Medicine- 19th century Flashcards

1
Q

What was spontaneous generation?

A

The belief that germs just appeared from nowhere

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2
Q

How did Pasteur’s swan neck experiment work?

A

When air entered the long neck, tiny particles (bacteria) were trapped in the long tube. If they could not reach the liquid, no souring took place. When the flask was tipped and the particles were able to reach the liquid, it would turn sour.

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3
Q

What’s pasteurisation?

A

a method which involves heating a liquid to a certain temperature, to kill bacteria in the liquid and thereby stop it from going bad

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4
Q

Which vaccines did Pasteur find and how?

A
  • Chicken cholera- injected an old culture of cholera into chickens, which made them ill, but they didnt die, which therefore made them resistant to cholera injections
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5
Q

How did Koch put germ theory into practise?

A
  • He isolated anthrax bacteria and injected it into healthy mice who then became ill and repeated this over for many more
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6
Q

how did Koch identify different bacteria?

A

grew bacteria using agar jelly in a Petri dish. He then used a dye to stain the bacteria so that it could be seen clearly under a microscope.

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7
Q

What were “magic bullets”?

A

ways of killing germs inside the body without harming healthy human tissue

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8
Q

What did Ehrlich do?

A

Ehrlich investigated chemicals that would kill syphilis. he tried hundreds of different compounds, but none worked. Eventually, when retesting some of the chemicals they had already tried, his assistant discovered that the compound salvarsan was effective. As it was the 606th compound they had tried, it was named Salvarsan 606.

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9
Q

why was Salvarsan 606 significant?

A

It was the first magic bullet - a chemical that could cure people of syphilis.

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10
Q

When and how did Simpson first use Chloroform successfully?

A

in 1847 he tried it out on himself and his friends, until they were all unconcious

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11
Q

What were the problems with using chloroform?

A
  • Some surgeons preferred their patients awake so that they could fight for their lives.
  • Many religious people felt that pain (particularly in childbirth) had been sent by God and should therefore not be tampered with.
  • It was difficult to get the dose right. A 15-year-old called Hannah Greener died while having her toenail removed.
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12
Q

What did Lister do?

A
  • in 1867, he discovered that carbolic spray was very effective in stopping wounds from getting gangrene. He developed antiseptic surgery by spraying medical instruments, and bandages with a solution of carbolic acid.
    -In just three years, he reduced the death rate among his patients from 46 to 15 per cent
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13
Q

describe 19th century hospitals (4)

A
  • new hospitals were paid for by large employers or the public
  • new hospitals became less about care, more about research and training
  • technology: - surgical theatres built, machines invented that could make tablets and stuff
  • free wards for poor
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14
Q

What were treatments like at this time?

A
  • in 1870 the London hospital Saturday fund began collecting donations from ordinary workers. If people who donated needed hospital treatment, their donation had already “paid” for their visit
  • painkillers began to be sold
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15
Q

What did Florence Nightingale do?

A
  • head nurse in a private hospital
  • oversaw introduction of hot water for all floors and delivery of hot meals to patients
  • set up Britain’s first nurse school in 1860
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16
Q

What did Mary Seacole do?

A
  • used her own money to set up “British hotel” where soldiers could recover
  • successfully helped treat victims of cholera epidemic
  • sometimes treated soldiers on the battlefield
17
Q

list some reasons for poor public health: (8)

A
  • smoke from chimneys
  • cholera epidemics
  • 10-12 to a room and shared beds
  • filthy houses
  • rickets caught by calcium deficiency and lack of fresh air/sunlight
  • shared water pumps
  • limbs caught in machinery at work
  • things such as chalk added to bread
18
Q

how did people believe cholera was caused?

A
  • miasma
  • sinful behaviour
19
Q

how was cholera actually spread?

A
  • by eating or drinking food or water that was contaminated by the bodily waste of someone who had cholera already
20
Q

what did people do about cholera?

A
  • burn the clothes and bedding of people killed by cholera
  • prayer
  • cleaning the house
  • some councils tried to clean streets
  • wearing lucky charms
  • using homemade remedies
21
Q

describe the 1848 public health act

A

a board of health was set up to improve health and could force local areas to set up their own boards of health, who appointed a specialist Medical Officer, checked food quality and inspected houses and provide. the board was shut down in 1858 because people resented this interference

22
Q

describe the 1875 public health act

A

dealt with sewage, water, housing and disease. it was now compulsory for local areas to appoint Medical Officers, as well sanitary inspectors. town councils had to cover up and maintain sewers, offer fresh water supplies and collect rubbish

23
Q

What did Chadwick do?

A
  • led a government enquiry to investigate living conditions of the poor in 1839
  • he wrote a report in 1842 and it shocked Britain by detailing the dreadful conditions the poor lived in
  • recommended a cleaner water supply, saying it was a responsibility of the government
  • Later an official on the Board of Health
24
Q

What did Dr John Snow do?

A
  • he investigated the 1854 cholera epidemic and found all the victims got their water from the same water pump
  • asked to close that water pump and deaths fell dramatically, showing how cholera was spread, but not why
25
Q

what did Joseph Bazalgette do?

A
  • drew up plans in 1855 for a sewer system in London to clear sewage
  • in 1858, government asked him to build it, giving him 3million pounds
  • by 1866, london had 1300 miles of sewers, removing 420million gallons of sewage a day
26
Q

What was “Laissez- faire”?

A
  • the idea that individuals should take responsibility for for their own lives and not rely on the government
27
Q

Ether was discovered in 1842, but what were some problems with it?

A
  • highly flammable
  • caused vomiting
28
Q

When were the cholera epidemics?

A

1831, 1848, 1854

29
Q

How many people died from cholera in 1854?

A

23,000