Oncohema Key

Precautions: Do not leave the patient unattended since hypoglycemia is expected. A physician must be available in the walking distance from the room where the ITT is performed. Interpretation: A…

Day Date What to do 1 Day and date Have labs (thyroglobulin) drawn

Assay for Cortisol: Chemiluminescence Immunoassay (CLIA) . Precautions: None. Interpretation: Serum cortisol concentration > 1.4–1.8 µg/dl after 2 day low dose dex is strongly suggestive of Cushing’s syndrome [1]. Caveats: Use of…

Day Date What to do 0 (Day:) Date: Have baseline TSH and Thyroglobulin drawn if not done in the past 60 days. Stop L-thyroxine medication beginning on day 0 7…

Glucagon stim test Time Gastrin Basal(0 min)-twice   2 min   5 min   10 min   15 min   20 min

2. Bruno OD, Rossi MA, Contreras LN, et al. Nocturnal high-dose dexamethasone suppression test in the aetiological diagnosis of Cushing’s syndrome. Acta Endocrinol (Copenh). 1985;109(2):158–62. 3. Dichek HL, Nieman LK, Oldfield…

Assay for GH: Immunoenzymatic assay Precautions: Patients may complain of nausea. Interpretation: Diagnosis of acromegaly: Using ultrasensitive assays, a GH suppression to < 0.4 ng/ml is considered the gold standard test to…

CRH test − 15 min 0 min (baseline) 15 min 30 min 45 min 60 min Cortisol       ACTH       References 1. Ishizuka B, Quigley ME, Yen SS. Pituitary hormone release in response to food ingestion: evidence for neuroendocrine…

Assay for Cortisol and ACTH: Chemiluminescence Assay (CLIA) . Assay for 11 DOC: LC-MS/MS. Precautions: Hypotension , nausea, vomiting, abdominal discomfort or cramping, and musculoskeletal pain in patients with adrenal…

  Cortisol Aldosterone A/C A/C dominant A/C non-dominant A/C non dominant A/C AVC Right AV      Left AV      Low IVC      References 1. Funder JW, Carey RM, Fardella C, et al. Case detection,…