Simple (nontoxic) goiter is caused by iodine deficiency
Graves disease
An autoimmune disease resulting in hyperthyroidism. A prominent symptom is exophthalmos (protrusion of the eyeballs). Also called diffuse toxic goiter
hyperglycemia
Excess glucose in the blood
hypoglycemia
Abnormally low level of glucose in the blood
insulin shock
A condition resulting from an overdose of insulin, causing hypoglycemia
infantile hypothyroidism
A condition caused by congenital lack of thyroid secretion and marked by arrested physical and mental development; also called congenital hypothyroidism
ketoacidosis
Acidosis (increased acidity of body fluids) caused by an excess of ketone bodies, as in diabetes mellitus; diabetic acidosis
metabolic syndrome
A state of hyperglycemia caused by cellular resistance to insulin, as seen in type 2 diabetes, in association with other metabolic disorders; syndrome X or insulin resistance syndrome
panhypopituitarism
Underactivity of the entire pituitary gland
tetany
Irritability and spasms of muscles; may be caused by low blood calcium and other factors
sella turcica
A saddle-shaped depression in the sphenoid bone that contains the pituitary gland (literally means “Turkish saddle”)
sphenoid bone
A bone at the base of the skull that houses the pituitary gland
adrenogenital syndrome
Condition caused by overproduction of androgens from the adrenal cortex, resulting in masculinization; may be congenital or acquired, usually as a result of an adrenal tumor
Conn syndrome
Hyperaldosteronism caused by an adrenal tumor
craniopharyngioma
A tumor of the pituitary gland
Hashimoto disease
A chronic thyroiditis of autoimmune origin
impaired glucose tolerance (IGT)
High blood glucose levels after glucose intake that may signal borderline diabetes mellitus
ketosis
Accumulation of ketone bodies, such as acetone, in the body. Usually results from deficiency or faulty metabolism of carbohydrates, as in cases of diabetes mellitus and starvation
multiple endocrine neoplasia (MEN)
A hereditary disorder that causes tumors in several endocrine glands; classified according to the combination of glands involved
pheochromocytoma
A usually benign tumor of the adrenal medulla or other structures containing chromaffin cells (cells that stain with chromium salts); phe/o means “brown” or “dusky.” The adrenal tumor causes increased production of epinephrine.
pituitary apoplexy
Sudden massive hemorrhage and degeneration of the pituitary gland associated with a pituitary tumor. Common symptoms include severe headache, visual problems, and loss of consciousness
seasonal affective disorder (SAD)
A mood disorder with lethargy, depression, excessive need for sleep, and overeating that generally occurs in winter. Thought to be related to melatonin levels as influenced by environmental light
Simmonds disease
Hypofunction of the anterior pituitary (panhypopituitarism), usually because of an infarction; pituitary cachexia (ka-KEK-sē-a)
thyroid storm
A sudden onset of the symptoms of thyrotoxicosis occurring in patients with hyperthyroidism who are untreated or poorly treated. May be brought on by illness or trauma. Also called thyroid crisis
thyrotoxicosis
Condition resulting from overactivity of the thyroid gland. Symptoms include anxiety, irritability, weight loss, and sweating. The main example of thyrotoxicosis is Graves disease
von Recklinghausen disease
Degeneration of bone caused by excess production of parathyroid hormone. Also called Recklinghausen disease of bone
fasting plasma glucose (FPG)
Measurement of glucose in the blood after a fast of at least eight hours. A reading greater than or equal to126 mg/dL indicates diabetes. Also called fasting blood glucose (FBG) or fasting blood sugar (FBS)
free thyroxine index (FTI, T7)
Calculation based on the amount of T4 present and T3 uptake, used to diagnose thyroid dysfunction
oral glucose tolerance test (OGTT)
Measurement of glucose levels in blood plasma after administration of a challenge dose of glucose to a fasting patient. Used to measure patient's ability to metabolize glucose. A value greater than or equal to 200 mg/dL in the two-hour sample indicates diabetes
radioactive iodine uptake test (RAIU)
A test that measures thyroid uptake of radioactive iodine as an evaluation of thyroid function
radioimmunoassay (RIA)
A method of measuring very small amounts of a substance, especially hormones, in blood plasma using radioactively labeled hormones and specific antibodies
thyroid scan
Visualization of the thyroid gland after administration of radioactive iodine
thyroxine
binding globulin (TBG) test - Test that measures the main protein that binds T4 in the blood
transsphenoidal adenomectomy
Removal of a pituitary tumor through the sphenoid sinus (space in the sphenoid bone)