Which manifestation would the nurse anticipate finding in a patient diagnosed with Cushing disease?

Which manifestation would the nurse anticipate finding in a patient diagnosed with Cushing disease?

• A. Acne
• B. Moon Face
• C. Hyperglycemia
• D. Elevated Cortisol Level

Answer: (B)

Excess cortisol from Cushing disease causes fat redistribution and fluid retention that round out the face, producing moon facies. This facial fullness is a classic, readily observed sign you’d expect on physical examination. Acne can occur but is less distinctive, while hyperglycemia and an elevated cortisol level are metabolic or laboratory findings rather than the specific visible manifestation clinicians look for during a exam. So the most characteristic and observable manifestation is the round, puffy face known as moon facies.

Excess cortisol from Cushing disease causes fat redistribution and fluid retention that round out the face, producing moon facies. This facial fullness is a classic, readily observed sign you’d expect on physical examination. Acne can occur but is less distinctive, while hyperglycemia and an elevated cortisol level are metabolic or laboratory findings rather than the specific visible manifestation clinicians look for during a exam. So the most characteristic and observable manifestation is the round, puffy face known as moon facies.