Medicine Flashcards

1
Q

Ideas :supernatural ideas

SUMMARY
-things were dark/depressing/dark ages/roman empire split into two /war across the whole of Europe /death and destruction was rife

*christain church was dominant in
medieval society

*Supernatural ideas were common.this impacted on peoples beliefs about the causes of illness

Catholic Church :
Believed God made them ill because he was either displeased with them or testing their faith

Allowed dissection but results would have to support Galens theory as it suited the churches notation of their being only 1 God who create humans and their body papers based on Hippocrates ‘four humours’

Doctors treatments were still based on four humours /most people couldn’t afford them Anyway so instead -afford them anyway so instead went to apothecaries , monks and wise men

-things were had people were sick /getting sicker , dead, even the Monachry didn’t want to get involved because they thought public health was beneath them - so people continued to be treated untrained surgeons
This wiped out 40%of britains population -overcrowding , poor living conditions , terrible public health the Black Death spread rapidly

A

What did the Catholic Church believe made them ill

What was happening at this period

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2
Q

God and the cause of disease
-church taught and people believed that god made them ill because he was either displeased with them or resting their faith
This meant that people believed there was no need to search for other , rational explanations for disease
This held back medical research and meant that few new ideas about the causes of disease appeared in medieval times

Astrology

  • alignment of planets and stars was thought to cause some diseases
  • astrology was used to help diagnose what was wrong with a patient
  • use of astrology wasn’t new in 1250 but it increased through this period , especially after the Black Death when the church become more accepting

The church’s control of ideas:

  • centre of formal learning
  • most of what ordinary people learned were taught by the church
  • Church discouraged dissection and did not approve of people challenging ideas and authority
  • unlike most people , monks and priests could not read and write , church was in charge of books were read
  • church approved of traditional rational explanations for disease .promoted ideas of Galen as his theories fitted Christian beliefs
  • taught people should follow Jesus example and care for the sick . Many hospitals were housed on monstaries and nunneries
A

What did the church teach
What did this mean
What did this result in

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3
Q

Rational explanations for disease

The four humours:

-ancient Greeks thought everyone had a mix of four humours in their body . They believed people become ill when this was unbalanced .so to make people better they tried to put this balance right -these ideas continued well into Ruhr Middle Ages

Theory of opposites:

-Galen developed the idea of the four humours further ,besides bleeding and purifying to get rid of excess humours , treatment based on his theory of opposites aimed to balance the humours by giving them the opposite of their symptom.

Galen:
Claudius Galen=developed Hippocrates ideas and mainly bloodletting and purging to prevent and treat illness as well as his own treatments based on his theory of opposites .

Also drew detailed diagrams of human anatomy using knowledge he gained from operating on wounded gladiators and carrying out dissections on dead (mostly animals ) bodies

Hippocrates:
His Ideas and books were very influential were very influential well into medieval times and beyond
Dismissed the idea that gods causes disease -he believed there was a physical reason for illness , which needed physical cure
Most treatments were based on exercise and rest but also used bleeding and purging to get rid of excess humours
Wrote the Hippocrates oath -where doctors swore to the respect life and prevent harm -studying symptoms , making notes , comparing with similar case , then diagnosing and treating -is the basis of the approach used today

Miasma
-another theory about the cause of disease was that it was transmitted by ‘bad air ‘
This was related to God because bad smells indicated sin
The theory originated in the in the ancient world but continued into the Middle Ages and well into the 19th century

A
What was the four humours 
What was the theory of opposites 
What is Miasma 
Who was Galen 
Who was Hippocrates
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4
Q

Approaches to prevention and treatment

Rational treatments in connection with the four humours

  1. bloodletting
  2. purging
Methods to prevent illness 
Religious and supernatural methods:
-living a Christian life 
-chanting incantations
-carrying lucky charms/amulets 
-self-punishment.such as flagellation -punishing yourself so God wouldn't 

Rational methods:

  • exercising
  • purifying the air
  • bleeding and purging
  • trying to keep streets clean
  • bathing and washing
  • not overeating

Traditional remedies
=most common remedies made with herbs , which were drunk , sniffed or bathed in.Remedies also included different foods to rebalance the humours and ointments to apply to the skin , they were made at home/mixed and sold by an apothecary

Religious treatments 
Praying 
Fasting 
Going on pilgrimage 
Praying for a special mass to be said 

Supernatural treatments
=included specific ideas for certain illnesses such as hanging a magpies beak around your neck to cure toothache

A

What were the 2 rational treatments in connection with the four humours

What were the methods to prevent illness give examples for each

What were the traditional treatments
What were the religious treatments
What were the supernatural treatments

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5
Q

Approaches to caring for the sick

Different people treated the sick in the Middle Ages :

Barber surgeons
Care in the home
Apothecaries
Physicians

Barber surgeons

  • no training
  • carried out bloodletting , pulling teeth and lancing boils . Also cut hair
  • basic surgery such as amputating the limb(low success rate)
  • cost less than a physician

Care in the home

  • most ill people throughout this period were a treated at home by a female family member
  • the village ‘wise women’ often the lady of the manor , would also tend to people in their homes for free
A

Who were the different people that treated the sick

Describe each

What did physicians do
Describe the hospitals

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6
Q

The Black Death

Causes

Avoidance

Symptoms

Treatments

A
What was the Black Death 
When was it 
What were the causes 
What were the avoidances 
What were the symptoms 
What were the treatments
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7
Q

Ideas : a scientific approach

A

What does renaissance mean
What were the change in ideas on causes of disease
What was the continuity in ideas on causes on disease

What were the changing influence of the church

What was change in the work of physicians and scientists

Who was Thomas Sydenham
What did he do

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8
Q

Transmemission of ideas

Major change in the renaissance period +commmunaicatins and transmission of ideas
-developemeng of printing press

Setting up of the royal society

A

What was one of the major Changes in the renaissance period

What was developed during this time what did it cause / change

What was the royal society
What did they do

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9
Q

Continuity in prevention treatment and care

although there were some Changes in hospital care -most treatment and prevention. During renaissance period stayed the same

Hospitals

Community care

Changes in prevention and treatment

Continuing treatment and preventions

Lack of change

A

What happened during to treatment and preventions during the renaissance period

Describe the hospitals
What was community care

Give examples of continuing treatments and prevention
What were the changes in prevention and treatment
What was the lack of change
Why did the improved knowledge and discoveries of the renaissance have a limited impact at the time

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10
Q

Change in care and treatment

Although there was little practical change in medicine during the renaissance , there were important changes in medical training and new discoveries made by Vesalius that led to changes in care and treatment after 1700

Apothecaries/surgeons:

Continuity

Changes

Physicians:

Continuity

Changes

Vesalius

The importance of Vesalius

A

Describe the changes during renaissance period

Describe continuity and change for apothecaries/surgeons and physicians?

Who was Vesalius

What was the importance of Vesalius

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11
Q

The great plague

A

What was the great plague
What were the causes

What were the treatments what was the governo

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12
Q

William Harvey

Discovering the circulation of the blood

The importance of Harvey

A

Who was William Harvey

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13
Q

Germ theory and microscopes
*although this period began with little Change in ideas about the disease by 1900,huge breakthrough had been made in the discovery of the true cause of many disease

Continuity in theory it causes of disease

Microscopes

Change in theory or causes of disease:germ theory

The influence of Pasteur and Koch

A

What was germ theory
Deceive microscopes
Describe the changes in theory of causes of disease:germ theory

What was the influence of Pasteur and Koch

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14
Q

Improvements in hospital care

Florence nightingale

  1. nursing wasn’t seen as respectable job for women + little training
  2. she attended fist nurses training school in K Hospital Germany
  3. asked to lead team of nurses -1854-55)
  4. she believed miasma caused disease ,so emphasised hygiene , fresh air , good supplies/training for nurses-this lowered death date at Scutari hospital from 42% to 2%
  5. her work was widely reported in newspapers in Britain .

Changes in hospital care

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-
-
-
-
-
A

Who was Florence nightingale

What changes did she make
How did This effect the death rate at the hospital she worked at

Describe changes in hospital care

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15
Q

Anaesthetics and antiseptic

Search for an anaesthetic

Development of antiseptics

Opposition

Aseptic surgery

The impact of anaesthetics and antiseptics

A

Describe the search for an anaesthetic

Describe of development of antiseptics

Describe aseptic surgery

Describe the opposition

Describe the impact of anaesthetics and antiseptics

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16
Q

Aproaches to prevention of disease

The development of vaccination

Reason for the 1875 public health act

A

Describe the development of vaccinations

Describe the reasons for the 1884 public health act

17
Q

Jenner and vaccination

Smallpox

Jenner

Jenner’s importance

Vaccicination and small pox

A

Who was Edward Jenner
What was smallpox
Describe the opposition to Jenner

18
Q

Fighting cholera in London

Attempts to prevent the spread of Cholera

What do we know about cholera

The work of john snow

The significance of john snow’s work

A

Attempts to prevent the spread of cholera

What do we know about cholera?

Describe the work of john snow

Describe the significance of john snow’s work

19
Q

Ideas:genetics and life style

Understanding genetics

New possibilities

Understanding of life factors

A

Describe understanding genetics

Describe the new possibilities

Describe the understanding of lifestyle factors

20
Q

Improvements in diagrams

Improvements in diagnosis

Medical technological advances

A

Describe the improvements in diagnosis

Give examples of technology used in 20th and 21st century medicine

21
Q

Change in care and treatment

Magic bullet

Antibiotics

Using examples

Advances:keyhole an microsurgery

Advances:robotic surgery

A

Describe magic bullets

Describe antibodies
Give examples of high tech medical surgical treatments

Give advances:keyhole and microsurgery of

Give advances:robotic surgery

22
Q

Preventing disease

The NHS

Improved access to care

Compulsory vaccinations

Prevention measures

Lifestyle campaigns

A

Describe how disease can be prevented by going to the NHS

describe how you can improve access to care

Describe compulsory vaccinations

Describe prevention measures

Describe lifestyle campaigns

23
Q

The development of penicillin

-first antibiotic to be discovered and developed was penicillin

Discovery of penicillin

Alexander Fleming

Howard Florey and Ernst chain

A

What the fiat antibiotic to be discovered and developed

Describe the discovery of penicillin

Who was Alexander Fleming 
What did he do 
How was Ernst chain and Howard Florey 
What did they do 
Describe mass production of
24
Q

The fight against lung cancer

Diagnosis

Treatment

Prevention

A

Describe diagnosis
Describe prevention
Describe treatment

25
Q

The western front-the trenches

Battles of the western front

The trench system

Trench construction

Terrain and transport

A

Battles on the western front

Describe the trench system

Describe trench construction

Describe terrain and transport

26
Q

Injuries and illnesses

  1. Gas attacks
  2. head injuries
  3. shell shock
  4. trench fever
  5. trench foot
  6. bullets
  7. high-explosive shell and shrapnel

Specific injury problems

Wound infections

A

Name the Types of injuries and illnesses
Describe them
Describe the specific injury problems
Describe the wound infection

27
Q

RAMC and FANY

Medical workers

Underground hospital at Arras

Transport problems

Chain of evacuation

A

Describe the medical workers

Describe transport problems

Describe the underground hospital at Arras

Describe chain of evacuation

28
Q

Medicine in the early 20th century

X-rays

Blood transfusions

Aseptic surgery

A

Describe x rays
Describe blood transfusions
Describe aseptic surgery

29
Q

Medical advances

New technique for infection

Blood transfusion

The Thomas splint

Advances in surgery

Mobile x-ray units

A

Describe the technique for infections

Describe blood transfusions

Describe the Thomas splint

Describe advances in surgery

Describe mobile x-ray units