This lecture will quickly review Cushing's testing for diagnosis & current therapeutic recommendations. The majority of the lecture will focus on a review of various reported cortisol monitoring protocols, their advantages/disadvantages, and recommendations for how best to monitoring Cushing's therapy in your practice.
Learning Objectives:
Interpret diagnostic tests for Cushing's syndrome
Explain the various ways cortisol testing can be used to identify iatrogenic hypocortisolemia
List advantages of pre-pill cortisol testing, post-pill cortisol testing, and ACTH stimulation tests
List disadvantages of pre-pill cortisol testing, post-pill cortisol testing, and ACTH stimulation tests