PAPER 2 Flashcards
What did people in the Middle Ages believe about the body?
It was made up of 4 Humours.
What are the 4 Humours?
Blood, yellow bile, black bile and phlegm.
When was Hippocrates alive?
460BC-370BC
When was Galen alive?
130AD -216AD
What did Hippocrates believe?
If you are healthy the humours are balanced; if you are ill you have imbalanced humours.
Give an example of Hippocrates belief about nosebleeds.
You have too much blood and to cure this you need to get rid of it or produce more of the imbalanced humours.
What did Galen do?
He developed the 4 Humours by investigation the “Theory of Opposites”.
What is a clinical observation?
A Ancient Greek method which Medieval doctors followed. It is the observation of a patient, to produce the diagnosis of a disease.
What two things did Medieval doctors tend to concentrate on?
A pulse and note the colour, smell and taste of ones urine.
How many years at University could it take for a Medieval doctor to qualify?
At least 7 years.
How were surgeons trained in the Medieval period?
As apprentices.
How did doctors learn in the Medieval period?
By listening to lectures and debating about what they have read in books.
What did wise women offer?
Traditional remedies for illnesses.
How were wis women paid in comparison to doctors in the Medieval period?
In goods her than expenses.
Give an example remedy that a wise woman may offer.
A willow leaf - as they have natural pain killers.
What was one of the earliest remedy books?
The Leech book of Bald.
Give ways in which Christianity held back medicine in the Middle Ages.
The Church encouraged prayer and superstition
The Church mostly banned direction of human corpses
The Church encouraged the belief that illness was a punishment from God
Give ways in which Christianity progressed medicine in the Middle Ages.
The Church encouraged people to go on Crusades - when travelling to the Middle East they came in contact with Muslim doctors.
What had major influence in the Middle Ages?
The Church and religion.
Why did the Church and Religion have such big impacts in the Middle Ages?
Many people could not read nor write.
What was Medieval society?
More religious than scientific.
What was all education controlled by?
The Church.
Give four Medieval beliefs about the cause of illness/ disease.
Miasma Theory
4 Humours
Religion
Astrology
What did Christians do when in the presence of someone sick?
They would look after them but not treat/ attempt to cure them as it would be going against God.
Give two sites of Medieval hospitals & asylums.
London and Bedlam.
What did Monasteries have that could provide treatment to the sick and poor?
Infirmaries.
Give an example of a large hospital during the middle Ages.
St Leonard’s in York.
When was Al Razi alive?
865-925BC
What did Al Razi do?
He stressed the importance of careful observation of patients and distinguished the difference between measles and smallpox for the first time.
How many books did Al Razi write?
Over 150.
Give the controversial title of one of Al Razi’s books.
Doubts about Galen.
Why was Baghdad important to medicine?
It became the centre of translation for Greek manuscripts into the language of Islamic Arabic.
What did Prophet Muhammad inspire people to do?
“Seek learning even as far as China” and said “For every disease Allah has given a cure”.
What did Baghdad do in the Middle Ages?
Treat patients, not simply care for them
Provide medical care for EVERYONE
Doctors were permanently present
Looked for cures
What did Christians do in the Middle Ages?
Cared for patients - no treatment
Only provided medical care for certain people
Doctors were not always present.
Give two Muslim doctors who were influential in Western Medicine.
Al Razi and Ibn Sina.
What did Padua and Bologna in Italy soon become?
The best places to study medicine in Europe.
How did medical ideas reach England?
Through trade, as merchants brought new equipment, books and drugs.
Who practiced sugary in the Middle Ages?
Barber surgeons and their apprentices.
What four operations were most common in the Middle Ages?
Amputation
Blood letting
Trepanning
Eye- couching
In what three ways did doctors in the Middle Ages deal with problems of pain and blood-loss?
Cauterising
Alcohol
Calming tea
Why were towns in the Medieval period unhealthy places to live?
People lived close together
Few regulations about waste disposal
Clean water was in short supply
Butchers bout live animals into the town to slaughter
How did monasteries help?
They knew the dangers of filth and dirt
Carefully extracted drinking water from upstream rivers and streams
They had physic gardens where treatments were grown
Give the attempt at solution for: towns built near rivers - threat of waterborne diseases.
Councils tried to stop river pollution.
Give the attempt at solution for: pipes made of lead.
THEY DID NOT KNOW LEAD WAS POISONOUS
Give the attempt at solution for: pipes made of wood.
THEY DID NOT KNOW WET WOOD WAS A BREEDING GROUND FOR BACTERIA
Give the attempt at solution for: waster removed via streams - where people collected their drinking water.
People left money in their wills to build and maintain privies.
Give the attempt at solution for: drains clogged with waste and often overflown.
Rich people had servants sweep the streets.
Give the attempt at solution for: leather tanners which used dangerous chemicals & butchers dumping blood and guts in rivers.
Local craft guides tried to restrict skilled workers activities.
Give two key health problems present in the Middle Ages.
Getting clean water and disposal of personal business/ waste.
Define the term ‘laissez-faire’.
A policy of minimal government involvement.
Give some facts about monasteries in the Middle Ages.
Built from brick - insulation
In the countryside - isolated
Strictly organised
Wealth was astronomical
Give symptoms of the Black Death.
Spasms/ fits Tremors Dark bruises Headache Vomiting Buboes
How would someone have gotten the Black Death in the Medieval period?
Rats carried infected fleas
Fleas bite the lower half of humans
Disease infects the blood
Blood circulates round the body
When did the Black Death lay dormant in England?
The 1340s.
When did the Black Death mutate and Become the Great Plague (making it airborne)?
The 1600s.
What is the scientific name for the strand of bacteria that caused the plague?
Yersiniz Pestis.
What were the impacts of the Renaissance in England?
The printing press became a huge method of transferring knowledge
Travel improved
Anatomy knowledge and art work helped teaching and discoveries in English Universities
Who was Andreas Vesalius?
A Belgian medical student who believed said everything that Galen had said.
What did Vesalius discover as a professor?
A text highlighting many of Galen’s mistakes.
What did Vesalius receive after the release of his book?
Heavy criticism.
Why did Vesalius receive heavy criticism for his book?
He had overturned centuries of belief that Galen had covered.
What did Abroise Pare become?
The most famous surgeon in Europe.
What did Pare publish?
Many books with illustrations.
What did Pare promote?
The use of ligatures and amputations.
What did Pare believe about cauterising?
It was cruel.
What did Pare design?
False limbs.
Who did Pare admire and what did he do?
Vesalius and copied his work from Latin to French.
Where did William Harvey study?
Cambridge University.
What theory did Harvey come up with?
The theory that the heart pumps the blood around the body and in a continuous circle.
Why did Harvey wait to publish his theory?
Due to high belief and trust in Galen.
What did Harvey prove?
Blood could only flow one way.
How long did it take for Harvey’s ideas to be taught at universities?
50 years.
What did the mnemonic plague affect?
The lungs.
What did the bubonic plague affect?
The glands.
When did the Great Plague break out in London?
Spring 1665.
When did the Great Plague in England most likely come from and why?
Holland as there hd been a plague there a few yers prior.
Why did the disease spread quickly?
The summer of 1665 was extremely hot.
When was the Great fire of London?
1666.
What did the plague show?
Medicine hadn’t massively improved
Knowledge surrounding the causes of disease had not improved
The King and government started to take responsibility for public health
What did people in the Middle Ages do in attempt to stop the plague?
Public meetings were banned Streets were swept Cats were killed Religious people prayed (and fasted) Diets changed Tobacco was smoked to ward off miasma Plague victims were sealed inside their houses
What occurred due to the religious conflict between Henry 8th and the Catholic Church?
The King closed down Catholic monasteries.
What happened to hospitals in the early 18th Century?
They had better care and wards unlike before when patients had to share beds.
How did the King help hospitals?
He gave money to help start them (eg St Bartholomew’s and St Thomas’).
What was the treatment of patients in the 18th Century still based upon?
The 4 Humours.
Where did a doctors main income come from?
Private patients.
What happened in the 18th Century surrounding Child Mortality rates?
They became more widely recognised.
By 1800, how many people were London’s hospitals handling a year?
20,000.
How many patients could a hospital in the 1400s hold?
10.
What was small pox?
A highly infectious virus that was communicable, killing 30% of those who caught it.
Give some symptoms of small pox.
Headache
Fever
Rash
Pus filled blisters
In Medieval Asia, what had been used to prevent small pox?
The basic method of inoculation.
What is inoculation?
Scratching the pus or scabs from victims onto healthy people.
In 1721, who was inoculation demanded by?
Lady Montagu.
What were the problems with inoculation?
Strong religious believers were against the process
Germs and infections were still not fully understood
Sometimes a strong dose of small pox was given - which could kill
Any inoculated person could still pass on small pox
Poor people could not afford inoculation
Who was Edward Jenner?
An apprentice to a country surgeon.
What did Jenner publish?
A book on vaccination.
When was Jenner appointed physician to King George 4th?
1821.
Who did Jenner test his cow pox - small pox theory on?
An 8year old boy.
Why did Jenner call his cow pox inoculation technique vaccination?
The Latin word for cow is vacca.
How many times did Jenner test his theory?
16 times.
When did Jenner publish his vaccination findings?
1798.
Why did some people find Jenner’s theory hard to believe/ trust?
He could not explain it.
When did Jenner receive £10,000 from the government for his research?
1807.
When did the British government make small pox vaccination compulsory?
1853.
What was Thomas Sydenham’s nickname?
The ‘English Hippocrates’.
What did Sydenham do?
Advanced theories of Galen and Hippocrates.
What were the the three things always considered in medicine and surgery?
Bleeding, infection and pain.
When was nitrous oxide used as an anaesthetic?
1795.
When was ether used as an anaesthetic?
1842.
When was chloroform used as an anaesthetic?
1847.
What is nitrous oxide used for?
Relaxation.
Who discovered the anaesthetic properties of nitrous oxide?
Beddos and Davy.
Who discovered ether?
Clark.
What did Clark use ether for?
A tooth extraction.
Give three problems of ether.
Difficult to inhale
Casuses vomiting
Highly flammable
Who discovered chloroform?
Simpson.
Who used chloroform in childbirth?
Queen Victoria.
What was a problem of chloroform?
It was easily overdosed.
Give an example of who overdosed on chloroform.
Hannah Greener.
What did and didn’t the discovery of anaesthetic mean?
Surgery was not suddenly successful and safe, but it did advance it in a way that a source of pain relief had been found.
What did Louis Pasteur prove?
That germs are all around and some of them could cause disease.
What was Pasteur?
A chemist - not a doctor.
What was Pasteur unable to do?
nk his germ theory to humans.
What did Pasteur go against?
Miasma and spontaneous illness.
In the Middle Ages, what did people believe caused disease?
Lepors.
When was the first microscope invented?
1677.
What did Francesco Redi say?
By boiling a liquid, microbes would not appear.
Why did John Needham believe he had disproved Redi’s findings?
He had contaminated equipment.
What did many believe about illness in the 1700s?
It was spontaneous.
What does specificity mean?
The belief that not all microbes are the same and the certain ones (bacteria/ germs) actually cause specific diseases.
What did anti-contagonists say in the 1800s?
Cleaning up the environment would stop epidemics.
What did Thomas Wells say in 1864?
Infection wa spread through contact with an infected person or bacteria.
What did surgeons have to do by the end of the 1800s?
Be well-scrubbed
Wearing gowns
Wear gloves (new, flexible)
Sterilize their equipment
What had Bastian written many articles on?
Spontaneous generation.
Who defended Pasteur’s Germ Theory?
Tyndall.
What occurred due to Prince Albert’s death?
A raised awareness of Typhoid fever.
Give Robert Koch’s method of identifying specific diseases.
Bacteria are taken from a dead animal Bacteria are grown in a pure culture Bacteria are identified Bacteria are injected into a healthy animal The disease affects the second animal Bacteria are taken from this animal Disease-causing bacteria are grown in a pure culture Identical bacteria are identified
What did Robert Koch discover?
How to stain and grow bacteria in a Petri dish.
Give the factors which advanced the Germ Theory.
Luck Teamwork War Individuals Communication Government & finance War
Why did public health dramatically decline in the 19th Century in British towns?
Britain had a major population explosion. All over the country people flocked to cities for work.
What was the population in London in 1801 compared to 1851?
957,000 - 2,362,000.
When was the first noted outbreak of Cholera in Britain and where did it come from?
1831, from India.
How many people were killed due to the outbreak of cholera in 1831?
50,000.
Give some symptoms of cholera.
Violent vomiting
Painful diarrhoea
Black skin
Comas
Who was Edwin Chadwick and what did he believe caused the cholera outbreak?
A lawyer who believed in the theory of miasma.
Who was John Snow and what did he believe caused the cholera outbreak?
A doctor who believed it was spread via water.
Why were the people scared about cholera?
They didn’t know what caused it and had never experienced something with such devastating effects.
Give two points from Chadwick’s report.
To better public health
“More people killed by filth and bad ventilation than wars.”
What did many people believe about politicians?
That they had in right to meddle in private lives.
When was the Public Health Act introduced and what did it say?
1848, an improvement would be made to public health.
How did Snow prove that cholera was not carried through the air?
Snow found that all victims in a small area got their water from the Broad Street Water Pump
He asked permission to remove the handle
People were forced to use another
There were no more deaths in the street
What happened in the summer of 1858?
A heat wave caused a filthy River Thames to smell worse than ever.
What’s the Sanitary Ac in 1866?
It made local councils responsible for sewers, water and streets cleaning; each town must’ve a health inspector.