Cushings disease Flashcards
1
Q
What do you look for on general inspection?
A
- central adiposity
- supra-clavicular fat pad
- hirsutism
- osteoperosis
2
Q
What do you look for in the hands?
A
- thin skin
- bruising
- pigmentation
- poor healing
3
Q
What do you look for in the face?
A
- cushings face (moonface)
- hirsutism
- telangectasia
- hoarse voice
- buccal pigmentation
- visual fields
4
Q
What do you look for in the neck?
A
-supra-clavicular fat pad
5
Q
What do you look for in the abdomen?
A
- purple stretch marks
- insulin marks
- skin thinning
6
Q
What do you look for in the arms?
A
- bruising
- muscle wasting
- peripheral oedema
- proximal weakness (stand up)
7
Q
How would you complete the exam?
A
Ask for BP, urine dipstick for glucose and formally assess visual fields, dexamethasone suppression test
8
Q
What are causes of cushings syndrome?
A
- cushings disease
- ectopic ACTH (lung cancer)
- medication
- Adrenal adenoma
