mellificent: (Dr Who - blink)
adrenergic
definition 1, given in the chapter on drugs: mimicking the action of the sympathetic nervous system; sympathomimetic
definition 2, given in the chapter on the nervous system: describes activity involving epinephrine

Things you need to know to understand this:
1. epinephrine = adrenaline
2. The sympathetic nervous system controls the "fight or flight" reaction - i.e., things involving adrenaline.
3. Epinephrine, like acetylcholine and dopamine and... (I think there's a couple more, but you probably don't need to know that part!), is a neurotransmitter, meaning a chemical that the nervous system uses to send out instructions.


[livejournal.com profile] columbina  and I were discussing this word a while back; it was initially used as a general term for drugs like Sudafed. Neither one of us had ever heard it before. So when it came up again in this chapter, with a completely different definition, I was interested. The thing that gave me a sudden "aha" moment was that there was a parallel adjective for acetylcholine: cholinergic. One word-part that I tend to miss over and over is "erg," as in ergo, work. (I think I tend to read it as part of the "like or pertaining to" ending of adjectives, like "-ic.") But if nervous system activity involving epinephrine is adrenergic and activity involving acetylcholine is cholinergic - even I didn't manage to miss that one. (Also bear in mind that the trade name Sudafed is basically short for pseudo-epinephrine - in other words, it's a stimulant. I am not clear on why that should help to clear up your nose, though. Anybody?) So really the difference beween the two definitions is that they're talking about adrenergic drugs vs. the chemicals that your body manufactures on its own.

I finished going through this chapter; now I have to review the two chapters (the endocrine system and the nervous system); then there's just one more chapter, which is just called The Senses. One chapter and three tests, including the final. Yuck. Sometimes I think I'm never going to finish this.
mellificent: (Dr Who - blink)
exophthalamos
protrusion of the eyeballs, as seen in Graves disease


Did you know there was a fancy medical name for this? I didn't. (Not that I'm surprised, really, but still....)

I finished going through the chapter on the endocrine system yesterday and now I'm starting the nervous system - they're both on the same test and I noticed that the average grade on this test is lower than most. Now that I've read the endocrine chapter I'm not surprised - there's a lot to remember. Lots of endocrine glands, a couple of which I've never even heard of (parathyroid? really?) and some of the glands secrete six or seven different hormones. I'm sure they won't really expect us to have all of that memorized, but I'd like to at least have some clue about it!



A couple of links, one medical and one not:

Really fascinating article about how Apgar scores for babies came to be. (I'm never 100% sure about whether you can see some of these without a login - tell me if you have trouble!)

Tangential to the Sotomayor nomination, here's [livejournal.com profile] drdenny about the "mainstream" and how the political parties are fighting for possession of that rhetorical territory.

Flu bug

Apr. 29th, 2009 12:06 am
mellificent: (VMars - surprise)
CNN has tracked down what they think might be the first person who came down with swine flu, a 5-year-old boy who was sick in March and is now fully recovered. There is a large commercial pig farm near where he lives but they are unclear about exactly how the virus might have made the jump from animal to human, in his case. Apparently they took a blood sample from the child at the time and tested it again later, so they know - as they didn't at the time - that what he had was actually the new strain. (Here's Sanjay Gupta's blog on cnn.com but I haven't seen what they were just saying on the air hit the website yet.)

They also said the virus has now been identified as an H1N1 influenza and is not the same thing as the "seasonal flu" - for whatever good that does. Different viruses, obviously - apparently the seasonal variants are the ones that are more likely to hit the old and the young, and that doesn't happen with this one, as we've already been hearing. (This post on Dr Gupta's blog talks about the differences.)

(I'm not sitting around worrying about the flu but I'm interested in the epidemiological angle. Maybe I missed my calling.)
mellificent: (Mel - carnival)
Heberden nodes
small, hard nodules formed in the cartilage of the distal joints of the fingers in osteoarthritis


I've finished working my way through the chapters on the muscles and skeleton in the Medical Terminology book, but there's no way I'm ready to take the test right now (I nearly said "take the quest" - too much MMORPGing!) so I'm working my way through the same chapters in the Anatomy book now, hoping that will help. It's all straightened itself out in my head a lot, but not everything has stuck yet, so it needs some more work. I'm not having any more trouble with the names of muscles and bones than I am with with names of diseases. Things like the difference between all the different forms of bone cancer were stumping me until I finally spotted a pattern - if it's just "-oma" it's not so bad, but if it's "-sarcoma" look out. So an osteoma is benign and so is a chondroma (which is in the cartilage) or even an osteochondroma (both bone and cartilage), but an osteosarcoma is malignant. This doesn't always work for other cancers (myeloma, for example) but it seems to for this bunch.


(I know the icon is awfully busy but I like it. At least it doesn't actually blink.)
mellificent: (Dr Who - delete)
acetabulum
the bony socket in the hip bone that holds the head of the femur. From the Latin word for "vinegar" due to its resemblance to the base of a vinegar cruet.


I'm putting this here hoping it will help me remember it. Hey, it worked for glomerulus and epididymus.

I've been working my way through the chapters on the muscles and the skeleton - out of order, as far as the medical terminology book goes. I'm glad I started on them early, though. There's a lot to remember. I don't think Medical Terminology seems to expect me to know as many muscles and bones as Anatomy does. (And neither of them seem to expect you to know all of them, the way a medical student would presumably be expected to. Thank goodness for that.)
mellificent: (baseball - don't ask)
cryptorchidism
failure of the testis to descend into the scrotum

Now, I don't know about you, but "cryptorchidism" sounds to me like it might have something to do with funerals, but apparently "crypt" (like "occult") actually means "hidden" - which I didn't know - and "orchid" is the medical term for a testis, apparently due to its resemblance to an orchid root, so what you actually get is a fancy name for undescended testes. Go figure.

Or maybe it's the other way around, actually, and orchids were named because their roots look like testes? That's what the etymology site seems to be implying. That's even weirder, when you think about it.


(Some of you may be glad when I finish the internal organs and stop talking about guts and pelvic things. One more chapter - female reproduction - and I will mostly be done, at least until I get to all that same stuff again in anatomy.)
mellificent: (ST - bones)
... concerning that word from last week. This is mostly for [livejournal.com profile] columbina , who I know was interested!

I have been going around all week saying "glo-MER-u-lar" - this word is just a mouthful before you even get to glo-mer-u-lo-nef-RI-tis. OK, so here is the deal - the glomeruli are tiny capillaries, which are inside the glomerular capsule, which is inside a nephron (which are inside the kidneys, which are inside the peritoneum, and so on and so forth), and they are where one step of the work of filtration takes place. Materials filter through the porous glomerular wall and out into the nephron - this is called the glomerular filtrate - it's water, electrolytes and other nutrients as well as waste materials. Bigger things like proteins can't come through. After it leaves the glomerulus, the liquid filters through long (but itty-bitty) tubes in the nephrons where the things that your body wants - the water and electolytes and so forth - are reabsorbed, leaving only the waste material. That make sense?

Now, as far as glomerulonephritis - if you break it down, that word just means "inflammation of the glomeruli and kidneys" but apparently it has a more specific meaning in actual use. It usually follows an immunologic reaction, often in another body system, and often goes with autoimmune diseases like lupus. I'm not really clear on the mechanism (and probably don't really need to be at this point) but what you end up with is very damaged kidneys, with blood and protein escaping from the nephrons and into the urine. Most people recover from this, but chronic glomerulonephritis can lead to renal failure and the need for dialysis and all of that fun stuff. (Not.)

So there you go, more than you wanted to know about the glomeruli and diseases thereof. You're welcome.


Oh, and also? I have a tendency to write "gnomerulus" which I ascribe entirely to too much WoW. (If you looked closely at the unedited version of this post you know that already.)
mellificent: (TB - Pam)
(Because it's just too much of a mouthful to pass up:)

glomerulonephritis
Inflammation of the kidney primarily involving the glomeruli. Occurs in both acute and chronic forms.

I don't know about you but this definition is not enlightening me too much, since I don't know what glomeruli are. I have been checking into this and they seem to be capillaries that serve some sort of purpose involving filtration.


You may can tell that I haven't started the kidney/urinary chapter full-bore just yet. I am more or less ready to go with it tomorrow; I took both the first anatomy test and the latest medical terminology test today and made a 92 and a 98 respectively. The anatomy test had much harder questions but there were fewer of them so I guess it evens out. The medical terminology test was on respiration and digestion; next we're onto the urinary tract (thus the choice of vocabulary term) and then the male reproductive system. Should be interesting. I think in Anatomy it's going to be the integumentary system next: the skin. They go in different orders but will have to start overlapping at some point!
mellificent: (Firefly - brain)
(I've been thinking that I ought to do this - once again, it'll help me to remember.)

coryza
acute inflammation of the nasal passages with profuse nasal discharge; acute rhinitis.


(in other words, a fancy name for what's usually called "cold symptoms")
mellificent: (spring flowers)
[livejournal.com profile] columbina  is confused about the class business, and if he is, I figure somebody else is too, so let me clarify. I'm now taking two, count 'em, two classes:
1. Medical Terminology - I'm about halfway through this one.
2. Anatomy - I'm just starting this one.

They're both online, and there's a lot of overlap between the two, which is good - not only because it makes it easier, but because there's a heck of a lot of new material (to me, anyway) contained therein, so by the time I go over a lot of it twice I'm more likely to actually remember it.

Col and I also spent a bunch of WoW time, between fights, geeking out over vocabulary. Here's one bit I've been having trouble with that I was telling him about, and I'll repeat it all again because the more times I repeat it the more likely I am to remember it, and there are still a couple of these that I tend to forget. Some you'll know, some you probably won't unless you have a background in this stuff.

Suffixes for surgery:
-centesis - puncture, tap (like amniocentesis)
-desis - binding, fusion
-ectomy - excision, surgical removal
-pexy - surgical fixation
-plasty - reconstruction, plastic repair
-rhaphy - surgical repair, suture
-stomy - surgical creation of an opening (colostomy is probably the most common)
-tome - instrument for cutting (incising)
-tomy - incision
-tripsy - crushing (as in a gallstone; lithotripsy is a general term for crushing of a stone)

(Maybe later I'll tell you about the intestines. Right now I'm not in the mood for the ick factor of that one.)

Whew.

Mar. 26th, 2009 12:49 am
mellificent: (Motivationally Challenged)
I am starting class #2 - anatomy - and I am relieved to find out that not only does it overlap a lot with medical terminology, but it actually appears to be considerably easier. I knew it wasn't going to be the kind of A&P class that medical students take but that still leaves a lot of latitude in difficulty. The book looks like it's about high-school level, really - lots of cartoons and little boxes with fun facts and stuff like that. I can handle fun facts.
mellificent: (spring flowers)
Here is how I study. This class I'm taking now is "online" - mostly meaning that the tests are online and you do all your studying out of the book. So I've had to adjust the way I finally learned to study in college, which was to take notes as fast as I could write in class (I had a whole system of abbreviations, as I recall, although I couldn't tell you what they were any more) and then I would come home and REwrite them in understandable English - preferably soon after class before I forgot what all the abbreviations meant. As time went on I decided that the writing and rewriting process was where my brain learned things best, so that became a definite part of my routine - at least when I had time to do all of that. So what I'm doing now for medical terminology is pretty similar, except just that there is no initial lecture to take notes on, I just have to take notes out of the book, lots of them. Lots as in, I've filled up two (smallish) notebooks already and am starting on #3. Then I take all the definitions that I've copied down and put them into an Excel spreadsheet - can you get any geekier? - it has four or five tabs - words, roots, prefixes, suffixes, and terms (meaning technical terms and abbreviations and other stuff that doesn't fit well elsewhere). I will have a nice little mini-medical dictionary when I'm done. The rest of the notes I've been putting into OneNote when I get around to it. That doesn't seem as helpful as the definitions part, though.

The chapter on the lungs has turned out to be easier, much easier than the last one, which makes sense since they did say that last test was the hardest one. The chapter on blood had a lot of concepts that were pretty much new to me, like many types of blood cells, not just red and white but broken down into a whole bunch of subcategories, like granular and agranular leukocytes, eosinophils, basophils, neutrophils. It was quite a lot of stuff to take in. The lungs are easier because everybody's had some kind of lung disease in their life - colds, flu, vaccines for pertussis and diphtheria - and the flu - TB tests - and then there's bronchitis, pneumonia, asthma.... you may not have had all of those but you know people who have! And you see those drug commercials on TV all the time for drugs for Chronic Obstructive Pulmonary Disease - aka COPD - and asthma and some of these others, too. Respiratory diseases are just much more a part of people's normal lives than some of this other stuff, much as we may wish they weren't.
mellificent: (omg wtf)
OK, so it's 3am and I just took the hardest test in my medical terminology class (blood and lymph and circulation and the heart, a big chunk of material there) and I made a 94 so woot! I really meant to take the test either earlier today or wait until tomorrow, but I was sitting here going over my notes and my little flash cards that I made and stuff, and all of a sudden I couldn't stand it any more and I had to go get it over with. (And the good thing about online classes is that you have the choice of doing such a thing!) It turned out that they give you two chances on this test, which tells you that people have been screwing it up, because normally you only get one. So that took a little stress out of it. There were a couple of questions that were confusing but not really anything I didn't know. They did not ask the difference between a thrombus and an embolus, which disappointed me because I realized earlier today that I didn't know the difference and I went and looked them both up and sat and looked at the definitions until I figured it out. (Basically, a thrombus is a clot. An embolus is an obstruction which can be a clot or can be something else, like an air bubble, or marrow, or whatever. And a thrombocyte is a cell which clots, i.e., a platelet.) Anyway, clearly I had enough of it in my head to pass the test so I am out of the woods on that one.

See, I am having to run on about this to get it out of my brain so that I will be able to go to sleep in the next hour (or hopefully less) - my brain is running 90 miles an hour and it won't shut up on command. Now tomorrow I get to start on respiration and digestion, very exciting.

I did have a head start on the subject of hearts, a bit, because of having been to the cardiologist yearly forever and ever (well, not recently but ALL of my childhood) and having had heart surgery and all that, so I had a handle on more of the vocabulary than the average person, I think. I had congenital pulmonary valve stenosis, which was diagnosed when I was a baby and was corrected (long, long ago) when I was 12. I have had two cardiac caths and a echocardiogram and god-knows-how-many EKGs and chest x-rays and all that stuff. I spent an entire day every year at UTMB running from one department to another to get all that stuff done, from the time I was three until I was in college. (After that they let me cut it down to every two or three years.)

Anyway, I will shut up now and go to bed. G'night!

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