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INDEX
| Hypopituitary Section | |
| Basic Pituitary tests | 1 |
| TRH | 2,3 |
| Checklist for raised prolactin | 4 |
| LHRH | 5,6 |
| Insulin Tolerance test | 7,8 |
| Acromegaly Section | |
| Oral glucose tolerance test | 9,10 |
| Adult GH replacement | |
| Prolonged glucagons test | 11 |
| Adult GH replacement control | 12,13,14 |
| GHRH | 12 |
| Arginine | 12,13 |
| Diabetes insipidus | |
| Water Deprivation test | 15,16,17 |
| Cushings Section | 18 |
| Dexamethasone 1mg overnight test | 19 |
| Low dose 2 day dexamethasone test | 20 |
| PseudoCushings | 21 |
| Dexamethasone suppressed CRH test | 22,23 |
| Basal testing | 24 |
| High dose 2 day dexamethasone test | 25 |
| CRh in Cushings | 26 |
| Overnight 8mg dexamethasone test | 27 |
| Inferior petrosal sampling | 28,29 |
| Cushing’s imaging | 30 |
| Assessment for cure of Cushing’s | 31 |
| Hypoadrenal section | |
| Standard short synacthen test | 32,33 |
| Long synacthen test | 34 |
| Random cortisol | 35 |
| Adrenal autoantibodies | 36 |
| CRH in hypoadrenalism | 37 |
| Low dose synacthen test | 38 |
| Steroid Biosynthesis chart | 39 |
| Congenital adrenal hyperplasia (adults) | 40,41 |
| Insulinoma | 42,43 |
| Cpeptide suppression test | 44,45 |
| Insulinoma localisation | 46 |
| Primary Hyperaldosteronism | |
| Screening | 47,48 |
| Salt loading test | 49,50,51 |
| Selenium cholesterol adrenal scan | 52 |
| Phaeochromocytoma | |
| Sensitivity, specificity of tests used | 53 |
| Clonidine test | 54 |
| Pentolinium test | 55 |
| Hypercalcaemic problems | |
| Calcium excretion index | 56 |
| Pentagastrin test in medullary thyroid cancer | 57 |
| Gastrinoma | 58,59 |
| Secretin Test | 60 |
| Carcinoid | |
| Urine 5HIAA | 61 |
| Scans | |
| MIBG | 62 |
| Octreotide | 62 |
| Parathyroid scan | 63 |
| Thyroid scan | 63 |
| Whole body I131 scan | 63 |
| Requesting nuclear medicine scans | 64,65,66 |
| Operations | |
| Perioperative procedures for
thyroidectomy in thyrotoxicosis |
67 |
| Thyroidectomy and hypocalcaemia | 68 |
| Parathyroid surgery | 69 |
DISCLAIMER
This guide is produced only for the use
of medical staff in the endocrine section of Ninewells Hospital Dundee UK under
the express direction, and interpretation of the Clinical Endocrine Specialists
and should not be used by anyone else without permission of the specialist
doctor in charge of the patient concerned, who should decide the most
appropriate test to be performed on their patient taking into account all
circumstances of each individual patient, local usage and experience. Variation
in local laboratory analysis must also be taken into account in result
interpretation if used by others. Please also note that the dosages illustrated
(reflect
No liability whatsoever is accepted if used by others.
Ó NHS Tayside Endocrine Section 2004