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Test & Collection Guide

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Dexamethasone Suppression Test

Laboratory:
Biochemistry
Specimen types:
Serum
Container types:
Serum tube with gelSerum tube with gel
Collection Instructions:

The Dexamethasone Suppression Test (DST), also referred to as the "low dose DST" or "overnight DST", is a screening test for Cushing's Syndrome.

The requesting clinician should give the patient a 1mg dexamethasone tablet with instructions to take it at 11 pm. (for outpatients: the tablet should only be taken Sunday to Friday evening, to ensure collection next day.)

The patient must present to the collection centre the following morning ( preferably before 10am ) and have a serum sample taken for cortisol analysis.

If there is any doubt do not send the patient away without documented consultation with a senior scientist. ( 9895 3548)

Endocrine consultation is suggested for "High Dose DST".

Dexamethasone levels will not be performed without consultation with Endocrinology and the Chemical Pathologist.

Frequency:
Daily
Result Turnaround Time:
2-4 hours
Reference Interval:

Cortisol < 50 nmol/L is considered normal and NOT consistent with Cushing's Syndrome.

Laboratory Use Only

  

Accessing Results

EMR: Pathology results are available via EMR.

Auscare: If EMR is unavailable, results can be accessed through Auscare. Don’t have an Auscare login? Complete the Auscare User Form.

To access Auscare, see instructions.

 

Forms & Collection Guides

Consent Form – Non-Medicare Tests
For tests not covered by Medicare. Download Form  

Pathology Request Form
Printable referral form for submitting pathology requests. Download Form.

Microbiology Swab Collection Guide 
Step-by-step instructions for correct swab collection. Download Guide.

Preferred Order of Draw
Instructions to ensure accurate blood collection and results. View Instructions 

 

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