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

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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Cardiac base

The cardiac base is one of the surfaces of the heart, opposite to the cardiac apex. The name of this surface is based on the description or a pyramid, where the base is opposite the apex.

In the human heart in the anatomical position the cardiac base looks towards the right shoulder. The cardiac base presents with the right and left atrium and is in contact with the esophagus.

The image shows a human heart in the anatomical position. The cardiac apex looks anteriorly and to the left. The open right hand shows the location of the cardiac base.

Click on the image for a larger picture. The description of the cardiac base is continued here.

Human heart - Cardiac base
Image property of: CAA.Inc. Photographer:David M. Klein
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Infarction

The word [infarction] arises from the Latin [infarcire] meaning "to fill" or "to stuff". The word reflects the fact that the "stuffing" of an artery with a clot can lead to cell death or necrosis. especially if the area supplied by the clogged vessel does not have collateral circulation.

It is a common misconception that the term "infarction" means by default a "myocardial infarction". This is not true, as an infarction can occur anywhere in the body, most commonly in areas without collateral circulation, as the heart and brain (distal to the arterial circle of Willis).

The term infarction is a synonym for [stroke] as both refer to the denial of blood supply to an area of the body.

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Franz Anton Mesmer


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.To search all the articles in this series, click here.
Franz Anton Mesmer (1734 - 1815). A German physician, he was also known as Friedrich Anton Mesmer. He studied medicine at the University of Vienna; for his thesis, he developed the theory of “animal magnetism,” based on the works of Newton and gravity and his studies of astrology and the influence of magnetic fields on objects. His 1776 dissertation was titled “De Planetary Influxu” (On the Influence of the Planets)

After 10 years of a normal medical practice (for the times) Mesmer grew ever so impatient with the “classic” potions, salves, and bloodletting. He treated a woman of what today would be called “hysteria” or “somatization disorder” with every known medical treatment unsuccessfully; she improved after a treatment with magnets! leading Mesmer to believe that “animal magnetism” was the way to continue his career.

Mesmer developed a pseudotechnique to “magnetize” almost every element except steel, and his patient base grew. These patients all had some type of mental disorder that was susceptible to treatment by suggestion. Mesmer had discovered what today we know as the “placebo effect” and the basics of therapeutic hypnosis. Mesmer had so many patients that he had to treat them in “batches”, several at a time. Patients who were treated by Mesmer were said to have been “Mesmerized”.

Franz Anton Mesmer

Mesmer came under attack by the scientific establishment and when he could not prove his theories he was discredited. The fact that Mesmer used theatrics to further influence his suggestive patients did not help and he was labeled a “quack”. Mesmer retired a rich man to Switzerland where he died in 1815.

Sources:

1. "Franz Anton Mesmer and the Rise and Fallof Animal Magnetism: Dramatic Cures,Controversy, and Ultimately a Triumph for the Scientific Method"Lanska DJ, Lanska JT Brain, Mind and Medicine: Essays in Eighteenth-Century Neuroscience, 2007
2. "Early American mesmeric societies: a historical study" Gravitz, MA Am J Clin Hypn (1994) 37, 41–48
3. "Franz Anton Mesmer: The first psychotherapist of the modern age?" Traetta, L (2008) Int J Psychol 43 (3-4) 121

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Styloid

The root term [-styl-] is Greek and means "a pillar". The Latin term [stilos] means "a pointy structure". The suffix [oid] means "similar to". The word then means "similar to a pillar".

In anatomy, the styloid process is a pointy, slender pillar of bone that is found in the inferior aspect of the temporal bone. See accompanying image. Vesalius thought that a slender bony process of the ulna looked similar, so he called it also the "styloid process"

The root term [-styl-] can be found in muscles that are related to the styloid process of the temporal bone, such as: styloglossus, stylohyoid, and stylopharyngeus.

Cranium, posterior view. (Toldt's Anatomy Atlas)
Article image in public domain, modified from Toldt's "Atlas of Human Anatomy", 1903.
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Necrosis

The word [necrosis] arises from the Greek [nekros] meaning "a dead body" or "death". The suffix [-osis] means "condition", but with the connotation of "many". Literally, the term necrosis means "many deaths", but it used to refer to "cell death".

When necrosis is due to an arterial obstruction, the term becomes synonymous with "infarction".

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Trapezium bone

The trapezium bone is one of the four bones that comprise the distal row of the carpus or carpal bones that form the wrist. It is distinguished by a large groove on its anterior (volar) surface. It is found on the lateral (radial) aspect of the wrist between the scaphoid bone proximally and the first metacarpal distally (see image). It is also known as the "multangular bone" or the "os multangulum majus"

The trapezium bone articulates with four bones, including the scaphoid, trapezoid, and the first and second metacarpals.

The accompanying image shows the anterior (volar) surface of the wrist. Click on the image for a larger picture.

Image modified from the original: "3D Human Anatomy: Regional Edition DVD-ROM." Courtesy of Primal Pictures

Scaphoid bone - anterior (volar) view of the wrist

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