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. Ms. L's facies description is associated with

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In the late stages of terminal illness, the face may appear sunken, the facial bones are more visible, and the skin is dry. This is referred to as Hippocratic facies. Hurler syndrome is marked by an enlarged skull and short neck. This is not a common finding in older adults. Cutis laxa is a rare condition in which the skin loses its elasticity and sags all over. Myxedema facies consists of dull, puffy, yellowed skin and periorbital edema as well as other characteristic findings.

You Are Examining Ms