Medicine Flashcards

1
Q

Who was Hippocrates ?

A

Hippocrates was a greek doctor he believed the body was made up of four humours : blood, phlegm, yellow bile and black bile. He thought these were linked to the four seasons and the four elements so a person needs to have balance humours to be in good health . He also taught clinical observation which is a big part medicine today .

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2
Q

Who was Galen ?

A

Galen developed Hippocrates humans are suggesting disease could be treated with opposites . He also dissected animals to learn about human anatomy so as a result many of his ideas were wrong however there were accepted for many years as the church banned anybody from questioning his work as it supported the design theory

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3
Q

What was the miasma theory?

A

The miasma theory was the idea that bad air (miasma) which came from anything they created a bad smell causes disease.

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4
Q

What positive effect did the things that influence mediaeval medicine (Galen , miasma) have on progress ?

A

They ashamed that disease had a natural cause which prompted people to investigate and take action rather than except it was the will of God

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5
Q

How did Islamic medicine contribute to medical progress through preserving the writings of ancient Greeks and Romans?

A

A lot of medical knowledge was lost by the West after the fall of Rome, it was preserved by Islamic scholars. The capital became a centre for the translation of Greek manuscripts which were later translated back by countries in the west

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6
Q

How did the work of Muslim individuals contribute to medical progress in the Middle Ages?

A

Muslim doctor Rhazes was critical of ideas from thinkers such as Galen long before the West in his book ‘the virtuous life’
Ibn Sina wrote ‘the Canon of medicine’ which describes the symptoms and spread of contagious diseases

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7
Q

How did the Muslim religion help contribute to medical progress in the Middle Ages ?

A

The Koran care of others as a vital part of being a Muslim and Mohammad encourage people to improve their knowledge ‘for every disease Allah has given a cure’

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8
Q

How did peace and stability help contribute to medical progress in Islamic medicine ?

A

The whole empire was ruled by one man called the Caliph there were few wars and money could be put towards hospitals and universities

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9
Q

How did alchemy contribute to medical progress in islamic medicine ?

A

Although alchemists were unsuccessful in turning metals to gold they developed techniques such as distillation and sublimation

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10
Q

Name six ways which people in the Middle Ages tried to treat disease ?

A

1) prayer and repentance
2) balancing humours
3) purifying air
4) remedies
5) public hospitals
6) barber’s surgery

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11
Q

What were living conditions like in mediaeval towns?

A

Living conditions were very poor houses were made of wood and clumped together, waste was chucked in the streets and rivers and drinking water was contaminated with the waste .

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12
Q

What the living conditions like in Monasteries?

A

Living conditions in monasteries were much better they had purpose-built latrines which were in a separate building and built over streams of running water that carry the sewage away. They had separate water supplies for drinking and cooking and drainage and hospitals which cared for the poor and sick.

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13
Q

What was the black death ?

A

The black death was in epidemic from 1347 – 1351 of two plagues the bubonic plague (spread by fleas from rats causing headache, temperatures and buboes) and pneumonia plague (Airborne and attaches to lungs causing painful bleeding and coughing up blood)

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14
Q

What did people in the Middle Ages think caused the black death ?

A

Judgement from God, imbalanced humours and miasma

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15
Q

What was some ways people tried to cure the Black death?

A

Popping buebos , bleeding to release evils, attaching a chicken to buebos, flagellation and isolating towns

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16
Q

How did the black death change society ?

A

The Black death lowered the populations there were fewer workers which could demand higher wages allowing some peasants to finally buy land
It can be argued the Black death caused the peasants revolt of 1381 as the black death death led to the 1349 statute of labourers limiting the wages they could earn causing a revolt.

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17
Q

Who was Vesalius?

A

Vesalius Was a medical professor who dissecting humans rather than animals which proves going wrong in many ways. He wrote books such as ‘the fabric of the human body’ which contains accurate diagrams which were easily distributed to the invention of the printing press. For example he showed there were no holes in the septum of the heart.

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18
Q

Who was Harvey?

A

Harvey challenge Galens ideas that the liver produces the blood in his book ‘on the motions of the heart and blood’ and said blood circulates in veins (which contain valves) and arteries. His theory was rejected for 60 years by Conservatives who supported Galen.

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19
Q

Who was Paré?

A

Paré Was an army surgeon who ran out of boiling oil used For sealing gunshot wounds so instead he used a mixture of egg yolk, turpentine and Rose oil– an old Roman technique. To surprise his patients recover quicker. He also use ligatures to tile vessels during amputation instead of cauterising which reduce death by shock but increased risk of infection.

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20
Q

What and when was the great plague?

A

The great plague was an epidermic of made me the bubonic plague in 1665

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21
Q

What similarities to the great plague have to the black death?

A

Bloodletting was used, my asthma was blamed on treatments were still based on religion and superstition

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22
Q

What were the differences between the great plague and the black death?

A

The Parish Council tried to prevent diseases spread through: Plague victims were quarantined, public areas like theatres were closed and dead bodies are buried in mass graves.

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23
Q

How did doctors training and knowledge improve during the Renaissance?

A

The doctors change at the College of physicians set up in 1518 and it gave them a license which separates them from quack doctors. New weapons like cannons and guns were used in war so doctors had to find new treatments. Exploration abroad bought new ingredients for drugs. And Protestant reforms reduce the influence of the Catholic Church so dissection became popular

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24
Q

What were quack doctors?

A

Quack doctors are doctors with no real medical knowledge who sold medicines that didn’t work and nothing did more harm than good at fairs and markets

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25
Q

Why did surgeons gain the same status as doctors in the Renaissance?

A

Surgeons are now trained at the London College of surgeons set up in 1800 which set training standards for surgeons

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26
Q

Who was John Hunter?

A

John Hunter was a well-known surgeon scientist he made many contributions to medicine including he argues infection of gunshot wins was not a result of poisoning by gunpowder and was against the practice of dilation of wins to remove gunpowder due to chance of infection. He saved amputations by treating an aneurysm (Belgian blood vessel) by tying it off in 1785. He also taught surgeons good scientific methods such as observation, experimenting and testing on animals.

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27
Q

Why weren’t there many hospitals at the start of the Renaissance?

A

There weren’t many hospitals at the start of the Renaissance as Henry the eighth had closedown most of monasteries which ran most hospitals

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28
Q

What hospitals were there available in the Renaissance?

A

Charity hospitals – funded by the rich such as guys hospital opened only admitted those who have recovered quickly and the deserving poor
Dispensaries – provided medicines and non-residential care to the poor without charge
Workhouse infirmaries – began to slowly improve in the 1800s
University hospitals – provided medical training

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29
Q

Who is Florence Nightingale?

A

Florence 19 girl was a nursery improve the Barrack hospital during the Crimean War making death rates fall from 42% to 2%. She published a book called notes on nursing in 1859 and set up the Nightingale School of nursing

30
Q

What is an inoculation?

A

Population is a technique brought to England in 1721 by Lady Montague which involve giving a low dose of a disease (e.g. smallpox) to make the person immune

31
Q

Who was Edward Jenner and what did he do?

A

Edward Jenna was a country Doctor Who noticed that the milk maids in his area didn’t get smallpox. He concluded contracting cowpox made a person immune to smallpox. He tested this by injecting a boy James Phillips with the pus from a maid with cowpox and then infected him with smallpox to which he was immune.

32
Q

What Opposition did Jenners vaccination face?

A

People are worried to get a disease from cows and doctors who gave inoculations saw it as a threat to their livelihood however it became compulsory in 1853

33
Q

Who was Pasteur?

A

Pasteur was a French chemist employed In 1857 to explain why a company beetroot alcohol turned sour. He concluded it was germs and killed the bacteria by heating (pasteurising) the liquid. He then proved that germs came from the air and do not spontaneously generate by putting the alcohol into flasks and bending the spout of one. The first flask soured but the second didn’t as the germs settled in the curve – he disapproved spontaneous generation proved germs caused disease.

34
Q

What opposition did pasteurs germ theory receive?

A

People couldn’t believe things so tiny could harm things so big and complex as humans

35
Q

What are the consequences of pasteurs contribution to medicine?

A

It inspired Lister to develop antiseptic’s and snow to find the cause of cholera

36
Q

Who was Koch?

A

Robert Koch Was a German scientist who built on pastors work by developing a technique to identify the specific bacteria that cause disease. He was able to find the germs that called anthrax, blood poisoning and tuberculosis. He also used industrial die stain bacteria invisible to the human eye.

37
Q

What were the consequences of Kochs contribution to medicine?

A

It led to more bacteria being identified. It led to the production of an antitoxin to reduce the effect of diseases.

38
Q

What did pasteur do to compete with Kochs contribution?

A

Pasteur discovered how vaccinations work and then developed a range of vaccines including rabies

39
Q

Who is Ehrlich?

A

Ehrlich was a scientist who set out to find chemicals that could act as synthetic antibodies to only attack specific microbes. He found a compound which the name Salvarsan 606 which targeted syphilis – it was known as the magic bullet

40
Q

Who is Simpson?

A

Simpson was a professor of midwifery trying to find a safe alternative to the high explosive anaesthetic available at the time – ether. When experimenting with friends his wife returned to find them all asleep under the effects of chloroform. Simpson used the drug and encourage others to as it allowed surgeons to do longer and more complex operations. Its popularity increased when Queen Victoria blessed the drug after using it during childbirth

41
Q

What opposition did Simpsons anaesthetic face?

A

Although chloroform allowed longer operations long operation is increased infection and blood loss which increase death rates.

42
Q

Who is Semmelweis?

A

Semmelweis showed doctors they could reduce infection by washing their hands in chloride of lime solution between patients.

43
Q

Who is Lister?

A

Lister was a Doctor Who after reading about the German theory is the carbolic spray in the operating theatre, and bandages and instruments which lead to death rates dropping by 35%. Surgeons could now complete longer operations without the risk of infection

44
Q

What opposition did listers carbolic spray face?

A

It was unpleasant and skin and to breathe in many many doctors didn’t use it

45
Q

What is aseptic surgery?

A

Instruments and hands are sterilised, sterilise gowns masks gloves and hats are worn and theatres are fed with sterile air.

46
Q

When was the first epidermic of cholera?

A

In 1832 Colour bra broke out a disease causing extreme diarrhoea leading to the death from loss of water and minerals

47
Q

Who is John this Snow?

A

A doctor use careful Observation to find the cause of cholera. He did house-to-house interviews and mapped the location of each case which led him to work out how it was spread and which pump it was coming from (the Broadstreet pump) so he removed the handle and ended the epidemic in 1848

48
Q

Who is Chadwick and what did he do?

A

Had work published a report on the living conditions in towns, poverty and health. His report along with another cholera epidermic prompted Parliament to pass a public health act

49
Q

Act was passed in 1848 and what did it do?

A

The first public health act was passed in 1848 and it was voluntary which allowed councils to raise money to improve conditions in the town

50
Q

What act was passed in 1864?

A

Factory act was passed in 1864 which made unhealthy conditions illegal

51
Q

What act was passed in 1866?

A

The sanitary act was passed in 1866 which made authorities responsible for sewers, water and street cleaning

52
Q

What act was passed in 1875?

A

First the food and drug act was passed in 1875 which Regulated healthy food and medicine and then the 1875 public health act was passed which force councils to provide clean water, medical offices and sanitary inspectors

53
Q

When were x-rays discovered and how did the war effect them?

A

X-rays were discovered in 1895 and they were used in World War I to find broken bones
Coolidge tube was invented by Coolidge in 1913 which are more reliable
Mobile x-ray units were invented by Mary Curie which could be transported to the battlefield

54
Q

When were blood transfusion discovered and how did the war effect them?

A

Blood transfusions but discovered in the 17th century there were unsuccessful due to blood clots. In 1900 call Landsteiner discovered blood groups which lead to more successful blood transfusions.
In 1914 sodium citrate was found to stop blood clots while it was being stored during World War I.
In 1946 the British National blood transfusion service was established

55
Q

How did World War I affect plastic surgery?

A

plastic surgery was sped up due to injuries from the war and Gilles set up a plastic surgery unit

56
Q

Who is Fleming?

A

Fleming Given antibiotics by chance in 1928 after returning from holiday and finding battery dishes he had left for the bacteria had a mould which killed the bacteria. The fungus was identified as penicillin and he published his findings in 1929 but nobody was able to fund research due to the war

57
Q

Who are florey and chain?

A

They read about penicillin and prove to treat infection by using a mouse however 3000 times more will be needed for human. They grew enough to treat one person who was dying of septicaemia and he began to recover until it right now. Flori took it to the USA just as they join the war for mass production. It saved 200 million lives in less than 70 years

58
Q

What drugs were discovered due to the development of the pharmaceutical industry in the 20th century?

A

Aspirin, insulin and Sulphonamides Discovered during the 20th century as a result of the development of a pharmaceutical industry

59
Q

When was chemotherapy developed?

A

Chemotherapy was developed during World War II

60
Q

When was AZT Developed and what was it used for?

A

AZT Was developed in 1987 to treat HIV

61
Q

What were some problems the pharmaceutical industry faced?

A

The biotic resistance was a huge problem in the pharmaceutical industry causing 25,000 people to die from resistant bacteria a year

62
Q

When Was the first successful transplant?

A

The first successful transplant took place in 1905 of a Cornea

63
Q

When is the first successful heart transplant?

A

First successful heart transplant took place in 1967 with the patient Dying of pneumonia 18 days later

64
Q

How are transplants made more effective?

A

Transplants are made more effective by the development of immuno suppressants which stops the organ being rejected

65
Q

What is development of technology helps medicine?

A

Discovery of radiation by Mary Curie lead to radiation therapy
Development of lasers lead to laser surgery
Advances in video technology led to keyhole surgery

66
Q

What alternative treatments were used?

A

Acupuncture – using needles to relieve pain

Homeopathy- using extremely diluted substances as a treatment

67
Q

which Three factors lead to liberal reforms in the 20th century?

A

Booths report - ‘life and labour of the people in London’ 1889

Rowntrees report- ‘poverty a study of town life’ 1901

The boer war showed 40% of volunteers were physically unfit

68
Q

What liberal reforms were made in the 20th century?

A

1906 – free school meals.
1907–free medical inspections.
1908 – old-age pensions.
1909 – labour exchanges help the unemployed find work.
1911 – national insurance gave workers health insurance

69
Q

How did the world wars create pressure for social change?

A

Raising this army is made the government more aware of health problems of the poor because so many recruits had poor health.

Children evacuated aware of the disadvantaged people in Rural parts.

70
Q

How did the 1945 victory for the Labour Party improve health and housing?

A

800,000 new homes were built during 1945–51
The new towns act was passed in 1946
In the 1950s and 60s 900,000 sums were demolished and 2 million inhabitants were rehoused

71
Q

What was the beveridge report?

A

It’s at the government had a duty to care for all its citizens, not just a poor unemployed and suggested the creation of the welfare state – a system of grants and services available to all British citizens. The 1945 Labour government was elected with the promise to implement beveridges proposals from one of the first act was the national insurance act of 1946 which supported anyone who couldn’t work

72
Q

When was the national health service established?

A

National health service was established in 1948 Many Conservatives oppose the idea as they believe the cost would be huge and doctors didn’t want to be controlled by the government and worried it would lose income so many threaten to go on strike