Functions of Special Senses

Eyes opt/i, opt/o, optic/o, opthalm/o
Receptor organs for the sense of sight.
Iris ir/I, ir/o, irid/o, irit/o
Controls the amount of light entering the eye.
Lens phac/o, phak/o
Focuses rays of light on the retina.
Retina retin/o
Converts light rays into electrical impulses to transmit to the brain.
Lacrimal apparatus dacryocyst/o, lacrim/o
Accessory structure of the eyes that produce, store, and remove tears.
Ears acous/o, acoust/o, audi/o, audit/o, ot/o
Contains receptors for the sense of hearing as well as balance/equilibrium.
Outer ear pinn/i
Transmits sound waves to the middle ear.
Middle ear myring/o, tympan/o
Transmits sound waves to the inner ear.
Inner ear labyrinth/o
Receives sound vibrations and transmits them to the brain; also contains receptors for equilibrium and balance.

Eye Structures

Fibrous Layer
This outermost layer is protective for the eye and serves as the attachment site for muscles oblique and rectus muscles) which move the eye. This fibrous layer includes the
Sclera Fibrous Layer
the whites of the eye which is irregularly arrange collagen providing protection
Cornea Fibrous Layer
continuous with the sclera but clear to allow light to pass through; it has no blood supply (avascular)
Iris Vascular Layer
pigmented layer which surrounds the pupil and contains muscle which can control light passing through
Ciliary body Vascular Layer
ring of smooth muscle that surrounds lens and can control its shape for focusing of light
Choroid Vascular Layer
inner pigmented layer which has a rich blood supply
Retina Neural Layer
contains photoreceptors (rods and cones) which are the receptors for light. The location with the highest number of photoreceptors and thus sharpest point of vision is the macula lutea with the fovea centralis.
Optic nerve Neural Layer
exits the neural layer at the optic disk (blind spot) and carries information about vision to the brain
Eyelids, eyebrows and eyelashes
Help protect the eyeball from foreign material, excessive light, and injuries
Conjunctiva
Transparent mucous membrane; protects exposed eyeball surface
Lacrimal apparatus
contains glands which secrete tears into a canal to drain into the nasolacrimal duct

Functions of the Eye

Accommodation
process by which eye makes adjustments for seeing objects near and far such as changing the shape of the lens
Convergence
Simultaneous inward movement of the eyes toward each other to maintain singular binocular vision as an objects comes nearer
Visual acuity
the ability to distinguish object details and shape at a distance
Refraction
the ability of the lens to bend light rays so they focus back on photoreceptors in the retina

Medical Specialties of the Eye

Opthalmologist
physician who specializes in diagnosing and treating the full spectrum of diseases and disorders of the eyes, from vision correction to eye surgery
Optometrist
holds a doctor of optometry degree and provides primary eye car, including diagnosing eye diseases and conditions and measuring the accuracy of vision to determine whether corrective lenses are needed
Optician
a health care practitioner who designs, fits and dispenses lens for vision correction

Pathology of the Eye

Conjunctivitis
pinkeye
Xerophthalmia (dry eye)
drying of eye surfaces, including the conjunctiva

Uvea, cornea, and sclera

Cataract
loss of transparency of the lens
Diabetic retinopathy
damage to the retina; complication of uncontrolled diabetes
Photopsia
flashes of light
Retinal detachment (detached retina or retinal tears)
separation of some or all of the light-sensitive retina from the choroid
Retinoblastoma
cancer caused by the abnormal growth of retinal cells
Glaucoma- Group of diseases
increased intraocular pressure; causes damage to the retinal nerve fibers and the optic nerve
Macular degeneration (MD)- Gradually progressive condition
macula at the center of the retina is damaged\
Diplopia (double vision)
perception of two images of a single object
Color blindness
inability to perceive certain colors
Photophobia
excessive sensitivity to light
Presbyopia
common changes in the eyes that occur with aging
Strabismus
also known as crossed eyes; misalignment of the eyes, causing one eye to deviate inward (esotropia) toward the nose, or outward (exotropia), while the other eye remains focused.
Astigmatism
eye does not focus properly; uneven curvatures of the cornea
Hyperopia (farsightedness)
light rays focus beyond the retina
Myopia (nearsightedness)
light rays focus in front of the retina

Ear

The middle ear
contains the three smallest bones in the body, termed the auditory ossicles. These are named the malleus, incus, and stapes. As sound waves arrive to the middle ear, it vibrates the tympanic membrane (eardrum) which then moves the ossicles, sort of like wind chimes. This is how sound is conducted from outer ear to inner ear. In addition, we find the eustachian tube (pharyngotympanic) which helps equalize pressure from the outside world to the inner ear.
The inner ear
contains the snail shaped cochlea. The sound waves travel from the middle ear to the inner ear through the oval window and into the cochlea. This distortion of the cochlea triggers the cochlear nerve transmitting the sensation of sound to the brain. The inner ear also contains fluid-filled areas which sense changes in equilibrium and balance. These areas are termed the semicircular canals and vestibule.

Medical Specialties of the Ear

Audiologist
specializes in the measurement of hearing function and in the rehabilitation of persons with hearing impairments
Otolaryngologist
ear, nose and throat physician
Speech-language pathologist
can be involved in numerous medical areas including audiology; these practitioners help patients who have problems related to swallowing, speech and communication disorders

Pathology of the Ear

Otalgia (earache)
pain in the ear
Otomycosis
fungal infection
Otopyorrhea
flow of pus from the ear
Otorrhea
any discharge from the ear
Otitis media
inflammation of the middle ear
Otosclerosis
ankylosis of the bones of the middle ear
Vertigo
sense of whirling, dizziness, and loss of balance
Ménière’s disease
Relatively rare chronic disorder wherein the amount of fluid in the inner ear increases intermittently
Tinnitus
Ringing, buzzing, or roaring sound in one or both ears
Acoustic neuroma
Benign brain tumor adjacent to the cranial nerve
Deafness
complete or partial loss of hearing
Conductive hearing loss
sound waves prevented from passing to the inner ear
Sensorineural hearing loss (nerve deafness)
damaged nerve or hair cells in the ear

Integumentary System

There are six functions of the integument. I like to use the acronym “SHAPES” to help remember these functions.

Sensation
contains numerous sensory receptors that detect touch, heat, cold and pain
Heat regulation
can sweat and dilate blood vessels near the surface to release heat
Absorption
provides protection from a number of environmental hazards including absorption of ultraviolet light (UV) before it damages deeper tissues
Protection
protects the body from mechanical trauma, provides a barrier to pathogens and can secrete antimicrobial substances
Excretion/secretion
makes a small, but significant contribution to the excretion of metabolic waste
Synthesis
melanin, keratin, VitaminD
Skin
Related Combining Forms: cutane/o, dermato/o, derm/o
Intact skin is the first line of defense for the immune system. It also waterproofs the body and provides the major receptors for sensation.
Sebaceous glands
Related Combining Forms: seb/o
Secrete sebum (oil) to lubricate the skin and prevent bacterial growth.
Sweat glands
Related Combining Forms: hidr/o
Secrete sweat to regulate body temperature and water content and excrete some metabolic waste.
Hair
Related Combining Forms: pil/i, pil/o
Aids in controlling the loss of body heat.
Nails
Related Combining Forms: onchy/o, ungu/o
Protects the dorsal surface of the last bone of each finger and toe.

Layers of the Skin

Epidermis Outermost layer
Contains squamous epithelial tissue for protection against abrasion
Has keratin, a tough and water-repellent protein
Contains melanocytes, cells that produce the pigment melanin which gives skin color and also protects cells against UV damage
Contains no blood supply and thus continually sheds at surface
Dermis Beneath epidermis
Made of connective tissue
Contains blood vessels which nourish the layers above, nerves for sensation, and, sweat glands, sebaceous glands (oil), hair roots, and lymph vessels
Hypodermis
Also known as the subcutaneous layers
Mostly composed of adipose tissue (fat)
Allows for independent movement of skin but stabilization to underlying tissues
Rich blood supply

Accessory Structures of the Skin

Sweat glands
Apocrine glands are found at hair follicles, mostly near armpits and the groin and release an odorous liquid; Eccrine glands are watery glands found all over the body for thermoregulation, most numerous on the hands and feet
Sebaceous glands
Release an oil (sebum) which helps lubricate the skin and as slightly acidic to discourage bacterial growth
Nails
protective keratin plates which cover the fingers and toes
Hair
protective rod-like structures made of dead cells and hard keratin protein; color is determined by melanin
Arrector pili muscle
Tiny muscle fibers attached to the hair follicles that cause the hair to stand erect; Contract in response to cold or fright
Dermatologist
Physician specializing in diagnosing and treating disorders of the skin
Plastic surgeon
Physician specializing in surgical restoration and reconstruction of body structures
Cosmetic surgeons
Plastic surgeons; Perform operations that are usually done for aesthetic rather than medical reasons such as breast augmentation, liposuction, and facelifts

Pathology of the Integumentary System

Comedo
noninfected lesion that are referred to as whiteheads (closed) or blackheads (open)
Epidermoid cyst (sebaceous cyst)
closed sac found just under the skin; Contain yellow, fatty material
Anhidrosis (hypohidrosis)
lacking sweat in response to heat
Trichomycosis axillaris
Superficial bacterial infection of the hair shafts
Alopecia areata
autoimmune disorder that attacks the hair follicles
Onychocryptosis
ingrown toenai
Albinism
genetic condition; deficiency or absence of pigment
Chloasma
melasma or the mask of pregnancy
Vitiligo
skin condition resulting from the destruction of melanocytes
Contusion
injury to tissues without breaking the skin; accumulation of blood within the skin
Ecchymosis (bruise)
large, irregular area of purplish discoloration
Hematoma
usually caused by an injury; swelling of clotted blood trapped in the tissues; often named for the area where it occurs (example: subungual hematoma)
Macule (macula)
discolored flat spot; less than 1 cm in diameter, such as a freckle
Nodule
solid, raised skin lesion
Papule
small, raised red lesion
Plaque
scaly, solid raised area
Verrucae (warts)
small, hard skin lesions
A wheal (welt)
small bump that itches; can appear as urticaria (hives)
Abscess
closed pocket containing pus; caused by a bacterial infection
Purulent
producing or containing pus
Cyst
abnormal sac containing gas, fluid, or a semisolid material
Pustule (pimple)
small, circumscribed lesion containing pus
Vesicle
small blister containing watery fluid; less than 0.5 cm in diameter
Bulla
large blister; usually more than 0.5 cm in diameter
Abrasion
superficial layers of skin are scraped or rubbed away
Fissure
groove or crack-like break in the skin
Laceration
torn or jagged wound or an accidental cut wound
Ulcer
open lesion resulting in tissue loss around the edges
Eczema (atopic dermatitis)
result of a malfunction of the body’s immune system
Contact dermatitis (CD)
localized rash; caused by repeated contact with an irritant
Psoriasis (Ps)
Red papules covered with silvery scales
Urticaria (hives)
Itchy wheals caused by an allergic reaction
Xeroderma (xerosis)
excessively dry skin
Gangrene
death of tissue
Impetigo
highly contagious bacterial skin infection
Tinea (ringworm)
fungal infection
Scabies
infestation of itch mites-Cause small, itchy bumps and blisters;Burrow into the top layer of human skin to lay their eggs
Callus
thickening of part of the skin
Keloid
abnormally raised or thickened scar
Lipoma
benign, slow-growing fatty tumor
Malignant melanoma (MM)
Known as melanoma; the most serious type of skin cancer; occurs in the melanocytes
Basal cell carcinoma (BCC)
Malignant tumor of the basal cell layer of the epidermis
Squamous cell carcinoma (SCC)
Begin as skin lesions; Appear to be sores that will not heal; May have a crusted look

Word List

Word Parts

blephar/o
eyelid
-cusis
hearing
irid/o
iris, colored part of eye
kerat/o
horny, hard, cornea
myring/o
tympanic membrane, eardrum
ophthalm/o
eye, vision
-opia
vision condition
opt/o
eye, vision
ot/o
ear, hearing
phak/o
lens of eye
presby/o
old age
retin/o
retina (of the eye), net
scler/o
sclera (white of the eye), hard
trop/o
to turn, change
tympan/o
tympanic membrane, eardrum
cry/o
cold
cutane/o
skin
derm/o, dermat/o
skin
hidr/o
sweat
hirsut/o
hairy, rough
lip/o
fat, lipid
melan/o
black, dark
myc/o
fungus
onych/o
fingernail or toenail
pil/i, pil/o
hair
py/o
pus
rhytid/o
wrinkle
seb/o
sebum
urtic/o
nettle, rash, hives
xer/o
dry

Terms

actinic keratosis ack-TIN-ick kerr-ah-TOH-sis
A potentially pre-cancerous skin lesion caused by excessive exposure to the sun.
adnexa ad-NECK-sah
The appendiges, or accessory structures, of an organ.
albinism AL-bih-niz-um
An inherited deficiency, or absence of pigment in the skin, hair, or irises of the eyes.
alopecia al-oh-PEE-shee-ah
Also known as baldness.
The partial or complete loss of hair that occurs most commonly on the scalp.
amblyopia am-blee-OH-pee-ah
?
ametropia am-eh-TROH-pee-ah
Any error of refraction in which images do not focus properly on the retina.
anisocoria an-ih-so-KOH-ree-ah
A condition in which the pupils are unequal in size.
astigmatism ah-STIG-mah-tizm
A condition in which the eye does not focus properly because of uneven curvatures of the cornea.
audiometry aw-dee-OM-eh-tree
?
blepharoplasty BLEF-ah-roh-plas-tee
Also known as a lid lift.
The surgical reduction of the upper and lower eye lids by removing excess fat, skin, and muscle.
bulla BULL-ah
A large blister that is usually more than 1/2 cm in diameter.
capillary hemangioma KAP-uh-ler-ee hee-man-jee-OH-mah
?
carbuncle KAR-bung-kul
A cluster of connected furuncles.
cataract KAT-ah-rakt
The loss of transparency of the lens of the eye.
cellulitis sell-you-LYE-tis
An acute, rapidly spreading infection within the connective tissue that is characterized by malaise, swelling, warmth, and red streaks.
chalazion kah-LAY-zee-on
A localized swelling inside the eyelid resulting from obstruction of one of the sebaceous glands.
cicatrix sick-AY-tricks
A normal scar resulting from the healing of a wound.
cochlear implant KOCK-lee-ar
An electronic device implanted behind the ear to restore certain hearing losses.
comedo KOM-eh-doh
A non-infected lesion formed by the build-up of sebum and keratin in a hair follicle.
conjunctivitis kon-junk-tih-VYE-tis
Also known as pink eye.
An inflammation of the conjunctiva that is usually caused by an infection or allergy.
dacryoadenitis dack-ree-oh-ad-eh-NIGH-tis
An inflammation of the lacrimal gland that can be a bacterial, viral, or fungal infection.
debridement dah-BREED-ment
The removal of dirt, foreign objects, damaged tissue, and cellular debris from a wound to prevent infection and promote healing.
diaphoresis dye-ah-foh-REE-sis
Profuse sweating.
diplopia dih-PLOH-pee-ah
Also known as double vision.
The perception of two images of a single object.
dysplastic nevi dis-PLAS-tick NEE-vye
Atypical moles that may develop into skin cancer.
ecchymosis eck-ih-MOH-sis
A bruise that is larger than 10mm in diameter.
ectropion eck-TROH-pee-on
The turning outward of the edge of an eyelid.
eczema ECK-zeh-mah
A form of dermatitis that is usually associated with severe itching, redness, and oozing.
emmetropia em-eh-TROH-pee-ah
The normal relationship between the refractive power of the eye, and the shape of the eye, that enables light rays to focus correctly on the retina.
entropion en-TROH-pee-on
The turning inward of the edge of an eyelid.
erythema er-ih-THEE-mah
Redness of the skin due to capillary dilation.
erythroderma eh-rith-roh-DER-mah
Abnormal redness of the entire skin surface.
esotropia es-oh-TROH-pee-ah
Also known as cross-eyes.
Strabismus, characterized by an inward deviation of one or both eyes.
exanthem eck-ZAN-thum
?
exfoliative dermatitis ecks-FOH-lee-ay-tiv der-mah-TYE-tis
A condition in which there is widespread scaling of the skin, often with peritis, arithro-derma, and hairloss.
exotropia eck-soh-TROH-pee-ah
Also known as wall-eye.
Is strabismus characterized by outward deviation of one eye relative to another.
fluorescein angiography flew-oh-RES-ee- in an-jee-OG-rah-fee
A radiographic study of the blood vessels and retina following the intravenous injection of a fluorescein di-contrast medium.
folliculitis foh-lick-you-LYE-tis
An inflammation of the hair-foliccles that is especially common on the limbs and on the beard area on men.
furuncles FYOU-rung-kulz
Also known as boils.
Large swollen areas of stapholococcyl infections around hair follicles or sebaceous glands.
glaucoma glaw-KOH-mah
A group of diseases characterized by increased introcular pressure that causes damage to the retinal nerve fibers, and to the optic nerve.
hematoma hee-mah-TOH-mah
A swelling of clotted blood trapped in the tissues.
hemianopia hem-ee-ah-NOH-pee-ah
Blindness in one-half of the visual field.
hirsutism HER-soot-izm
The presence of excessive body and facial hair in women that usually occurs in a male pattern.
hordeolum hor-DEE-oh-lum
A pus filled lesion on the eyelid, resulting from an infection of a sebaceous gland.
hyperopia high-per-OH-pee-ah
Also known as far-sigtedness.
A defect in which light-rays focus beyond the retina.
ichthyosis ick-thee-OH-sis
A group of hereditary disorders characterized by dry, scaley, or thickened skin.
impetigo im-peh-TYE-goh
A highly contagious bacteria skin infection, characterized by isolated pustules that become crusted and rupture.
infectious myringitis mir-in-JIGH-tis
A contagious inflammation associated with a middle ear infection that causes painful blisters on the ear drum.
iritis eye-RYE-tis
An inflammation of the iris.
keloid KEE-loid
An abnormally raised or thickened scar, that expands beyond the boundaries of the original incision.
keratitis ker-ah-TYE-tis
An inflammation of the cornea.
keratosis kerr-ah-TOH-sis
?
koilonychia koy-loh-NICK-ee-ah
A malfomation of the nails in which the outer surface is scooped out like the bowl of a spoon.
laser trabeculoplasty trah-BECK-you-loh-plas-tee
A procedure that is performed to treat open-angle glaucoma.
lipedema lip-eh-DEE-mah
A chronic abnormal condition in women that is characterized by an accumulation of fat and fluid in the tissues just under the skin of the hips and legs.
lipoma lih-POH-mah
A benign fatty deposit under the skin that causes a bump.
macule MACK-youl
A discolored flat spot, such as a freckle, that is less than 1 cm in diameter.
malignant melanoma mel-ah-NOH-mah
A type of skin cancer that occurs in the melanocytes.
mastoidectomy mas-toy-DECK-toh-mee
The surgical removal of mastoid cells. Performed to treat an infection in this area that cannot be controlled by antibiotics.
melasma muh-LAZ-mah
?
mydriasis mih-DRY-ah-sis
?
myopia my-OH-pee-ah
Also known as nearsigtedness.
A defect in which light rays focus in front of the retina.
myringotomy mir-in-GOT-oh-mee
The surgical incision of the eardrum to create an opening for the placement of timpanosity tubes.
necrotizing fasciitis NECK-roh-tie-zing fas-ee-EYE-tis
Also known as flesh eating bacteria.
An infection of tissues caused by group A strepplococchi, that can destroy body tissue and may be fatal.
nyctalopia nick-tah-LOH-pee-ah
Also known as night blindness.
A condition in which an individual with normal day time vision has difficulty seeing at night.
nystagmus nis-TAG-mus
An involuntary constant rhythmic movement of the eyeball.
onychocryptosis on-ih-koh-krip-TOH-sis
An ingrown toenail.
onychomycosis on-ih-koh-my-KOH-sis
A fungal infection of a fingernail or toenail.
ophthalmoscopy ahf-thal-MOS-koh-pee
The visual examination of the fundus of the eye with an ophthalmoscope.
optometrist op-TOM-eh-trist
Specializes in measureing the accuracy of vision to determine whether corrective lenses are needed.
otitis media oh-TYE-tis MEE-dee-ah
An inflammation of the middle ear.
otomycosis oh-toh-my-KOH-sis
A fungal infection of the external auditory canal.
otopyorrhea oh-toh-pye-oh-REE-ah
The flow of pus from the ear.
otorrhea oh-toh-REE-ah
?
otosclerosis oh-toh-skleh-ROH-sis
Anklyosis of the bones of the middle ear resulting in a conductive hearing loss.
papilledema pap-ill-eh-DEE-mah
The swelling of the optic nerve at the point of enterance into the eye through the optic disc.
papilloma pap-ih-LOH-mah
A benign, superficial, wart-like growth, on the epithelial tissue, or elsewhere in the body, such as the bladder.
papule PAP-youl
A small, raised, red lesion that is less than 1/2 cm in diameter.
paronychia par-oh-NICK-ee-ah
An acute or chronic infection of the skin fold around a nail.
pediculosis pee-dick-you-LOH-sis
An infestation with lice.
periorbital edema pehr-ee-OR-bih-tal eh-DEE-mah
The swelling surrounding the eye or eyes.
petechiae peh-TEE-kee-eye
Small pinpoint hemmorages that are less than 2 mm in diameter.
photophobia foh-toh-FOH-bee-ah
?
pneumatic retinopexy RET-ih-noh-peck-see
?
presbycusis pres-beh-KOO-sis
The gradual loss of sensory neural hearing that occurs as the body ages.
presbyopia pres-bee-OH-pee-ah
Describes the common changes in the eye that occur with aging.
pressure ulcer preh-shr uhl-sr
?
pruritus proo-RYE-tus
Itching associated with most forms of dermatitis.
psoriasis soh-RYE-uh-sis
A skin disorder characaterized by flare-ups in which red paiullies covered with silvery scales occur the elbows, knees, back or buttucks.
ptosis TOH-sis
?
purpura PUR-pew-rah
A condition that causes sponaneous bruises, that are 2 to 10 mm in diameter.
purulent PYOU-roo-lent
Producing or containing pus.
radial keratotomy ker-ah-TOT-oh-mee
A surgical procedure to correct myopia by making incisions partially through the cornea to cause it to flatten.
rhytidectomy rit-ih-DECK-toh-mee
Also known as a face lift.
The surgical removal of excess skin and fat for the elimination of wrinkles.
rosacea roh-ZAY-shee-ah
A chronic condition of unknown causes, that produces redness, tiny pimples, and broken blood vessels.
scabies SKAY-beez
A skin infection caused by an infestation with the itch-mite.
scleritis skleh-RYE-tis
An inflammation of the sclera.
scleroderma sklehr-oh-DER-mah
An autoimmune disorder in which the connective tissues become thickened and hardened.
seborrheic dermatitis seb-oh-REE-ick der-mah-TYE-tis
?
sensorineural hearing loss sen-suh-ree-NOOR-al
?
squamous cell carcinoma SKWAY-mus
Originates as a maligment tumor of the thin, scalely, squamous cells of the epithelium. However, it can quickly spread to other body systems.
stapedectomy stay-peh-DECK-toh-mee
The surgical replacement of part of the stapes bons, and its replacement with a metal or plastic prosthesis.
strabismus strah-BIZ-mus
A disorder in which the eyes point in different directions, or are not aligned correctly.
tarsorrhaphy tahr-SOR-ah-fee
The partial or complete suturing together of the upper and lower eyelids.
tinea TIN-ee-ah
Also known as ringworm.
A fungal infection that can grown on the skin, hair, or nails.
tinnitus tih-NIGH-tus
A rinning, buzzing, or roaring sound in one or both ears.
tonometry toh-NOM-eh-tree
The measurement of intra-ocular pressure.
tympanometry tim-pah-NOM-eh-tree
The measurement of acoustical energy absorbed or reflected by the middle ear.
This tube is used to detect fluid build-up in the middie ear, or an eustacean tube obstruction.
urticaria ur-tih-KARE-ee-ah
Also known as hives.
Welts caused by an allergic reaction.
verrucae veh-ROO-kee
Also known as warts.
Small, hard, skin lesion caused by the human papilloma virus.
vertigo VER-tih-go
A sense of whirling, diziness, and the loss of balance that is often combined with nausea and vomitting.
vitiligo vit-ih-LYE-goh
An autoimmune disorder that is characterized by a loss of melanin, resulting in white-ish areas of skin usually on the face and hands.
vitrectomy vih-TRECK-toh-mee
The removal of the vitrious fluid of the posterior chamber of the eye, and its replacement with a clear solution.
xeroderma zee-roh-DER-mah
Excessivly dry skin.
xerophthalmia zeer-ahf-THAL-mee-ah
The drying of the surfaces of the eye including the conjunctiva.