How to Test for Cushing Syndrome?

Late-night salivary cortisol test

24-hour urinary free cortisol test

Overnight 1 mg dexamethasone suppression test

Low-dose dexamethasone suppression test

Repeat abnormal screening test to confirm

Plasma ACTH level

High-dose dexamethasone suppression test

CRH stimulation test

Inferior petrosal sinus sampling

Adrenal or pituitary imaging after biochemical confirmation

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