Resource Summary

OBJECTIVE
Clinicians in Alberta investigate for suspected Cushing’s syndrome including selecting optimal laboratory tests and timely referral to an endocrinologist.

TARGET POPULATION
Adults and children exhibiting clinical features of Cushing’s syndrome

EXCLUSIONS
None

RECOMMENDATIONS
- Refer to endocrinologist as soon as Cushing’s syndrome is suspected
- Order a 24 hour urine collection for cortisol
- Order a urine creatinine to ensure a complete 24 hour urine collection
- Consider repeating tests if results are borderline values
- X DO NOT order serum cortisol levels. They have low predictive value and are not recommended

https://www.topalbertadoctors.org/cpgs/186095

Publication Date: 2014-5-1
Last Updated on PCR: 2017-04-25 13:34:33