C09975540 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):16
Diagnosis or signs:Checkup
Consult notes
26/02/2026 Reason - ACTH stimulation test
History 
Current trilostane dose and formula - 6 mg capsules BID
T= 0 @   12:30    time 
Last wellness bloods - End of January 2026

Appetite - unchanged
Thirst - unchanged
Energy levels - unchanged
Coat - no comments

CE ( JY)
QAR 
HR 112 grade 5/6 murmur 
lungs clear 
RR 54
mm pink and moist 
DS 2/4 
208 poss slab fracture 
R eye enucleated 
L eye nuclear sclerosis 
Sebaceous adenoma dorsal neck and RH lateral
T 38.3


Serum collected, synacthen given (dose 5mcg/kg= 0.13 mL IV), serum T=1 collected
Results to be communicated by - WO 

26/02/2026 Bloods T=0 - JY 1230

27/02/2026 LAB
T=0 31
T=1 30

control very tight
plan
reduce trilostane to 5mg bid and repeat ACTH stim in 1 month

Animal clinical history (3 most recent)

2026-02-27T00:00:00Z 14:05:07
LAB
T=0 31
T=1 30

control very tight
plan
reduce trilostane to 5mg bid and repeat ACTH stim in 1 month
2026-02-26T00:00:00Z 12:31:12
Bloods T=0 - JY 1230
2026-02-26T00:00:00Z 08:30:53
Reason - ACTH stimulation test
History 
Current trilostane dose and formula - 6 mg capsules BID
T= 0 @   12:30    time 
Last wellness bloods - End of January 2026

Appetite - unchanged
Thirst - unchanged
Energy levels - unchanged
Coat - no comments

CE ( JY)
QAR 
HR 112 grade 5/6 murmur 
lungs clear 
RR 54
mm pink and moist 
DS 2/4 
208 poss slab fracture 
R eye enucleated 
L eye nuclear sclerosis 
Sebaceous adenoma dorsal neck and RH lateral
T 38.3


Serum collected, synacthen given (dose 5mcg/kg= 0.13 mL IV), serum T=1 collected
Results to be communicated by - WO 

Previous claim history (16)

DateClaim #Diagnosis
2026-02-27C09965081CUSHINGS DISEASE
2026-01-28C09821147CUSHINGS DISEASE
2026-01-28C09865633HYPERADRENOCORTICISM ("CUSHING'S")
2026-01-27C09813480CUSHINGS DISEASE
2026-01-27C09813480MITRAL VALVE DISORDER
2026-01-12C09743142ARTHRITIS
2026-01-06C09731657CONJUNCTIVITIS
2026-01-06C09731657GASTROINTESTINAL PROBLEMS
2025-12-15C09648947ARTHRITIS
2018-11-15C1940280ARTHRITIS
2017-10-30C1413488MISCELLANEOUS CONDITIONS
2017-06-06C1219729WOUND
2017-05-18C1204482PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2017-03-23C1139777MASS LESION - EYELID
2017-01-10C1153430VACCINATIONS OR HEALTH CHECKS
2017-01-10C1153430ANAL SAC DISORDER

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_acth_stimulation_test282.782026-02-26
20000tstarc_consultation-revisit94.002026-02-26
30000tstarc_synacthen85.392026-02-26
40000tstarc_iv_catheterisation43.002026-02-26
50000tstarc_nursing_care52.002026-02-26

UPM+

  • DG02293HYPERADRENOCORTICISM ("CUSHING'S")DSTP_hyperadrenocorticism_(cushing's_disease)

Variant (sleepy_king)

HYPERADRENOCORTICISM ("CUSHING's")
DSTP_hyperadrenocorticism_(cushing's_disease)
Conf: 0.980
Threshold: 0.18
Above:
Correct?