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Endocrinology Book
Pathology and Laboratory Medicine Chapter
GnRH Stimulation Test
GnRH Stimulation Test
Aka:
GnRH Stimulation Test
Endocrinology
Pathology and Laboratory Medicine Chapter
Adrenal Disease
Aldosterone
Clonidine Suppression Test
Free Urine Cortisol
Late Night Salivary Cortisol
Serum Cortisol
Corticotropin Stimulation Test
Dexamethasone Suppression Test
Urine Metanephrine
Urine Vanillylmandelic Acid
Diabetes Mellitus
Serum Glucose
Diabetes Screening
Glucose Challenge Test
Glucose Tolerance Test 2 hour
Glucose Tolerance Test 3 hour
Glucose to Insulin Ratio
Hemoglobin A1C
Serum Ketone
Growth Disorders
Insulinlike Growth Factor 1
Parathyroid Disease
Parathyroid Hormone
Pituitary Disease
Adrenocorticotropic Hormone
Follicle Stimulating Hormone
GnRH Stimulation Test
Luteinizing Hormone
Prolactin
Sexual Development
Buccal Smear
Serum Dehydroepiandrosterone
Sex Hormone Binding Globulin
Thyroid Disease
Thyroid Function Test
Thyroid Function Summary
Thyroxine
Triiodothyronine
Thyroid Stimulating Hormone
Free Thyroxine Index
T3 Resin Uptake
Antithyroid Antibody
Thyroxine-Binding Globulin
Thyroid Releasing Hormone
Reverse T3
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II. Indications
Precocious Puberty
(suspect pathologic central cause)
Delayed Puberty
(suspect hormonal cause)
III. Technique
Patient fasts overnight
Administer 100 ug
GnRH
IV or SC
Obtain Serum Gonadotropin Levels
Labs
Follicle Stimulating Hormone
(FSH)
Luteinizing Hormone
(LH)
Timing
Baseline prior to
GnRH
administration
After injection at 15, 30, 45, and 60 minutes
IV. Interpretation
Central
Precocious Puberty
Two fold or higher increase in FSH and LH
V. References
Reiter (1975) Pediatr Res 9:111-6 [PubMed]
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Endocrinology - Pathology and Laboratory Medicine Pages
Adrenocorticotropic Hormone
Aldosterone
Antithyroid Antibody
Buccal Smear
Clonidine Suppression Test
Corticotropin Stimulation Test
Dexamethasone Suppression Test
Diabetes Screening
Follicle Stimulating Hormone
Free Thyroxine Index
Free Urine Cortisol
Glucose Challenge Test
Glucose to Insulin Ratio
Glucose Tolerance Test 2 hour
Glucose Tolerance Test 3 hour
GnRH Stimulation Test
Hemoglobin A1C
Insulinlike Growth Factor 1
Late Night Salivary Cortisol
Luteinizing Hormone
Parathyroid Hormone
Prolactin
Reverse T3
Serum Cortisol
Serum Dehydroepiandrosterone
Serum Glucose
Serum Ketone
Sex Hormone Binding Globulin
T3 Resin Uptake
Thyroid Function Summary
Thyroid Function Test
Thyroid Releasing Hormone
Thyroid Stimulating Hormone
Thyroxine
Thyroxine-Binding Globulin
Triiodothyronine
Urine Metanephrine
Urine Vanillylmandelic Acid
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Pubertal Delay
Precocious Puberty
Benign Premature Adrenarche
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Page Contents...
Indications
Technique
Interpretation
References
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