Chapter 17 Common Endrocrine Evaluations

17.0.1 ACTH stimulation test

  • Measure baseline Cortisol level preferably at 8am
  • Give dose of 250 mcg of cosyntropin (ACTH)
  • Measure cortisol at 30 and 60 minutes after ACTH administration.
  • the level should be >18 higher than baseline

https://doi.org/10.1210/jc.2018-01865 https://www.endocrine.org/-/media/endocrine/files/cpg/endo_2019_cah-guideline-3-22-19.pdf

17.0.2 Evaluation for Pituitary

  • Electrolytes
  • Blood Sugar
  • 17OHP
  • Total Testosterone
  • Dihydrotestosterone
  • Free T4
  • TSH
  • Random Cortisol
  • ACTH
  • MRI with Pituitary

17.0.3 Ambiguous Genitalia

  • Evaluate Pituitary
  • US internal genitals
  • Chromosome studies, CMA