— 生理適應 · MEDIUM · MCQ —
一位新診斷庫欣氏症候群的病患入院，護理師預期會發現下列哪種身體徵象？
A client with a new diagnosis of Cushing’s syndrome is admitted. Which physical assessment finding does the nurse expect?
- APurple striae on the abdomen✓ 正解腹部出現紫色紋路
- BHypotension低血壓
- CHyperpigmentation of the skin皮膚色素沈著
- DWeight loss體重減輕
— Explanation · 中文詳解 —
庫欣氏症候群因皮質醇分泌過多，導致脂肪重新分佈及蛋白質分解。典型外觀包括滿月臉、水牛肩、軀幹肥胖及腹部紫紅色紋路（striae），這是因為皮膚變薄且皮下血管顯露。相較之下，低血壓（B）與體重減輕（D）通常見於愛迪生氏病（Addison’s disease）。
Cushing's syndrome results from excessive cortisol secretion, which leads to redistribution of fat and protein breakdown. Typical features include a moon face, buffalo hump, truncal obesity, and purple-red striae on the abdomen; the striae appear because the skin becomes thin and the subcutaneous vessels show through. In contrast, hypotension (B) and weight loss (D) are usually seen in Addison's disease.
✦ 台美臨床差異
台美臨床對於此類內分泌診斷的衛教重點一致，但美國護理師更常協助病人進行壓力管理指導。