Author Question: A patient with systemic lupus erythematosus has been taking a prolonged course of steroids. She ... (Read 32 times)

SO00 · **on:** Jun 25, 2018

A patient with systemic lupus erythematosus has been taking a prolonged course of steroids. She complains that her face appears swollen and has experienced a 10-pound weight gain. This is often referred to as:

A. Angioedema
B. Parotitis
C. Cushingoid effect
D. Myxedema

Question 2

Your patient accidentally cut his cheek while shaving 3 days ago. Today, the region is warm, erythematous, swollen, and has the appearance of an orange peel. There is a serous exudate coming from the wound. This is most likely due to:

A. Folliculitis
B. Cellulitis
C. Supurative Parotitis
D. Sialoadenitis

matt95 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
A cushingoid look can occur in patients who take long-term steroids for chronic diseases, including respiratory, hematologic, and autoimmune. The typical symptoms are those of Cushing's disease, with a rounded moon face appearance and truncal obesity.

Answer to Question 2

ANS: B
Streptococcus is the most common organism responsible for superficial cellulitis. It can occur from a wound or bite or as a complication of infections of the eyes, ears, mouth, or nose. The symptoms include redness, warmth, edema, leukocyte infiltration, tenderness, and regional lymphadenopathy. The skin may have a thick, orange peel appearance, and the borders are usually indistinct.