Cushing face Flashcards
1
Q
Causes of Cushings face
A
- Long term steroid treatment
• Renal - Nephrotic syndrome, various glomerulopathy
• Skin - Eczema
• Chest - Asthma
• Autoimmune disease eg SLE
• Blood - ITP, Leukaemia, Aplastic anaemia, Autoimmune hamolysis - Adrenal tumour - Carcinoma - with more virilising effect
- Pituitary basophilic adenoma
- Ectopic ACTH production - more aldosterone effect
2
Q
Steps for examination for Cushing Face
A
- 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
- Chest - deformity
- Abdomen - mass
- Test for proximal muscle weakness
- Test for bone pain and look for collapse and fracture of spine
- Test visual fielde
- Measure BP
• Do urinalysis - sugar, protein, red cell
- • Cushingnoid + Pallor + Jaundice - Autoimmune Haemolysis
- • Cushingnoid + Hemiplegia =
- Thrombosis
- Hypertensive CVA
- SLE
- Meningitis