Leprosy nerve examination
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Procedure for palpation of a nerve
? Position the patient correctly.
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? Locate the nerve correctly
? Look at the patient's face while palpating the nerve gently with the
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pulp of the finger (not the tip of the finger) to elicit tenderness.? Always palpate across the course of the nerve.
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? Feel along the nerve as far as possible in both directions. Alocalized fluctuant and tender swel ing may represent as nerve
abscess.
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? Nerves on the two sides must be compared to detect any
abnormality
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? Besides nerve trunk examination, examine area around /
proximal to area of loss of sensation/ around skin lesion for
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thickening of cutaneous nerves, especially those enteringthe skin lesions.
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video
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video
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