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

Georg Eduard Von Rindfleisch

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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Ectopic

This term has combined Greek components. The prefix [ect-] comes from [ectos], meaning "outside", and the root term [-top-] from [topos], meaning "place or location". The suffix [-ic] of course means "pertaining to". The word [ectopic] then means "outside its (normal) place or location".

The words has several uses. As an example, in atrial fibrillation, the atria of the heart will depolarize in abnormal or ectopic locations, causing a dysrhythmia. Another common use is in endometriosis, where there are abnormal or ectopic implantation sites of endometrium.


Oliver W. Holmes Sr.

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.

Oliver W. Holmes Sr.
Oliver W. Holmes Sr.

Oliver W. Holmes Sr. (1809-1894). American physician, writer, and poet, Oliver Wendell Holmes Sr. was born in 1809 in Cambridge, MA. He started his studies in law, but soon turned to Medicine, studying part of his time in Paris. In 1843 he joined the fight against "puerperal fever", for which he was mocked, but he stood his ground on principle. A gifted writer, he published several books on essays, biography, and poetry. He was Dean of the Harvard Medical School.  He received several honorary doctorates in Law and letters from Harvard and Cambridge. Little known is his contribution to Medicine by  the coining of the terms "anesthesia" and "anesthetic", and that he was the father of a Supreme Court Judge, Justice Oliver Wendell Homes Jr.

The Journal of Clinical Anatomy published an article on Oliver W. Holmes Sr. profiling his many accomplishments.

Original image courtesy of www.nndb.com.

Sources:
1. "The Origin of Medical Terms" Skinner, H.A.(1970)
2. "Oliver Wendell Holmes, Sr. (1809–1894): Physician, jurist, poet, inventor, pioneer, and anatomist" Tubbs, RS et al, Clin Anat 25:8; 992-997 (2012)


Omentum

Abdominal dissection
Click for a larger image

The origin or etymology of the word [omentum] is not clear. The plural form is [omenta] and it refers to membranes associated with the stomach. The term was first used by Galen and later by Celsus. It was Andrea Vesalius who gave us the first clear anatomical description of the omenta.

The omenta are double-layered peritoneal membranes. There are two omenta. The lesser omentum ("Lo" in the image) extends between the liver and stomach, and liver and the first part of the duodenum. The greater omentum ("Go" in the image) projects off the stomach, reaches as low as the lower abdominal cavity and reflects superiorly to connect with the transverse colon. The greater omentum contains a larger amount of fat than the lesser omentum.

Both omenta contain a number of arteries, veins, and other structures between their layers. In the case of the greater omentum, we find the right and left gastroepiploic arteries as well as the greater curvature vascular arcade.

Image property of: CAA, Inc. Photographer: David M. Klein 


Theodor Billroth

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.

Theodor Billroth
Theodor Billroth

Christian Albert Theodor Billroth (1829-1894) was born in Prussia, in the city of Bergen. After being considered a slow learner requiring tutoring at home, Billroth studied Medicine in Berlin. In 1860 he was appointed as Professor of Clinical Surgery.

He is well-know by the partial or subtotal gastric resection surgeries he pioneered. In 1881 he performed the first of what is now known as a "Billroth I" procedure. He was the first to perform a partial resection and anastomosis of the esophagus, as well as the first surgeon to excise a rectal cancer. He is considered one of the Masters of Surgery.

Billroth was also a gifted musician playing the violin and viola. Good friend with Johannes Bramhs, he was sometimes invited to conduct the Zurich Symphonic Orchestra.

The first Billroth I procedure was performed in 1881 in a 43 year old female. Besides the well-known Billroth I and Billroth II subtotal gastrectomies, there are several eponyms that carry Billroth's name. Billroth's concepts on gastrointestinal anastomoses paved the way for the invention of surgical staplers.

Source:
"Christian Albert Theodor Billroth: Master of surgery" Kazi, RA; Peter, RE, J Postgrad Med March 2004 50:1, 82-83
Original image courtesy of Images from the History of Medicine at nih.gov


Femur

Femur
Click for a larger image


The Latin word [femur] means "thigh". the femur is the bone of the thigh, and this is why the anatomical region of the thigh is known as the "femoral region".

The femur is a long bone and has several anatomical characteristics such as a head (which articulates with the pelvic bone), a neck, a small and a large trochanter, and two condyles for articulation with the tibia at the knee joint.

For a detailed description of the anatomy of the femur, click here. Click on the image for a larger view.

 

 

 

 

Links courtesy ofbartleby.com
Original image modified from Andrea Vesalius' "De Humani Corporis Fabrica, Libri Septem"


Midline / Median plane / Midsagittal

Midline / Median plane / Midsagittal

The definition of a geometrical plane is "a surface defined by a minimum of three points". By definition, a plane is imaginary. The [median plane] is "a vertical plane that divides the human body standing in the anatomical position in two halves, left and right, that are equal in size" (although not in content).

The term "midline" is a bit of a misnomer, as this is a plane and not a line, although if you look at the median plane from the anterior or posterior aspect of an individual in the anatomical position, you would have a line, ergo, midline!

To visualize the above statement, click on this "anatomical position" link and hover your mouse over the image. The midline will appear.

Another term that can be used synonymously with [midline] or [median plane] is that of "midsagittal plane". Any plane that is parallel to the midsagittal plane (therefore not on the median plane) can be called either "sagittal" or "parasagittal".

Since planes are imaginary, the only way to make them real is to cut, section, or image following a plane, this is called a "plane of section"

 

 

 

Image property of: CAA.Inc. Artist: Victoria G. Ratcliffe