important things Flashcards

1
Q

why must certain criteria

A

it is important that pateints trust their doctors with their lives and their health

In order to justify this trust, doctors should have high level of respect for human life

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2
Q

how should doctors treat their patients

A
  • politely and considerately - equally without discrimination and make them feel comfortable

respect the patients right to confidentiality - shows respect

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3
Q

what is important for doctors to remember

A

that they are personally accountable for their practice and that they must be able to justify their actions

these actions must align with the pillars of a doctor and the duties of a Doctor - a book published by the general medical council

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4
Q

what did the book of the duties of a doctor state

A

protect and promote the health of patients and the public

provide a good standard of practice and care

treat patients as individuals and respect their dignity

work in partnership with patients

be honest and always act with integrity
e.g. never abuse the trust that the patients puts in you
always act when you believe that a colleague is misusing their power or potentially putting a patient in danger

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5
Q

who is considered to be the father of medicine

A

Hippocrates is considered to be the father of medicine

  • laid the foundation is most famous for setting ou the duties and responsibilities of a doctor, in what is now known as the Hippocratic Oath
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6
Q

what does the Hippocratic oath state

A
  1. the notion of free access to care
  2. the principle of beneficence (acting in the interest of the patient)
  3. the principle of non-maleficence
  4. the principle of confedientlity

the principles are outdated and modern doctors do not swear by it but many of the principles remain valid today

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7
Q

The roman empire

A

famous Roman physician Galen

  • clarified the anatomy of the trachea and the first to demonstrate that the larynx generates the voice
  • recognised the difference between venous and arterial blood

The Romans were the first civilisation to introduce a true public health system

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8
Q

what did the Romans do to promote public health

A
  • built public baths to ensure that everyone could wash regularly at very low costs
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9
Q

the middle ages

A

Islamic physician:

-Rhazes was the first to differentiate smallpox from measles and for the discovery of numerous compounds including alcohols

also introduced the notion that even highly educated doctors did not have the answers to all medical problems
He advised practitioners to keep up with advanced knowledge by continually studying medical books and exposing themselves to new information

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10
Q

when did hospitals and medical schools appear

A

during the middle ages

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11
Q

the 16th and 17th centuries

A

Paracelsus discovers that illness was caused by gents outside the body such as bacteria, not by the imbalances within the body

William Harvey accurately describes the circulation of the blood around the body and found that the blood was pumped around the body of the heart

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12
Q

the 18th century

A

Edward Jenner developed the smallpox vaccine, which was so successful that smallpox has been eradicated

-veterinary medicine was properly separated from human medicine

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13
Q

the 19th century

A

Cell theory

Germ theory

Anaesthesia

Antiseptics

-Ignaz Semmel-Weiss discovered that infections in the obstetrics unit following childbirth were most likely due to poor hand-washing by physicians
In the late 1860s, Joseph Lister helped greatly to reduce the rate of death from gangrene by dipping bandages and ligatures into carbolic acid and pouring the acid into the wounds to sterilise them

This marked the start of antiseptic surgery

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14
Q

the 20th century

A

notable discoveries included:

  • Vaccines against tetanus (1925, with 2 new vaccines in 2015)
  • measles (1963)
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15
Q

the rise of technology

A

inventions came enabling physicians to observe the body in a non-intrusive manner
These included:

  • ultrasound imaging
  • computerised tomography or CT scan (1970s)
  • Positron - emission tomography, or PET scan (1975)
  • Magnetic resonance imaging or MRI scan (late 1970s)
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16
Q

what else arised in technology

A

Artificial organs
- the poor availability of organs for transplant has encouraged the development of artificial organs.
The artificial kidney (for use in haemodialysis) was invented in 1913, allowing life prolongation for patients with kidney failure. Artificial hearts were first implanted in 1982.

Prosthetics

Computers

17
Q

a better understanding of the immune system

A

the identification of the HIV virus in the 1980s brought the science of immunology back to the fore

The HIV virus destroys the immune system and therefore the body’s ability to respond to threats

There is now a range of treatments that help patients reach a normal life expectancy
AIDS is no longer a death sentence

18
Q

a rise in genetics

A

the vast majority of the progress made in immunological and viral studies is due to a new understanding of genetics

cracking the genetic code has enabled the introduction of testing for diseases caused by defective chromosomes such as cystic fibrosis

It has enabled the creation of new drugs derived from natural body chemicals such as insulin and human growth hormone