C09991867 / invoice 10000
Species:CANINE
Breed:Cocker Spaniel
Age (years):6
Diagnosis or signs:see hx
Consult notes
Appointment Notes: inj and bloodsSubjective: Presenting for rpt lytes + zycortal injectionLast done 33d ago, usually gets zycortal q35d with PDSGoing well at home, O increased pred to 4mg during period of lethargy and this worked well, currently back on 2mg SIDEDDU normal, no v/d, no irritation with earsObjective: BAR, lovely, loves treatsTx room for bloods and injectionHR/PR/CV: 128bpm, no murmur noted, pulses strongMM/CRT/Hydration: mm pm crt <2s, normal skin turgorRESP/RR: wnl, ausc normalTemp: NTGIT/UG: soft, comfortable on abdo palpSkin/Ears: nad, ears cleanM/S: ambulating fineEyes: clearDental: g2/4Lymph Nodes: WNLBCS: 6/9Laboratory:Na 148 (133-160) prev 151K 3.7 (3.5-5.8) prev 4Na/K ratio 40Assessment: Clinically going well but zycortal dose too high - ideally want K to be in upper 1/3Treatment: Plan: ____________________________INSURANCE HXInitial Assessment > addison's - zycortal injectionSuspected cause > addisonsDate of first clinical signs > ongoingAny other conditions / treatments > previous ear infection, prednisolone, occasional vomiting
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 2:07?pm
Appointment Notes: inj and bloodsSubjective: Presenting for rpt lytes + zycortal injectionLast done 33d ago, usually gets zycortal q35d with PDSGoing well at home, O increased pred to 4mg during period of lethargy and this worked well, currently back on 2mg SIDEDDU normal, no v/d, no irritation with earsObjective: BAR, lovely, loves treatsTx room for bloods and injectionHR/PR/CV: 128bpm, no murmur noted, pulses strongMM/CRT/Hydration: mm pm crt <2s, normal skin turgorRESP/RR: wnl, ausc normalTemp: NTGIT/UG: soft, comfortable on abdo palpSkin/Ears: nad, ears cleanM/S: ambulating fineEyes: clearDental: g2/4Lymph Nodes: WNLBCS: 6/9Laboratory:Na 148 (133-160) prev 151K 3.7 (3.5-5.8) prev 4Na/K ratio 40Assessment: Clinically going well but zycortal dose too high - ideally want K to be in upper 1/3Treatment: Plan: ____________________________INSURANCE HXInitial Assessment > addison's - zycortal injectionSuspected cause > addisonsDate of first clinical signs > ongoingAny other conditions / treatments > previous ear infection, prednisolone, occasional vomiting Vital Signs
Previous claim history (28)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-18 | C09922233 | ADDISONS DISEASE |
| 2026-02-06 | C09863801 | OTITIS EXTERNA |
| 2026-01-31 | C09834255 | ADDISONS DISEASE |
| 2026-01-15 | C09763167 | VACCINATIONS OR HEALTH CHECKS |
| 2025-12-27 | C09678632 | ADDISONS DISEASE |
| 2024-07-04 | C7426129 | GASTROINTESTINAL PROBLEMS |
| 2024-07-03 | C7419192 | GASTROINTESTINAL PROBLEMS |
| 2024-03-19 | C7010917 | ANAL SAC IMPACTION |
| 2024-01-02 | C6703713 | LETHARGY - PRESENTING COMPLAINT |
| 2023-11-16 | C6535101 | EAR CONDITIONS |
| 2023-06-26 | C6034503 | PRURITUS - PRESENTING COMPLAINT |
| 2023-06-05 | C5976839 | PRURITUS - PRESENTING COMPLAINT |
| 2022-11-23 | C5318745 | FOREIGN BODY, GRASS SEED |
| 2022-11-23 | C5332369 | GRASS SEED |
| 2022-11-22 | C5314813 | PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINT |
| 2022-10-20 | C5229006 | VACCINATIONS OR HEALTH CHECKS |
| 2022-09-15 | C5108421 | INTOXICATION (POISONING) - THEOBROMINE/CHOCOLATE |
| 2022-04-20 | C4679552 | HEARTWORM CONTROL |
| 2021-12-08 | C4311955 | MISCELLANEOUS CONDITIONS |
| 2021-12-03 | C4288255 | GRASS SEED |
| 2021-11-23 | C4259088 | OTITIS EXTERNA : BIL |
| 2021-10-20 | C4180856 | VACCINATIONS OR HEALTH CHECKS |
| 2021-02-15 | C3523969 | HERNIA - UMBILICAL |
| 2021-02-15 | C3523969 | DESEXING |
| 2020-11-19 | C3312502 | DENTAL ILLNESS TREATMENT |
| 2020-10-30 | C3267052 | MASS LESION |
| 2020-09-04 | C3222638 | VACCINATIONS OR HEALTH CHECKS |
| 2020-09-04 | C3222638 | HEARTWORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_corticosteroids | 76.55 | 2026-03-05 | — |
| 20000 | tstarc_diagnostic_test_-_electrolytes | 115.00 | 2026-03-05 | — |
UPM+
- DG02347HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)DSTP_hypoadrenocorticism_(addison's_disease)
Variant (sleepy_king)
HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)
DSTP_hypoadrenocorticism_(addison's_disease)
Conf: 0.970
Threshold: 0.22
Above: ✓
Correct?