Resource Summary

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

*** Original Documents can be found and downloaded using the link provided below ***

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

Publication Date: 2014-5-1
Last Updated on PCR: 2017-04-25 13:35:51