C10016631 / invoice 10000

Reason: ACTH Stim TestOwner(s) Present: SharonHistory: Doing really well, with the benefit of hindsight feels dog is back to her normal self - more active and playful again, toileting and drinking normalised. Still has a mildly increased appetite but maintaining her weight so O not concerned. No new concernsExamination: No significant changes compared to last timeTreatment: Inj Synathcen 0.12mls IV. Second blood sample taken 1hr post-Synathcen.Laboratory: Baseline Cortisol = 103 (28-166)Post ACTH Cortisol = 160 (28-166)Assessment: Good controlClient Advice: Happy with her results today, to stay on current dose of trilostane 1mg/kg BID (20mg/ml, 0.3ml PO BID). Can now go to long term monitoring with just pre-pill cortisol testing, unless O has any concerns about recurrence of clinical signs. Pre-pill cortisol in 3 months, then q6m if stablePlan: Recheck and pre-pill cortisol 3 monthsInsurance Form: Insurance claim submitted for dates :  11/3/26 - Cushings    Vital Signs    Weight: 5.55;       MMColour: pink;       HeartRate: 128;       BodyScore: 3;       RespirationRate: 32;       CRT: 1;