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Screening for Cushing Syndrome at the Primary Care Level: What Every General Practitioner Must Know
Joint Authors
Kantanka, Osei Sarfo
Yorke, Ernest
Atiase, Yacoba
Akpalu, Josephine
Source
International Journal of Endocrinology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Cushing’s syndrome is a rare entity, and a high index of suspicion is needed for screening in a primary care setting.
The clinical awareness of the primary care physician (PCP) to the highly indicative signs and symptoms such as facial plethora, proximal myopathy, reddish purple striae, and easy bruisability should alert him to look for biochemical evidence of Cushing’s syndrome through any of the first-line screening tests, namely, 24-hour urinary free cortisol, overnight dexamethasone suppression test, or late-night salivary cortisol.
Commonly used random cortisol measurements are unreliable; hence, general practitioners are encouraged to understand the use of these more reliable tests with increased sensitivity and specificity for screening Cushing’s syndrome.
In this write-up, we set out to increase awareness about the presentation of Cushing’s syndrome and current recommended screening methods as well as their strengths and weaknesses.
We relied mainly on the recommendations by the Endocrine Society Guidelines.
American Psychological Association (APA)
Yorke, Ernest& Atiase, Yacoba& Akpalu, Josephine& Kantanka, Osei Sarfo. 2017. Screening for Cushing Syndrome at the Primary Care Level: What Every General Practitioner Must Know. International Journal of Endocrinology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1165988
Modern Language Association (MLA)
Yorke, Ernest…[et al.]. Screening for Cushing Syndrome at the Primary Care Level: What Every General Practitioner Must Know. International Journal of Endocrinology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1165988
American Medical Association (AMA)
Yorke, Ernest& Atiase, Yacoba& Akpalu, Josephine& Kantanka, Osei Sarfo. Screening for Cushing Syndrome at the Primary Care Level: What Every General Practitioner Must Know. International Journal of Endocrinology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1165988
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1165988