Medicine- Main info Flashcards

1
Q

What are the 7 factors?

A
  • Communication
  • Science and technology
  • War
  • Religion
  • Government
  • Individuals
  • Chance
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2
Q

Who was the individual who influenced the start of medicine again after the fall of Rome and who developed his ideas?

A

Hippocrates and Galen

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3
Q

Explain the 4 humours and who created them?

A

The 4 humours is the idea that four elements of the human body (blood, black bile, yellow bile and phlegm) needed to be in balance in order to be healthy. The idea came from Aristotle but was developed by Hippocrates and then developed further by Galen who called it the theory of opposites.

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4
Q

What were some natural approaches to treating disease in the Middle Ages?

A

Herbal remedies and burning herbs to get rid of Miasma

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5
Q

What were some supernatural approaches to treating disease in the Middle Ages?

A

Flagellation, zodiac charts and praying

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6
Q

What was clinical observation and how was it used in the Middle Ages

A

Clinical observation was the act of looking and observing a patient to identify the illness or condition they were suffering from. This was originated from Hippocrates and he was the first to come up with this

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7
Q

What is flagellation?

A

Whipping oneself to show God they were sorry for committing sins in the hope they would get better

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8
Q

Why did the church accept Galen’s work?

A

Because he mentioned a creator in his work which they liked

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9
Q

What was Miasma and what did the doctors of the Middle Ages believe it did?

A

Doctors believed that Miasma was ‘bad smelling air’ which caused disease and so they burned sweet herbs to rid the bad air

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10
Q

What was bloodletting?

A

Getting rid of some blood in the body to balance the four humours and keep them in equilibrium for example leeching- letting leeches suck out blood of the body

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11
Q

What did the hospitals in the Middle Ages focus on?

A

Care rather than curing the diseases their patients were suffering from and just offered hospitality

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12
Q

Who ran most of the hospitals in the Middle ages?

A

The church and most hospitals were ran by monks and nuns

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13
Q

What is the Bedlam Hospital in London?

A

It used to be an old hospital which was first founded in the 13th century and then rebuilt in te 17th century and then became a very popular mental asylum

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14
Q

What is the Hotel Dieu in Paris?

A

It was founded in the middle ages which makes it the oldest hospital in Paris.

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15
Q

Give some positive factors that the Church brought to Medieval medicine

A
  • They encouraged people to go to wars which got them in touch with Islamic doctors who were much more experienced
  • The church insisted that people believed the work of Galen, no matter what
  • the church founded most of the hospitals, from rich people’s generous donations
  • People were encouraged to use prayers to cure them
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16
Q

Give some negative factors that the Catholic Church brought to Medieval medicine

A
  • The most negative impact was the belief in supernatural cause of illness
  • Religious wars such as the Crusades costed a lot of money which could’ve been used for the Public Health
  • Dissection of humans was illegal, so many wrong ideas about anatomy continued
  • They taught that disease was a punishment from God for sins
  • The emphasis was on care not cure
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17
Q

Give an Islamic Doctor who challenged the work of the ancient?

A

Ibn-Sina or Ibn-al-nafis

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18
Q

What positive effect did the Crusades have on Medieval medicine

A

European doctors got in touch with Islamic ones who had more experience and knew more about medical practices

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19
Q

What did people in the Middle ages believe caused toothaches and what did they do to cure them?

A

They believed toothaches were caused by worms burying deep into the tooth and so they used to burn herbs as close to the tooth as possible and underneath the candle burning the herbs, they would put water in the hope the worms would fall to escape the heat

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20
Q

What did doctors use Urine Samples for?

A

Checking the colour, smell and even taste for irregularities

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21
Q

What training do barber surgeons go through?

A

They have to take an apprenticeship before becoming qualified and then they are allowed to carry out minor surgeries

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22
Q

What were the four main problems with medieval medicine

A

Bleeding- patients would often bleed to death
Infection- Doctors had no idea that dirt carried disease
Shock- patients would often die of shock because of pain or blood loss
Pain control- new methods were so strong they would often kill the patient

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23
Q

Who is Al-Zahrawi and what did he do?

A

He was an Islamic surgeon who had experience treating war casualities. He wrote books about surgery and the wars helped him learn more about deep wounds. He created surgical instruments and wrote books about battle-field injuries. His work helped surgery develop. His books spread and his work had a huge impact.

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24
Q

Why were the monasteries kept clean?

A

Monks and nuns knew you had to be clean to keep healthy but they didn’t know why

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25
Q

What is the difference between an epidemic and a pandemic

A

An epidemic is an outbreak of a disease that affects many people in a community, a pandemic is an outbreak that affects many different countries across the world

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26
Q

What were the symptoms of the black death

A

Buboes, fever and coughing up blood

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27
Q

How did the Black death reach England?

A

Through the fleas on the rats which were transported through ships

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28
Q

Which percentage of people died from the bubonic plague?

A

30-45% of the population died from the Black death

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29
Q

What was the statute of Labourers?

A

This was passed by the government to stop rioting from peasants who were demanding higher wages

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30
Q

What impact did the Black death have on Religion?

A

It had killed many clergymen and so replacements were hard to find and so the remaining ones demanded higher wages

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31
Q

What is an endowment?

A

Money donations from wealthy people

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32
Q

Who was Vesalius and what did he do?

A

Professor of anatomy and surgery and he improved medicine by correcting Galen’s mistakes

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33
Q

What did Vesalius believe and what was his book called?

A

He believed that anatomy was the best way to understand the human body and so he suggested doctors dissect humans to understand the body. His book was called “On the fabric of the human body”

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34
Q

Who was Pare and what did he do?

A

Pare was a barber surgeon who learned a lot from being an army surgeon and he used a crow’s beak to pull out the arteries and veins and he used a double silk thread (ligatures) to tie the ends up

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35
Q

Who was Harvey and what did he do?

A

He studied medicine abroad and he became a surgeon and he made a real breakthrough by understanding circulation. He believed that blood circulates around the body using experiments and dissection, he also suggested that the heart acted like a pump for the rest of the body

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36
Q

What is Quackery?

A

Dishonest medical practice which sold false medicine and moved stall by the time people realised

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37
Q

What is amputation, ligatures and cauterisation?

A

Cutting of a limb, ties to tie up the ends after amputation, putting a hot rod into boiling oil and pressing it into an open wound in order to close it.

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38
Q

When was the printing press invented and what did this mean for medicine?

A

It was invented in 1440 and it meant doctors could now publish their work and experiments

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39
Q

In what period of time were microscopes develop?

A

In the Rennaisance by Robert Hooke who published detailed magnified images for the first time

40
Q

When was the great plague and how many people did it kill?

A

It was from 1665-1666 and it killed 100,000 people

41
Q

What caused the great plague?

A

Fleas on rats which came from China on ships and the poorer communities got hit the most since it was less sanitary there and more overcrowded so disease spread quickly

42
Q

What did they do to cure the great plague?

A

Blood letting, isolating infected people and putting a red cross on their doors. They also burned herbs (miasma) and sniffed sponges soaked in vinegar.

43
Q

What did some people do to prevent themselves getting the great plague?

A

Some rich people fled the city and trade with infected towns was stopped and doctors wore amulets to ward off evil spirits

44
Q

What were the Lord Mayor’s orders to help prevent the spread of the plague?

A

People were employed to kill stray dogs and cats, there were plague graves dug and there were no gatherings around them and there were watchmen who monitored infected people coming in and out of their houses

45
Q

Give the 5 stages of the development of Edward Jenner’s vaccinations

A

1) Cowpox disease existed as a weaker version of smallpox
2) Edward Jenner found a milkmaid from cowpox
3) He took pus from her pustles
4) He injected this into a boy’s arm
5) The boy is exposed to smallpox and is now immune

46
Q

Why did some people oppose Edward Jenner’s vaccination process?

A

People thought it was unnatural and they thought he was just looking for money and not worrying about the wellness of the population

47
Q

Who was James Lind?

A

He created the first ever clinical trial and he developed the idea and theory that citrus fruits cured scurvy (vitamin D deficiency)

48
Q

Who is John Hunter?

A

He is considered the father of medicine and he tried to find better cures for diseases. He also believed the best way to heal a wound was to let it heal naturally.

49
Q

What was in the ointment that Pare made?

A

Egg yolk, oil of roses and turpentine

50
Q

In what year did James Lind carry out the first ever clinical trial?

A

1753

51
Q

Who was Florence Nightingale?

A

She organised hospitals and cleaned them up. She drastically cut the mortality rates and wrote 2 main books called ‘Notes on Nursing’ and ‘Notes on Hospitals’

52
Q

What are microorganisms?

A

Germs/bacteria which makes a disease contagious

53
Q

What is an anaesthetic, antiseptic and aseptic?

A

Anaesthetic is a substance that stops a patient from feeling pain, antiseptic is something that stops disease spreading and aseptic is sterile and free from contamination

54
Q

What was the most common form of anaesthetic in the earlier times?

A

Alcohol

55
Q

Who was Robert Koch?

A

He was a German who was able to link particular germs to particular diseases such as typhoid, pneumonia, plague, whooping cough and tetanus.

56
Q

Who was Paul Ehrlich?

A

He is best known for developing the Salvarsan 606 which was the first treatment for syphilis.

57
Q

What were magic bullets?

A

They were carefully designed drugs that targeted specific germs causing the disease and had little effect on the rest of the human body

58
Q

What was the stethoscope used for?

A

Listening to breathing ailments

59
Q

Who was Alexander Gordon?

A

He discovered that there was a link between cleanliness and washing your clothes between checking up on patients

60
Q

What are the three things that Germ Theory suggested?

A

Living microorganisms are found in the air, heating microbes can kill them and decay is caused by microbes in the air

61
Q

What is the difference between Edward Jenner and Louis Pasteur’s vaccinations?

A

Pasteur’s vaccination was scientifically explained because he understood how it worked whereas Jenner’s vaccination was created but he couldn’t explain it

62
Q

Which disease did Pasteur try and make a vaccination against?

A

Chicken cholera which led to a rabies vaccination

63
Q

What were night-soil men?

A

Men who were employed to clean out the cesspits and toilets in the towns and cities in the 19th century

64
Q

What did most doctors believe caused Cholera and who did not believe this- what did they believe instead?

A

Most doctors believed that cholera was spread through the air but John Snow believed that it was caused by a microbe in the water

65
Q

What was the real cause of Cholera

A

Leaks in cesspits contaminated the water which people were drinking

66
Q

Once John Snow had the permission to remove one of the pumps, what happened?

A

Death rates decreased

67
Q

What is laissez-faire?

A

The government stance that they should not do anything about Public Health and this was not their concern.

68
Q

Who was the Sewer Builder?

A

Joseph Bazalgette

69
Q

What was the poor law 1834?

A

It set up a workhouse where the poor could get help but they were horrid places and soon gained the nickname ‘Bastilles’

70
Q

What was the Public Health Act 1848

A

The Act encouraged Local Boards of Health to be set up to appoint Medical officers and provide sewers

71
Q

Who was Edwin Chadwick?

A

Secretary of the poor law commissioners from 1843 and he used statistical methods to find the link between poverty and health. he said that there was an urge needed for change in order to help the economy to grow.

72
Q

What was the ‘Clean party’

A

An organisation set up which pushed the government to do something about the Public Health

73
Q

Who was Dr Thomas Bernardo?

A

He was shocked at the poor living conditions when he came to London and so he set up a ‘ragged school’ in which people were given free education and free food. The schools was supported by different funds that provided opportunities to go to the countryside.

74
Q

What was the 1866 sanitary act?

A

It allowed councils to knock bad housing and replace it. Flush toilets were used in better-off homes and soap became cheaper, meaning more people were able to buy it.

75
Q

What was the 1875 Public Health act?

A

It brought together many acts that covered sewerage, drains, water supply, housing and disease. Local sanitary inspectors were appointed to look after slaughterhouses and prevent contaminated food from being sold

76
Q

Who was Elizabeth Garret-Anderson?

A

She was the first woman to become a doctor in the UK in 1865 and she opened her own school of medicine for women and was also the first woman to be elected for mayor. She opened her own hospital (New Hospital) run by only women.

77
Q

Who were the Edinburhough 7?

A

First 7 women to take medical exams in Edinburgh university.

78
Q

Who was Sophia Jex-Blake?

A

She provided for the sick and poor after graduating and helped Elizabeth Garret-Anderson set up the New Hospital.

79
Q

When did Aspirin become a safe painkiller for everyone to consume?

A

1899

80
Q

What was opium powder suggested for?

A

It was suggested to be kept in a cabinet in every household to treat mild ailments at home

81
Q

Which two substances were put into medicines but they were extremely dangerous

A

Arsenic and mercury (many of these medicines were addictive as cocaine and opium were used)

82
Q

What did James Simpson invent in 1847?

A

An anaesthetic called Chloroform

83
Q

Why did chloroform become so much more popular after its discovery?

A

Because Queen Victoria used it for her 8th childbirth and she said it was very effective.

84
Q

Why was it very important to get the chloroform dosage correct?

A

Because too little could be fatal from the pain but could be fatal from too large a dose

85
Q

What is the difference between local and general anaesthetics?

A

Local- numbs a specific part of the body

General- makes you unconscious

86
Q

Who was Joseph Lister?

A

He invented antiseptic surgery which depended on the germ theory. He suggested that surgeons should use carbolic acid to rub on wounds and clean their surgical instruments

87
Q

What did Charles Chamberlain invent?

A

Steam that helped disinfect surgical instruments

88
Q

Why did some people not accept anaesthetics?

A

They believed it was messing with God’s plan

89
Q

In which war was Penicillin used widely in which helped surgeons understand how important it was?

A

WW2

90
Q

How did Alexander Fleming discover Penicillin?

A

In 1928, he returned from a trip and found that in his Petri dishes, mould had formed in one but on the other, the bacteria around the mould had been killed. He published his results in 1929 but he did not have the money to develop the drug.

91
Q

What did Florey and Chain do in the development of Penicillin?

A

They found Fleming’s publishings and they tested it on mice and humans and in their first trial, their drug ran out 5 days after the start of the trial but it proved how effective it was

92
Q

What did the discovery of antibiotics prompt?

A

New vaccines, tranqulisers and birth control pills, anti-depression, hypertension pills and many more were created

93
Q

What were the stations in WW1 for injuries?

A

1) Stretcher-bearers
2) Regimental aid post
3) Motor ambulance
4) Casualty cleaning station
5) Hospital train
6) Base hospital

94
Q

Who was Harold Gillies?

A

A skin surgeon who was knighted for his skin work and performed 5,000 skin graft operations

95
Q

What happened after the Beveridge report?

A

The government took responsibility for its citizens and introduced the welfare act- family allowances, town and country planning act and many different acts

96
Q

Who was Charles Booth?

A

He was a wealthy businessman and social researcher and he produced a report on poverty in 1892 called ‘Life and labourer of the working people of London’- he concluded that the poor were not to blame for their situation