What is the Cushing's screening score used for?

It is a structured checklist to assess clinical suspicion of hyperadrenocorticism (Cushing's disease) based on common presenting signs. It guides whether baseline screening or full diagnostic workup is appropriate.

Can this score diagnose Cushing's disease?

No. This is a screening tool only. Definitive diagnosis requires laboratory testing such as ACTH stimulation test, low-dose dexamethasone suppression test (LDDST), or urine cortisol:creatinine ratio.

Which tests are used to diagnose Cushing's?

Common tests include urine cortisol:creatinine ratio (screening), ACTH stimulation test, and low-dose dexamethasone suppression test (LDDST). Abdominal ultrasound evaluates adrenal size and symmetry.

Cushing's Screening Score | Dog & Cat

Safety checks

This tool supports screening and education only.
It does not diagnose hyperadrenocorticism or replace endocrine testing.
Many Cushing's signs overlap with other endocrine and metabolic diseases.
Always rule out iatrogenic Cushing's (steroid history) first.
Verify patient-specific decisions with current endocrinology references.

Basis and limits

Scoring basis: structured checklist of commonly cited clinical signs of hyperadrenocorticism.
Low likelihood (0–2): few compatible signs. Pursue other differentials first.
Moderate likelihood (3–5): several compatible signs. Baseline screening (UCCR) reasonable.
High likelihood (6+): many compatible signs. Full diagnostic workup (ACTH stim, LDDST, ultrasound) recommended.
Scope: screening aid. Final diagnosis requires hormonal testing and imaging.

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