Cushing Syndrome Week 6

Siti 43
Have hypertension
Depressed
Growing moustache (Hirsutism)
Took steroids, immunosuppresants?

Round plethoric face
oily skin with acne
abdominal obesity with striae
new bruises
infected tear in the skin
Hirsutism

Differential
Cushing syndrome
PCOS
Hypothyroidism
Metabolic syndrome

Learning issues for CUSHING SYNDROME

Definition, Prevalance Incidence, Differential diagnosis - Alex

Pathophysiology - 4 different thyroid hormones testosterone oestrogen glucocorticoids. names, site of production and site of release, main target organs and means of transport and feedback loop. Rship between blood pressure and cushing syndrome - Pik Yin and Kee Hao and Fuad

Causes and Risk Factors - Mona

Sign and Symptoms : explain S&S why facial hair oily skin how bruising happens, striae, potential for easy tear, reasons of weight gain - Jun Beng


Examination and Investigation - 24 hour urinary free cortisol - Kaarthik

Treatment and Management - (lifestyle, medical, firstline, CAM, surgical), ACTH and adrenal, dexamethasone, microsurgical and why headache after surgery, why HRT necessary after surgery and complications of surgery - Shakir and Huey Ting

Complications, Prognosis - Ewe Jin

Psychosocial, How does it affect? - Prish