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.
Availability
North 
South North West Statewide 
This condition is treated in the Endocrinology clinic
Pre-referral work-up
History
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
Tests
- 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
