MEDICINE IN BRITAIN: 1250-PRESENT Flashcards

1
Q

MEDIEVAL MEDICINE: PREVENTION

A
  • disease could be prevented by living a life free of sin
  • Prayers, confessions, tithes
  • Regimen Sanitatas
  • Keeping air clean and sweet smelling
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2
Q

MEDIEVAL MEDICINE:

HEALERS

A
  • Physicians: trained in universities using works of Galen and Hippocrates
  • Apothecaries: herbal remedies
  • barber surgeons: least qualified but highly skilled. Carried out bleeding, pulling teeth and small operation.
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3
Q

MEDIEVAL MEDICINE: TREATMENTS

A
  • 4 humours theory
  • blood letting (cupping veins, leeches, cupping)
  • purging (emetics and enemas)
  • herbal remedies
  • bathing with herbs
  • praying, fasting, pilgrimages, self flagellation
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4
Q

MEDIEVAL MEDICINE: INDIVIDUALS AND INSTITUTIONS

A
  • Galen and Hippocrates
  • Church promoted Galen
  • Christian church was the most powerful institution
  • unacceptable to question church
  • taught that God sent illness
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5
Q

BLACK DEATH REACTIONS

A
  • miasma: sweet smelling herbs and pomanders
  • punishment from God: pilgrimages, praying, flagellants
  • 1348
  • bleeding, purging, emetics (4 humours)
  • quarantine
  • herbal remedies
  • ran away (rich people)
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6
Q

GREAT PLAGUE REACTIONS

A
  • doctors
  • cross of the door
  • prayer and repentance
  • government action: banned public gatherings
  • 1665
  • killed cats and dogs
  • diets
  • burning tar on streets
  • transference
  • cleared streets
  • sweet smelling herbs
  • wardens
  • quarantine
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7
Q

PROGRESS IN RENAISSANCE:

YES:

A
  • weakening of the Catholic Church
  • experiments/science
  • Harvey: circulation of blood
  • Vesalius: anatomy illustrations
  • printing press: ideas were able to spread
  • Royal society
  • Thomas Sydenham: disease, questioned the four humours
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8
Q

PROGRESS IN RENAISSANCE:

NO:

A
  • miasma: Great plague
  • Vesalius and Harvey did not make people better
  • Herbal remedies
  • continuation
  • physicians still relied on Galen/textbooks
  • Harvey ideas were criticised
  • iatrochemistry: bad impact on health
  • People still used religion as an explanation and treatment
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9
Q

PREVENTION 1700-1900:

The 1875 public health act:

A

Drinking water, sewage, food etc were placed under local authorities and strictly enforced.

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10
Q

PREVENTION 1700-1900:

LOUIS PASTEUR:

A

Germ theory- 1861
Made a link between germs and infections
Published in 1878
Built on Jenners work .
Accidentally created a weak form of chicken cholera which worked as a vaccine.

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11
Q

PREVENTION OF DISEASE 1700-1900:

EDWARD JENNER

A

Used germ theory to produce a method for finding out which germ caused which disease.
Led to scientists/doctors to look for ways of curing disease.
Koch used Pasteur’s chicken cholera vaccine to develop new vaccines e.g. TB.

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12
Q

PREVENTION OF DISEASE 1700-1900:

FLORENCE NIGHTINGALE:

A

Improved hospital hygiene in the crimean war.
Used this knowledge to improve hospitals in Britain.
Made nursing a respectable profession.

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13
Q

PREVENTION 1700-1900:

JAMES SIMPSON:

A

Pioneered chloroform as an anaesthetic
Safer alternative to ether and nitrous oxide
Pain had been conquered

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14
Q

PREVENTION 1700-1900:

JOSEPH LISTER:

A

Used carbolic acid to create antiseptic surgery
Reduced death rate for many surgical procedures
Aseptic surgery developed

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15
Q

PREVENTION 1700-1900:

EDWARD CHADWICK:

A

campaigned to improve public health

1875 compulsory public health act passed

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16
Q

TREATMENTS IN THE 20TH CENTURY:

ANTIBIOTICS/CHAIN AND FLOREY:

A
  • experimented with penicillin on mice then carried out a human trial
  • took penicillin to America and drug companies mass produced them during WW2
17
Q

TREATMENTS IN THE 20TH CENTURY

A
  • herbal remedies
  • magic bullets developed
  • penicillin and other antibiotics developed
  • high tech surgical treatments e.g. Robotic and keyhole surgery
  • NHS
  • transplants
  • blood transfusions
  • radiotherapy and chemotherapy
18
Q

1900-PRESENT:

PREVENTION:

A
  • government abandoned laizzes-faire attitude
  • compulsory vaccinations
  • clean air act
  • fluoride in water
  • lifestyle campaigns
  • communicating health risks
  • this had a profound effect on health and life expectancy and the UK
  • lung cancer: laws and campaigns against it
19
Q

1900-present:

HOSPITALS:

A
  • NHS
  • wide range of treatments e.g. Midwifery, A and E, fracture clinics
  • access free for users
  • NHS struggling to keep up with demand
20
Q

1900-present:

CAUSES OF ILLNESS:

A
  • science of genetics developed (Crick, Watson, Rosalind)
  • DNA could now be used to identify faulty genes and predict illness (cancer, Down’s syndrome)
  • we now know more about how lifestyle affects health
  • technology helps us diagnose illness (biopsy)
21
Q

1900-PRESENT:
WILKINS AND FRANKLIN
CRICK AND WATSON

A

Wilkins and franklin took pictures of DNA which enabled Crick and Watson to map the structure of the DNA, this made the study of hereditary disease much easier.

22
Q

1900-PRESENT:

FLEMING

A

Discovered penicillin but did not develop it