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Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community, medical students, and the medical industry. 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

Self-portrait, Henry Vandyke Carter, MD (Public Domain)
Self-portrait, Henry Vandyke Carter, MD (Public Domain)

Henry Vandyke Carter, MD
(1831 – 1897)

English physician, surgeon, medical artist, and a pioneer in leprosy and mycetoma studies.  HV Carter was born in Yorkshire in 1831. He was the son of Henry Barlow Carter, a well-known artist and it is possible that he honed his natural talents with his father. His mother picked his middle name after a famous painter, Anthony Van Dyck. This is probably why his name is sometimes shown as Henry Van Dyke Carter, although the most common presentation of his middle name is Vandyke.

Having problems to finance his medical studies, HV Carter trained as an apothecary and later as an anatomical demonstrator at St. George’s Hospital in London, where he met Henry Gray (1872-1861), who was at the time the anatomical lecturer. Having seen the quality of HV Carter’s drawings, Henry Gray teamed with him to produce one of the most popular and longer-lived anatomy books in history: “Gray’s Anatomy”, which was first published in late 1857.  The book itself, about which many papers have been written, was immediately accepted and praised because of the clarity of the text as well as the incredible drawings of Henry Vandyke Carter.

While working on the book’s drawings, HV Carter continued his studies and received his MD in 1856.

In spite of initially being offered a co-authorship of the book, Dr. Carter was relegated to the position of illustrator by Henry Gray and never saw the royalties that the book could have generated for him. For all his work and dedication, Dr. Carter only received a one-time payment of 150 pounds. Dr.  Carter never worked again with Gray, who died of smallpox only a few years later.

Frustrated, Dr. Carter took the exams for the India Medical Service.  In 1858 he joined as an Assistant Surgeon and later became a professor of anatomy and physiology. Even later he served as a Civil Surgeon. During his tenure with the India Medical Service he attained the ranks of Surgeon, Surgeon-Major, Surgeon-Lieutenant-Colonel, and Brigade-Surgeon.

Dr. Carter dedicated the rest of his life to the study of leprosy, and other ailments typical of India at that time. He held several important offices, including that of Dean of the Medical School of the University of Bombay. In 1890, after his retirement, he was appointed Honorary Physician to the Queen.

Dr. Henry Vandyke Carter died of tuberculosis in 1897.

Personal note: Had history been different, this famous book would have been called “Gray and Carter’s Anatomy” and Dr. Carter never gone to India. His legacy is still seen in the images of the thousands of copies of “Gray’s Anatomy” throughout the world and the many reproductions of his work available on the Internet. We are proud to use some of his images in this blog. The image accompanying this article is a self-portrait of Dr. Carter. Click on the image for a larger depiction. Dr. Miranda

Sources:
1. “Obituary: Henry Vandyke Carter” Br Med J (1897);1:1256-7
2. “The Anatomist: A True Story of ‘Gray’s Anatomy” Hayes W. (2007) USA: Ballantine
3. “A Glimpse of Our Past: Henry Gray’s Anatomy” Pearce, JMS. J Clin Anat (2009) 22:291–295
4. “Henry Gray and Henry Vandyke Carter: Creators of a famous textbook” Roberts S. J Med Biogr (2000) 8:206–212.
5. “Henry Vandyke Carter and his meritorious works in India” Tappa, DM et al. Indian J Dermatol Venereol Leprol (2011) 77:101-3


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-lithiasis

The suffix [-(o)lithiasis] is a compound suffix with the Greek root [-lith-] meaning "stone" and the suffix [-iasis] meaning "condition, pathology, or disease". [-(o)lithiasis] then means the "condition or presence of stones".

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

Choledocolithiasis: a condition of stones in the bile duct
Nephrolithiasis: Kidney stones
Cholelithiasis: Gall or bile stones. This term does not indicate specific stone location
Cholecystolithiasis: Stones in the gallbladder
Cystolithiasis: Bladder stones
Choledocholithiasis: Stones in the common bile duct

Can you find the meaning of the word dacryocystolithiasis?

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Sternum

The sternum is a median bone that, with the anterior portion of the ribs, forms the anterior boundary of the bony thorax.

The term [sternum] comes from the Greek, meaning "flat chest or flat surface". In early anatomy, the sternum was known by a Latin term [gladius] referring to the similarity of the sternum to the short sword of the gladiators.

The sternum is composed by three segments, from superior to inferior they are the:

1. Manubrium: This is Latin for "handle" (of the sword)
2. Body: This segment is formed by four separate bones that fuse together later in life. Each separate bony component of the sternal body is known as a "sternabra" (plural: sternabrae)
3. Xiphoid appendix: The term [xiphoid] is Greek and means "similar to a straight sword", but it refers only to the lowest portion of the sternum. Sometimes called the [xiphisternum], the xiphoid appendage or process is cartilaginous and is the last cartilage to ossify in the human.

Sternum
The boundary between the manubrium and sternal body is known as the "sternal angle" or the "angle of Louis"named after Antoine Louis, a French physician. Click on the image of the thorax to see a detailed image of the sternum.

Images property of: CAA.Inc.Artist: David M. Klein

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Henri Fruchaud


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.

Dr. Henri Rene Fruchaud (1894-1960) was born in 1894 in Angers, the capital of the French province of Anjou. He started his medical studies in Anjou and continued them later in Paris. He was active in both WWI and WWII, earning several medals for bravery. He published a large number of articles in diverse surgical fields. 

An anatomist and a surgeon, Fruchaud is best known for his work in the field of Hernia Surgery by two of his books published in 1956: "L'Anatomie chirurgicale de la r?gion de l'aine" (Surgical anatomy of the groin region), and "Le traitement chirurgical des hernies de l'aine" (Surgical Treatment of Groin Hernias). He described the presence of a weak area in the pelvic region that he calls the "Myopectineal Orifice" or MPO. He states in his book: "It may be said that a healthy man is, unknown to himself, a hernia bearer". The MPO concept has become of importance after the advent of the laparoscopic repair of inguinofemoral hernias.

He is one of the members of the French Order of the Liberation, where you can read his biography in French.

Fruchaud
Original image of Dr. Henri Fruchaud courtesy of the French Order of the Liberation Museum.
Source: "Henri Fruchaud (1894–1960): A man of bravery, an anatomist a surgeon" Stoppa,R and Wantz,G.  Hernia 1998,Vol 2,(1) 45 - 47
 
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Interstices / interstitial

The word [interstice] is a derivation of the Latin term [interstitium] meaning "interval" or "spaces between". The plural form is [interstices]. The terms is used in anatomy to denote small spaces within a structure. As an example, bone marrow and venous sinuses are found in the [interstices] of the cancellous bone in the body of a vertebra.

The term is also used to describe different pathologies such as insterstitial cystitis and instertitial lung disease.

Word suggested by: Sara Mueller

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Parietal

The word [parietal] has its origin in the Greek term [paries] meaning "wall". [Parietal] then means "pertaining to a wall", wall-related", or simply stated, "wall". Following are some examples of the use of this term.

The parietal bones of the cranium (os parietale), create the lateral "wall" of the cranium. These quadrangular bones join in the midline forming the sagittal suture. (see image). Click here for a detailed description of the parietal bone.

The term [parietal] is also used to denote membranes that are related to the body wall. The parietal peritoneum is the portion of the peritoneal membrane that is found away from the viscera and in relation to the abdominal wall.  The pleura is a membrane that lines the lungs, and it has a component that is related to the wall of the thorax. This is the [parietal] pleura.

There is a couple of cases where the use of term [parietal] is not related to a wall, but rather as "away from a viscus". An example of this would be the parietal pericardium, where the parietal component is the membrane that is away from the visceralpericardium.

An interesting use of the term is legal, where a [parietal] law, is used to denote a law that establishes boundaries or "walls" between legal parties.

Original image and links courtesy of bartleby.com

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Diagnosis / Prognosis

These two terms are related by the Greek root term [-gnos-] which means "knowledge".

The first word [diagnosis] has the prefix [dia-] meaning "apart" or "to take apart". [Diagnosis] then means "to discern", or in a more detailed explanation, it is "knowledge by taking apart", identifying a pathology by looking at all its components.

The second word [prognosis] has the prefix [pro-] meaning "forward". Prognosis is then "forward knowledge", an statement of outcome of the course of a pathology.

Words suggested by: Sara Mueller

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