MEDICAL
DICTIONARY
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Kala-azar:
(Hindi for black fever). A disease of the vicera, particularly
the liver, spleen, bone marrow and lymph nodes, due to infection
be a parasite (called Leishmania). Also known as visceral
leishmaniasis.
Kaposi's
sarcoma: A relatively rare type of cancer that develops on
the skin of some elderly persons or those with a weak immune
system, including those with acquired immune deficiency syndrome
(AIDS).
Kartagener's
syndrome: The trio of sinusitis, bronchitis and situs inversus
(lateral reversal of the position all organs in the chest
and abdomen with the heart and stomach on the right, the liver
on the left, etc.--opposite or "inverted" from their
usual position).
Karyotype:
A standard arrangement of the chromosome complement, done
for chromosome analysis.
Karyotyping:
Chromosome study.
Karyotyping,
flow: Use of flow cytometry to analyze and/or separate chromosomes
on the basis of their DNA content. Flow cytometry detects
the light- absorbing or fluorescing properties of chromosomes
passing in a narrow stream through a laser beam and with automated
sorting devices can sort successive droplets of the stream
into different fractions depending on the fluorescence emitted
by each droplet.
Kawasaki’s
disease: A syndrome of unknown origin, mainly affecting young
children, causing fever, reddening of the eyes (conjunctivitis),
lips and mucous membranes of the mouth, ulcerative gum disease
(gingivitis), swollen glands in the neck (cervical lymphadenopathy),
and a rash that is raised and bright red (maculoerythematous)
in a glove-and-sock fashion over the skin of the hands and
feet which becomes hard, swollen (edematous), and peels off.
Also called mucocutaneous lymph node syndrome.
Kb:
Abbreviation for kilobase.
Keloid:
A tough raised scar.
Keratin:
Protein in the upper layer of the skin, hair, nails and animal
horns. The word keratin comes from the Indo-European ker meaning
horn.
Keratitis:
Inflammation of the cornea (transparent structure at the front
of the eye).
Kerato-:
A confusing prefix it can refer to the cornea (as in keratitis
and keratocornea) or to "horny" tissue (as in keratin
and keratosis).
Keratoconjunctitis:
Inflammation of the eye involving both the cornea and conjunctiva.
Keratoconus:
Cone-shaped cornea with the apex of the cone being forward.
Also called conical cornea.
Keratoma:
A callus.
Keratoplasty:
Corneal transplant.
Keratosis:
A localized overgrowth of the upper layer of skin. Common
forms of keratosis include aging (senile keratosis) and sun
exposure (actinic keratosis).
Keratotomy:
A surgical incision (cut) of the cornea. A radial keratotomy
is a surgical procedure designed to flatten the cornea and
thereby correct myopia (nearsightedness). It is called a radial
keratotomy because the incisions resemble the spokes in a
bicycle wheel.
Kernicterus:
Disorder due to jaundice in a newborn baby with high blood
levels of the pigment bilirubin that is deposited in the brain
resulting in damage. The level of bilirubin is monitored in
newborns to determine whether treatment is needed to prevent
kernicterus. With brain affected, it is also called bilirubin
encephalopathy.
Keshan
disease: Condition caused by deficiency of the essential mineral
selenium. Keshan disease is a potentially fatal form of cardiomyopathy
(disease of the heart muscle). It was first observed in Keshan
province in China and since has been found elsewhere (including
New Zealand and Finland) in areas where the selenium level
in the soil is low.
Ketoacidosis:
Ketosis (accumulation of substances called ketone bodies in
the blood) plus acidosis (increased acidity of the blood).
Ketoacidosis occurs when diabetes is not controlled.
Kidneys:
The kidneys are a pair of organs located in the right and
left side of the abdomen which clear "poisons" from
the blood, regulate acid concentration and maintain water
balance in the body by excreting urine. The urine then passes
through connecting tubes called "ureters" into the
bladder. The bladder stores the urine until it is released
during urination.
Kilobase:
Unit of length of DNA equal to 1000 nucleotide bases.
Kindred:
The extended family.
Kinky
hair syndrome: Genetic disorder with fragile twisted ("kinky")
hair and progressive deterioration of the brain. Due to an
error in copper transport resulting in copper deficiency.
Females are carriers and their sons with the gene have the
disease. Also known as Menkes syndrome.
Kinship:
Relationship by marriage or, specifically, a blood tie.
Kissing
bugs: Insect vectors (carriers) of the parasite (called Trypanosoma
cruzi) which causes Chagas' disease (American trypanosomiasis).
The reduviid bugs "kiss" people, especially babies,
on the lips while they are asleep infecting them with their
parasite. Over 20 million people in the Americas have Chagas
disease. The parasite can also be transmitted by blood transfusion
and cross the placenta during pregnancy to infect the fetus.
Kissing
disease: A name for infectious mononucleosis ("mono"),
a very common illness caused by the Epstein-Barr virus (EBV).
By the time most people reach adulthood, an antibody against
EBV can be detected in their blood meaning they have been
infected with EBV. The illness is less severe in young children.
The infection can be spread by saliva. The incubation period
for "mono" is 4 to 8 weeks. Symptoms include fever,
fatigue, sore throat, and swollen lymph glands. "Mono"
can cause liver inflammation (hepatitis) and spleen enlargement.
Vigorous contact sports should be avoided to prevent spleen
rupture.
Klebsiella:
A group of bacteria normally living in the intestinal tract
and frequently the cause of nosocomial infections (infections
acquired in the hospital). Named for Dr. Klebs.
Kleeblattschadel:
German for cloverleaf skull
Klinefelter
syndrome: The most common single cause of hypogonadism (underfunction
of the gonads) and infertility in men, Klinefelter syndrome
is due to a chromosome abnormality with XXY (plus additional
X or Y chromosomes). It affects about 1 in 500 males and results
in small testes (hypogenitalism), underproduction of testosterone
and infertility (hypogonadism), and a long-limbed, long-trunked,
relatively tall, slim build. Klinefelter boys tend to have
learning and/or behavioral problems. At adolescence there
is little growth of facial hair and a third of boys develop
gynecomastia (enlargement of the male breast). Named for the
physician Harry Klinefelter who with E.C. Reifenstein, Jr.
and Fuller Albright (the founder of modern endocrinology)
described the condition in 1942 long before its chromosomal
basis became known.
Klippel-Feil
sequence/syndrome: The combination of short neck, low hairline
at the nape of the neck and limited movement of the head.
It is due to a defect in the early development of the spinal
column in the neck (the cervival vertebrae).
Klinefelter
syndrome: A condition in males due to XXY sex chromosomes
(plus sometimes additional X or Y chromosomes) resulting in
small testes, insufficient production of testosterone, and
infertility. Klinefelter boys tend to have learning and/or
behavioral problems.
Knee:
See genu.
Knee
bursitis: A bursa is a fluid-filled sac that functions as
a gliding surface to reduce friction between moving tissues
of the body. There are three major bursae of the knee. Bursitis
is usually not infectious, but the bursa can become infected.
Treatment of non-infectious bursitis includes rest, ice, and
medications for inflammation and pain. Infectious bursitis
is treated with antibiotics, aspiration, and surgery.
Knee
jerk: The reflex tested by tapping just below the bent knee
on the patellar tendon to cause the quadriceps muscle to contract
and bring the lower leg forward. It has given rise to the
saying: a knee-jerk reaction. Also known medically as the
patellar reflex.
Knock-knees:
In medicalese: there are no knock-knees. The condition is
genu valgum.
Knuckle:
The dorsal aspect of the flexed metacarpophalangeal joint.
Knuckle may be shorter and simpler to say.
Krukenberg
tumor: A tumor of the ovary caused by the spread of stomach
cancer.
Kuru:
A slowly progressive fatal disease of the brain (a form of
subacute spongiform encephalopathy) due to an infectious agent
(a virus or subviral particle called a prion) transmitted
among people in Papua New Guinea by ritual canabalism. The
discovery of the basis of Kuru is one of the more interesting
detective stories of 20th-century medicine.
Kussmaul
breathing: Air hunger.
Kwashiorkor:
The word kwashiorkor comes from the Ivory Coast. It means
the deposed (no longer suckled) child. Kwashiorkor is a childhood
disease due to protein deprivation. Early signs are vague:
apathy (indifference), lethargy (drowsiness) and irritability.
More advanced signs are poor growth, lack of stamina, loss
of muscle mass, swelling, abnormal hair (sparse, thin, often
streaky red or gray in dark-skinned children) and abnormal
skin (darkening in irritated but not sun-exposed areas). Kwashiorkor
disables the immune system so the child is susceptible to
a host of infectious diseases. Kwashiorkor is responsible
for much morbidity (illness) and mortality (death) among children
worldwide. Also known as protein malnutrition. and protein-calorie
malnutrition (PCM).
Kyphoscoliosis:
Combination of kyphosis and scoliosis (lateral curving of
the spine). Part of good health maintenance is to check a
child's back (from infancy through adolescence) to make sure
the back looks normal and, if concerned, a doctor is consulted.
Kyphosis:
Humpback.
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