Leprosy mastery bytes Flashcards

1
Q

Chronic disease of the skin and PERIPHERAL NERVES

A

LEPROSY

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2
Q

LEADING cause of permanent physical disability
among the Communicable Diseases

A

LEPROSY

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3
Q

LEPROSY OTHER TERM:

A

Hansen’s disease

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4
Q

LEPROSY Causative Agent

A

Mycobacterium leprae

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5
Q

Mycobacterium leprae is the causative agent of Leprosy, it is an acid fast, rod-shaped bacillus which can be detected by what test?

A

Slit Skin Smear (SSS)

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6
Q

Mycobacterium leprae classification?

A

Bacteria

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7
Q

LEPROSY mode of transmissions

A

-Direct prolonged skin to skin
-Droplet- coughing, sneezing

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8
Q

LEPROSY EARLY S/SX
C-L-L-U-M-P

A

Change in skin color
(reddish/white)
Loss of sensation
Loss of sweating
(destruction of
sebaceous glands)
Ulcers that do not heal
Muscle weakness
Painful and reddened eyes

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9
Q

LEPROSY EARLY S/SX
C-L-L-U-M-P

A

Change in skin color
(reddish/white)
Loss of sensation
Loss of sweating
(destruction of
sebaceous glands)
Ulcers that do not heal
Muscle weakness
Painful and reddened eyes

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10
Q

LEPROSY LATE S/SX
M-L-S-C-C-E

A

Madarosis (loss of
eyebrows)
Lagophthalmos (inability
to close the eyelids)
Sinking of the nose bridge
Contractures (hardening
of muscles)
Clawing of fingers and toes
Enlargement of breast
(gynecomastia)

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11
Q

2 CLASSIFICATIONS OF LEPROSY

A

PAUCIBACILLARY & MULTIBACILLARY

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12
Q

PAUCIBACILLARY Incubation period:

A

1-4 years

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13
Q

MULTIBACILLARY Incubation period:

A

4-8 years

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14
Q

Classification of Leprosy- Tuberculoid and indeterminate: _____

A

PAUCIBACILLARY

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15
Q

Classification of Leprosy- Lepromatous and
borderline: _____

A

MULTIBACILLARY

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16
Q

Classification of Leprosy- Not infectious

A

PAUCIBACILLARY

17
Q

Classification of Leprosy- Highly infectious

A

MULTIBACILLARY

18
Q

Classification of Leprosy- Few lesions

A

PAUCIBACILLARY

19
Q

Classification of Leprosy- More lesions

A

MULTIBACILLARY

20
Q

PAUCIBACILLARY: ________ bacilli
MULTIBACILLARY: _____ / ____bacilli

A

PAUCIBACILLARY: Few bacilli
MULTIBACILLARY: Several / more bacilli

21
Q

PAUCIBACILLARY: ___months treatment
MULTIBACILLARY: ___ months
treatment

A

PAUCIBACILLARY: 6-9 months treatment
MULTIBACILLARY: 24-30 months
treatment

22
Q

Scrape a sample of tissue from the lesion and placed over a slide and reagents and seen under a microscope, what dx procedure?

A

SLIT SKIN SMEAR is an optional procedure, done only when clinical dx is doubtful

23
Q

LEPROSY SUSCEPTIBILITY:

A

LEPROSY SUSCEPTIBILITY: < 12 years old

24
Q

An Act Further Liberalizing the Treatment of
Leprosy by Amending and Repealing Certain
Sections of the Revised Administrative Code

A

RA 4073

25
Q

LEPROSY MEDICAL MANAGEMENT- Domiciliary tx:

A

Treatment athome

26
Q

LEPROSY Class: PAUCIBACILLARY
Day 1
Medicine: Rifampicin
ADULT: __ mg
CHILD: __ mg

A

A: 600 mg
C: 450 mg

27
Q

LEPROSY Class: PAUCIBACILLARY
Day 2-28
Medicine: Dapsone
ADULT: __ mg
CHILD: __ mg

A

LEPROSY Class: PAUCIBACILLARY
Day 2-28
Medicine: Dapsone
A: 100 mg daily
C: 50mg

28
Q

LEPROSY Class: MULTIBACILLARY
Day 1
Medicine: Rifampicin
ADULT: __ mg
CHILD: __ mg

A

Medicine: Rifampicin
A: 600 mg daily
C: 450 mg

29
Q

MULTIBACILLARY and PAUCIBACILLARY
Day 1
ADULT meds the same except Clofazimine

Rifampicin: __ mg once a month
Dapsone: __ mg daily

A

Rifampicin: 600 mg once a month
Dapsone: 100 mg daily

30
Q

MULTIBACILLARY and PAUCIBACILLARY
Day 1
CHILD meds the same except Clofazimine

Rifampicin: __ mg once a month
Dapsone: __ mg daily

A

CHILD meds
Rifampicin: 450 mg once a month
Dapsone: 50 mg daily

31
Q

Day 2-28
Paucibacillary ADULT: _ blister packs w/in _ months

Multibacillary ADULT:_ blister packs w/in _ months

A

Paucibacillary ADULT: 6 blister packs w/in 9 months

Multibacillary ADULT:12blister packs w/in 18 months

32
Q

Leprosy PREVENTION
A-B-G-C-A-H

A

A-B-G-C-A-H
o Avoidance of skin to skin contact with
lepromatous case
o BCG vaccination
o Good personal hygiene

o Children should avoid close contact with active, untreated leprosy case
o Adequate nutrition (Vit C)
o Health education