LESSON 3 DIRECTIONAL AND ANATOMICAL TERMS

Science, as a whole, uses directional terms to show the direction from a reference point. These terms are used so all will know exactly to what direction an area of the body is being referred. They are exact directions intended to be followed in the format they are written. For example, cephal means head and caudal means tail, two terms showing direction of reference. Cephal caudal means from head to tail with the reference point starting at the head and moving toward the tail of the body.

Directional terms are read differently than other medical terms. We go back to the way we use English with directional terms and read them from front to back. EXAMPLES:

anteroposterior=Front to back or referring to the front and the back

superoanterior=Above and to the front or referring to the above and front or towards the above and front.

inferoposterior= Below and to the back or referring to the below and back or towards below and to the back.

dorsoventral=Back side to belly side or back side and belly side or towards the back and belly sides.

mediolateral=Middle of the side or towards the middle of the side

The endings that mean pertaining to or referring to are used to show direction, usually towards a structure, as in the following:

Cephalic= Towards the head, because the cephalic artery is in the neck and moves blood into the head or it may be read, pertaining to the head.

Renal=Towards the kidney, because the renal artery comes off the aorta and moves blood to the kidney or may be read, pertaining to the kidney

Anterior= May be read as, towards the front or pertaining to the front.

Posterior=May be read as, towards the back or pertaining to the back

Lateral=May be read as, toward the side or pertaining to the side.

Medial =May be read as, towards the midline or pertaining to the midline.

Some commonly used directional terms are as follows:

TermDefinition

cephalhead

cephaladtowards the head

cephalicpertaining to the head, or towards the head

caudatail

caudadtowards the tail

caudalpertaining to the tail

lateralpertaining to the side of body or towards the side

lateradtowards the side

medialpertaining to middle of midline of body or towards the midline

mediadtowards the midline

ventralpertaining to belly side of body

ventradtowards the belly side

ventralisclose to the belly side

dorsalback side of body or towards the backside

dorsadtowards the back side

dorsalisclose to the back side

distalaway from the point of origin or away from the

beginning of a body structure

proximalclose to the point of origin or near the beginning of a

body structure

superiorsituated above or towards the top of the body

inferiorsituated below or towards the bottom of the body

anteriorsituated in front of or towards the front of the body

posteriorsituated behind of towards the back of the body

dexterright side of body, on right side

sinisterleft side of body, on left side

PREFIXES

ant-, ante-before, front

dextr-right

post-after

pre-before

pro-before

sinisterleft side

sup, superabove, top

SUFFIXES

-abaway from

-adtowards

-iorpertaining to

COMBINING FORMS

anter/ofront

caud/otail

cephal/ohead (note: not towards the head because the al is a part of the word root)

dextr/oright

dist/oaway from point of origin

dors/oback side

infer/obelow

later/oside

medi/omiddle

meso/middle

poster/oback, behind

proxim/onear point of origin

sinistr/oleft

super/oabove

ventr/obelly side

DIRECTIONAL TERMS

anteroposteriorpertaining to the front and the back or towards front and back

bilateralpertaining to the two sides

deepaway from the surface

dexterright or right side of body

dextradtowards the right side

dextralpertaining to the right side

superficialnear or on the surface

supinelying on the back with face pointed upwards

pronelying on belly with face pointed downwards

sinisterleft or left side of body

sinistralpertaining to the left side or towards the left

sinistradtowards left side of body

unilateralpertaining to one side

mediolateralpertaining to the middle and one side or towards middle side

posteroanteriorpertaining to the back and to the front or towards back &

front

NOTE: Any directional term may be used together to give direction to medical procedures.

ANATOMICAL PLANES

Planes are imaginary flat surfaces that give a point of reference to identifying the position of parts of the body and how a body should be positioned. These terms are not built from word parts so their meanings must be memorized. Anatomical planes include:

Frontal or coronal plane

A vertical plane that divides the body from side to side into a posterior and anterior position.

Sagittal plane

A vertical plane that divides the body into left and right sides. Midsagittal would divide a body into two equal left and right sides.

Transverse plane

A horizontal plane that runs parallel to the ground dividing the body into upper and lower positions. It is sometimes called a cross-sectional plane.

ANATOMICAL ABDOMINAL REGIONS

To help medical personnel describe diagnosis correctly, anatomical/abdominal regions have been set up. Again, these are not made up from word parts so learning these regions is done with memorization.

HypochondriacEpigastricHypochondriac

LumbarUmbilical Lumbar

Iliac Hypogastric Iliac

RegionDefinition

umbilicalcenter of abdomen around the naval or umbiluous

(um-bil-i-cal)

epigastricupper center, directly above the umbilical region

(epi-gas-trik)

hypogastriclower center, directly below the umbilical region

(hy-po-gas-trik)

hypochondriacleft and right of the epigastric region

(hi-po-kon-dre-ak)

lumbarleft and right sides of the umbilical region

(lum-bar)

iliacleft and right sides of the hypogastric region

(il-e-ak)

ANATOMICAL ABDOMINAL QUADRANTS

In addition to the regions, many medical personnel will use the four anatomical abdominal quadrants. These must be memorized. The center of the quadrants is the navel.

right upper quadrant left upper quadrant

(to the right and (to the left and

above the navel) above the navel)

______NAVEL______

right lower quadrantright lower quadrant

(to the right and (to the right and

below the navel) below the navel)

BODY CAVITIES

The body has many cavities within its structure. Each of these cavities holds vital internal organs of the human body.

Cranial cavitythe chamber inside the skull holding the main parts of the

brain

Spinal cavitythe chamber inside the spinal column holding the spinal cord

Thoracic cavitythe chamber where the heart, lungs, bronchi, trachea, and esophagus are located.

Abdominal cavitythe chamber where the stomach, intestines, gall bladder, liver, spleen, kidneys and ureters are located.

Pelvic cavitythe chamber where the urinary bladder, rectum, reproductive organs and the last part of the large intestines are located.

LESSON 3 GRAPHICS

WORD LIST FOR LESSON 3

abdominal cavity

anterior

anteroposterior

anterolateral

anteromedid

anterosuperior

bilateral

caudal

caudad

cephal

cephalad

cephalic

cephalocaudal

cephalocaudad

cephalodorsal

cephalodorsad

coronal plane

cranial cavity

dextrad

dextral

dextrolateral

dextrolateral sagittal

distaldorsal

dorsad

dorsalis

dorsocephal

dorsocephalad

dorsoventral

dorsoventrad

epigastric

frontal plane

hypogastric

hypochondriac

inferior

inferolateral

inferomedad

iliac

lateral

lateromedial

laterad

lumbar

medial

mediad

mediolateral

mediolateralsagittal

midsagittal

posterior

posteroanterior

posterosuperior

posteromedial

proximal

sagittal

sinister

sinistrad

sinistral

sinistromid

sinistromid-sagittal

superolateral

superomedial

superoanterial

superoposterior

transverse

unilateral

ventral

ventrad

ventrodorsal

ventrodorsad

ventrolateral

ventrocaudad

ventralis

PRACTICE EXERCISES FOR LESSON 3

DEFINE THE FOLLOWING PREFIXES:

ant-, ante-

post-

pre-

pro-

sup, super-, supra-

ad-

in-

WRITE THE COMBINING FORM FOR THE FOLLOWING:

sidemiddle

abovemiddle

headback, behind

tailnear point of origin

belly sideaway from point of origin

back sideright

frontleft

MATCHING

___caudalapertaining to the side

___ caudadbpertaining to the front and back

___cephalicctowards the top part

___anteriordtowards the back and front

___ anterior posteriorepertaining to the back side

___lateralfpertaining to the belly side

___bilateralgpertaining to one side

___unilateralhpertaining to the middle and side

___distalitowards the belly side

___proximaljtowards the head

___ventralkpertaining to below

___dorsalltowards the midline

___dorsadmtowards both sides

___ventralisnpertaining to the tail

___posterioranteriorotowards the tail

___superiorpaway from the point of origin

___inferiorqclose to the point of origin

___mediolateralrpertaining to the front

___ventradsclosest to the belly side

___mediadttowards the back side

DEFINE:

anterior

posterior

superior

cephalic

cephad

dorsalis

anteroposterior

inferior

ventrad

proximal

distal

mediad

caudal

laterad

unilateral

MATCHING

___frontal planeavertical plane passing from side to side

___sagittal planeinto anterior and posterior sections

___medisagittal planebvertical plane passing from front to back

___transverse plane through the middle of one side of body

___mediolaterosagittal planecvertical plane through midline of body

___dextrolaterosagittal planedividing body from front to back

___sinistrolateromediosagittal dvertical plane dividing body into unequal

portions

ehorizontal plane dividing body into two

portions, upper and bottom

fright side vertical plane from front to back

gleft side middle vertical plane from front to

back

WRITE THE MEDICAL TERM FOR THE FOLLOWING DEFINITIONS:

side______

tail______

below______

behind, back______

middle______

belly side______

back side______

right______

left______

head______

front______

above______

away from point of origin______

near point of origin______

PROVIDE THE DEFINITION FOR EACH OF THE FOLLOWING AND LIST THE ORGANS THAT ARE INSIDE EACH CAVITY.

Cranial cavity:

Spinal cavity:

Thoracic cavity:

Abdominal cavity:

Pelvic cavity:

FILL IN THE BLANK WITH THE CORRECT TERM FOR THE ABDOMINAL REGIONS IN ORDER TO MATCH UP THE CORRESPONDING NUMBERS:

1 2 3 1right______

4 5 62______

7 8 93left ______

4right ______

5______

6left ______

7right ______

8______

9left ______

WRITE IN THE SPACES TO THE RIGHT THE NAMES OF EACH OF THE QUADRANTS NUMBERED TO THE LEFT:

4 31______2 ______

1 23______

4______

MATCHING

----epigastricathe quadrant to the left and superior to navel

----iliacbthe region left and right of the hypogastric

---- lumbarcthe region directly above the umbilical region

----umbilicaldthe region to the left and right of the epigastric

----hypogastricethe quadrant right and inferior to the navel

----hypochondriacfthe region around the navel

----right uppergthe quadrant to the right and superior to navel

----left lowerhthe region directly below the umbilical region

----right lowerithe region left and right of the umbilical region

----left upperjthe quadrant to the left and inferior to navel

MULTIPLE CHOICE: Select one answer for each of the following.

Which of the following words means away from the origin or point of attachment?

aanterior

bposterior

cproximal

ddistal

Dorsocephalad means situated:

atoward one side of the head

btoward the front of the head

ctoward the back of the head

dtoward the middle of the head

How does a transverse plane divide the body?

ain front and back portions

binto upper and lower portions

cin equal right and left halves

din unequal right and left portions

A midsagittal plane divides the body into:

afront and back portions

bupper and lower portions

cequal right and left halves

dunequal right and left portions

Dorsodynia means:

aan earache

ba backache

ca toothache

da headache

Dactylitis can mean inflammation of all the following except:

afinger

btoe

ceye

ddigit

The suffix “-itis” means:

aany disease

ba condition

can inflammation

dpain

Which word means pertaining to the tail or a tail-like structure?

aproximal

bplantar

cpalmar

dcaudal

Nearest the point of origin is:

aproximal

bplantar

cpalmar

dcaudal

Divisions of the abdomen that are determined by drawing an imaginary vertical and a hortizontal line through the umbilicus are called:

ahypochondriacs

bepigastrics

cinguinals

dquadrants

What does “ventral” mean?

afront

bback

cbelly side

dside

Lateral means:

afront

bback

cbelly

dside

Mediolateral pertains to:

athe middle of the back

bthe middle and one side

cthe back and one side

dthe front and one side

Inferior means:

aabove

bbelow

cbeyond

dnear

Which of the following words means “near the origin?”

aproximal

bdistal

cmedial

dlateral

How does a frontal plane divide the body?

ainto upper and lower portions

binto anterior and posterior portions

cinto equal right and left halves

dinto unequal right and left portions

How does a sagittal plane divide the body?

ainto upper and lower portions

binto anterior and posterior portions

cinto equal right and left halves

dinto unequal right and left portions

Dorsoventral means:

apertaining to both sides

bpertaining to only one side

cpassing from the back to the belly surface

dsituated on the back and to one side

Unilateral means:

apertaining to both sides

bpertaining to only one side

cpassing from the back to the belly surface

dsituated on the back and to one side

The suffix -osis- may mean all but which of the following?

abody

babnormal increase

ccondition

ddisease

Posteromedial means:

ain front and below

bin front and above

cbehind and below

dbehind and in the middle

Anterosuperior means:

ain front and below

bin front and above

cbehind and below

dbehind and in the middle

The abdominal region that is positioned in the very center is called the:

aepigastrics

binguinals

cumbilical

dhypochondriacs

Posteroanterior means:

afront and both sides

bboth front and back

cfrom front to back

dfrom back to front

In humans, the anterior aspect is the same as which of the following?

aposterior

bdorsal

cventral

dlateral

Anteroposterior pertains to:

athe front and back

bthe front and outside

cthe back and inside

dthe inside and outside

What is the dorsal side of all organisms?

athe front side

bthe back side

cthe belly side

dthe top side

Dorsolateral pertains to:

athe middle of the front

bthe middle of the back

ctowards one side of the front

dtowards one side of the back

Bilateral pertains to:

aone side of the body

bboth sides of the body

ca position near the front

da position near the back

Medial means:

afront

bback

cmiddle

dside

Superficial means:

anearby

bon or near the surface

con or near the back

don or near the front

If an organ is inferior to the stomach, the organ is said to be:

abelow the stomach

babove the stomach

cwithin the stomach

dto one side of the stomach

Proximal means:

aabove the point of origin

bbelow the point of origin

cnear the point of origin

dfar from the point of origin

THE FOLLOWING WORDS ARE MISSPELLED. WRITE THE CORRECT SPELLING.

medsagital

anteriurposterior

dexlateral

sinislateral

dorsalad

ventralas

postereoanterior

umbilial

hyperchrondriac

hypergastric

cephodynia

caudalad

MARK THE WORD ROOT IN EACH OF THE FOLLOWING:

cephalodynia

dextrolumbar

MATCHING:

___the upper lateral regions beneath the ribsa epigastric

___the two lower lateral regionsb umbilical

___the region that lies on each side of the centermost divisionc lumbar

___the lower middle regiond iliac

___the upper middle regione hypogastric

___the upper middle region that contains the naval f hypochondria

ASSIGNMENT FOR LESSON 3

Medical Terminology, HS 280

Directional Terms, Anatomical

DEFINE THE FOLLOWING:

Body Directional Terms

1cephalic

2superior

3caudal

4inferior

5anterior

6ventral

7posterior

8dorsal

9medial

10lateral

11distal

12proximal

Anatomical Planes

13frontal

14coronal

15plane

16sagittal plane

17transverse plane

Anatomical Regions

18umbilical

19epigastric

Assignment for Lesson 3, Directional, pg. 2

20hypograstric

21hypochondriac

22lumbar

23iliac

Additional Terms (The use of a medical dictionary may be necessary to answer)

24extension

25flexion

26afferent

27efferent

28plantar

29palmar

30prone

31supine

32deep

33superficial

34adduction

35abduction

36eversion

37inversion

38bilateral

39unilateral

WRITING TERMS.

Combining formBasic meaning

40dors/o

41medi/o

42dist/o

43caud/o

44ventr/o

45cephal/o

46infer/o

47poster/o

48super/o

49proxim/o

50later/o

51anter/o