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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Georg Eduard Von Rindfleisch
(1836 – 1908)
German pathologist and histologist of Bavarian nobility ancestry. Rindfleisch studied medicine in Würzburg, Berlin, and Heidelberg, earning his MD in 1859 with the thesis “De Vasorum Genesi” (on the generation of vessels) under the tutelage of Rudolf Virchow (1821 - 1902). He then continued as a assistant to Virchow in a newly founded institute in Berlin. He then moved to Breslau in 1861 as an assistant to Rudolf Heidenhain (1834–1897), becoming a professor of pathological anatomy. In 1865 he became full professor in Bonn and in 1874 in Würzburg, where a new pathological institute was built according to his design (completed in 1878), where he worked until his retirement in 1906.
He was the first to describe the inflammatory background of multiple sclerosis in 1863, when he noted that demyelinated lesions have in their center small vessels that are surrounded by a leukocyte inflammatory infiltrate.
After extensive investigations, he suspected an infectious origin of tuberculosis - even before Robert Koch's detection of the tuberculosis bacillus in 1892. Rindfleisch 's special achievement is the description of the morphologically conspicuous macrophages in typhoid inflammation. His distinction between myocardial infarction and myocarditis in 1890 is also of lasting importance.
Associated eponyms
"Rindfleisch's folds": Usually a single semilunar fold of the serous surface of the pericardium around the origin of the aorta. Also known as the plica semilunaris aortæ.
"Rindfleisch's cells": Historical (and obsolete) name for eosinophilic leukocytes.
Personal note: G. Rindfleisch’s book “Traité D' Histologie Pathologique” 2nd edition (1873) is now part of my library. This book was translated from German to French by Dr. Frédéric Gross (1844-1927) , Associate Professor of the Medicine Faculty in Nancy, France. The book is dedicated to Dr. Theodore Billroth (1829-1894), an important surgeon whose pioneering work on subtotal gastrectomies paved the way for today’s robotic bariatric surgery. Dr. Miranda.
Sources:
1. "Stedmans Medical Eponyms" Forbis, P.; Bartolucci, SL; 1998 Williams and Wilkins
2. "Rindfleisch, Georg Eduard von (bayerischer Adel?)" Deutsche Biographie
3. "The pathology of multiple sclerosis and its evolution" Lassmann H. (1999) Philos Trans R Soc Lond B Biol Sci. 354 (1390): 1635–40.
4. “Traité D' Histologie Pathologique” G.E.
Rindfleisch 2nd Ed (1873) Ballieres et Fils. Paris, Translated by F Gross
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The term [intervertebral] means "between vertebrae", and [foramen] means "opening". The intervertebral foramina are bilateral openings between adjacent vertebrae. Each intervertebral foramen is found between adjacent pedicles ("P" in the large image), bound by the inferior vertebral notch and the superior vertebral notch of adjacent pedicles.
Although the term [intervertebral foramen] has been used for a long time, the concept has evolved to a more modern "intervertebral canal" or as some clinicians call it, the "lateral canal". The reason for this is that the intervertebral foramen is actually a tunnel whose length is determined by the width of the pedicles. This intervertebral canal has marked differences between the lateral, middle, and medial structures contained in the intervertebral canal.
Some of these structure are nerve roots, the dorsal root ganglion, the initial portion of the spinal nerve, dural sac, arteries, veins, recurrent nerves, fat, and a complex system of transforaminal and intraforaminal ligaments1. The structures contained in the intervertebral foramen can be compressed if the height of the intervertebral discs is compromised, or by a herniation of the intervertebral disc. The diameter of the intervertebral canal can also be reduced by bone and joint pathology.
If you hover over the image, the intervertebral foramen will be highlighted. For a larger version click on the image.
Images property of: CAA.Inc. Photographer: D.M. Klein
1 Thoracic and lumbar intraforaminal ligaments Akdemir, G.; J Neurosurg Spine 13:351-355, 2010
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A cyst is a sac-like structure filled with fluid. One of the many types of cysts that can be present in the human body is a Nabothian cyst.
Nabothian cysts are found on the uterine cervix, and are caused by the clogging of the cervical glands, also referred to as the Nabothian glands. These small cysts are usually found in two types of presentations. The first are serous filled cysts, and are seen as clear fluid-filled sacs on the surface of the cervix. In the accompanying image, these are depicted with a yellow circle.
The second type of Nabothian cysts are sacs filled with a yellowish, more dense and mucous-like fluid on the surface of the cervix. In the accompanying image, there is only one of these cysts and is depicted with a red circle.
The presence of Nabothian cysts is quite normal, they are not dangerous and are not cancerous. When present and when large, they may impede a gynecological exam and obscure the cervical os, the entrance to the uterus through the cervical canal. In the image the cervical os is indicated by a blue arrow. A gynecologist may need to open and drain these cysts prior to performing a Pap smear (named after Dr. George Papanicolau).
Nabothian cysts are named after Dr. Martin Naboth (1675 - 1721), a German physician and anatomist. His main publication in 1707 was “De Sterilitate Mulierum” (On Sterility in Women). In this book he refers to small pearl-like transparent structures found in the uterine cervix. Believing that he had discovered the way women store eggs, he called these “ovarium novum” (new ovaries). His discovery was accepted by many and these structures came to be known as “Ovula Nabothii“. Today we know this is not true, but his name remains attached eponymically to these structures.
My personal thanks toDr. Sanford Osher and his patient who volunteered and provided the image for this article. Dr. Miranda
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This prefix originates from the Greek word [περί] (per?) meaning “about” or “around”. In medical terminology we use it to mean “around”.
Some uses of the term are:
- Pericardium: The root term [-card-] means “heart”, while the suffix [-ium] means “layer” or “membrane”. The layer or membrane around the heart.
- Periodontal: The root term [-odont-] means “tooth”, while the adjectival suffix [-al] means “pertaining to”. Around a tooth.
- Perineurium: The root term [-neur-] means “nerve”, while the suffix [-ium] means “layer” or “membrane”. The layer or membrane around a nerve. Also known as the epineurium.
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[UPDATED] These two terms are synonyms, but they have different etymology. [Stenosis] arises from the Greek [στενός] (stenos) meaning "narrow". Since the suffix [-osis] means "condition of", the word [stenosis] means a "condition of narrowing".
The synonym [stricture] arises from the Latin term [strictus] meaning "narrow", "restricted" or "constriction". Both terms refer to the narrowing of an anatomical structure, as in "coronary artery stenosis", or the "stenosis of an anastomosis".
A common mistake is to confuse [stenosis] and [stricture] with "blockage" or "obstruction". Although an stenotic vessel is partially obstructed, there is still flow and it is not a complete obstruction.
Sources:
1. "The Language of Medicine" John H. Dirckx Pub: Harper & Row 1976
2. "Medical Meanings" Haubrich, William S. Am Coll Phys Philadelphia 1997
3. "The origin of Medical Terms" Skinner, AH, 1970
Note: The links to Google Translate in these articles include an icon that will allow you to hear the Greek or Latin pronunciation of the word.
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UPDATED: The root term [-gnos-] has origin in the Greek word [γνώση] (gn??si?) meaning "knowledge". Here are two terms that use this root in medical terminology:
- Diagnosis: the prefix [dia-] means "complete" or "total". The suffix [-(o)sis] means "condition" or "situation". The word means "a situation of complete knowledge", referring to the clear identification of a pathology that ails a patient.
- Prognosis: the prefix [-pro-] means "forward". The terms means "forward knowledge" and refers to the clinical pathway of a pathology and/or treatment.
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Anatomical position
The use of directions when working with the human body can be problematic, if not critical. When a surgeon indicates to his assistant to "cut towards the left", whose left is he referring to? the assistant's left? the anesthesiologist's left? the surgeon's left?. This is even life-threatening if we are talking about a pneumonectomy, a nephrectomy, or any surgical manipulation of a bilateral organ.
The situation is complicated by the position of the patient on the surgical table. If the patient is prone (face down) where is "down"? What if the patient is placed in a reverse Trendelenburg position? The examples of directional mistakes can go on and on, and they are in many cases cause for problems.
The need for specific directional terminology for the human body is critical. This is why physicians and anatomists refer to the human body as if the patient was in a standard position: the anatomical position (see image).
In the anatomical position the subject is standing, face forward, with the heels together and the palms of the hands facing forward. Have you ever wondered why it is called the "back" of your hand, although it is almost always facing forward or up?
If you hover your mouse over the image, you will see the midline or median plane.
Image property of:CAA.Inc.Artist:Victoria G. Ratcliffe