HIST 3D Lecture Notes - Lecture 4: Endocarditis, Rudolf Virchow, Homeostasis
Dimensions of Disease: Clinic to Lab and Back
● New frameworks for path
- Paris- heyday/ dual role
- Vienna- path research
- Virchow- reformer
- Institutes- berlin
- Lab training
- Instruments for clinic
● Microscopes and cells
- Old microscopes- faulty
- 1830s improvements
- Schwann and cell theory
- Origins of cells
- Omnicellula e cellula
- Training and clinical applications
● Instruments in the clinic
- Old and new ideas of heat
- Thermometry
- Wunderlich and clinical science
- Principles of thermometry
- Disease and fever charts
● Virchow’s pathology
- Leukemia
- Thombus and
- Collab w Kolliker
- Cellular pathology
- Cells and tissues
● Movement to expand pathological knowledge and correlate post-mortem discovery with
symptoms before death
● Development of tools of physical diagnosis (percussion and auscultation)
● Pierre Louis-- attempted to bring statistical reasoning into the making of medical
conclusions
● France at war with several other countries until 1815; led to migration of individuals from
outside to experience Paris medicine
- Paris system: Had to be both clinician and pathologists to make the correlation
between what is seen in the clinic and in the morgue
● Vienna
- 1 large hospital
- One could go to Vienna and absorb a great deal of medical knowledge
- Provided support for personal full time medical assistants
Document Summary
Dimensions of disease: clinic to lab and back. Movement to expand pathological knowledge and correlate post-mortem discovery with symptoms before death. Development of tools of physical diagnosis (percussion and auscultation) Pierre louis-- attempted to bring statistical reasoning into the making of medical conclusions. France at war with several other countries until 1815; led to migration of individuals from outside to experience paris medicine. Paris system: had to be both clinician and pathologists to make the correlation between what is seen in the clinic and in the morgue. One could go to vienna and absorb a great deal of medical knowledge. Provided support for personal full time medical assistants. Came to berlin on a military scholarship. Discussion about what the government should do. At the time, he was about 24 years old. There were 3 important sources of innovation in medicine:
