Leprosy Nerve Examination by Dr. N. K. Kansal
Leprosy nerve examination
Dr N. K. KANSAL
Associate Professor
Introduction
•
OSCE = objective structured clinical
examination
•
OSPE = objective structured practical
examination
Procedure for palpation of a nerve
•
Position the patient correctly.
•
Locate the nerve correctly
•
Look at the patient’s face while palpating the nerve gently with the
pulp of the finger (not the tip of the finger) to elicit tenderness.
•
Always palpate across the course of the nerve.
•
Feel along the nerve as far as possible in both directions. A
localized fluctuant and tender swelling may represent as nerve
abscess.
•
Nerves on the two sides must be compared to detect any
abnormality
•
Besides nerve trunk examination, examine area around /
proximal to area of loss of sensation/ around skin lesion for
thickening of cutaneous nerves, especially those entering
the skin lesions.
video
video
This informative content provides a detailed guide on leprosy nerve examination conducted by Dr. N. K. Kansal, an Associate Professor. It covers the procedure for palpation of a nerve, emphasizing correct patient positioning and gentle palpation techniques. The importance of comparing nerves on both sides to detect abnormalities is highlighted, along with examining the areas around skin lesions for nerve thickening. The content also includes illustrations and a video related to the examination process.
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Presentation Transcript
Leprosy nerve examination Dr N. K. KANSAL Associate Professor
Introduction OSCE = objective structured clinical examination OSPE = objective structured practical examination
Procedure for palpation of a nerve Position the patient correctly. Locate the nerve correctly Look at the patient s face while palpating the nerve gently with the pulp of the finger (not the tip of the finger) to elicit tenderness. Always palpate across the course of the nerve. Feel along the nerve as far as possible in both directions. A localized fluctuant and tender swelling may represent as nerve abscess.
Nerves on the two sides must be compared to detect any abnormality Besides nerve trunk examination, examine area around / proximal to area of loss of sensation/ around skin lesion for thickening of cutaneous nerves, especially those entering the skin lesions.
video video
