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Endocrine procedures
Evocative/suppression testing
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    Evocative/suppression testing

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    Evocative/suppression testing
    OPS-301 code 1-797

    Evocative/suppression testing refers to a class of tests performed where one substance is measured both before and after the administration of another substance to determine if the levels are stimulated ("evocative") or suppressed.

    They are most commonly performed in the evaluation of possible endocrine disorders.

    Certain tests are performed in the evaluation of multiple conditions, and not all listed substances may be measured in each test.

    Examples include:

    Test name Substance administered Substance measured Condition evaluated
    combined rapid anterior pituitary evaluation panel insulin, GnRH, TRH ACTH and cortisol, FSH, HGH, LH, prolactin, TSH hypopituitarism
    TRH stimulation test TRH TSH secondary hypothyroidism
    ACTH stimulation test ACTH cortisol, 17α-hydroxyprogesterone adrenal insufficiency, Congenital adrenal hyperplasia (21-hydroxylase, 3 beta)
    metyrapone panel metyrapone cortisol, 11-deoxycortisol adrenal insufficiency
    dexamethasone suppression test dexamethasone cortisol Cushing's syndrome
    captopril suppression test captopril aldosterone primary aldosteronism
    captopril challenge test captopril renin renal artery stenosis

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