NURS 5463 Exam 2:NURS 5463 Exam 2 Study Guide: Questions & Answers: Updated Solution

clinical findings with Cushing disease (Ansobesity (moon face / buffalo hump) weight gain on abdominal facial plethora abdominal striae easy bruising / acne / difficulty wound healing worsening HTN DM infection muscle weakens edema diagnosis with Cushing disease (Ans- 24 hours urine cortisol test if pt low cortisol at night -- saliva test if pt on steroid -- dexamethasone suppression testMRI / CT if Cushing syndrome - petrosal sinus sampling Thyroid storm (Ans- too much thyroid hormone! -- gioter, thyroid nodules or enlargement "Grave's disease" Fever / tachycardia / arrhythmias / HF / HTN or HoTN (HoTN is later stage) Hyperthyroidism vs Hypothyroidism (Ans- Thyroid storm vs Myxedema coma Fever vs Cold!! SIADH vs DI (Ans- SIADH - hyponatremia + low serum osmolality + high urine osmolalityDI - hyponatremia + high serum osmolality + low urine osmolality + cases with immediate cesastion of glucocorticoid (Ans- induce acute psychosis with not responsive to antipsychotic therapy Herpes virus-induced corneal ulceration Exfoliative erythroderma (Ans- life threatening erythema and scaling 90% of body surface area / erythroderma = severe and life-threatening erythema multiforme (Ans- = HSV, histoplasmosis, EBV papular, bullous, and necrotic extremities quickly turn into painful erosion lesion is less than 3 cmsteven johnson syndrome (Ans- over new 3 to 4 days -- blister rash and erosions on the face, trunk, limbs, and mucosal surface