Competency information

Details

Perform the analyses to laboratory standard operating procedures on patients with:

  • primary hypo- and hypercortisolism
  • secondary hypo- and hypercortisolism
  • hyperaldosteronism
  • disorders of adrenal steroidogenesis
  • adrenal androgen excess
  • disorders of the adrenal medulla.

Considerations

  • The clinical symptoms, biochemistry, diagnosis and monitoring of replacement therapy in common adrenal disorders, including:
    • Cushing’s syndrome
    • Conn’s syndrome
    • Addison’s disease
    • congenital adrenal hyperplasia
    • adrenal androgen-secreting tumour
    • phaeochromocytoma and paraganglioma.
  • Differential diagnosis of common adrenal endocrine disorders using dynamic function tests, including:
    • short synacthen test
    • depot synacthen test
    • dexamethasone suppression test
    • corticotrophin-releasing hormone (CRH) test
    • adrenal vein sampling.
  • The role of imaging in the diagnosis of adrenal disorders.

Relevant learning outcomes

# Outcome
# 1 Outcome Perform the range of laboratory techniques used in the workplace to investigate endocrine disorders and diabetes.
# 2 Outcome Undertake clinical and laboratory investigation and management of the following endocrine pathologies: pituitary, thyroid, gonadal and adrenal disorders; endocrine disorders of calcium metabolism and the gastrointestinal tract; and endocrine causes of obesity.