Cushing's Syndrome (Glucocorticoid Excess)

The Department will periodically contact patients waiting for an outpatient clinic appointment via SMS, with a link to an electronic form.  This is part of routine waitlist auditing to ensure patient details are up to date.  If you receive this SMS, please update your details.


North South North West Statewide

Pre-referral work-up


All referrals should comply to referral standards and also include:

  • Symptoms of Glucocorticoid excess such as weight gain, fat distribution, hirsuitism, thin skin, bruising and striae
  • Other co-morbidities such as obesity, polycystic ovarian syndrome
  • Mental state, as depression may cause false positives on testing


  • U&E Cr eGFr
  • 24 hour urine free cortisol and/or 0800-0900 plasma cortisol after 1mg dexamethasone at 2300

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

Similar symptoms can be caused by the use of exogenous glucocorticoids, ACTH-excreting pituitary adenoma, Ectopic ACTH secretion, adrenal adenoma or adrenal cancer.

For more information please see the Tasmanian Health Pathways website.

Semi-urgent / category 2

Suspected or proven endogenous Cushing's syndrome

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.


Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.


Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.


We will endeavour to see these patients within 12 weeks


Next available appointment