North South North West Statewide
All referrals should comply to 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
- U&E Cr, eGFr
- Serum glucose
- Cortisol response to Synacthen (short Synacthen test)
- Renin, aldosterone
- Pituitary tests if evidence of ACTH deficiency
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 Tasmanian Health Pathways website.
Confirmed acute adrenal insufficiency
Severe untreated chronic adrenal insufficiency
Urgent / category 1
Suspected acute adrenal insufficiency
Confirmed cases of adrenal insufficiency
Semi-urgent / category 2
Cases of suspected cases of adrenal insufficiency
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment