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Old 03-29-2012
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Question Diagnosis of Cushing Syndrome?

Hey guys,
Could anyone tell me the 'best initial step' for diagnosis of Cushing Syndrome?
is it low dose overnite Dexamethasone suppression test (KLN 2008-09) or 24hr urine free cortisol (MTB-2CK) ???
Also if the initial test is abnormal do we proceed to a MRI brain(MTB-2CK) or a high dose dexamethasone suppression test(KLN 2008-09) ??


thanks
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Old 03-30-2012
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bit for cushings...i will prefer 24 hour urine cortisol over low dose dexa if both are in options.
no, after bit ...we have to locate the source ...can be pitutary,lungs or adrenal. to do that, high dose dexa will be the ans.
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