GCSE Medicine Through Time Flashcards

1
Q

During the medieval era, what influence did the church have on views of disease?

A

A big influence lol as it was a massive part of people’s lives and controlled education. So a lot of people thought CAUSE= God punishing for sins TREATMENT= Pray for it to all go away

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2
Q

What was the Hippocratic Oath?

A

Doctors must swear not to intentiontially hurt their patients

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3
Q

What was Hippocrates’ theory of disease and how did it differ from religious theories of disease

A

Four Humours

It differed because it argued disease was natural, observable, and predictable.
“The cognitive foundation on which scientific medicine was built”

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4
Q

How did Galen add to Hippocrates’ Four Humours theory?

A

Theory of Opposites- If a patient has too much of a humour they would give them something of the opposite to equal it out. Like a cold would be treated with a spicy pepper.

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5
Q

Who was Galen?

A

A very well respected Greek physician.

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6
Q

What were Galen’s false claims? And why was it bad that he thought this

A

Blood is created in the liver, goes to the heart and mixed with air, and then slops around the body.

Bad because wrong anatomy leads to wrong treatments. Its because of these false claims that bloodletting was used.

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7
Q

Why was Galen’s ideas accepted during Medieval time (and tbh Renaissance too but thats a different story girl).

A

Because the Church loved him because his work aligned with the Church teachings (i.e.) we have a soul

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8
Q

What was Miasma Theory?

A

CAUSE= disease was caused by “bad air” that arose from the ground and rotten stuff
TREATMENT= smell nice stuff like flowers

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9
Q

What were hospitals like during the Medieval era?

A

Very religious lol. Treatment was to pray for them and provide hospitality. I mean the praying was a dud. Obviously giving someone rest cant hurt, but it could still be better…

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10
Q

Who wasn’t allowed in medieval hospitals?

A

People with “infectious diseases”. Cared for in separate facilities. So at least they know it can pass from person to person..

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11
Q

Regarding how the community tried to help treat ill people in the medieval times, what their barber surgeons all about?

A

Barbers who also did minor surgery work as a side hustle.
Used Four Humours theory by bloodletting.

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12
Q

Regarding how the community tried to help treat ill people in the medieval times, what were apothecaries all about?

A

They were like a chemists and sold herbal treatments. I don’t think herbal treatments aligned with a particular theory, but was more just experimental stuff and maybe helped to balance the four humours.
People just relied on them because there was little knowledge about how disease was caused or spread so.

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13
Q

How many people died during the Black Death 1348?

A

30%-40% of the population.

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14
Q

What were the two forms of plague inflection during the Black Death 1348?

A

Bubonic and Pneumonic

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15
Q

During the Black Death 1348, why was there more of a focus towards preventing the disease rather than treating it.

A

Obviously, they had lots of different theories as to the cause of the plague (and therefore lots of ideas for possible treatments) but people died so quickly that there wasn’t really any time for it.
So best to just avoid it in the first place!!!

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16
Q

During the Black Death, how did normal people try to prevent getting the disease?

A

Did with whatever aligned with their theory of disease:
Religious- confession, fasting
Miasma- carry nice-smelling posies around

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17
Q

During the Black Death, how did the government try to prevent getting the disease?

A

Quarantine laws- people had to quarantine for 40 days before they could enter
Infected had a mark on the door
Religious processions banned

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18
Q

During the Black Death, why were authorities attempts to prevent disease kind of a fail?

A

Because church had so much power, and so thought that just praying was the answer and so encouraged people to just do that.

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19
Q

Why did the Church lose a lot of influence over people during the Renaissance period?

A

A combination of reasons tbh.
- The reformation meant a break away from the Catholic Church
-Humanism encouraged people to think critically and not just focus on religion
-Printing press was invented and so new ideas could be circulated

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20
Q

What was Humanism?

A

An intellectual movement during the Renaissance which was basically like humans are great, we can do great things, we just need to explore worldly matters and think critically and educate everyone broadly..

Humanism was a new way of thinking. It stated that us as individuals should discover the truth around us using our human experience rather than relying on old ideas. So like humans and morality and ethics can fulfil our lives rather than religion

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21
Q

What was the Royal society which emerged during the Renaissance?

A

Founded by Charles II in 1660. It was an academy of distinguished scientists and scholars, where ideas would be discussed and debated.

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22
Q

What is Vesalius’ story?

A

Fascinated by anatomy, but the church always saw it as indecent. Now they arent as powerful anymore, a local magistrate allowed Vesalius to dissect the bodies of executed criminals.

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23
Q

What were some of Vesalius’ discoveries?

A

-Impermeability of the cardiac septum- blood doesn’t flow into the heart through invisible holes in the septum, but is diffused through it.
-One kidney was not right on top of the other
-Breastbone has three parts, not seven

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24
Q

What was the significance of Vesalius’ findings about anatomy?

A

-Taught people that you need to learn from observation rather than just relying on ancient books. Authority-based knowledge to empirically based, scientific inquiry.
-Unprecedented level of understanding of the human body which has served as a foundation of modern human anatomy

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25
Q

How did Vesalius’ findings challenge the Four Humours theory of disease?

A

By working out how the human body actually looked, he proved that many of Galen’s descriptions of human anatomy which formed the basis of explanations of how these four humours governed the body (i.e. structure of heart, location of the liver), were wrong. Cast doubt on Galen.

Vesalius’s meticulous anatomical descriptions and illustrations offered a much more detailed and accurate account of the human body’s structure. This level of detail allowed for a better understanding of bodily functions, which was not fully compatible with the simplified, theory-driven explanations of the humours.

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26
Q

How does a better understanding of anatomy mean a greater understanding of disease?

A

Firstly, it means an improvement to surgery. And while surgery is not used to treat infectious diseases (that’s antibiotics job), it can be used to treat other diseases such as cancers.
It can also be used to further explore a condition for the purpose of diagnosis such as a biopsy.

Also more generally, an accurate understanding of where everything is in the body is very important to know when understanding different diseases because then we know what to focus on when treating???

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27
Q

Who was William Harvey?

A

Was the Doctor to Charles I and was also an anatomist who had a bit off a kick at galen while he was down.

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28
Q

What did Harvey prove which challenged Galen’s findings?

A

Galen argued blood was made in the liver and pumped around the body. Harvey disapproved this through experimentation. He proved that veins have valves which made blood pump in one direction cos when he tried to pump liquids the other way it didn’t work.

Measured blood flow to show that the same blood is circulated around by the heart

29
Q

How did Thomas Sydenham make the Four Humours slightly less popular?

A

Because he argued that each disease had a different cause FROM OUTSIDE OF THE BODY. Disease was not different from person to person, its standardised, so like, if you have Symptom A B and C you have these disease and that does not change from person to person.
Diseases can be categorised into groups together–> developed the concept of ‘species’ of disease

30
Q

Give an example of some diseases that Sydenham differentiated?

A

Scarlet fever and measles

31
Q

Regarding how the community tried to help treat ill people in the Renaissance, how much change was there from the medieval times?

A

Very little change.
Still used barber-surgeons for Four humours theory
Still used herbal remedies and apothecaries
Still believed in religious treatments

32
Q

What were hospitals like during the Renaissance?

A

Since Henry VIII closed a lot of the monasteries during the Reformation, a lot of hospitals were taken over by local authorities and were a lot less religious.
They were funded by charity and run by physicians.
While most hospitals still focused on food and warmth, some hospitals were beginning to focus on actually treating the sick by dealing with the symptoms

33
Q

How many people died during the Great Plague 1665?

A

About 100k from London.

34
Q

How had people’s views of disease continued from the Black Death 1348 to the Great Plague 1665?

A

Although many people did not particularly believe in the Four Humours (because Vesalius and Sydenham had argued why its wrong), there was no real alternative theory to replace it!!! So there was a lot of continuity…

Miasma was still a popular theory

Religion was still a theory

35
Q

How had people’s views of disease changed from the Black Death 1348 to the Great Plague 1665?

A

While there were no new changes in theories of causes, there were a few new theories of treatments to try out.
For example, transference, where people rubbed their grimy buboes on a live chicken (poor chicken) or an onion to draw the poison out of the wound

36
Q

Where were the doctors at during the Great Plague?

A

It was kind of an every man for himself kind of situation. A lot left for the countryside so they didn’t die.

There was a new doctor in town though: “quack doctors”. They capitalised on the fact that everyone was scared and sold “fabulous cures” which were herbal remedies to make bags.

37
Q

Okay so although there were some new treatments to try to cure the plague in 1665, they didn’t work. So why did so many fewer people die?

A

Way better prevention!!

Now that the church isnt being bossy, local governments can do a bit more through local government officials in each city. For example:

  • Large public meetings were banned such as funerals and entertainment
    -Streets were kept clean and dogs and cats were killed as they believed they spread illness
    -Wardens went from house to house to check who was ill. Ill houses had to quarantine for 28 days and red cross put on doors, and they would be given food everyday by the parish.
38
Q

During the early modern era, give me a fact on the percentage increase of people living in towns.

A

15% to 85% from 1750 to 1900.

39
Q

During the early modern era, what are some examples of cities that grew, and how this growth affected rates of disease…

A

Birmingham, Liverpool, Manchester, Glasglow.

Overcrowded led to poor housing, led to poor sewerage system, led to disease spread easily.

40
Q

What was the Enlightenment movement?

A

A movement in Europe during the early modern era which encouraged people to think for themselves and not be told what to think by the nobility or church

41
Q

What was the theory of spontaneous generation?

A

A theory that living creatures could arise from non-living matter, and that this matter is what caused disease???

42
Q

What was the way of preventing smallpox before Jenner came along? And why was the method bad?

A

Inoculation, which is when you put a bit of the disease in the person. It was bad because if you put a bit too much or if the person has a bad immune system, they will just get the disease.

43
Q

How was the method of inoculation brought to England?

A

Lady Mary Montagu witnessed it first-hand in Türkiye. When she got back to England she hosted smallpox parties where inoculations would take place (sounds lit)

44
Q

How did Jenners idea for vaccinations come about?

A

He noticed that milkmaids who got cowpox, would not get smallpox.

45
Q

Describe Jenner’s smallpox experiment.

A

Got 8 year old James Phipps, put cowpox from a sore on a milkmaids hand into a cut on James. Got a tad ill like a fever and stuff, but after than he didnt get smallpox after exposure THANK GOD.

Repeated this on 23 more people to be sure.

46
Q

What was some opposition to Jenner’s vaccine?

A

Doctors didnt wanna lose the fortune theyd be making with inoculations
Church didnt like the idea of using cow disease on humans
People in general were a bit elitist about him as a rural doctor

As a result of all this, the Royal society didnt publish his work!!

47
Q

When did the government finally give in and promote Jenner’s vaccine?

A

1852 it became compulsory because it was causing so many less deaths

48
Q

During the 1842 cholera pandemic, what did the government do?

A

Got Chadwick to do a report to understand why people were getting ill.
Chadwick found that living conditions were linked to health and that the government should send up Boards of Health which provide clean water in each town.

49
Q

What were the governments initial response to Chadwicks report?

A

We aint spending money and we are ‘laissez-faire’ so no thx

50
Q

In the early modern era, why did the government step in and stop being laissez-faire?

A

In 1848 there was a cholera crisis and 14,000 people died so they created the Public Health Act which said they had to do the whole boards of health running water thing- but didn’t really work cos it was only optional

51
Q

There was a second public health act in 1875. What did this enforce and why was it passed?

A

It made a board of Health giving running water compulsory.

Probs cos by that point germ theory was a thing and 1867 men were given the right to vote and so parties wanted to seem like they were tryna improve living conditions to get votes

52
Q

How did Chadwick not help the disease situation lol

A

Because he believed in miasma and so put all human waste into river thames which obvs then ended up in the water supply.

53
Q

Who was John Snow and what was his main character moment?

A

John Snow was a miasma critic and said dirty water was the cause of disease.
Lots of people died on broad street in london so he investigated around there.
When he removed the handle from the local water pump, no one else died
Some weirdo woman who liked the taste of the pooey water had been getting servants to bring it to her and she had died in the outbreak too
He later discovered a cesspit close to the pump had been leaking waste into the pumps water supply…

54
Q

What was really good about John Snows approach to investigation?

A

John really did a good methodical approach- hypothesis, research, observation.

55
Q

What did the world think of John Snow’s argument about cholera?

A

He continued to be discredited because of laissez-faire government, deep-rooted miasma theory.
Koch allowed him to be credited. Sorry John.

56
Q

During the early modern era, hat was surgery like before anyone had improved it?

A

Very dangerous because the patients could die from shock (no anaesthetic) or infections spread in the operating theatre.

Laughing gas was used but didnt do shit. Ether was used but this irritated lungs and caused sickness

57
Q

How did James Simpsons anaesthetic discovery come about?

A

In 1847, James Simpsons was at home with his boys experiments to help out the preggos and realised that chloroform was a great anaesthetic.

58
Q

Why were some people against the idea of using chloroform as an anaesthetic?

A

Some surgeons wanted their patients to stay awake to fight for their lives
Religious people thought god intended pain espec during childbirth
People speculated Hannah Greener died from too much chloroform after op on her toenail.

59
Q

Why did people start to trust chloroform more after its opposition?

A

Baso John Snow invented an inhaler to measure how much chloroform was being given (this guy is on a role!!!!)
In 1854 Queen Vic used chloroform during birth and then everyone was like okay well if the queen is doing it lets do this shit.

60
Q

What was the black period in surgery?

A

Due to increased use of chloroform, more complex and long surgeries could be performed, which resulted in more blood loss and increased deaths between 1850s and 1870s.

61
Q

Before Nightingale, what was an improvement of the conditions of hospitals like in the early modern era?

A

Hospitals were becoming a place where people were treated rather than just rest and pray. Rich people still chose to be treated at home. And the ‘deserving poor’ would be admitted, and gave poor people access to trained doctors for the first time

62
Q

Before Nightingale, what was the problems with hospitals in the early modern era?

A

However, lots of people died due to the conditions on the wards (poor sewerage system, lack of cleanliness and therefore spread of infection). For example, doctors would not wash their hands when going from infectious ward to other wards.

63
Q

Whats the story of how Nightingale got her gig?

A

1853 Crimean war and the hospitals there were not fit for soldiers to be treated in. National outcry. So Nightingale was able to convince the government to send her and her girl gang of 38 other nurses to the hospital to improve conditions.

64
Q

What did Nightingale observe when she got to the hospital?

A

Staff not given enough good or medicine.
Everything was very dirty.
Soliders would come in with an injury and leave with an infection.
Lots of death

65
Q

What improvements did Nightingale and her gang make to the hospital?

A

Ensure regular hand washing
Improvements to sewerage
Improvements to ventilation
Improvements to cleanliness (i.e.) scrubbing brushes to get rid of dirt near patients, clean bedding
Good meals

66
Q

Give a statistic about how much Nightingale improved conditions

A

Within sex months, morality rates went from 40% to 2%. WHAT A QUEEN

67
Q

What did Nightingale do when she came back to England?

A

Opened a nursing school ‘Nightingale School for Nurses’ in 1860, and wrote two books

68
Q

How can it be said that Nightingale impacted hospitals in England?

A

The way the hospitals were designed were improved- she promoted pavilion styles with improved ventilation, more windows, larger rooms. Built with washable surfaces like tiles.
The training of the nurses improved- made it more of a respected profession with middle-class women. Rigorous training.

69
Q
A