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4.22 - Quiz Leprosy

The document appears to be a series of questions and answers related to diagnosing and managing leprosy (Hansen's disease) in various patients of different ages, genders, and stages of the disease. It discusses signs, symptoms, nerves involved, treatments, and management strategies for multiple cases presenting with lesions, reactions, deformities and complications that developed during or after multi-drug therapy.

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Edo Liawandi
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343 views32 pages

4.22 - Quiz Leprosy

The document appears to be a series of questions and answers related to diagnosing and managing leprosy (Hansen's disease) in various patients of different ages, genders, and stages of the disease. It discusses signs, symptoms, nerves involved, treatments, and management strategies for multiple cases presenting with lesions, reactions, deformities and complications that developed during or after multi-drug therapy.

Uploaded by

Edo Liawandi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LEPROSY

QUIZ ???
„ A 10 year old boy with hypopigmented
lesion with sensory loss on the face for
6 months. Greater auricular nerve is
enlarged

Q 1 What are the cardinal signs of the


suspected disease ?
Q 1 Which are the nerves involved in the
suspected case ?

Q 2 What can be done to help the patient at


this stage ?
15 year old boy started on MDT, developed
redness and swelling over the lesions which
were initially flat to start with.

Q 1 What has the patient developed ?

Q 2 How will you manage this patient ?

Q 3 Will you stop treatment, since the problem


occurred after starting treatment ?
„ 40 year old male developed these lesions
6 months after starting MDT. The patient
has developed new tender, ulcerating
lesions since the last 15 days.

Q 1 What is the present diagnosis?


Q 2 Discuss the management of the case?
A student noticed this nerve while he was
clinically examining the patient.
„Q1 Which nerve is this?
„Q2 Which muscle does this rest on?
„Q3 How do you test for this nerve?
This patient developed redness and
discharge from the right eye 6 months
after starting treatment for leprosy. There
was also an increase in size, redness and
swelling over the lesions. The vision was
normal as per the patient.
Q 1 What is the diagnosis?
Q 2 How will you manage the case?
„ A 40yr old male with multiple red raised painless
nodules on the face, chest and back for 2yr. H/O
of unnoticed cuts and burns is also present.

Q 1 If a slit skin smear is prepared from these


lesions, what will be the findings?

Q 2 What is the difference between BI and MI?


„ a 20yr old male, a cook by profession
developed this deformity with sensory loss
after 1yr MDT.
„ Q1 Describe the deformity
„ Q2 what problems can the patient face
while working and what advise will you
give?
„ A 20yr old male developed deviation of the
mouth, difficulty in closing eyes, and
weakness of the mouth.

Q1 Which nerve is involved?


Q2 Describe the tests to test the affected
nerve?
„ 10yr old male developed multiple red raised
edematous lesions affecting both hands since
the last 2 months. He was started on oral
prednisolone 30mg with improvement.

Q1 Is this the correct management?


Q2 Will your management be different from this
and how?
„ 12yr old girl developed multiple red raised
tender ulcerating lesions on both hands after
MDT was started 5m back for diagnosis of BT
hansen. She subsequently discontinued
treatment.

Q1 What is your diagnosis now?


Q2 Will you manage the case the same way or
you management will differ and how?
What are these conditions?

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