A companion slideshow to the polypolyp.com website. The website is designed to assist in polyposis care, education and documentation. (c) 2014 Douglas Riegert-Johnson.
92. +
Adrenal incidental work up
• Exclude hyperfunction by once-off screen:
• 1. Check and record BP
• 2. History and examination for Phaeo ,
• Cushings, or Conns:
• - Headache, sweating, palpitations
• - Centripetal obesity, striae, bruising
• - Occasionally muscle tiredness, polyuria
• 3. 24-hour acidified urine collection for free
• catecholamines (via GP if necessary)
• 4. Blood tests: ACTH, U&E (ACTH to exclude
• subclinical Cushings; although lab range 0-80nM,
• most normals 30-50. REFER If undetectable)