C10008599 / invoice 10000

Reviewer

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Species:CANINE

Breed:Border Collie Cross

Age (years):10

Diagnosis or signs:prescription medication

Consult notes

Animal clinical history (3 most recent)

2026-02-17T00:00:00Z 12:54:31

Report:
                         DEXAMETHASONE SUPPRESSION TEST
   TIME (Hours)      CORTISOL (nmol/L)
   0H                     64  (30-100)
   4H                   < 14
   8H                   < 14*

                              VETNOSTICS COMMENT
   The LDDST pattern is not suggestive of hyperadrenocorticism.
   If a high index of suspicion remains, consider ACTH stim test when
   minimally stressed. Some dogs are positive on one test and not the other.


Client comms:

STO and discussed results. 
O feesl happy overall. 
Still a bti stiff after long walkies

PLAN: 
O to monitor - if concerned. Recheck./

Previous claim history (13)

Date	Claim #	Diagnosis
2026-02-11	C09888791	PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2026-01-20	C09782706	PAIN - SPINAL - PRESENTING COMPLAINT
2026-01-20	C09782706	ABDOMINAL DISTENSION - PRESENTING COMPLAINT
2026-01-13	C09760003	PAIN - SPINAL - PRESENTING COMPLAINT
2019-08-19	C2414061	DIARROHEA
2019-07-01	C2332539	VOMITING - OTHER - PRESENTING COMPLAINT
2019-06-25	C2301282	DISCOID LUPUS ERYTHEMATOSUS (DLE)
2019-06-11	C2278008	DISCOID LUPUS ERYTHEMATOSUS (DLE)
2019-02-01	C2061221	BACK PAIN
2019-01-07	C2012198	MASS LESION - NOSE (NASAL)
2018-12-28	C1998955	SKIN LESIONS
2018-12-28	C1998955	WEIGHT GAIN
2018-04-23	C1653093	OTITIS EXTERNA

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_zenrelia_tablets	225.50	2026-03-05	—

UPM+

DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT

DSTP_clinical_signs_-_abnormal_test_result

Conf: 0.700

Threshold: 0.42

Above: ✓

Correct?

Yes No

Acceptable?

Acceptable?Not acceptable — misleading outcome to client but no financial impactNot acceptable — potential financial impact

Reason (not acceptable — misleading)

Diagnosis description