A school-age girl is diagnosed as having Cushing syndrome from long-term therapy with oral prednisone. What assessment finding is consistent with this patient's diagnosis and treatment?
A) Child appears pale and fatigued.
B) There are purple striae on the abdomen.
C) The child is excessively tall for chronologic age.
D) The child is demonstrating signs of hypoglycemia.
B
Feedback:
Cushing syndrome is caused by overproduction of the adrenal hormone cortisol. The overproduction of cortisol results in hyperpigmentation, which occurs from the melanin-stimulating properties of ACTH. Purple striae resulting from collagen deficit appear on the child's abdomen. The child will not be pale or fatigued. The child will not be excessively tall. The child will not be demonstrating signs of hypoglycemia.
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