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what the risks are endocrine glands, serum adrenocorticotropic hormone, adrenocorticotrophic hormone, highly-sensitive acth, an acth test measures acth, a hormone secreted, anterior pituitary gland, in the brain, blood is drawn, a vein, the elbow, the hand, puncture site is cleaned, antiseptic, a band, around the upper arm to cause a vein to swell, blood, a needle is inserted, vein, blood is collected in an air-tight vial, a syringe, band is then removed, restore circulation, after blood has been collected the needle is removed, puncture site is covered to stop any bleeding, in infants, young children, area is cleansed, antiseptic, punctured, a sharp needle, a lancet, blood collected, pipette, small glass tube, on a slide, onto a test strip, into a small container, a bandage applied, puncture site, any bleeding, levels of acth, the body's circadian rhythms, pattern of physiologic changes that occurs on a 24-hour cycle, performed early, health care provider, discontinue the use of steroid drugs, blood is drawn, infants, children, test depends on child's age, level of trust, prepare child, infant test, procedure preparation, birth to 1 year, toddler test, procedure preparation, 1 to 3 years, preschooler test, procedure preparation, 3 to 6 years, schoolage test, procedure preparation, 6 to 12 years, adolescent test, procedure preparation, 12 to 18 years, the needle is inserted to draw blood, feel moderate pain, others feel only a prick, stinging sensation, some throbbing, this test, indicate the causes, hormone irregularities, acth, protein hormone secreted, anterior pituitary gland, acth, the steroid hormone cortisol, is secreted by the adrenal cortex, values 9 to 52 pg/ml, normal value ranges, among different laboratories, pg/ml = picograms per milliliter, greater-than-normal levels of acth, addison's disease, deficient production by the adrenal gland, adrenoleukodystrophy, cushing's disease, ectopic tumor producing acth, nelson's syndrome, lower-than-normal levels of acth, cushing syndrome related to adrenal tumor, exogenous cushing's syndrome, pituitary insufficiency, additional conditions under which the test performed, hypopituitarism, multiple endocrine neoplasia, men, i, excessive bleeding, fainting, feeling lightheaded, hematoma, blood accumulating under the skin, infection, a slight risk, the skin is broken, multiple punctures to locate veins, special handling, the blood sample, veins, arteries vary in size, obtaining a blood sample.