Adrenal Insufficiency
Outpatients | EndocrinologyThis condition is treated in the Endocrinology clinic.
Pre-referral work-up
History
All referrals should comply to the referral standards and also include:
- Symptoms of adrenal insufficiency such as fatigue, weight loss, pigmentation, nausea, vomiting, hypotension, hyponatraemia, hyperkalaemia, hypoglycaemia
- Medication history is important as the condition may be caused by cessation of glucocorticoid therapy
Tests
- U&E Cr, eGFr
- Serum glucose
- Cortisol
- Cortisol response to Synacthen (short Synacthen test)
- Renin, aldosterone
- Pituitary tests if evidence of ACTH deficiency
Interim/GP management
To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.
For more information please see the HealthPathways Tasmania website.
Clinic appointments
🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Emergency
🚩 Confirmed acute adrenal insufficiency
🚩 Severe untreated chronic adrenal insufficiency
If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.
Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.
Urgent (Category 1)
🚩 Suspected acute adrenal insufficiency
🚩 Confirmed cases of adrenal insufficiency
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Semi-urgent (Category 2)
Cases of suspected cases of adrenal insufficiency
Availability
North
John Morris Diabetes Centre
Northern Integrated Care Centre
Phone: 6777 4145
Fax: 6777 5247
North West
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928
Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928
Diabetes Centre
North West Regional Hospital
Phone: 6493 6100
Fax: 6431 8061
Diabetes Clinic
Devonport Community Health Centre
Phone: 6493 6100
Fax: 6441 5946
Paediatric
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928
South
Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982