Monday, May 03, 2010

Finals Post 3: Presentations of Cushingoid

Head downwards.

1. Head - Moon facies, acne, plethora, hirsutism, thin hair, Cataract.

2. Body - Truncal obesity, kyphosis, striae, muscle wasting and aches, thin skin, bruisings, puffy legs

3. Check for hypertension, Dexa for osteoporosis, OGTT for Diabetes mellitus, Refer to opthalmo for cataract, appropriate pyschiatry assessment for insomia, depression and psychosis, check peptic ulcer if there's abdo pain, avoid vaccinations as am immunosuppressed.

Other mneumonics - I AM CUSHINGOIDS

Immunosuppressed
Acne
Moonfacies, Muscle wasting, muscle aches
Central Obesity, Cataracts
Ulcer, Peptic
Hirsutism, Hypertension, Hair thinning
Insomia
Nuts - psychosis
Glycosuria, Diabetes
Osteoporosis, Oedema
Infection
Depress
Skin thining

Hmmm...

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