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Eastern Health Pathology no longer administers the Short Synacthen Test, it needs to be arranged through Endocrinology or the appropriate ward.
Please contact Vanessa from Endocrinology on 0408 128 193 to arrange a booking for this test. Please note the test can only be performed on a Tuesday.
The Short Synacthen Test may be requested in the investigation of patients for "Addison's disease", "Adrenal failure" or Congenital Adrenal Hypoplasia" (CAH).
The test involves IM/IV administration of 250 micrograms of synacthen (synthetic ACTH) by an appropriate clinician.
Eastern Health Pathology no longer administers the Synacthen,this is done by the Eastern Health Endocrine unit or the appropriate ward.
Every synacthen test must have cortisol measured on all 3 serum tubes.
See ACTH instructions for processing of EDTA sample. (collect onto Ice and send immediately to the laboratory)
If the synacthen test is for " Congenital Adrenal Hypoplasia"/"CAH", Each serum sample must also have 17-hydroxyprogesterone (in addition to cortisol ) measured.
Endocrine consultation is suggested for Long synacthen Test.
Laboratory staff: the first Cortisol specimen should be booked in as 'SYN' this is the test code for the synacthen stimulation test. Subsequent samples collected at 30 and 60 mins should be booked in as CORTX
An adequate adrenal response is usually indicated by any absolute cortisol value >550 nmol/L with an increase of > 200 nmol/L above baseline level.
If EMR is not available, Pathology results are available from Auscare. If you do not have an Auscare login,please complete attached form. https://pathology.easternhealth.org.au/handbook/downloads/Auscare%20access.pdf
Instruction on how to use Auscare - https://pathology.easternhealth.org.au/handbook/downloads/Auscare%20instructions.pdf
SPECIMEN COLLECTION MODULE (SCM) FAQs - CLICK HERE
CLICK HERE for a consent form to perform tests not covered by Medicare
TURN AROUND TIMES - When will my result be available?
CLICK HERE for Minimum Labelling Requirements
CLICK HERE for a printable Pathology request form
CLICK HERE for a Log sheet for recording Pathology results
"THE ART OF CCCCOLLECTION"
PLEASE CLICK HERE FOR THE PREFERRED ORDER OF DRAW
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