5/2/11 Class Notes

Female Reproductive System

Gynecological Symptomatic Terms

                Your patient complains of painful intercourse(dyspareunia), abnormal white vaginal discharge(leukorrhea), and excessive bleeding from the uterus other than during her normal menstrual cycle(metro(uterus)rrhagia).

                NB gr. Pareunos, lying beside

                What is the difference between polymenorrhea(increased frequency of menstrual cycles), menostaxis(prolonged menstruation), menorrhagia(excessive bleeding at the time of menstrual period)

                What is the difference between retroflexion(flexion-bend retro-back) and retroversion(turned backwards) of the uterus?

Flexion  l. flexio-Bent version – L. Versio-Turn

                The pouching of the uterus intot he vagina pushing the vaginal wall downward is called a:

                                Metro(uterus)colpo(vagina)cele(downward displacement)

                Bladder with cystocele/ rectocele(rectum displacement)/ enterocele(small intestines displacement) /urethrocele(urethra displacement)/ prolapse

                A benign tumor in the uterus composed of fibrous connective tissue and smooth muscle is called:

                                Uterine Fibromyoma/ uterine fibroid/ uterine leio(smooth)myoma

                An ovarian tumor:

                                Oo(egg)phor(to bear or convey)oma (tumor)

Oo(egg)gon(seed)ium(tissue), oo(egg)cyte(cell), ovum(egg), gamete(ready to marry), zygote(to joined together and married)

                What is the difference between an embryo(right after fertilization 4 days-8 weeks) and a fetus(8 weeks-birth)?

                Galen and the Formation of the Fetus

                                On the formation of the fetus and on semen

                                Four periods

                                                6 days-‘Semen’(gone)

                                                Form of flesh-‘that which is conceived’(kuema)

                                                Liver, heart, and brain formed-‘that which is growing inside’ (embruon)

                                                All parts and limbs differentiated, movements of limbs-‘child’(paidion)

Ernst Haeckel (1834-1919) and the formation of the fetus

                Onto(being)gen(creation)y(process of)

                Recapitulates (starts from the beginning)

                Phylo(try/group/species)gen(creation)y(process of)  

Gynecological Diagnostic Terms

                What is another term for birth defect?

                                Congenital Anomaly(uneven)

                                Teras – a wonder/monsterous/marvelous someone who has gross changes/anomalies. 

                                Terat/o= Combining form meaning monster/wonder

Teratoma = dermoid cyst-appears like skin

                Can have teeth, hair and an appendage not alive but is just tissue and looks like a monster

Obstetric symptomatic terms

                Difficult labor, often produced by either the size of the fetus or the small size of the pelvic outlet.

                Dys(painful/difficult)toc(to give birth/labor)ia

Cesarean Section

                Julius Caesar was not born via cesarean section

                Lex Caesarea(things for cutting) If a woman is dying or just died you cut the baby open and take it out, it’s the law.

                Pliny (cesaer – may have gotten his name to cut, or from a relative)

Breech Delivery

                Wrote about different breech positions.  Would try to manually move the child around to get it into the right position.  Greek mythology, it’s a bad omen. 

Obstetric Terms

                What is the difference between gravida, para, and abortus?

Gravida-L. gravidus-Heavy; hence pregnant

                The total number of times a woman has been pregnant regarless of whether these pregnancies were carried to term

                Nulligravida – no pregnancies

                Primigravida-first pregnancy

Para-Parere-L. To bring forth, give birth

                A woman who has produced a viable infant ( weighing at least 500 g or move than 20 weeks gestation) regardless of whether the infant is alive at birth.  A multiple birth is considered to be a single parous experience

                Nullipara-no births

                Primipara-first birth

                Multipara- many births

Ovo(egg)vivi(alive)parous?-have an egg child lives inside but when the egg cracks all the babies come out

                Human-biviperous

                Chicken- oviperous – gives birth to eggs

Abortus- L. miscarriage

                Abortus is expulsion of the product of conception before the child is viable ie before 20 weeks gestation or weighing less than 17.6 ounces(500mg)

                G3P2A1               

                G5(5 pregnancies)P3(3 carried to term)11(1 abortus)3(3 living)

Abortion and female contraception in greek medicine

                Soranus, On Gynecology, ‘Whether one ought to make use of abortive and contraceptivs and how?’

                Expulsive (ekbolion)-egg falls out by jumping up and down

                Abortive(phthorion)-destructive pesewa.  Run after, doing hard massages on the belly.  Camp would not allow abortions.  Other camp won’t give them unless the women is in danger. 

                Contraception(atokion)- not bearing/going into labor.  Man ejacualtes into women she is supposed to have squat and then sneeze.  Put some drying thing around the vagina to dry out the semen. 

Obstetric Terms

                Meconium(shit) happens

Meconium-first excrement of a newborn child

4/29/11 Class Notes

Female Reproductive System

Today’s Lecture

Hysteria and the wandering womb ancient midwifery

Combining forms for the female reproductive system

Hyster/o              uterus                   hysterectomy (removal of part or all of the uterus) / hysteria (very emotional/ pertaining to the womb)

                Gr. Hystere-womb/uterus

Hysteria

                Hysterike pnix-suffication pertaining to the uterus/womb

                Obstructed respiration, aphonia and seizure of the senses; uterus inflamed and retracted

                Wandering womb- believed that the womb could move, and the womb would press against different organs. 

                Metr/o                                                 endometrium ( ium- tissue/structure within the uterus)/ metrosalpingitis ( inflammation of the fallopian tubes and uterus)

                Gr. Metra-womb

Uterus 

                Infundibulum, uterine tube, fundus, uterus, endometrium, myometrium, perimetrium, vagina, cervix, etc

Adnexa-the accessoty structures

                External uterise orifce, ovarian vessels, ovarian fubria, ostulum etc

Uter/o                                                  in utero (in the womb) / uterotractor( tractor – pull or drag the uterus)

                Tractor- hook in to something and used to pull

NB. In vitro( in glass), in vivo ( in something that’s alive)

Salping/o             uterine tube      salpingocyesis ( -cyesis = gr. Kyesis-conception/ pregnancy, pregnancy related to the fallopian tube)

Ectopic pregnancy (away from place pregnancy)

Vagin/o                                vagina                   vaginomycosis ( condition of the vagina caused by fungus) / atrophic vaginitis (inflammation of vagina due to malnutrition) < thinning of the wall of vagina

                NB. Candidiasis (yeast infection)

Vagina – L. Sheath/ Scabbard

Colp/o                                                  colpoptosis (downward displacement of vagina) / colpocleisis (cleisis-surgical closure of vagina)

Similar suffixes

                Clysis –washing

                Clasis – breaking down

                Cleisis- closing or to close

Colpo-Gr. Kolpos-any hollow; deep fold in a garment

Vulv/o                  vulva                     vuluar pruritis (severe itching of vulva) / vulvocrural( pertaining to the vulvo and thigh)

Episi/o                                                  episiotomy( incision into the vulva)

                Gr. Epision – pubic region

Gynec/o              women                                gynecophonus ( voice like a women) / gynecopenic ( pertaining to female sex characteristics)/ gynecology (study of female organs)

The formation of the first women – Pandora

                Hesiod’s works and days

                ‘all –gifted’

                Brings suffering/ disease in the world

                                Pandora is given to man-kind as a punishment.  Promethius(gave fire back to man-kind) and Epimethius  gives pandora she has a jar in this jar has all kind of evils and those being disease.  She opens up the jar and out of it comes the disease. 

                Obstetr/o            midwife               obstetrics (pertaining to the women up to 40 days)

                NB. Puerperium ( pediatrition after 40 days)

Woman and Ancient midwifery

                Soranus (2^nd AD) gynaecology mainly about obstetrix

                Ideal Midwife (Gr. Maia; L. obstetrix) women should have very long fingers she needs to be very strong very intelligent and well read she determines after the baby is born is going to be nurtured or expose the baby.  If you put it on the ground and if it cries a lot then keep the baby if it doesn’t cry it won’t be nurtured if the baby doesn’t go to full term don’t raise the baby or if it had a birth defect dispose of the baby.  Pre-christian Greeks and romans that you have acquired values if you can’t function in society you can’t be valuable.  Drag in the family and a drag on society.  Law saying you can’t expose children and you can give it away

                Lact/o                   milk                        lactogen (creates milk) / lactigerous ( ous adj. lacti milk ger conveys or bears milk

                Mamm/o             breast                   mammoplasty (surgical reconstruction of the breasts) / mammotrophic ( pertaining to growth of breasts)

                Mast/o                                                 mastectomy ( removal of breasts)

Suffixes – mastia and –mazia

                Hypermastia/macromastia (breasts are exceedingly large)

                Hypomastia / micromastia (breasts are small)

                Polymastia/polymazia (more than one breast)

                Gynecomastia (female breast tissue on a male)

Amazia and amazons

                Warrior women mentioned in the illiad and elsewhere in greek and roman literature

                Equals of men

                Without breast?

                Saying they cut off one breasts to better throw a spear and shoot and arrow  when the heroes defeat an amazon they are like putting women back in their characteristics of the Greeks. 

                Men/o                  menstruation                    amenorrhea ( without monthly discharge)/ menopause ( cessation of menstruation  ) / menostasis ( temporary pause in menstruation ) / menostaxis ( staxis – dripping monthly , excessive bleeding for a longer period) / menoplania ( bleeding out of the place she shouldn’t bleed)/ menarche ( first / beginning menstruation)

                NB. Men/o         Gr. Men – month

4/27/11 Class Notes

House Quiz Wednesday of next week.

Male Reproductive System

Today’s Lecture

Herm-head of hermes, boundary stone, and protection.

An erect penis, means something that had power.

Uncircumcised penis.

Diagnostic terms

                Stenosis or narrowness of the perputial orifice so that the foreskin cannot be pushed back over the glans penise.  The condition is treated by circumcision.

                Phimosis(right answer)

                Balanitis(inflammation f the glans penis)

                Meatitis(inflammation of the whole in the penis)

                Hypospadia( hypo+span-to draw, pull)

Phimosis-(Gr. Phimos-muzzle)

                Causes skin to close up on the penis

Circumcision in the greek and roman world

                They did not circumcise, jews and Egyptians did circumcise.

Roman pretty important to know if you are circumcised.  To know if you were jewish or another race.  Could be negative if you were circumcised. 

Celsus’ decircumcision operation.

                Decoris causa cut around the glans penis and pull it up then put a plaster around it to become uncircumcised.

When a whole is in the vagina to happen women, phimosis and circumcision can happen to women

Epispadia-the whole is on the top. Hypospadia the whole is on the bottom.

Diagnostic terms

                The synonym for imponence.

Erectile Dysfunction (ED)-

                Impotence(without power/ability)

                Hippocrates, Airs Waters and Places(22) Attempts to provide a natural explanation for impotence among the Scythians.  Different areas and their relationship to disease.  Scythians incidence of ED they are feminine because Greeks didn’t like how they dressed, they aren’t sexually active and maley.  Scythians are famous for riding horses.  If you ride a horse often you damage the blood vessels down in the penis so they have ED.  As soon as the men have these problems they put on womens clothing.

Priapism(errection for over 4 hours) and Priapus(priapus has a very large penis )

                Ithyphallic (pertaining to the penis ithy-straight) diety who has erect penis

                Ithylordosis ( where the lordic curve in your back is straight)

                Ithygenic ( produces gen and creates an errection)

                Ithyphallalgia ( pain when someone has an errection)

                Phalloncus ( tumor on the penis)

                Phallocrypsis ( Penis is in the body where you can’t see it)

Peyronie’s disease

                Plaque in the penis, will cause a deviation in the penis, will cause ithyphallalgia during sex.  Surgically is the best way to correct.  Make a cut then straighten the penis but it shortens the penis.

Satyriasis(excessive sexual desires) and Nymphomanis(women’s satyriasis)

                Satyr’s goat legs large penis that’s erect.  Larger penis doesn’t mean you’re manly means you aren’t able to control you’re sexual desires.  Smaller penis means more civilized.

                Nymphomania- nympha represents a stream, the deities are known for grabbing young men and mate with them and typically the men don’t come back and the men become sex slaves.  Or wanting to be married multiple times so to have sex many times.

Sexually transmitted diseases(STD) = venereal Disease

                Venus-Roman goddess of Love

Ancient Male Contraception

                Rhythm method – when the women will be able to be pregnant and have sex only when she can’t get pregnant.

                Coitus interruptus – pull out before ejaculate

                Diet- thought they could control semen production by their diet, men would eat drying foods.

                Infibulations- stick a pin through the fore skin and closing it off. 

                Vasotomy?- cutting behind the ear but no medical text that talks about it.

                Condoms?- no condoms.  First condom is in 1618 not for contraception but to stop getting a sexually transmitted disease.  And it was reusable. 

Sexual Diseases in Greek Medicine

                No such thing as a sexually transmitted disease.  Had no idea of infections.  They didn’t think of diseases of sex be able to pass from one person to the other.  They thought it had to deal with the seed.

                Gonorrhea(can’t keep seed in so it leaks out) vs. satyriasis(believed women could get it too, more seed was going to be more sexually active)

                Contagio-L. contamination by touch, not an infection and didn’t deal with STD’s

Need to know the difference between Bacterial(can live outside the body) and Viral(needs a host to replicate virus means poison.)

Bacterial STD

                Which of the following are bacterial STDs:

                                Chlamydia-yes

                                Gonorrhea-yes

                                Syphilis-yes

                                Hepatitis B-no

Syphilis

                1530, Girolamo Fracastoro, Syphilis Morbus Gallicus(disease of the French)

                ‘A night in the arms of venus leads to a lifetime on mercury’ great pox named syphilis

                Treatment – something to do with semen production.  Stars caused syphilis under certain movements.  Treatment for it was mercury after they figured out it was an STD mercury made you sweat and salivate. 

Viral STDs

                Hepatitis B virus (HBV)

                Herpes Simplex virus type 2 (HSV-2)

                Human immunodeficiency virus(HIV)

                Human papilloma Virus(HPV)

HERE AND ABOVE TEST 7 4/25/11 Class Notes

Male Reproductive System

Today’s Lecture

Where does the male ‘seed’ come from?

                Hippocratic work: On generation or ‘on the seed’

                Derived from all humors of the body. Contribute to semen. Ejaculation occurs because a man gets agitated and the fluid comes from the marrow of the brain and then comes out and goes behind the ear goes down the back and goes straight out the penis.  To make someone no longer produce semen they would cut behind their ear. 

                Thinking about semen as a seed and fluid.

                Moves from the spinal marrow by the kidneys in the veins to the testicles and then out the penis. 

Ancient Theories of the seed

                Gone(gr. Seed, offspring), Sperma (gr. That which is sown, seed). Semen(L. what is sown, seed)

                Efficient(domino effect), formal(have to have two dogs to make a dog) and material(matter out of which something is made) cause

                Aristotle-one seed system (males are the only one who produce seed, they produce the efficient and formal cause.  Female produces the material cause, no seed.  Male gives life and form, but female gives humors. Men are perfection, women are imperfection)

                Galen-two seed system(females produce seed and males produce seed females produces efficient formal and material cause, male produces efficient formal and material cause but are more superior, Galen doesn’t think highly of women, and never got married, hated his mother)

Combining forms for the male reproductive system

                Balan/o                                glans penis                          balanitis(inflammation of the glans penis)/ Balanorrhagia(blood discharge from glans penis)

                Balanos(Gr. Acorn)

                Epididym/o         epididymis (didymis=twins)        epididymodeferential(pertaining to the epididymis and vas deferens)

                Gr. Epi-upon+ didymous-twins

                -didymus(twins) and –pagus(fixed)

                Gastrodidymus(conjoined twin joined at the stomach)

                Craniodidymus(joined but have two heads)

                Craniopagus(joined at the head to a whole other person)

                Rachiopagus(joined at the spine/spinal column)

                Ischiopagus(joined at the pelvis)

                Hemipagus(two people joined but two arms and legs between them)

                Cryptodidymus(conjoined twin with one inside the other)

                Orch/o                  testis or testicle                                anorchism(lack of one or both testicles)

                                                                                                Cryptorchism(testicle is hidden doesn’t desend on a child)

                Orchid-Gr.-orchis-testicles

                Orchi/o                                                                 orchiopexy(fixation of testicles/used with cryptorchism)

                Orchid/o                                                              orchidectomy(removal of testis)

NB Male castration=orchidectomy, orchectomy (specific to males) women can have castrations as well

Castration of Uranus( Uranus is the god of the sky or heavens, he is the son of Gia/Earth they have a incectual relationship.  Heavens water the earth, keeps his penis inside her so she can’t produce what she’s supposed to produce.  Make it fertile.  She has a child chronos to conspire against the father and he castrates his father and frees heaven away from earth.  Would see heaven as a dome over a flat earth. 

Aphros and Aphrodite throws Uranus’s gonads into the aphros which creates Aphrodite.  It was the semen who produced Aphrodite. 

Aphrodisiac and antaphrodisiac pertaining to Aphrodite any type of material that enhances sexual attraction or stimulates sexual activity itself.  Whatever increases semen production that’s an aphrodisiac in antiquity.

Hermaphrodite – both male and female genetalia.  Also talked about with animals who have male and female genetalia who don’t need another to reproduce

Protandry-starts off male and then becomes female later

Protogyny-starts off female then becomes male to produce without another animal

                Prostat/o             prostate               prostatodynia(pain within the prostate)/ vesicoprostatic(urinary bladder and prostate pertaining to)

Benign prostatic hyperplasia/ benign prostatic hypertrophy

                Sperm/o              sperm/seed                       oligospermia(scanty production of sperm)/ azoospermia( no spermatozoa)

                Spermatozoon(spermatozoa) masterbates then puts it on the slide to find out about it. 

                                Acro-top some-body  flagellum-tail/whip

                Spermat/o                                                          spermatocele(hernia/pouch of sperm/swelling o sperm)

A.      Normal

B.      Hydrocele

C.      Spermatocele

D.      Varicocele

Gonad/o                              genitals/offspring/semen            gonad( sexual gland)/ gonadectomy( removal of either male or female sex gland)

Gon/o                                                                   gonorrhea(semen discharge)/ gonangiectomy ( removal of the vas deferes)

Vasectomy= gonangiectomy

                Vasovasostomy – opposite of vasectomy

                ADJ.

                                Perineal – area between anus and scrotum/ vagina

                                Peripenial – around penis

                                Peroneal - outside of calf

                                Perennial – through the year

                                perianal – around anus

4/20/11 Class Notes

Urinary System

Today’s lecture

                Matula

                                Pot or flask L.

                                Made of glass so you can see through them.

                                Urine is the product of perpulation of the blood. It’s getting sort of purified.  If it doesn’t get completely purified then the color will be different colors.  People who practiced medicine were monks.  Sometimes did it out of charity for the poor or would charge for the rich.  The pope tried to purify the catholic church who said that lets stop sending the monks out to get educated and stop them from touching feces and urine.  Medicine and religion started separated one from the other.

                Uroscopy wheels and medical diagnosis

                                16-20 matula’s on a wheel.  The circles are connected to what’s happening in the kidney.  Green urine, blue urine, yellow, orange, red, cloudy.  The colors are factual.  But their connection was to humors.  Green urine is a type of urinary infection. 

                                Systematic always, matula, cloudy or sentiment if it’s higher it’s in the head, if it’s lower it’s in the lower body.  Signs had to be analogous to parts in the bodies

                Urochromatic terms

                                Urocyanin –blue urine

                                Uroerythrin -red

                                Uromelanin-black

                                Uroporphyrin-purple/indigo

                                Urorrhodin-rose colored urine

                                Uroxanthin- yellow urine

                                Urofuscin- fuscia –redish brown

                Urinalysis

                                Leukocytes, Nitrite, urobilinogen, protein, pH, blood, specific gravity, ketone, bilirubin, glucose

                Symptomatic terms-uria

                                Pyuria –pus urine

                                Azoturia-nitrogen waste urine

Albuminuria-protein in urine

Aciduria-pH level in urine

Hematuria-blood in urine

Hypersthenuria-excessively strong urine

Ketosuria-presense of ketone

Urobilinuria-presence of urobilinogen

Glucosuria-too much sugar in urine

                                Anuria-without urine

                                Dysuria-difficult to urine

                                Nocturia or nycturia- bathroom at night

                                Oliguria- limited amounts

                                Polyuria-too much urine

                Therapeutic terms

                                Dialysis (Gr. Dialysis-separating, a loosing of one from another, dissolution) kidney failure

                                                Hemodialysis – separating the blood.  Pump blood through the machine and purifies blood and pumps it back in. 

                                                Peritoneal dialysis- separating the peritoneal.  Take a sack that has glucose and salt in it.  Pulls out the stuff that shouldn’t be in your blood.  Not as effective as hemodialysis.

Terms

                Void

                Urination meaning just urination

                Micurition (L. micturire-to desire to urinate)just urination

Symptomatic terms

                Is there a difference between incontinence and enuresis?

                                Incontinence(L. in = not + continere= to confine, hold)

                                In ability to retain urine, semen or feces though loss of sphincter…etc

Enursis (gr. En= in + ourein=to make water)

                Involuntary discharge of urine after the age of bladder control.

                                Nocturnal enuresis-bed wetting

                                Diurnal enuresis- urinary stress incontinence.

Treatment for nocturnal enuresis

                Kegel exercises.

                                Excersies where you strengthen the pineal muscles.

Diagnostic terms

                Which term(s) is associated with nitrogenous waste in the blood.

                                Azotemia and uremia

Lithiasis-formulation of calculi

                Calculus-L.=little stone

Calculi and the roman abacus

                Abacus means counting table.  You used stones on a stick.  Calculus is the idea of moving the stones on the abacus. 

Utereroscopy and stent

Location of calculi

Extracorporeal(outside of body) lithotripsy (breaking down/crushing stone)

                ‘simple’ stones too large to pass through

                Ultrasound shock waves crush stones

                Smaller pieces pass out of the body in urine

Intracorporeal lithotripsy (inside of body) breaking down/crushing stone)

                Something on the end to break up the stones

Lithotomy (incision of the stone)

                Nephrolithotomy (incision in the kidney to remove the stone)/ ureterolithotomy (incision of the ureter to remove the stone)

Ancient treatments for calculi in the urinary tract

                Hippocratic Oath (5^th-4^th BC)

                                ‘I will not cut, even for a stone, but I will leave such procedures to the practitioners of that craft’

                Practicing similar to the person teaching them but would still do cuts.

                                If I tell you you’re going to die and then practice on you people will think my medical practices were bad.

Medications for calculi

                Dioscorides De Materia Medica (1^st AD)

                                Medicinal Herbs

                                Parts of plants which dissolve urinary stones

                Roman catheter

                                Male catheter to drain the bladder made of lead

                                Same with female.

Surgery (chirugia + for stones)

                Celsus, De Medicina (1^st AD)

                                Manually moving the stone

                                Excision of stones from the bladder/urethra