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Hippocrates Blood Phlegm (blood plasma) Yellow Bile (Bilirubin) Black Bile (Grey sediment from platelets and clotting factors) |
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"Shepherd of the anus" Rejected the idea of magic |
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founded a school for physicians on Kos Hippocratic Oath Four Humor Theory Blended empirical knowledge and observation with philosophical teaching |
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Earliest known writing on medicine Imhotep author info on trauma, surgery, anatomy, diagnosis, medical conditions |
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Aulus Celsus (30BC- 38AD) |
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Identified the cardinal signs of inflammation Wrote "De Medicina" |
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Claudius Galenus (129-201AD) |
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GOAT Arteries filled w/ blood, not air Kidneys make urine The spinal cord and nerves control muscle function |
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Leonardo da Vinci (1452-1519) |
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learned from human dissection about the functions of muscles, bones, and tendons |
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William Harvey (1578-1657) |
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Discovered that the blood is moved through the body by the heart Wrote "De Motu Cordis et Sanguinis" |
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Rudolf Virchow (1821-1905) |
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Father of modern Pathology Founded cellular pathology 1st to recognizing leukemia Virchow's node coined embolism |
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Enlarged left supra-clavicular lymph node as an early sign of gastric cancer |
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Difference between signs and symptoms |
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Signs can be seen by a doctor or detected by clinical tests EX bleeding, x-ray, labs, fever
Symptoms are reported by the patient, cannot be measured EX pain, vertigo, drowsiness |
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Undesired deviation from the norm |
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Etiology - cause of the disease Pathogenesis - The disease process Lesion - Structural changes in tissues Functional Changes - clinical manifestation |
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Basic Principles of Human Disease |
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Genetic predisposition acquired - infection, trauma, degenerative Seen - jaundice, bleeding Testing needed - x-ray, antigen, Signs Symptoms |
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Pathological alterations (how to recognize disease) |
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Patient Report - pain, Nausea Gross Examination - autopsy, physical exam Histologic Examination - alterations visible by microscope Laboratory examination - blood, urine, DNA tests Specialized examinations - x-ray, ultrasound, endoscopy, MRI |
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Cardinal Signs of Inflammation |
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1. Rubor (redness) 2. Tumor (swelling) 3. Calor (heat) 4. Dolor (Pain) 5. Functio Laesa (impaired function) Galen |
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1st stage of Inflammation |
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0-4 hours - Rubor, Calor performed factors - antibodies, complement, serum factors, vasoactive factors |
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2nd stage of Inflammation |
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4-48 hours Rubor, Calor, Dolor, Tumor Influx of neutrophils |
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3rd stage of Inflammation |
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24-96 hours Rubor, Calor, Dolor, Tumor, functio laesa Influx of macrophages |
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4th stage of Inflammation |
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96+ hours Adaptive immunity - T lymphocytes are activated and migrate to the inflammatory site |
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Edward Jenner (1749-1823) |
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Smallpox vaccine Saw milkmaids did not get smallpox after getting cowpox |
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Ignaz Semmelweis (1818-1865) |
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Savior of Mother Started handwashing Was ridiculed for it |
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Sigmund Freud (1856-1939) |
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Sir Joseph Lister (1827-1912) |
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Started using Carbolic Acid to disinfect instruments |
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George Papanicolaou (1883-1962) |
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Sir Alexander Fleming (1881-1955) |
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