Cushing's syndrome physical examination: Difference between revisions

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* Purple or red [[striae]] (the weight gain in Cushing's stretches the skin, which is thin and weakened, causing it to hemorrhage) on the trunk, buttocks, arms, legs or breasts, proximal muscle weakness (hips, shoulders)
* Purple or red [[striae]] (the weight gain in Cushing's stretches the skin, which is thin and weakened, causing it to hemorrhage) on the trunk, buttocks, arms, legs or breasts, proximal muscle weakness (hips, shoulders)
* [[Hirsutism]] (facial male-pattern hair growth)
* [[Hirsutism]] (facial male-pattern hair growth)
===Neck===
* Growth of fat pads along the collar bone and on the back of the neck (known as a [[lipodystrophy]])
* Growth of fat pads along the collar bone and on the back of the neck (known as a [[lipodystrophy]])



Revision as of 20:26, 23 August 2012

Cushing's syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical Examination

Vitals

Appearance

Moon face is a medical sign where the face swells up into a rounded shape. It is often associated with Cushing's syndrome, which has led to it being known as Cushingoid facies ("Cushings-like face"), or steroid treatment, which has led to the name steroid facies.

Skin

  • Hyperpigmentation - this is due to Melanocyte-Stimulating Hormone production as a byproduct of ACTH synthesis from Proopiomelanocortin (POMC)
  • Telangiectasia (dilation of capillaries)
  • Thinning of the skin (which causes easy bruising)
  • Purple or red striae (the weight gain in Cushing's stretches the skin, which is thin and weakened, causing it to hemorrhage) on the trunk, buttocks, arms, legs or breasts, proximal muscle weakness (hips, shoulders)
  • Hirsutism (facial male-pattern hair growth)

Neck

  • Growth of fat pads along the collar bone and on the back of the neck (known as a lipodystrophy)


References

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