Leprosy Training Module for Medical Officers

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Wrist Drop • Dropping of wrist , due to involvement of radial nerve. Claw Toes • Clawing of all the toes due to involvement of posterior tibialis nerve. 65
Secondary Disability Primary disability, when neglected, results in Secondary disability. E.g. Planter Ulcers , Contractures . ( A ) In the Hands and Feet : Nerve Damage to Autonomic Fibres Sensory Fibres Motor Fibres Loss of sweat Loss of sensation Paralysis leads to cracks leads to injury / pressure leads to contracture ulcers ulcers Pri.Disability Sec.Disability ( B ) In the Eyes : Damage to Facial Nerve Damage to Trigeminal Nerve 1. Lagophthalmos Primary Disability 2. Corneal anaesthesia Exposure keratitis corneal ulcers Exposure keratitis Blindness S e c o n d ary Disability Blindness 66
Page 1 and 2:
NLEP Leprosy Training Module for Me
Page 3 and 4:
Task of Medical Officers for NLEP (
Page 5 and 6:
The Disease - Leprosy Leprosy is a
Page 7 and 8:
Epidemiology
Page 9 and 10:
30 25 25.9 Prevalence Rate of Lepro
Page 11 and 12:
Spread of Leprosy Source of Infecti
Page 13 and 14:
Diagnosis & Clinical Examination
Page 15 and 16:
of these signs, nerve thickening by
Page 17 and 18:
( B ) Skin Examination : Remember t
Page 19 and 20:
Method for testing anaesthesia : Fi
Page 21 and 22:
• Look at the patient’s face wh
Page 23 and 24: 2. Assessment of Nerve Function : N
Page 25 and 26: VMT - Radial Nerve Ask the patient
Page 27 and 28: ST - Sensory Test - Hand Ulnar Medi
Page 29 and 30: Classification of Leprosy
Page 31 and 32: Examples showing WHO classification
Page 33 and 34: PB Leprosy PB Leprosy : Small Solit
Page 35 and 36: PB Leprosy : • Rounded lesion wit
Page 37 and 38: MB Leprosy : • One of many patche
Page 39 and 40: MB Leprosy : • Several Punched ou
Page 41 and 42: MB Leprosy : • Thick erythematous
Page 43 and 44: MB Leprosy : • Extensive • Symm
Page 45 and 46: MB Leprosy : • Marked Diffused In
Page 47 and 48: Treatment for Leprosy MDT Drugs : T
Page 49 and 50: Advantages of MDT MDT kills the
Page 51 and 52: PB MDT ( Child 10 -14 yrs. ) : Supe
Page 53 and 54: Reactions in Leprosy
Page 55 and 56: Patients with following characteris
Page 57 and 58: Type I Lepra Reactions Type I Lepra
Page 59 and 60: Type I Lepra Reaction • Inflammat
Page 61 and 62: Type II Lepra Reaction • ENL nodu
Page 63 and 64: Difference between Type I Lepra Rea
Page 65 and 66: Corticosteroid Therapy : • Cortic
Page 67 and 68: Disabilities in Leprosy
Page 69 and 70: The two most important measures for
Page 71 and 72: Primary Disability Primary Disabili
Page 73: Ulnar Claw • Clawing of little an
Page 77 and 78: Prevention of Disabilities ( POD )
Page 79 and 80: Three Levels of Interventions for P
Page 81 and 82: Care of Primary Disability to preve
Page 83 and 84: Loss of Sensation in Hands & Feet (
Page 85 and 86: Care of wounds - Simple Wounds If t
Page 87 and 88: Exercises for Paralysis / Weakness
Page 89 and 90: Exercises for Lateral Popliteal ner
Page 91 and 92: Eye care 2 Corneal Anaesthesia Pati
Page 93 and 94: Elimination of Leprosy It is well k
Page 95 and 96: Integration Why integration is esse
Page 97: Simplified Information System ( SIS
Page 100 and 101: 2. Treatment Record ( L. F. 02 )
Page 102 and 103: Treatment Record to be attached her
Page 104 and 105: Reports The simplified information
Page 106 and 107: 3. Child proportion among new cases
Page 108: National Leprosy Eradication Progra
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Leprosy Training Module for Medical Officers

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