BIMS 201 Lecture Notes - Lecture 9: Hypothenar Eminence, Thenar Eminence, Facial Nerve Paralysis
7 Jan 2018
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Document Summary
Madarosis, loss of facial hair; very rarely leprosy alopecia. Intrinsic plus finger (swam-neck deformity) lesions in interossei --> myonecrosis & myofibrosis -- Inspection : size, shape, number, position, edge, floor, discharge, surrounding area, whole limb examination: palpation tenderness, margin, edge, base, depth, bleeding, relations with deeper structures, surrounding skin, examination of lns, neurological lesions/ vascular. Feet: plantar ulceration, shortening of digital rays, extensive scarring of sole, mutilation and tarsal disorganization. Hands: blistering wounds & ulceration, scar contractures, shortening digits, mutilation, carpal disorganization. No anaesthesia, no visible deformity or damage anaesthesia present, but no visible deformity or damage. No eye problem due to leprosy; no evidence of visual loss. eye problem due to leprosy present, but visible not severely affected as a result of these vision: 6/60 or better; can count finger at 6m) Severe visual impartment (vision: worse than 6/60: inability to count fingers at 6m also includes lagophthalmus, iridocilitis & corneal opacities.
