Cushing face Flashcards

1
Q

Causes of Cushings face

A
  1. Long term steroid treatment
    • Renal - Nephrotic syndrome, various glomerulopathy
    • Skin - Eczema
    • Chest - Asthma
    • Autoimmune disease eg SLE
    • Blood - ITP, Leukaemia, Aplastic anaemia, Autoimmune hamolysis
  2. Adrenal tumour - Carcinoma - with more virilising effect
  3. Pituitary basophilic adenoma
  4. Ectopic ACTH production - more aldosterone effect
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2
Q

Steps for examination for Cushing Face

A
  1. Cushing face - Moon face, facial plethora, thin skin, hirsute, acne
2. Look for other features of cushing syndrome
• Truncal obesity
• Thin limbs
• Buffalo hump
• Striae at abdomen and thigh
3. General examination 
• Height measurement 
• Note facial puffiness
• Eye - cataract
• Skin - Eczema, bleeding tendency
  1. Chest - deformity
  2. Abdomen - mass
  3. Test for proximal muscle weakness
  4. Test for bone pain and look for collapse and fracture of spine
  5. Test visual fielde
  6. Measure BP
    • Do urinalysis - sugar, protein, red cell
  • • Cushingnoid + Pallor + Jaundice - Autoimmune Haemolysis
  • • Cushingnoid + Hemiplegia =
  1. Thrombosis
  2. Hypertensive CVA
  3. SLE
  4. Meningitis
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