Suggested Pre-Referral Evaluation and Management Guidelines
Consider Cushing's syndrome and weight positive medications (e.g. psychotropic medications)
Suggested Additional Test/Management Prior to Specialty Visit
If Cushing's is suspected, perform screening dexamethasone suppresion test or 24 h urine for urinary free cortisol; screening for associated diseases with comprehensive metabolic profile with fasting plasma glucose and lipid profile. Consider screening for sleep apnea.