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Lecture 9

BIMS 201 Lecture Notes - Lecture 9: Hypothenar Eminence, Thenar Eminence, Facial Nerve Paralysis


Department
Biomedical Science
Course Code
BIMS 201
Professor
Elizabeth A.Crouch
Lecture
9

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Madarosis
Loss of facial hair; very rarely leprosy alopecia
Hand:
Intrinsic plus finger (Swam-neck deformity) Lesions in interossei --> myonecrosis & myofibrosis --
> Affect finger flexed & hyper extended at MCP & PIP receptivity -> indicates contracture of
interossei (Intrinsic plus or swam neck deformity)
Twisted fingers
Non paralytic clawing of hand (Dorsal inflammatory lesions --> localized sclerosis, and dorsal
fibrosis gradually pulls the digit back --> non paralytic clawing)
Terminal phalangeal resorption
banana fingers (Long standing lepromatous case) (Heavy infiltration & subsequent cutaneous
atrophy with deposition of subcutaneous fat)
Feet:
Terminal phalangeal resorption
Twisted toes
Gynecomastia
Paralytic deformity:
Hands :
Claw finger
Claw Thumb
Drop Wrist
Flat appearance of hypothenar eminence
Flat appearance of thenar eminence
Feet:
Claw toe
Drop Foot
Fact:
Lagophothalmos
Facial palsy
Leprous stare
Ectropion
Epiphora
Mild keratitis Exposure keratitis
Blinking less frequently
Anaesthetic deformaties:
Plantar ulcer
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
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