You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas. Her skin is dry, and her nose appears sharp. This description of Ms. L's facies is associated with:

a. cutis laxa syndrome.
b. Hurler syndrome.
c. old age.
d. terminal illness.


D
In the late stages of terminal illness, the face may appear sunken, facial bones will be more visible, and the skin will be dry. This is referred to as hippocratic facies. Cutis laxa syndrome is a rare condition in which the skin loses its elasticity and sags all over. Hurler syndrome is marked by an enlarged skull and short neck. The description of Ms. L's facies is not a common finding of old age.

Nursing

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