Leprosy Flashcards

1
Q

what is leprosy

A

attacks schwan cells- attacks layers of spinal cord or brain

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2
Q

what happens when the layer of spinal cord or brain attacked?

A

preipheral damage causes loss of sensation

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3
Q

domiciliary treatment for leprocy

A

Ra 4073

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4
Q

chronic disease of the skin and peripheral nerves

A

leprosy

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5
Q

other name of leprosy

A

hansen’s disease

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6
Q

causative agent of leprosy

A

mycobacterium leprae and mycobacterium lepromatis

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7
Q

mode of transmission of leprosy

A

droplet
prolonged skin to skin contact

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8
Q

early s/sx of leprosy (CLLUMP)

A

change in skin color ( reddish or whitish)
loss of sensation
loss of sweating
ulcers - do not heal
muscle weakness
painful and reddened eyes

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9
Q

late s/sx of leprosy

A

madarosis
lagopthalmos
sinking of nosebridge
clawing of fingers and toes
contractures
enlargement of the breast

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10
Q

loss of eyebrow

A

madarosis

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11
Q

inability to close eyelids

A

lagopthalmos

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12
Q

hardening of the muscles

A

contractures

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13
Q

enlargement of breast

A

gynecomastia

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14
Q

classifications of leprosy

A

paucibacillary
multibacillary

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15
Q

other names for paucibacillary

A

tuberculoid
indeterminate

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16
Q

other names for multibacillary

A

lepromatous
borderline

17
Q

incubation of paucibillary and multibacillary

A

paucibacillary: 1-4 years
multibacillary: 4-8 years

18
Q

discuss paucibacillary

A

non infectious
few lesions/bacteria or bacilli
6-9 months tx

19
Q

discuss multibacillary

A

highly infectious
several lesions/bacteria (bacilli)
24-30 months tx

20
Q

diagnostic test for leprosy

A

slit skin smear

21
Q

classification of leprosy

A

bacteria gram +

22
Q

procedure for sss

A

scrape a tissue or lesion
place it on a glass slide
add/mix reagents
view under microscope

23
Q

medical management for paucibacillary (adult)

DAY 1

A

rifampicin 600mg (once a month)
diapsone 100 mg (daily)

24
Q

medical management for paucibacillary (adult)

DAY 2-28

A

dapsone 100mg (daily)

6 blister packs to be taken monthly within a maximum period of 9 months

25
Q

medical management for multibacillary (adult)

DAY 1

A

rifampicin 600mg once a month
dapsone 100mg daily
clofazimine 300mg once a month

26
Q

medical management for multibacillary (adult)

DAY 2-28

A

dapsone 100mg
clofazimine 50mg

12 blister packs to be taken monthly within a maximum period of 18 months

27
Q

medical management for paucibacillary (child)

DAY 1

A

rifampicin 450mg
dapsone 50mg

28
Q

medical management for paucibacillary (child)

DAY 2-28

A

dapsone 50mg

29
Q

medical management for multibacillary (child)

DAY 1

A

rifampicin 450mg
dapsone 50mg
clofazimine 150mg

30
Q

medical management for multibacillary (child)

DAY 2-28

A

dapsone 50mg
clofazimine 50mg every other day

31
Q

prevention for leprosy

A

single dose of RIFAMPICIN given to 2y/o and above

BCG vaxx kase same sila ng family