Adrenal gland

 

Chemical pathology

  • Chemical investigations of the adrenal cortex

    Plasma

     

    • Serum sodium

    • Serum potassium

    • Plasma cortisol: Cortisol is the most potent of all the glucocorticoids

    • Plasma aldosterone

    • Plasma ACTH level

    • ACTH stimulation test

    • Aldosterone stimulation test

    • Dexamethasone suppression test

    • Aldosterone suppression test or desoxycorticosterone test

    • CRH test

    • Insulin tolerance test

    Urine

    • 24 hour urine steroid

    • 17 hydroxycorticosteroid

    • 17-hydroxycorticosteroid in 24 hour urine

    • 17-ketosteroids in 24 hour urine

    • Ketogenic steroids in 24 hour urine

    • Urine aldosterone (24 hour)

    Adrenal medulla

    Urine

    • Vanillylmandelic acid (VMA) in 24 hour urine

    • Catecholamines in 24 hour urine

    • Metanephrine in 24 hour urine

Imaging

 

 

Hematology

  • Full Blood count

  • WBC count/differential

 

 

 

 

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