Review of cushing's Physical Exam (Hypercortisolism) for Royal College preparation
Vital Signs
: Hypertension
General Inspection
: Central obesity, ↑ Waist-to-hip ratio,
moon facies,
dorsocervical fat pad, suprascapular fat pad
, dewlap collar, limb atrophy 2° to myopathy. Female virilisation.
Mental status: flattened affect, poor memory, depression, psychosis, emotional lability
Head & Neck
: bitemporal hemianopia (if pituitary lesion),
moon facies, cataracts,
glaucoma,
oral thrush, hirsutism & acne
.
Chest: Gynaecomastia
Abdomen: Palpable abdominal mass
Neurologic:
Proximal muscle weakness
Dermatologic: Skin striae, telangiectasia
, thin skin folds, hyperpigmentation