C09986301 / invoice 10000
Species:CANINE
Breed:Labrador Retriever
Age (years):14
Diagnosis or signs:ACTH Stim test
Consult notes
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 12:00 AM
Reason: ACTH STIMQML reference #Chloe Hynes2549482Examination: Clinically she is much brighter she has improved off the meds, is happier, stronger in her back legs, appetite improved. There is still panting present however she has laryngeal paralysisNo vomitingHas had three bouts of faecal incontinence within the house due to not being able to get up. There is neuro signs to hind legs, with a degree of splaying of legs, and some delayed proprioception Laboratory: ACTH stim Blood taken for 0 hr and then 0.7ml syntachen given Blood taken 2 hrs later.Plan: Await results and make decision regarding whether to start on lower dose or stop altogether pending results. Vital Signs
Previous claim history (19)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-19 | C09927058 | CUSHINGS DISEASE |
| 2026-02-19 | C09927058 | ARTHRITIS |
| 2026-02-13 | C09899181 | CUSHINGS DISEASE |
| 2026-02-13 | C09899181 | OSTEOARTHRITIS |
| 2026-01-27 | C09891473 | OSTEOARTHRITIS |
| 2026-01-21 | C09792257 | CUSHINGS DISEASE |
| 2026-01-21 | C09792257 | OSTEOARTHRITIS |
| 2026-01-12 | C09747796 | CUSHINGS DISEASE |
| 2025-12-23 | C09698410 | OSTEOARTHRITIS |
| 2025-12-18 | C09643686 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2025-12-18 | C09643686 | OSTEOARTHRITIS |
| 2025-12-17 | C09647783 | CUSHINGS DISEASE |
| 2019-12-05 | C2628199 | CLOSTRIDIOSIS |
| 2019-12-01 | C2582274 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2019-12-01 | C2600853 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2019-11-30 | C2582275 | SHAKING |
| 2018-09-04 | C1829158 | CELLULITIS |
| 2018-07-27 | C1779390 | COUGHING - PRESENTING COMPLAINT |
| 2018-07-23 | C1777098 | MEGAOESOPHAGUS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_acth_stimulation_test | 385.00 | 2026-03-04 | — |
UPM+
- DG02293HYPERADRENOCORTICISM ("CUSHING'S")DSTP_hyperadrenocorticism_(cushing's_disease)
Variant (sleepy_king)
HYPERADRENOCORTICISM ("CUSHING's")
DSTP_hyperadrenocorticism_(cushing's_disease)
Conf: 0.990
Threshold: 0.18
Above: ✓
Correct?