C10018712 / invoice 10000

Reviewer

Species:CANINE

Breed:Golden Doodle (Groodle)

Age (years):5

Diagnosis or signs:see attached notes

Consult notes

10/03/2026 CLINICIAN: TC
PRESENTING COMPLAINT: Hypoadrenocorticism electrolyte check 
HISTORY: Last DOCP injection on 26/02. Some PU/PD noted at home, but energetic and good appetite. Taking 2.5mg SID PO No diarrhoea or vomiting. 

PHYSICAL EXAM: BAR, MM pink and moist CRT 1.5s, HR 120 bpm regular and no murmur, normal thoracic auscultation, peripheral LNs normal, tense on abdominal palpation due to high FAS. 
DIAGNOSTIC TESTS: 
* In-house electrolyte blood test
* Sodium 151
* Potassium 3.7
* Na: K Ratio 41
* Chloride 115

DIAGNOSIS: 
Hypoadrenocorticism day 12 after DOCP 1.5mg/kg injection 

TREATMENT:
Reduce prednisolone to 2mg SID PO, new prednisolone 1mg tablet dispensed. 

PLAN: 
* Repeat DOCP injection on 27th Mar Friday 
* Reduce prednisolone to 2mg SID PO, owner to keep 5mg tablet to quarter in case we need shorter interval for reduction 

PROGNOSIS: Good

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 13:09:56

CLINICIAN: TC
PRESENTING COMPLAINT: Hypoadrenocorticism electrolyte check 
HISTORY: Last DOCP injection on 26/02. Some PU/PD noted at home, but energetic and good appetite. Taking 2.5mg SID PO No diarrhoea or vomiting. 

PHYSICAL EXAM: BAR, MM pink and moist CRT 1.5s, HR 120 bpm regular and no murmur, normal thoracic auscultation, peripheral LNs normal, tense on abdominal palpation due to high FAS. 
DIAGNOSTIC TESTS: 
* In-house electrolyte blood test
* Sodium 151
* Potassium 3.7
* Na: K Ratio 41
* Chloride 115

DIAGNOSIS: 
Hypoadrenocorticism day 12 after DOCP 1.5mg/kg injection 

TREATMENT:
Reduce prednisolone to 2mg SID PO, new prednisolone 1mg tablet dispensed. 

PLAN: 
* Repeat DOCP injection on 27th Mar Friday 
* Reduce prednisolone to 2mg SID PO, owner to keep 5mg tablet to quarter in case we need shorter interval for reduction 

PROGNOSIS: Good

Previous claim history (18)

Date	Claim #	Diagnosis
2026-03-10	C10009128	ADDISONS DISEASE
2026-02-26	C09958411	ADDISONS DISEASE
2026-02-17	C09915873	ADDISONS DISEASE
2026-02-11	C09891540	ADDISONS DISEASE
2026-02-10	C09887637	WEIGHT LOSS - PRESENTING COMPLAINT
2026-02-09	C09875121	WEIGHT LOSS - PRESENTING COMPLAINT
2025-12-17	C09875197	INSECT BITE(S)
2025-07-28	C9018454	VACCINATIONS OR HEALTH CHECKS
2024-11-19	C7968223	ANAL SAC DISORDER
2024-11-08	C7924749	ANAL SAC DISORDER
2024-09-30	C7762650	ANAL SAC DISORDER
2024-09-23	C7736449	ANAL SAC DISORDER
2022-08-04	C4983638	EAR INFECTION
2022-07-27	C4959747	ERYTHEMA
2022-05-18	C4754768	EAR INFECTION
2022-05-11	C4754772	EAR INFECTION
2022-05-04	C4754785	EAR INFECTION
2022-04-27	C4754762	EAR INFECTION

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_corticosteroids	65.50	2026-03-10	—

UPM+

DG02347HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)DSTP_hypoadrenocorticism_(addison's_disease)

Variant (sleepy_king)

HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)

DSTP_hypoadrenocorticism_(addison's_disease)

Conf: 0.990

Threshold: 0.22

Above: ✓

Correct?

Yes No