What are common clinical manifestations of adrenocortical excess that a nurse should assess for?

The manifestation of heavy trunk and thin extremities is characteristic of adrenocortical excess, which is most commonly associated with Cushing's syndrome. In this condition, excess cortisol leads to specific body changes due to its effects on metabolism and fat distribution. The body tends to accumulate fat centrally (in the trunk and face) while the extremities remain thin, creating a distinctive appearance known as "moon facies" and "buffalo hump."

This central obesity contrasts with muscle wasting in the limbs, leading to the appearance described in the correct answer. The other clinical manifestations associated with adrenocortical excess might include hypertension, hyperglycemia, and skin changes like striae, rather than generalized symptoms such as fever or joint pain. Thus, the selected response captures a defining aspect of the physical changes that occur in the context of excess adrenal hormones.