C09978076 / invoice 10000

Species:CANINE
Breed:Jack Russell Terrier Cross
Age (years):13
Diagnosis or signs:see notes
Consult notes
ACTH stim + bloods.

ACTH Stimulation Test

1. When the problem started (ongoing ARDS, Cushings, Renal disease)
2. Current diagnosis (Csuhings and renal disease. )
3. Treatment (Bloods and ACTH stim. 
)

Cushingoid since ()
Concurrent disease ()
Current medications ()

Current dose of Trilostane (0.15) mls of BOVA compounded liquid (20)mg/ml = ()mg BID  7am
     Age of bottle ()
Dosed consistently last 14 days ? ()
Dosed today at  ()

Been well ? (Y)
Appetite ? (Renal diet )
Drinking ? ()
Weight change ()

Start test at  (11.30)
Collect blood at 0 hrs (X)
Administer 0.1ML IM Synacthen (11.30) mls at 0 hours
Collect blood at 1 hours (12.30+ WELLNESS)

Additional procedures required / requested? (eye check and anal glands expressed, both moderate in size. )

Pick up time () - appointment made ()
 

Hepatoadvance

Check eye- Acular. drops. Not charged as returned stock

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 08:45:00
ACTH stim + bloods.

ACTH Stimulation Test

1. When the problem started (ongoing ARDS, Cushings, Renal disease)
2. Current diagnosis (Csuhings and renal disease. )
3. Treatment (Bloods and ACTH stim. 
)

Cushingoid since ()
Concurrent disease ()
Current medications ()

Current dose of Trilostane (0.15) mls of BOVA compounded liquid (20)mg/ml = ()mg BID  7am
     Age of bottle ()
Dosed consistently last 14 days ? ()
Dosed today at  ()

Been well ? (Y)
Appetite ? (Renal diet )
Drinking ? ()
Weight change ()

Start test at  (11.30)
Collect blood at 0 hrs (X)
Administer 0.1ML IM Synacthen (11.30) mls at 0 hours
Collect blood at 1 hours (12.30+ WELLNESS)

Additional procedures required / requested? (eye check and anal glands expressed, both moderate in size. )

Pick up time () - appointment made ()
 

Hepatoadvance

Check eye- Acular. drops. Not charged as returned stock

Previous claim history (10)

DateClaim #Diagnosis
2026-01-28C09816700OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2026-01-22C09795773HYPERADRENOCORTICISM ("CUSHING'S")
2026-01-12C09742719HYPERADRENOCORTICISM
2026-01-07C09722770HYPERADRENOCORTICISM ("CUSHING'S")
2025-12-29C09681618HYPERADRENOCORTICISM
2025-12-23C09667713HYPERADRENOCORTICISM
2025-12-17C09639702RENAL (KIDNEY) DISORDER
2025-12-08C09595980HYPERADRENOCORTICISM ("CUSHING'S")
2017-08-31C1318448PATELLA LUXATION
2017-05-18C1216237INTOXICATION (POISONING) - THEOBROMINE/CHOCOLATE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_cortisol172.602026-03-03
20000tstarc_synacthen64.402026-03-03
30000tstarc_consultation-revisit100.002026-03-03
40000tstarc_procedure_fee11.002026-03-03
50000tstarc_diagnostic_test_-_blood_test202.002026-03-03
60000tstarc_food238.602026-03-03
upstreamDSTP_general_exclusion

UPM+

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

Variant (sleepy_king)

HYPERADRENOCORTICISM ("CUSHING's")
DSTP_hyperadrenocorticism_(cushing's_disease)
Conf: 0.830
Threshold: 0.18
Above:
Correct?