tag:blogger.com,1999:blog-38117614.post8963824738964664529..comments2023-05-27T22:13:31.352+08:00Comments on Medical PBL: Examination of a Cushing'sUnknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-38117614.post-36290314205691746922009-12-20T01:23:14.692+08:002009-12-20T01:23:14.692+08:00dun forget the lymph nodes as well (lung CA-ectopi...dun forget the lymph nodes as well (lung CA-ectopic)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-38117614.post-41786458773759614942009-05-16T08:33:00.000+08:002009-05-16T08:33:00.000+08:00? Heard rare to get a visual field defect as pitui...? Heard rare to get a visual field defect as pituitary tumours in Cushings Disease are very small.Anonymous GPhttps://www.blogger.com/profile/06352501906840945821noreply@blogger.comtag:blogger.com,1999:blog-38117614.post-68088982390845518572009-01-18T15:25:00.000+08:002009-01-18T15:25:00.000+08:00The one thing that we have learned, having tried t...The one thing that we have learned, having tried to get cured or diagnosed with Cushing's for 7 years, is that the text book cases of Cushing's are not the normal. Having Cushing's sucks because our symptoms fit into other things. Like stress, anxiety, poor diet/exercise, and the list goes on.<BR/><BR/>The problem with diagnosis is that doctors will want to run a test or two and then call it stress. The Cushing's community knows that a few tests can not rule out Cushing's. Most doctors think it does. Many of us stay sick until we either find a doctor who knows what they are doing or we get so sick no one can miss it.<BR/><BR/>Cushing's isn't rare. It is just rarely diagnosed. It is a life altering and life ending/shortening disease if left untreated. Finding a good team of doctors is deciding factor of getting a diagnosis or getting worse.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-38117614.post-19838307217622580882009-01-13T20:44:00.000+08:002009-01-13T20:44:00.000+08:00And don't forget that many Cushing's patients have...And don't forget that many Cushing's patients have only a very few of the classical symptoms but do have many other issues not mentioned - GI problems, depression, reversed sleep pattern, etc.judycolbyhttps://www.blogger.com/profile/03178633666261662585noreply@blogger.comtag:blogger.com,1999:blog-38117614.post-48577653791446889102009-01-12T14:03:00.000+08:002009-01-12T14:03:00.000+08:00in the abdomen, you may also want to elicit hepato...in the abdomen, you may also want to elicit hepatomegaly due to fat deposition in the liver or due to increased in workload of the liver to metabolise the excessive steroids.<BR/><BR/>Striaes can also be found in inner thigh and axilla.<BR/><BR/> the skin thickness in normal person is 1.8mm...so unless the skin pinched is paper thin, its normal.<BR/><BR/>Spine tenderness,in my opinion affects the weight bearing spine i.e lumbar. There's no need to palpate from cervical right down to sacrum bcuz it will cause u time especially when you're not used to the technique. I personally start palpating from the thoracolumbar junction downwards.<BR/><BR/>in the leg, signs of mineralocorticoid excess to be aware of is pedal edema.<BR/><BR/>Do not forget temporalis deposition of fat giving the characteristic moon facies/Jeffreyhttps://www.blogger.com/profile/16576273767204368657noreply@blogger.com