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CONDITION/DISORDER SYNONYMS
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255.0 Cushing syndrome
255.3 Other corticoadrenal overactivity
255.6 Medulloadrenal hyperfunction
Associated physical therapy diagnoses
315.4 Coordination disorder (clumsiness, dyspraxia and/or specific motor development disorder)
718.45 Contracture of joint, pelvic region, and thigh
719.70 Difficulty in walking
728.2 Muscular wasting and disuse atrophy
728.89 Disorders of muscle, ligament, and fascia
729.9 Other disorders of soft tissue
780.7 Malaise and fatigue
781.2 Abnormality of gait: Ataxic, paralytic, spastic, staggering
782.3 Edema
786.0 Dyspnea and respiratory abnormalities
786.05 Shortness of breath
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E24.0 Pituitary-dependent Cushing disease
E24.2 Drug-induced Cushing syndrome
E24.3 Ectopic ACTH syndrome
E24.8 Other Cushing syndrome
E24.9 Cushing syndrome, unspecified
E27.5 Adrenomedullary hyperfunction
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PREFERRED PRACTICE PATTERNS
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4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction1
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation2
6B: Impaired Aerobic Capacity/Endurance Associated with Deconditioning3
7B: Impaired Integumentary Integrity Secondary to Superficial Skin Involvement4
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PATIENT PRESENTATION
A 60-year-old male is referred to PT for generalized muscle weakness, back pain, and complaints of fatigue. His history reveals type 2 diabetes, hypertension, and illegal drug use in his somewhat remote past. He complains of being sweaty most of the time, even without exertion, and is drinking a lot of water. The back pain is constant and he describes it as dull. His lower back is tender to touch, and the pain is not relieved with rest or change in activity. He states his wife is complaining about his decreased libido. Although he used to be an avid exerciser, he complains of being too tired and his legs are getting “skinny.”
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Excessive production and release of adrenal hormones, glucocorticoids (cortisol), androgens, mineralocorticoids from the adrenal glands
Adrenal glands are critical in regulating inflammation and cardiovascular function
Insidious or sudden onset
High cortisol levels
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Essentials of Diagnosis
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