Category

SPECIAL CHEMISTRY.

Sub Category

ENDOCRINE

Synonyms/Aliases

-N/A

Abbreviations

-N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY/ REPORTED 2-4 HRS

Method

IMMUNOASSAY

Temp

FROZEN PREFERRED OR REFRIGERATED. AMBIENT (ROOM) TEMPERATURE NOT ACCEPTABLE.

Setup

DAILY

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. COLLECT BETWEEN 4-6 PM

Patient preparation

COLLECT BETWEEN 4-6 PM

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

AT LEAST 2ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE. SAMPLE COLLECTED OUTSIDE THE SPECIFIED TIME

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

EVALUATION OF CUSHING'S SYNDROME, CUSHING'S DISEASE (HYPERCORTISOLISM) AND ADDISON'S DISEASE (HYPOCORTISOLISM).

Clinical Utility

EVALUATION OF CUSHING'S SYNDROME, CUSHING'S DISEASE (HYPERCORTISOLISM) AND ADDISON'S DISEASE (HYPOCORTISOLISM).

Test Limitations/ Confounders

USE OF STEROIDS AFFECTS RESULTS. IMMUNOASSAY INTERFERENCE CAN GIVE RISE TO SPURIOUS RESULTS. SUCH INTERFERENCE CAN ARISE FROM PRESENCE OF HETEROPHILE ANTIBODIES, ANTI-ANIMAL ANTIBODIES, AUTOANTIBODIES, PARAPROTEINS, BIOTIN ETC. RESULTS SHOULD ALWAYS BE CORRELATED WITH CLINICAL FINDINGS.