Wednesday, August 31, 2011

TROPICAL DESEASE 10





FILARIA





2.5 TREATMENT
Di-Ethyle Carbamizine (Hetrazan) rapidly eliminates microfilaria
from the blood.
It also kills and injures adults worms, impairing
reproduction.
The dosage is 2mg/kg body weight 3 times a day and
needs to be continued for 3-4 weeks.

Elephantiasis requires surgical management with Charles operation
fig.8.5

CHARLES OPERATION FOR ELEPHANTIASIS
A tourniquet is applied to the affected leg above the knee.
The thickened tissue is incised and is reflected upto the deep
faschia.
The skin from the excised tissue is taken of either with
the scalpel or a Humby knife.
This skin can now be grafted onto the deep fascia exposed and stitched in place.

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