ATP
The energy compound of the cell; stores energy needed for cell activities. ATP stands for adenosine triphosphate
carbohydrate
The category of organic compounds that includes sugars and starches
cell
The basic structural and functional unit of the living organism; a microscopic unit that combines with other cells to form tissues (root cyt/o)
chromosome
A threadlike body in a cell's nucleus that contains genetic information
cytology
Study of cells
cytoplasm
The fluid that fills a cell and holds the organelles
DNA
The genetic compound of the cell; makes up the genes. DNA stands for deoxyribonucleic acid.
Enzyme
An organic substance that speeds the rate of metabolic reactions
gene
A hereditary unit composed of DNA and combined with other genes to form the chromosomes
glucose
A simple sugar that circulates in the blood; the main energy source for metabolism (roots: gluc/o, glyc/o)
histology
Study of tissues
homeostasis
A steady state; a condition of internal stability and constancy
lipid
A category of organic compounds that includes fats (root lip/o)
metabolism
The sum of all the physical and chemical reactions that occur within an organism
mitosis
Cell division
mucus
A thick fluid secreted by cells in membranes and glands that lubricates and protects tissues (roots: muc/o, myx/o); the adjective is mucous.
nucleus
The cell's control center; directs all cell activities based on the information contained in its chromosomes (roots nucle/o, kary/o)
abdominal cavity
The larger ventral cavity below the diaphragm and above the pelvic cavity
abdominopelvic cavity
The larger ventral cavity between the diaphragm and pelvis that includes the abdominal and pelvic cavity
anatomic position
Standard position for anatomical studies, in which the body is erect and facing forward, the arms are at the sides with palms forward, and the feet are parallel
cranial cavity
The dorsal cavity that contains the brain
diaphragm
The muscle that separate the thoracic from the abdominal cavity
frontal (coronal) plane
Plane of section that separates the body into anterior (front) and posterior (back) portions
pelvic cavity
The ventral cavity that is below the abdominal cavity
peritoneum
The large serous membrane that lines the abdominopelvic cavity and cover the organs with it
sagittal plane
Plane that divides the body into right and left portions
spinal cavity (canal)
Dorsal cavity that contains the spinal cord
thoracic cavity
The ventral cavity above the diaphragm; the chest cavity
transverse (horizontal) plane
Plane that divides the body into superior (upper) and inferior (lower) portions
digit
A finger or toe (adjective, digital)
epigastrium
The epigastric region
fundus
The base or body of a hollow organ; the area of an organ farthest from its opening
hypochondrium
The hypochondriac region (left or right)
lumen
The central opening within a tube or hollow organ
meatus
A passage or opening
orifice
The opening of a cavity
os
Mouth; any body opening
septum
A wall dividing two cavities
sinus
A cavity, as within a bone
sphincter
A circular muscle that regulates an opening
LLQ
Left lower quadrant
LUQ
Left upper quadrant
RLQ
Right lower quadrant
RUQ
Right upper quadrant
atopic dermatitis
Hereditary, allergic, chronic inflammation of the skin with pruritus (itching); eczema
basal cell carcinoma
An epithelial tumor that rarely metastasizes and has a high cure rate with surgical removal
cicatrization
The process of scar formation; a scar is a cicatrix
debridement
Removal of dead or damaged tissue, as from a wound
dehiscence
Splitting or bursting, as when the layers of a wound separate
dermatitis
Inflammation of the skin, often associated with redness and itching; may be caused by allergy, irritants (contact dermatitis), or a variety of diseases
dermatology
Study of the skin and diseases of the skin
dermatome
Instrument for cutting thin sections of skin for skin grafting
eczema
A general term for an inflammation of the skin with redness, lesions, and itching; atopic dermatitis
erythema
Diffuse redness of the skin
escharotomy
Removal of scab tissue (eschar) resulting from burns or other skin injuries
evisceration
Protrusion of internal organs (viscera) through an opening, as through a wound
exudates
Material, which may include fluid, cells, pus, or blood, that escapes from damaged tissue
Kaposi sarcoma
Cancerous lesion of the skin and other tissues seen most often in patients with AIDS
keloid
A raised, thickened scar caused by tissue overgrowth during scar formation
lupus erythematosus (LE)
A chronic, inflammatory, autoimmune disease of connective tissue that often involves the skin; types include the more widespread systemic lupus erythematosus (SLE) and a discoid form (DLE) that involves only the skin
malignant melanoma
A metastasizing pigmented tumor of the skin
pemphigus
An autoimmune disease of the skin characterized by sudden, intermittent formation of bullae (blisters); may be fatal if untreated
pressure ulcer
An ulcer caused by pressure to an area of the body, as from a bed or chair; decubitus ulcer, bedsore, pressure sore
pruritus
Severe itching
psoriasis
A chronic hereditary dermatitis with red lesions covered by silvery scales
rule of nines
A method for estimating the extent of body surface area involved in a burn by assigning percentages in multiples of nine to various regions of the body
scleroderma
A chronic disease that is characterized by thickening and tightening of the skin and that often involves internal organs in a form called progressive systemic sclerosis (PSS)
squamous cell carcinoma
An epidermal cancer that may invade deeper tissues but tends not to metastasize
acne
An inflammatory disease of the sebaceous glands and hair follicles usually associated with excess secretion of sebum; acne vulgaris
actinic
Pertaining to the effects of radiant energy, such as sunlight, ultraviolet light, and x-rays
albinism
A hereditary lack of pigment in the skin, hair, and eyes
alopecia
Absence or loss of hair; baldness
Beau lines
White lines across the fingernails; usually a sign of systemic disease or injury
bromhidrosis
Sweat that has a foul odor because of bacterial decomposition; also called bromidrosis
carbuncle
A localized infection of the skin and subcutaneous tissue, usually caused by staphylococcus, and associated with pain and discharge of pus
comedo
A plug of sebum, often containing bacteria, in a hair follicle; a blackhead (plural: comedones)
dermatophytosis
Fungal infection of the skin, especially between the toes; athlete's foot (root: phyt/o means “plant”)
diaphoresis
Profuse sweating
dyskeratosis
Any abnormality in keratin formation in epithelial cells
ecchymosis
A collection of blood under the skin caused by leakage from small vessels
erysipelas
An acute infectious disease of the skin with localized redness and swelling and systemic symptoms
erythema nodosum
Inflammation of subcutaneous tissues resulting in tender, erythematous nodules; may be an abnormal immune response to a systemic disease, an infection, or a drug
exanthema
Any eruption of the skin that accompanies a disease, such as measles; a rash
excoriation
Lesion caused by scratching or abrasion
folliculitis
Inflammation of a hair follicle
furuncle
A painful skin nodule caused by staphylococci that enter through a hair follicle; a boil
hemangioma
A benign tumor of blood vessels; in the skin, called birthmarks or port wine stains
herpes simplex
A group of acute infections caused by herpes simplex virus. Type I herpes simplex virus produces fluid-filled vesicles, usually on the lips, after fever, sun exposure, injury, or stress; cold sore, fever blister. Type II infections usually involve the genital organs
hirsutism
Excessive growth of hair
ichthyosis
A dry, scaly condition of the skin (from the root ichthy/o, meaning “fish”)
impetigo
A bacterial skin infection with pustules that rupture and form crusts; most commonly seen in children, usually on the face
keratosis
Any skin condition marked by thickened or horny growth. Seborrheic keratosis is a benign tumor, yellow or light brown in color, that appears in the elderly. Actinic keratosis is caused by exposure to sunlight and may lead to squamous cell carcinoma
lichenification
Thickened marks caused by chronic rubbing, as seen in atopic dermatitis (a lichen is a flat, branching type of plant that grows on rocks and bark)
mycosis fungoides
A rare malignant disease that originates in the skin and involves the internal organs and lymph nodes. There are large, painful, ulcerating tumors
nevus
A defined discoloration of the skin; a congenital vascular tumor of the skin; a mole, birthmark
paronychia
Infection around a nail. Caused by bacteria or fungi, and may affect multiple nails
pediculosis
Infestation with lice
petechiae
Flat, pinpoint, purplish red spots caused by bleeding within the skin or mucous membrane (singular, petechia)
photosensitization
Sensitization of the skin to light, usually from the action of drugs, plant products, or other substances
purpura
A condition characterized by hemorrhages into the skin and other tissues
rosacea
A condition of unknown cause involving redness of the skin, pustules, and overactivity of sebaceous glands, mainly on the face
scabies
A highly contagious skin disease caused by a mite
senile lentigines
Brown macules that appear on sun-exposed skin in adults; liver spots
shingles
An acute eruption of vesicles along the path of a nerve; herpes zoster (HER-pēz ZOS-ter); caused by the same virus that causes chickenpox
tinea
A fungal infection of the skin; ringworm
tinea versicolor
Superficial chronic fungal infection that causes varied pigmentation of the skin
urticaria
A skin reaction marked by temporary, smooth, raised areas (wheals) associated with itching; hives
venous stasis ulcer
Ulcer caused by venous insufficiency and stasis of venous blood; usually forms near the ankle
verruca
An epidermal tumor; a wart
vitiligo
Patchy disappearance of pigment in the skin; leukoderma
xeroderma pigmentosum
A fatal hereditary disease that begins in childhood with discolorations and ulcers of the skin and muscle atrophy. There is increased sensitivity to the sun and increased susceptibility to cancer
aloe
A gel from the leaves from the plant Aloe vera that is used in treatment of burns and minor skin irritations
antipruritic
Agent that prevents or relieves itching
cautery
Destruction of tissue by physical or chemical means; cauterization; also the instrument or chemical used for this purpose
dermabrasion
A plastic surgical procedure for removing scars or birthmarks by chemical or mechanical destruction of epidermal tissue
dermatoplasty
Transplantation of human skin; skin grafting
diascopy
Examination of skin lesions by pressing a glass plate against the skin
fulguration
Destruction of tissue by high frequency electric sparks
skin turgor
Resistance of the skin to deformation. Evidenced by the ability of the skin to return to position when pinched. Skin turgor is a measure of the skin’s elasticity and state of hydration. It typically declines with age and when decreased may also be a sign of poor nutrition
wood lamp
An ultraviolet light to diagnose fungal infections
acetabulum
The bony socket in the hip bone that holds the head of the femur (from the Latin word for vinegar because it resembles the base of a vinegar cruet)
articulation
A joint (adjective: articular)
atlas
The first cervical vertebra (root: atlant/o)
axis
The second cervical vertebra
bone
A calcified form of dense connective tissue; osseous tissue; also an individual unit of the skeleton made of such tissue (root: oste/o)
bone marrow
The soft material that fills the cavities of bones. Yellow marrow fills the central cavity of the long bones; blood cells are formed in red bone marrow, which is located in spongy bone tissue (root: myel/o)
bursa
A fluid-filled sac that reduces friction near a joint (root: burs/o)
cartilage
A type of dense connective tissue that is found in the skeleton, larynx, trachea, and bronchi. It is the precursor to most bone tissue (root: chondr/o)
diarthrosis
A freely movable joint; also called a synovial join; adjective: diarthrotic
diaphysis
The shaft of a long bone
epiphyseal plate
The growth region of a long bone; located in the metaphysis, between the diaphysis and epiphysis. When bone growth ceases, this area appears as the epiphyseal line
epiphysis
The irregularly shaped end of a long bone
Ilium
The large, flared, superior portion of the pelvic bone; adjective: iliac; (root: ili/o)
joint
The junction between two bones; articulation (root: arthr/o)
ligament
A strong band of connective tissue that joins one bone to another
metaphysis
The region of a long bone between the diaphysis (shaft) and epiphysis (end); during development, the growing region of a long bone
ossification
The formation of bone tissue (from Latin os, meaning “bone”)
osteoblast
A cell that produces bone tissue
osteoclast
A cell that destroys bone tissue
osteocyte
A mature bone cell that nourishes and maintains bone tissue
pelvis
The large ring of bone at the inferior trunk. Formed of the two hip bones (os coxae) joined to the sacrum and coccyx (plural: pelves). Each os coxae is formed of three bones, the superior, flared ilium, ischium, and pubis
periosteum
The fibrous membrane that covers the surface of a bone
resorption
Removal of bone by breakdown and absorption into the circulation
skeleton
The bony framework of the body, consisting of 206 bones. The axial portion (80 bones) is composed of the skull, spinal column, ribs, and sternum. The appendicular skeleton (126 bones) contains the bones of the arms and legs, shoulder girdle, and pelvis
suture
An immovable joint, such as the joints between the skull bones
symphysis
A slightly movable joint
synovial fluids
The fluid contained in a freely movable (diarthrotic) joint; synovia (root: synov/i)
synovial joint
A freely movable joint; has a joint cavity containing synovial fluid; a diarthrosis
tendon
A fibrous band of connective tissue that attaches a muscle to a bone
thorax
The upper part of the trunk between the neck and the abdomen; formed by the 12 pairs of ribs and sternum
ankylosing spondylitis
A chronic, progressive inflammatory disease involving the joints of the spine and surrounding soft tissue, most common in young males; also called rheumatoid spondylitis
ankylosis
Immobility and fixation of a joint
arthritis
Inflammation of a joint
chondrosarcoma
A malignant tumor of cartilage
curvature of the spine
An exaggerated spinal curve, such as scoliosis, lordosis, or kyphosis
degenerative joint disease (DJD)
Osteoarthritis
fracture
A break in a bone. In a closed or simple fracture, the broken bone does not penetrate the skin; in an open fracture, there is an accompanying wound in the skin
gout
A form of acute arthritis, usually beginning in the knee or foot, caused by deposit of uric acid salts in the joints
herniated disk
Protrusion of the center (nucleus pulposus) of an intervertebral disk into the spinal canal; ruptured or “slipped” disk
kyphosis
An exaggerated curve of the spine in the thoracic region; hunchback, humpback
lordosis
An exaggerated curve of the spine in the lumbar region; swayback
osteoarthritis (OA)
Progressive deterioration of joint cartilage with growth of new bone and soft tissue in and around the joint; the most common form of arthritis; results from wear and tear, injury, or disease; also called degenerative joint disease (DJD)
osteogenic sarcoma
A malignant bone tumor; osteosarcoma
osteomalacia
A softening and weakening of the bones due to vitamin D deficiency or other disease
osteomyelitis
Inflammation of bone and bone marrow caused by infection, usually bacterial
osteopenia
A lower than average bone density, which may foreshadow osteoporosis
osteoporosis
A condition characterized by reduction in bone density, most common in white women past menopause; predisposing factors include poor diet, inactivity, and low estrogen levels
Paget disease
Skeletal disease of the elderly characterized by bone thickening and distortion with bowing of long bones; osteitis deformans
Pott disease
Inflammation of the vertebrae, usually caused by tuberculosis
rheumatoid arthritis
A chronic autoimmune disease of unknown origin resulting in inflammation of peripheral joints and related structures; more common in women than in men
rheumatoid factor
A group of antibodies found in the blood in cases of rheumatoid arthritis and other systemic diseases
rickets
Faulty bone formation in children, usually caused by a deficiency of vitamin D
sciatica
Severe pain in the leg along the course of the sciatic nerve, usually related to spinal nerve root irritation
scoliosis
A sideways curvature of the spine in any region
spondylolisthesis
A forward displacement of one vertebra over another (-listhesis means “a slipping”)
spondylolysis
Degeneration of the articulating portions of a vertebra allowing for spinal distortion, specifically in the lumbar region
alkaline phosphatase
An enzyme needed in the formation of bone; serum activity of this enzyme is useful in diagnosis
arthrocentesis
Aspiration of fluid from a joint by needle puncture
arthrodesis
Surgical immobilization (fusion) of a joint; artificial ankylosis
arthroplasty
Partial or total replacement of a joint with a prosthesis
arthroscopy
Use of an endoscope to examine the interior of a joint or to perform surgery on the joint; the instrument used is an arthroscope
diskectomy
Surgical removal of a herniated intervertebral disk; also spelled discectomy
orthopedics
The study and treatment of disorders of the skeleton, muscles, and associated structures; literally “straight” (ortho) “child” (ped); also spelled orthopaedics
reduction of a fracture
Return of a fractured bone to a normal position; may be closed (not requiring surgery) or open (requiring surgery)
traction
The process of drawing or pulling, such as traction of the head in the treatment of injuries to the cervical vertebrae
antiinflammatory agent
Drug that reduces inflammation; includes steroids, such as cortisone, and nonsteroidal antiinflammatory drugs (NSAIDs)
bisphosphonate
Agent used to prevent and treat osteoporosis; increases bone mass by decreasing bone turnover. Examples are alendronate (Fosamax) and risedronate (Actonel)
nonsteroidal antiinflammatory drug (NSAID)
Drug that reduces inflammation but is not a steroid; examples include aspirin and ibuprofen and other inhibitors of prostaglandins, naturally produced substances that promote inflammation
selective estrogen receptor modulator (SERM)
Drug that acts on estrogen receptors. Raloxifene (Avista) is used to prevent bone loss after menopause. Other SERMs are used to prevent and treat estrogen-sensitive breast cancer
annulus fibrosus
The outer ring-like portion of an intervertebral disk
calvaria
The dome-like upper portion of the skull
coxa
Hip
cruciate ligaments
Ligaments that cross in the knee joint to connect the tibia and fibula. They are the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Cruciate means “shaped like a cross”
genu
The knee
glenoid cavity
The bony socket in the scapula that articulates with the head of the humerus
hallux
The great toe
malleolus
The projection of the tibia or fibula on either side of the ankle
meniscus
Crescent-shaped disk of cartilage found in certain joints, such as the knee joint. In the knee, the medial meniscus and the lateral meniscus separate the tibia and femur. (plural: menisci (me-NIS-kī); meniscus means “crescent”)
nucleus pulposus
The central mass of an intervertebral disk
olecranon
The process of the ulna that forms the elbow
os
Bone (plural: ossa)
osseous
Pertaining to bone
symphysis pubis
The anterior pelvic joint, formed by the union of the two pubic bones; also called pubic symphysis
achondroplasia
Decreased growth of cartilage in the growth plate of long bones resulting in dwarfism; a genetic disorder
Baker cyst
Mass formed at the knee joint by distention of a bursa with excess synovial fluid resulting from chronic irritation
bunion
Inflammation and enlargement of the metatarsal joint of the great toe, usually with displacement of the great toe toward the other toes
bursitis
Inflammation of a bursa, a small fluid-filled sac near a joint; causes include injury, irritation, and joint disease; the shoulder, hip, elbow, and knee are common sites
carpal tunnel syndrome
Numbness and weakness of the hand caused by pressure on the median nerve as it passes through a tunnel formed by carpal bones
chondroma
A benign tumor of cartilage
Ewing tumor
A bone tumor that usually appears in children 5 to 15 years of age. It begins in the shaft of a bone and spreads readily to other bones. It may respond to radiation therapy, but then returns. Also called Ewing sarcoma
exostosis
A bony outgrowth from the surface of a bone
giant cell tumor
A bone tumor that usually appears in children and young adults. The ends of the bones are destroyed, commonly at the knee, by a large mass that does not metastasize
hammertoe
Change in position of the toe joints so that the toe takes on a claw-like appearance and the first joint protrudes upward, causing irritation and pain on walking
hallux valgus
Painful condition involving lateral displacement of the great toe at the metatarsal joint. There is also enlargement of the metatarsal head and bunion formation
Heberden nodes
Small, hard nodules formed in the cartilage of the distal joints of the fingers in osteoarthritis
hemarthrosis
Bleeding into a joint cavity
Legg–Calvé–Perthes disease
Degeneration (osteochondrosis) of the proximal growth center of the femur. The bone is eventually restored, but there may be deformity and weakness. Most common in young boys. Also called coxa plana
multiple myeloma
A cancer of blood-forming cells in bone marrow (see Chapter 10)
neurogenic arthropathy
Degenerative disease of joints caused by impaired nervous stimulation; most common cause is diabetes mellitus; Charcot arthropathy
Osgood-Schlatter disease
Degeneration (osteochondrosis) of the proximal growth center of the tibia causing pain and tendinitis at the knee
osteochondroma
A benign tumor consisting of cartilage and bone
osteochondrosis
Disease of a bone's growth center in children; degeneration of the tissue is followed by recalcification
osteodystrophy
Abnormal bone development
osteogenesis imperfecta (OI)
A hereditary disease resulting in the formation of brittle bones that fracture easily. There is faulty synthesis of collagen, the main structural protein in connective tissue.
osteoma
A benign bone tumor that usually remains small and localized
Reiter syndrome
Chronic polyarthritis that usually affects young men; occurs after a bacterial infection and is common in those infected with HIV; may also involve the eyes and genitourinary tract
spondylosis
Degeneration and ankylosis of the vertebrae resulting in pressure on the spinal cord and nerve roots; often applied to any degenerative lesion of the spine
subluxation
A partial dislocation
talipes
A deformity of the foot, especially one occurring congenitally; clubfoot
valgus
Bent outward
varus
Bent inward
von Recklinghausen disease
Loss of bone tissue caused by increased parathyroid hormone; bones become decalcified and deformed, and fracture easily
allograft
Graft of tissue between individuals of the same species but different genetic makeup; homograft, allogenic graft (see autograft)
arthroclasia
Surgical breaking of an ankylosed joint to provide movement
aspiration
Removal by suction, as removal of fluid from a body cavity; also inhalation, such as accidental inhalation of material into the respiratory tract
autograft
Graft of tissue taken from a site on or in the body of the person receiving the graft; autologous graft (see allograft)
calcitonin
A hormone from the thyroid gland that decreases resorption (loss) of bone tissue; used in the treatment of Paget disease and osteoporosis; also called thyrocalcitonin
chondroitin
A complex polysaccharide found in connective tissue; used as a dietary supplement, usually with glucosamine, for treatment of joint pain
glucosamine
A dietary supplement used in the treatment of joint pain
goniometer
A device used to measure joint angles and movements (root goni/o means “angle”)
iontophoresis
Introduction into the tissue by means of electric current, using the ions of a given drug; used in the treatment of musculoskeletal disorders
laminectomy
Excision of the posterior arch (lamina) of a vertebra
meniscectomy
Removal of the crescent-shaped cartilage (meniscus) of the knee joint
myelogram
Radiograph of the spinal canal after injection of a radiopaque dye; used to evaluate a herniated disk
osteoplasty
Scraping and removal of damaged bone from a joint
prosthesis
An artificial organ or part, such as an artificial limb
acetylcholine (ACh)
A neurotransmitter that stimulates contraction of skeletal muscles
actin
One of the two contractile proteins in muscle cells; the other is myosin
agonist
The muscle that carries out a given movement; prime mover
antagonist
The muscle that opposes an agonist (prime mover); it must relax when the agonist contracts
cardiac muscle
Involuntary muscle that makes up the wall of the heart
fascia
The fibrous sheath of connective tissue that covers a muscle; called deep fascia to differentiate it from the superficial fascia that underlies the skin (root: fasci/o); plural: fasciae
fascicle
A small bundle, as of muscle or nerve fibers
insertion
In a given movement, the point where a muscle is attached to a moving part of the skeleton
muscle
An organ that produces movement by contracting; also the tissue that composes such organs (root: my/o, muscul/o)
myosin
One of the two contractile proteins in muscle cells; the other is actin
neuromuscular junction (NMJ)
The point of contact, or synapse, between a branch of a motor neuron and a muscle cell
origin
In a given movement, the point where a muscle is attached to a stable part of the skeleton
skeletal muscle
Voluntary muscle that moves the skeleton and maintains posture
smooth muscle
Involuntary muscle that makes up the wall of the hollow organs, vessels, and ducts; visceral muscle
synergist
A muscle that assists an agonist to produce a given movement
tendon
A fibrous band of connective tissue that attaches a muscle to a bone (root: ten/o, tendin/o)
tonus
A state of steady, partial contraction of muscle that maintains firmness; muscle tone (root: ton/o)
amyotrophic lateral sclerosis (ALS)
A disease caused by degeneration of motor neurons resulting in muscular weakness and atrophy; Lou Gehrig disease
chronic fatigue syndrome (CFS)
A disease of unknown cause that involves persistent fatigue, along with muscle and joint pain and other symptoms; may be virally induced
dermatomyositis
A disease of unknown origin involving inflammation of muscles as well as dermatitis and skin rashes
fibromyalgia syndrome (FMS)
A disorder associated with widespread muscular aches and stiffness and having no known cause
muscular dystrophy
A group of hereditary muscular disorders marked by progressive weakness and atrophy of muscles
myasthenia gravis (MG)
A disease characterized by progressive muscular weakness; an autoimmune disease affecting the neuromuscular junction
polymyositis
A disease of unknown cause involving muscle inflammation and weakness
repetitive strain injury
Tissue damage caused by repeated motion, usually overuse of the arm or hand in occupational activities such as writing, typing, painting, or using hand tools; also called repetitive motion injury, cumulative trauma injury, overuse syndrome
sprain
Injury to a ligament caused by abnormal or excessive force at a joint, but without bone dislocation or fracture
strain
Trauma to a muscle because of overuse or excessive stretch; if severe, may involve tearing of muscle, bleeding, or separation of muscle from its tendon or separation of a tendon from bone
tendinitis
Inflammation of a tendon, usually caused by injury or overuse; the shoulder, elbow, and hip are common sites; also spelled tendonitis
tenosynovitis
Inflammation of a tendon sheath
creatine kinase (CK)
An enzyme found in muscle tissue; the serum level of CK increases in cases of muscle damage; creatine phosphokinase (CPK)
electromyography (EMG)
Study of the electrical activity of muscles during contraction
aponeurosis
A flat, white, sheetlike tendon that connects a muscle with the part that it moves
creatine
A substance in muscle cells that stores energy for contraction
glycogen
A complex sugar that is stored for energy in muscles and in the liver
isometric
Pertaining to a muscle action in which the muscle tenses but does not shorten (literally: same measurement)
isotonic
Pertaining to a muscle action in which the muscle shortens to accomplish movement (literally: same tone)
kinesthesia
Awareness of movement; perception of the weight, direction, and degree of movement (-esthesia means “sensation”)
lactic acid
An acid produced in muscle cells that accumulates in muscle cells functioning without enough oxygen (anaerobically), as in times of great physical exertion
motor unit
A single motor neuron and all of the muscle cells that its branches stimulate
myoglobin
A pigment similar to hemoglobin that stores oxygen in muscle cells
asterixis
Rapid, jerky movements, especially in the hands, caused by intermittent loss of muscle tone
asthenia
Weakness (prefix a- meaning “without” with root sthen/o meaning “strength”)
ataxia
Lack of muscle coordination (from root tax/o meaning “order, arrangement”); adjective: ataxic
athetosis
A condition marked by slow, irregular, twisting movements, especially in the hands and fingers; adjective: athetotic
atrophy
A wasting away; a decrease in the size of a tissue or organ, such as the wasting of muscle from disuse
avulsion
Forcible tearing away of a part
clonus
Alternating spasmodic contraction and relaxation in a muscle; adjective: clonic
contracture
Permanent contraction of a muscle
fasciculation
Involuntary small contractions or twitching of muscle fiber groups (fasciculi)
fibromyositis
A nonspecific term for pain, tenderness, and stiffness in muscles and joints
fibrositis
Inflammation of fibrous connective tissue, especially the muscle fasciae; marked by pain and stiffness
restless legs syndrome (RLS)
Uneasiness, twitching, or restlessness in the legs that occurs after going to bed and often leading to insomnia; may be caused by poor circulation or drug side effects
rhabdomyolysis
An acute disease involving diffuse destruction of skeletal muscle cells (root rhabd/o means “rod,” referring to the long, rodlike muscle cells)
rhabdomyoma
A benign tumor of skeletal muscle
rhabdomyosarcoma
A highly malignant tumor of skeletal muscle
rheumatism
A general term for inflammation, soreness, and stiffness of muscles associated with pain in joints (adjective: rheumatic, rheumatoid)
spasm
A sudden, involuntary muscle contraction; may be clonic (contraction alternating with relaxation) or tonic (sustained); a strong and painful spasm may be called a cramp (adjectives, spastic, spasmodic)
spasticity
Increased tone or contractions of muscles causing stiff and awkward movements
tetanus
An acute infectious disease caused by the anaerobic bacillus Clostridium tetani. It is marked by persistent painful spasms of voluntary muscles; lockjaw
tetany
A condition marked by spasms, cramps, and muscle twitching caused by a metabolic imbalance, such as low blood calcium caused by underactivity of the parathyroid glands
torticollis
Spasmodic contraction of the neck muscles causing stiffness and twisting of the neck; wryneck
Chvostek sign
Spasm of facial muscles after a tap over the facial nerve; evidence of tetany
occupational therapy
Health profession concerned with increasing function and preventing disability through work and play activities. The goal of occupational therapy is to increase the patient's independence and quality of daily life
physical therapy
Health profession concerned with physical rehabilitation and prevention of disability. Exercise, massage, and other therapeutic methods are used to restore proper movement
rheumatology
The study and treatment of rheumatic diseases
Trousseau sign
Spasmodic contractions caused by pressing the nerve supplying a muscle; seen in tetany
antiinflammatory agent
Drug that reduces inflammation; includes steroids, such as cortisone, and nonsteroidal antiinflammatory drugs
COX-2 inhibitor
Nonsteroidal antiinflammatory drug that does not cause the stomach problems associated with other NSAIDs. Inhibits the cyclooxygenase (COX)-2 enzyme without affecting the COX-1 enzyme, a lack of which can cause stomach ulcers. Some of these drugs have been withdrawn from the market because of cardiac risk. Example is celecoxib (Celebrex)
muscle relaxant
A drug that reduces muscle tension; different forms may be used to relax muscles during surgery, to control spasticity, or to relieve musculoskeletal pain
nonsteroidal antiinflammatory drug (NSAID)
Drug that reduces inflammation but is not a steroid; examples include aspirin, ibuprofen, naproxen, and other inhibitors of prostaglandins, naturally produced substances that promote inflammation
afferent
Carrying toward a given point, such as the sensory neurons and nerves that carry impulses toward the CNS (root fer means “to carry”)
arachnoid mater
The middle layer of the meninges (from the Greek word for spider, because this tissue resembles a spider web)
autonomic nervous system (ANS)
The division of the nervous system that regulates involuntary activities, controlling smooth muscles, cardiac muscle, and glands; the visceral nervous system
axon
The fiber of a neuron that conducts impulses away from the cell body
brain
The nervous tissue contained within the cranium; consists of the cerebrum, diencephalon, brainstem, and cerebellum (root: encephal/o)
brainstem
The part of the brain that consists of the midbrain, pons, and medulla oblongata
central nervous system (CNS)
The brain and spinal cord
cerebellum
The posterior portion of the brain dorsal to the pons and medulla; helps to coordinate movement and to maintain balance and posture (cerebellum means “little brain”) (root: cerebell/o)
cerebral cortex
The cerebrum's thin surface layer of gray matter (the cortex is the outer region of an organ) (root: cortic/o)
cerebrum
The large upper portion of the brain; it is divided into two hemispheres by the longitudinal fissure (root: cerebr/o)
cerebrospinal fluid (CSF)
The watery fluid that circulates in and around the brain and spinal cord as a protection
cranial nerves
The 12 pairs of nerves that are connected to the brain
dendrite
A fiber of a neuron that conducts impulses toward the cell body
diencephalons
The part of the brain that contains the thalamus, hypothalamus, and pituitary gland; located between the cerebrum and the brainstem
dura mater
The strong, fibrous outermost layer of the meninges
efferent
Carrying away from a given point, such as the motor neurons and nerves that carry impulses away from the CNS (root fer means “to carry”)
ganglion
A collection of nerve cell bodies outside the CNS (plural: ganglia) (root: gangli/o, ganglion/o)
gray matter
Unmyelinated tissue of the nervous system
gyrus
A raised convolution of the surface of the cerebrum (plural: gyri)
hypothalamus
The part of the brain that controls the pituitary gland and maintains homeostasis
interneuron
Any neuron located between a sensory and a motor neuron in a neural pathway, such as the neurons that transmit impulses within the CNS
medulla oblongata
The portion of the brain that connects with the spinal cord. It has vital centers for control of respiration, heart rate, and blood pressure (root: medull/o). Often called simply medulla
meninges
The three membranes that cover the brain and spinal cord (singular: meninx) (root: mening/o, meninge/o)
midbrain
The part of the brainstem between the diencephalon and the pons; contains centers for coordination of reflexes for vision and hearing
motor
Producing movement; describes neurons that carry impulses away from the CNS
myelin
A whitish, fatty substance that surrounds certain axons of the nervous system
neuroglia
The supportive cells of the nervous system; also called glial cells (from glia meaning “glue;” root: gli/o)
neuron
The basic unit of the nervous system; a nerve cell
neurotransmitter
A chemical that transmits energy across a synapse. Examples are epinephrine, acetylcholine (a-sē-til-KŌ-lēn), serotonin (ser-ō-TŌ-nin), and dopamine (DŌ-pa-mēn)
nerve
A bundle of nerve cell fibers outside the CNS (root: neur/o)
parasympathetic nervous system
The part of the automatic nervous system that reverses the response to stress and restores homeostasis. It slows heart rate and respiration rate and stimulates activity of the digestive, urinary, and reproductive systems.
peripheral nervous system (PNS)
The portion of the nervous system outside the CNS
pia mater
The innermost layer of the meninges
pons
A rounded area on the ventral surface of the brainstem; contains fibers that connect regions of the brain; adjective: pontine (PON-tēn)
reflex
A simple, rapid, and automatic response to a stimulus
root
A branch of a spinal nerve that connects with the spinal cord; the dorsal (posterior) root joins the dorsal gray horn of the spinal cord; the ventral (anterior) root joins the ventral gray horn of the spinal cord (root: radicul/o)
sensory
Describing neurons that carry impulses toward the CNS
somatic nervous system
The division of the nervous system that controls skeletal (voluntary) muscles
spinal cord
The nervous tissue contained within the spinal column; extends from the medulla oblongata to the second lumbar vertebra (root: myel/o)
spinal nerves
The 31 pairs of nerves that connect with the spinal cord
sulcus
A shallow furrow or groove, as on the surface of the cerebrum (plural: sulci)
sympathetic nervous system
The part of the autonomic nervous system that mobilizes a response to stress; increases heart rate and respiration rate and delivers more blood to skeletal muscles
synapse
The junction between two neurons; also the junction between a motor neuron and a muscle or gland
thalamus
The part of the brain that receives all sensory impulses, except those for the sense of smell, and directs them to the proper portion of the cerebral cortex (root: thalam/o)
tract
A bundle of nerve cell fibers within the CNS
ventricle
A small cavity, such as one of the cavities in the brain in which CSF is produced (root: ventricul/o)
visceral nervous system
The autonomic nervous system
white matter
Myelinated tissue of the nervous system
Alzheimer disease (AD)
A form of dementia caused by atrophy of the cerebral cortex; presenile dementia
amyloid
A starchlike substance of unknown composition that accumulates in the brain in Alzheimer and other diseases
aneurysm
A localized abnormal dilation of a blood vessel that results from weakness of the vessel wall; an aneurysm may eventually burst
aphasia
Specifically, loss or defect in speech communication (from Greek phasis, meaning “speech”). In practice, the term is applied more broadly to a range of language disorders, both spoken and written. May affect ability to understand speech (receptive aphasia) or the ability to produce speech (expressive aphasia). Both forms are combined in global aphasia
astrocytoma
A neuroglial tumor composed of astrocytes
cerebral contusion
A bruise to the surface of the brain following a blow to the head
cerebrovascular accident (CVA)
Sudden damage to the brain resulting from reduction of cerebral blood flow; possible causes are atherosclerosis, thrombosis, or a ruptured aneurysm; commonly called stroke
coma
State of deep unconsciousness from which one cannot be roused
concussion
Injury resulting from a violent blow or shock; a concussion of the brain usually results in loss of consciousness
confusion
A state of reduced comprehension, coherence, and reasoning ability resulting in inappropriate responses to environmental stimuli
contrecoup injury
Damage to the brain on the side opposite the point of a blow as a result of the brain's hitting the skull (from French, meaning “counterblow”)
convulsion
A series of violent, involuntary muscle contractions. A tonic convulsion involves prolonged contraction of the muscles; in a clonic convulsion there is alternation of contraction and relaxation. Both forms appear in grand mal epilepsy
dementia
A gradual and usually irreversible loss of intellectual function
embolism
Obstruction of a blood vessel by a blood clot or other material carried in the circulation
encephalitis
Inflammation of the brain
epidural hematoma
Accumulation of blood in the epidural space (between the dura mater and the skull)
epilepsy
A chronic disease involving periodic sudden bursts of electric activity from the brain, resulting in seizures
glioma
A tumor of neuroglia cells
hemiparesis
Partial paralysis or weakness of one side of the body
hemiplegia
Paralysis of one side of the body
hydrocephalus
Increased accumulation of CSF in or around the brain as a result of obstruction to flow. May be caused by tumor, inflammation, hemorrhage, or congenital abnormality
insomnia
Insufficient or nonrestorative sleep despite ample opportunity to sleep
meningioma
Tumor of the meninges
meningitis
Inflammation of the meninges
multiinfarct dementia (MID)
Dementia caused by chronic cerebral ischemia (lack of blood supply to the tissues) as a result of multiple small strokes. There is progressive loss of cognitive function, memory, and judgment as well as altered motor and sensory function
multiple sclerosis (MS)
A chronic, progressive disease involving loss of myelin in the CNS
narcolepsy
Brief, uncontrollable episodes of sleep during the day
neurilemoma
A tumor of the sheath (neurilemma) of a peripheral nerve; schwannoma
paralysis
Temporary or permanent loss of function. Flaccid paralysis involves loss of muscle tone and reflexes and degeneration of muscles. Spastic paralysis involves excess muscle tone and reflexes but no degeneration
parkinsonism
A disorder originating in the basal ganglia and characterized by slow movements, tremor, rigidity, and masklike face. Also called Parkinson disease
seizure
A sudden attack, as seen in epilepsy. The most common forms of seizure are tonic–clonic, or grand mal (gran mal) (from French, meaning “great illness”); absence seizure, or petit mal (pet-Ē mal), meaning “small illness;” and psychomotor seizure
shingles
An acute viral infection that follows nerve pathways causing small lesions on the skin. Caused by reactivation of the virus that also causes chickenpox (varicella–zoster virus). Also called herpes zoster (HER-pēz ZOS-ter)
sleep apnea
Brief periods of breathing cessation during sleep
stroke
Sudden interference with blood flow in one or more cerebral vessels leading to oxygen deprivation and necrosis of brain tissue; caused by a blood clot in a vessel (ischemic stroke) or rupture of a vessel (hemorrhagic stroke). Cerebrovascular accident (CVA)
subdural hematoma
Accumulation of blood beneath the dura mater
thrombosis
Development of a blood clot within a vessel
tremor
A shaking or involuntary movement
carotid endarterectomy
Surgical removal of the lining of the carotid artery, the large artery in the neck that supplies blood to the brain
cerebral angiography
Radiographic study of the blood vessels of the brain after injection of a contrast medium
electroencephalography (EEG)
Amplification, recording, and interpretation of the brain’s electric activity
L-dopa
A drug used in the treatment of parkinsonism; levodopa
lumbar puncture
Puncture of the subarachnoid space in the lumbar region of the spinal cord to remove spinal fluid for diagnosis or to inject anesthesia; spinal tap
polysomnography
Simultaneous monitoring of a variety of physiologic functions during sleep to diagnose sleep disorders
anxiety
A feeling of fear, worry, uneasiness, or dread
Asperger syndrome
A behavioral condition on a continuum with autism that may include difficulty with social interactions and understanding, strong specific interests, and repetitive behaviors
attention-deficit hyperactivity disorder (ADHD)
A condition that begins in childhood and is characterized by attention problems, easy boredom, impulsive behavior, and hyperactivity
autism
A disorder of unknown cause consisting of self-absorption, lack of response to social contact and affection, preoccupations, stereotyped behavior, and resistance to change (from auto-, “self” and -ism, “condition of”)
bipolar disorder
A form of depression with episodes of mania (a state of elation); manic depressive illness
delusion
A false belief inconsistent with knowledge and experience
depression
A mental state characterized by profound feelings of sadness, emptiness, hopelessness, and lack of interest or pleasure in activities
dysthymia
A mild form of depression that usually develops in response to a serious life event (from dys- and Greek thymos, meaning “mind, emotion”)
hallucination
A false perception unrelated to reality or external stimuli
mania
A state of elation, which may include agitation, hyperexcitability, or hyperactivity (adjective: manic)
obsessive-compulsive disorder (OCD)
A condition associated with recurrent and intrusive thoughts, images, and repetitive behaviors performed to relieve anxiety
panic disorder
A form of anxiety disorder marked by episodes of intense fear
paranoia
A mental state characterized by jealousy, delusions of persecution, or perceptions of threat or harm
phobia
An extreme, persistent fear of a specific object or situation
posttraumatic stress disorder (PTSD)
Persistent emotional disturbances that follow exposure to life-threatening, catastrophic events, such as trauma, abuse, natural disasters, and warfare
psychosis
A mental disorder extreme enough to cause gross misperception of reality with delusions and hallucinations
schizophrenia
A poorly understood group of severe mental disorders with features of psychosis, delusions, hallucinations, and withdrawn or bizarre behavior (schizo means “split” and phren means “mind”)
acetylcholine
A neurotransmitter; activity involving acetylcholine is described as cholinergic
basal ganglia
Four masses of gray matter in the cerebrum and upper brainstem that are involved in movement and coordination
blood–brain barrier
A special membrane between circulating blood and the brain that prevents certain damaging substances from reaching brain tissue
Broca area
An area in the left frontal lobe of the cerebrum that controls speech production
circle of Willis
An interconnection (anastomosis) of several arteries supplying the brain, located at the base of the cerebrum; cerebral arterial circle
contralateral
Affecting the opposite side of the body
corpus callosum
A large band of connecting fibers between the cerebral hemispheres
dermatome
The area of the skin supplied by a spinal nerve; term also refers to an instrument used to cut skin for grafting (see Chapter 21)
ipsilateral
On the same side; unilateral
leptomeninges
The pia mater and arachnoid together
norepinephrine
A neurotransmitter very similar in chemical composition and function to the hormone epinephrine; also called noradrenalin
nucleus
A collection of nerve cells within the central nervous system
plexus
A network, as of nerves or blood vessels
pyramidal tracts
A group of motor tracts involved in fine coordination. Most of the fibers in these tracts cross in the medulla to the opposite side of the spinal cord and affect the opposite side of the body. Fibers not included in the pyramidal tracts are described as extrapyramidal.
reticular activating system (RAS)
A widespread system in the brain that maintains wakefulness
Schwann cells
Cells that produce the myelin sheath around peripheral axons
Wernicke area
An area in the temporal lobe concerned with speech comprehension
amyotrophic lateral sclerosis (ALS)
A disorder marked by muscular weakness, spasticity, and exaggerated reflexes caused by degeneration of motor neurons; Lou Gehrig disease
amnesia
Loss of memory
apraxia
Inability to move with purpose or to use objects properly
ataxia
Lack of muscle coordination; dyssynergia
athetosis
Involuntary, slow, twisting movements in the arms, especially the hands and fingers
Bell palsy
Paralysis of the facial nerve
berry aneurysm
A small saclike aneurysm of a cerebral artery
catatonia
A phase of schizophrenia in which the patient is unresponsive; there is a tendency to remain in a fixed position without moving or talking
cerebral palsy
A nonprogressive neuromuscular disorder usually caused by damage to the CNS near the time of birth. May include spasticity, involuntary movements, or ataxia
chorea
A nervous condition marked by involuntary twitching of the limbs or facial muscles
claustrophobia
Fear of being shut in or enclosed (from Latin claudere, “to shut”)
compulsion
A repetitive, stereotyped act performed to relieve tension
Creutzfeldt–Jakob disease (CJD)
A slow-growing degenerative brain disease caused by a prion (PRĪ-on), an infectious protein. Related to bovine spongiform encephalopathy (BSE, “mad cow disease”) in cattle
delirium
A sudden and temporary state of confusion marked by excitement, physical restlessness, and incoherence
dysarthria
Defect in speech articulation caused by lack of control over the required muscles
dysmetria
Disturbance in the path or placement of a limb during active movement. In hypometria, the limb falls short; in hypermetria, the limb extends beyond the target
euphoria
An exaggerated feeling of well-being; elation
glioblastoma
A malignant astrocytoma
Guillain–Barré syndrome
An acute polyneuritis with progressive muscular weakness that usually occurs after a viral infection; in most cases recovery is complete, but may take several months to years
hematomyelia
Hemorrhage of blood into the spinal cord, as from an injury
hemiballism
Jerking, twitching movements of one side of the body
Huntington disease
A hereditary disease of the CNS that usually appears between ages 30 and 50. The patient shows progressive dementia and chorea, and death occurs within 10 to 15 years
hypochondriasis
Abnormal anxiety about one's health
ictus
A blow or sudden attack, such as an epileptic seizure
lethargy
A state of sluggishness or stupor
migraine
Chronic intense, throbbing headache that may result from vascular changes in cerebral arteries. Possible causes include genetic factors, stress, trauma, and hormonal fluctuations. Headache might be signaled by visual disturbances, nausea, photophobia, and tingling sensations
neurofibromatosis
A condition involving multiple tumors of peripheral nerves
neurosis
An emotional disorder caused by unresolved conflicts, with anxiety as a main characteristic
paraplegia
Paralysis of the legs and lower part of the body
parasomnia
Condition of having undesirable phenomena, such as nightmares, occur during sleep or become worse during sleep
quadriplegia
Paralysis of all four limbs; tetraplegia
Reye syndrome
A rare acute encephalopathy occurring in children after viral infections. The liver, kidney, and heart may be involved. Linked to administration of aspirin during a viral illness
sciatica
Neuritis characterized by severe pain along the sciatic nerve and its branches
somatoform disorders
Conditions associated with symptoms of physical disease, such as pain, hypertension, or chronic fatigue, with no physical basis
somnambulism
Walking or performing other motor functions while asleep and out of bed; sleepwalking
stupor
A state of unconsciousness or lethargy with loss of responsiveness
syringomyelia
A progressive disease marked by formation of fluid-filled cavities in the spinal cord
tic
Involuntary, spasmodic, recurrent, and purposeless motor movements or vocalizations
tic douloureux
Episodes of extreme pain in the area supplied by the trigeminal nerve; also called trigeminal neuralgia
tabes dorsalis
Destruction of the dorsal (posterior) portion of the spinal cord with loss of sensation and awareness of body position, as seen in advanced cases of syphilis
Tourette syndrome
A tic disorder with intermittent motor and vocal manifestations that begins in childhood. There also may be obsessive and compulsive behavior, hyperactivity, and distractibility
transient ischemic attack
A sudden, brief, and temporary cerebral dysfunction usually caused by interruption of blood flow to the brain
Wallerian degeneration
Degeneration of a nerve distal to an injury
whiplash
Cervical injury caused by rapid acceleration and deceleration resulting in damage to muscles, ligaments, disks, and nerves
Babinski reflex
A spreading of the outer toes and extension of the big toe over the others when the sole of the foot is stroked. This response is normal in infants but indicates a lesion of specific motor tracts in adults
evoked potentials
Record of the electric activity of the brain after sensory stimulation. Included are visual evoked potentials (VEPs), brainstem auditory evoked potentials (BAEPs), and somatosensory evoked potentials (SSEPs), obtained by stimulating the hand or leg. These tests are used to evaluate CNS function
Glasgow coma scale
A system for assessing level of consciousness by assigning a score to each of three responses: eye opening, motor responses, and verbal responses
positron emission tomography (PET)
Use of radioactive glucose or other metabolically active substances to produce images of biochemical activity in tissues. Used for study of the living brain, both healthy and diseased, and also in cardiology
Romberg sign
Inability to maintain balance when the eyes are shut and the feet are close together
sympathectomy
Interruption of sympathetic nerve transmission either surgically or chemically
trephination
Cutting a piece of bone out of the skull; the instrument used is a trepan (tre-PAN) or trephine (tre-FIN)
antianxiety agent
Relieves anxiety by means of a calming, sedative effect on the CNS; for example, chlordiazepoxide (Librium), diazepam (Valium), alprazolam (Xanax); anxiolytic
antidepressants (other than those listed in separate categories below)
Block the reuptake of neurotransmitters such as serotonin, norepinephrine, dopamine, alone or in combination; for example, bupropion (Wellbutrin, Zyban), mirtazapine (Remeron), nefazodone (Serzone), venlafaxine (Effexor XR), atomoxetine (Strattera)
monoamine oxidase inhibitors (MAOI)
Block an enzyme that breaks down norepinephrine and serotonin, thus prolonging their action; for example, phenelzine (Nardil), tranylcypromine (Parnate), isocarboxazid (Marplan)
neuroleptics
Drugs used to treat psychosis, including schizophrenia; for example, clozapine (Clozaril), haloperidol (Haldol), risperidone (Risperdal), olanzapine (Zyprexa); antipsychotic. Action mechanism unknown, but may interfere with neurotransmitters
selective serotonin reuptake inhibitors (SSRIs)
Block the reuptake of serotonin in the brain, thus increasing levels; for example, fluoxetine (Prozac), citalopram (Celexa), paroxetine (Paxil), sertraline (Zoloft)
stimulants
Promote activity and a sense of well-being; for example, methylphenidate (Ritalin), dextroamphetamine (Dexedrine), amphetamine + dextroamphetamine (Adderall)
tricyclic antidepressants (TCA)
Block the reuptake of norepinephrine, serotonin, or both; for example, amitriptyline (Elavil), clomipramine (Anafril), imipramine (Tofranil), doxepin (Sinequan), trimipramine (Surmontil)
equilibrium
The sense of balance