C10018582 / invoice 10000
Species:CANINE
Breed:Dachshund - Smooth Haired
Age (years):11
Diagnosis or signs:suspected Cushings
Consult notes
Animal clinical history (3 most recent)
2026-03-09T00:00:00Z 3:51 PM
Reason: Trilostane Compounding 4 VetAppointment Notes: Special payment terms existDrug Name: trilostane Form: chicken flavoured liquid Strength: 100mg/ml Quantity: 100ml Repeat: Directions: Give 0.4ml orally morning and night unless otherwise instructedVet Notes: Nurse Notes: Date Ordered: 9.3.26 LJ--- 11/03/2026 12:31:22 NUR:Order arrived, message sent - CF Vital Signs
2026-02-19T00:00:00Z 9:01 AM
Reason: Nails + AGs Appointment Notes: sibling vet app eaSubjective and history: Currently on trilostane 55mg bid PODoing wellGiven dose this morningReason ACTH Stim Test recheckPhysical Exam:All ok on exam Laboratory:Synacthen administered at 5 mcg/kg = 0.2 ml IV @ 11.30 amBlood collected 1 hour later and submitted to Vetnostics for post-ACTH cortisol levelPlan:Continue Trilostane: 55mg BID Adjustments based on ACTH results pendingRecheck plan / next ACTH test due: [WHEN RESULTS COME IN PLEASE TEXT LW FRIDAY - I CAN CALL MARIANNA Vital Signs
2026-02-19T00:00:00Z 8:54 AM
Reason: Nurse Appointment:Cut nails in Tx was abit restless by the end of the nail clip but able to get all of them, AGS were empty. Owner had no other concerns - CF Vital Signs
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-03 | C09581218 | DIARROHEA |
| 2025-11-26 | C09563550 | HYPERADRENOCORTICISM |
| 2015-08-21 | C0596633 | GASTROENTERITIS |
| 2015-08-20 | C0594091 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2015-08-20 | C0596633 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2015-08-20 | C0610296 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2015-08-20 | C0643839 | VOMITING - OTHER - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_compounded_medications | 339.00 | 2026-03-09 | — |
UPM+
- DG02293HYPERADRENOCORTICISM ("CUSHING'S")DSTP_hyperadrenocorticism_(cushing's_disease)
Variant (sleepy_king)
HYPERADRENOCORTICISM ("CUSHING's")
DSTP_hyperadrenocorticism_(cushing's_disease)
Conf: 0.980
Threshold: 0.18
Above: ✓
Correct?