Short case approach to cushing summary

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  • 1. Short Case Approach to Cushing’s diseaseLying downFace1. Moon-like facies2. Hirsutism3. Acne4. Plethora due to telangiectasia5. Mouth for oral thrushShoulders1. Supraclavicular fat padsAbdomen1. Truncal obesity2. Thinning of skin3. Purple striaeLimbs1. Bruising2. WastingStanding upShoulders1. Interscapular Buffalo humpSpine1. Kyphoscoliosis2. Vertebral collapse/ fracture / osteoporosisLimbs1. Proximal myopathySigns of conditions requiring long term steroid therapy1. Asthma2. RA3. SLE4. Fibrosing alveolitisSystemic1. Urine for glucose2. Visual field for Pituitary tumour3. Fundus for optic atrophy, papilloedema, signs of HPT or diabetic retinopathy Digitally signed by DR WANA HLA SHWE DN: cn=DR WANA HLA SHWE, c=MY, o=UCSI University, School of Medicine, KT- Campus, Terengganu, ou=Internal Medicine Group, email=wunna.hlashwe@gmail.com Reason: This document is for UCSI year 4 students. Date: 2009.02.24 13:57:37 +0800