Island
An island or isle is any piece of sub-continental land that is surrounded by water. Very small islands such as emergent land features on atolls can be called islets, skerries, cays or keys. An island in a river or a lake island may be called an eyot or ait, and a small island off the coast may be called a holm. A grouping of geographically or geologically related islands is called an archipelago, such as the Philippines.
River island
The term "towhead" implies a little islet or sandbar within a river (most often the Mississippi River) having a grouping or thicket of trees, and is often used in the Midwestern United States. Many rivers, if wide enough, can house considerably large islands. The term "towhead" was popularised by Mark Twain's "Adventures of Huckleberry Finn".