Medicine - 2 Flashcards

1
Q

Andreas Vesalius

A
  • professor of anatomy in university of Padua (Italy)
  • questioned Galen.
  • carried out his own human dissections on stolen bodies.
  • found out that the breastbone in a human has 3 parts, in an ape it has 7.
  • had to leave his job for challenging G.
  • found out jawbone is made of 1 bone.
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2
Q

Andreas Vesalius’ contribution to medicine

A
  • published the fabric of the human body in 1543.
  • included how body systems work: skeleton, muscles etc.
  • intro of printing press meant his book could be spread around.
  • began to be read around Europe.
  • Italian printer copied his dissection diagrams for barber surgeons.
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3
Q

Ambroise Paré

A
  • French barber surgeon.
  • didn’t like cauterising as it was inefficient + painful.
  • siege of Milan 1536: ran out of hot oil for cauterising wounds. He made a mixture of egg yolk, turpentine and oil of roses to dress raw wounds.
  • ‘bec de corbin’ crows beak clamp, halted bleeding during ligatures.
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4
Q

Ambroise Paré’s contribution to medicine

A
  • developed artificial limbs
  • Les Ouvres detailed his experiences (1575)
  • promoted ligatures instead of cauterising, kinder for gunshot wounds
  • his book on surgery was widely read.
  • 16th century England: surgeons followed his book, had new ideas.
  • cared about his patients.
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5
Q

William Harvey

A
  • British physician.
  • to Charles and James I.
  • discovered that blood is pumped round body in circular motion.
  • human experiment, showed heart to be like a pump.
  • challenged ‘bleeding’, showed the body couldn’t have too much blood.
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6
Q

William Harvey’s contribution to medicine

A
  • discovered capillaries.
  • his most famous work ‘on the motion of the heart’ (1628) proved Galen wrong.
  • linked the pulse in arteries to the contractions of the left ventricle.
  • realised veins have valves to prevent back-flow of blood.
  • changed way people saw the body.
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7
Q

Thomas Sydenham

A
  • ‘English Hippocrates’
  • physician in 1663.
  • believed in close observation before starting treatment.
  • believed diseases had diff characteristics + each disease had a separate unique treatment.
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8
Q

Thomas Sydenham’s contribution to medicine

A
  • interested in treating malaria: successfully used chinchona bark from South America to treat it.
  • developed a successful treatment for smallpox.
  • devised a ‘cool therapy’, lots of fluids, moderate bleeding and keep the patient as cool as poss.
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9
Q

The Plague

A
  • 100,000 died of it in London in 1665.
  • 30% of York died 1604.
  • most doctors fled.
  • wealthy people hid in the country.
  • people saw that more victims came from the dirtier parts of London but they hadn’t made the link between dirt and disease.
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10
Q

Preventing the plague: sensible ideas

A
  • entertainment stopped.
  • animals kept out of city.
  • rubbish cleared.
  • bodies buried after dark in mass plague graves.
  • trade between towns stopped, Scottish border closed.
  • victims quarantined.
  • homeowners ordered to sweep street in front of their houses.
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11
Q

Preventing the plague: irrational ideas

A
  • people smoked to keep poisoned air away.
  • cut a puppy alive and apply it to the sores.
  • amphibians thought to draw out the poison (+ chickens and pigeons)
  • dogs and cats killed.
  • prayers
  • fires lit to remove bad smells.
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12
Q

John Hunter

A
  • surgeon in 1768.
  • robbed graves to supply brothers anatomy school
  • trained hundreds of surgeons (Edward Jenner included!) in the scientific approach.
  • experimented on himself to see if gonorrhoea and syphilis were the same disease. Injected himself, took him 3 years to recover.
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13
Q

John Hunter’s contribution to medicine

A
  • built on Harvey’s work: treated a throbbing leg tumour by cutting into the leg and tying off the blood flow. New blood vessels developed, bypassing the damaged area and the man was ok
  • his books showed theories about anatomy that surgeons had to know!
  • Blood inflammations + gunshot wounds proved gunshot wounds weren’t poisoned, should be left alone.
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14
Q

Available treatment for ordinary people

A
  • quackery: people inventing and selling diseases that didn’t work.
  • main ingredient was alcohol/opium.
  • new foreign ingredients: rhubarb from Asia, tobacco from North America (thought to keep Plague at bay) by Walter Raleigh. Opium from China.
  • apothecaries.
  • wise women: lady Johanna St. John grew herbs and cured locals.
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15
Q

Hospitals

A
  • foundling hospital open in 1741. Care for orphaned children. Trained in domestic/military skills until age 15.
  • voluntary hospitals. Treated the sick for free, set up by benevolent rich folk
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16
Q

New discoveries

A
  • Robert Burton published a study of mental illness in 1621.
  • Jane Sharp published the midwives book in 1671. Argued women should do it rather than men.
    1. James Lind came up with a cure for scurvy. Drink lime juice.
    1. Sir John Floyer was the first to identify causes of disease and offer regime for treating it.
17
Q

Edward Jenner

A
  • country doctor.
  • heard that milkmaids who caught cowpox didn’t get smallpox.
  • injected 9 year old James Phipps with pus from a cowpox sore. When he recovered he was injected with some small pox, he lived!
  • first vaccine was created.
18
Q

Impact of Jenner’s discovery

A
  • published his work in 1798. Faced opposition.
  • doctors prospered off basic inoculation, disliked findings.
  • by 1800s people were using his method in Europe and america.
  • 1853: injection was compulsory.
  • by 1980s: killer smallpox was eradicated.
19
Q

Dealing with pain (before)

A
  • no longer used alcohol which made the heart beat faster and so bleeding was harder to control.
  • people used to pray through pain.
  • or herbs such as opium or hashish but amount was hard to control.
20
Q

Dealing with pain (Renaissance)

A

Nitrous oxide. Humphrey Davey. 1844: Horace Wells demonstrated using it to remove a teeth. People weren’t impressed.
Ether: 1842: William Clark used it for tooth extraction, people took notice. Cons: cause vomiting, hard to inhale + highly flammable. March 1842: Crawford Long used it to remove a neck growth.
Chloroform: James Simpson. 1847. Made him + his friends sleep peacefully. Used by Queen Vic.