C10027696 / invoice 10000

Reviewer

Species:CANINE

Breed:Beagle

Age (years):14

Diagnosis or signs:Ongoing Testing for Cushings Disease

Consult notes

ACTH stim test
Trilostane given at 7.15am 1mL SID
'0' bloods taken from R jugular at 1.30pm
Catheter placed in R cephalic and 0.29mLs Synacthen given IV 
'1' hour post bloods taken from R jugular at

Gingival mass associated with 205
Subman LNs palpate equal/normal

Voided first morning urine collected by o
USG: 1.018
Dipstick: pH 7, protein 1+, rest negative

Recent bloods H Urea, Crea

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 13:39:00

ACTH stim test
Trilostane given at 7.15am 1mL SID
'0' bloods taken from R jugular at 1.30pm
Catheter placed in R cephalic and 0.29mLs Synacthen given IV 
'1' hour post bloods taken from R jugular at

Gingival mass associated with 205
Subman LNs palpate equal/normal

Voided first morning urine collected by o
USG: 1.018
Dipstick: pH 7, protein 1+, rest negative

Recent bloods H Urea, Crea

Previous claim history (16)

Date	Claim #	Diagnosis
2026-03-10	C10009116	HYPERADRENOCORTICISM ("CUSHING'S")
2026-01-12	C09743328	HYPERADRENOCORTICISM ("CUSHING'S")
2021-12-29	C4356921	URINARY TRACT INFECTION (UTI)
2021-12-09	C4326528	URINARY TRACT INFECTION (UTI)
2021-11-25	C4303356	URINARY TRACT INFECTION (UTI)
2021-07-29	C4027814	URINARY TRACT INFECTION (UTI)
2021-07-12	C3953877	URINARY TRACT INFECTION (UTI)
2020-06-11	C2975129	DERMATITIS
2019-09-10	C2448345	HISTIOCYTOMA
2018-03-09	C1571705	MASS LESION
2017-07-03	C1265763	ANAL SAC ABSCESS
2016-10-29	C0989010	ANAL SAC ABSCESS
2014-12-16	C0431299	ANAL SAC ABSCESS
2014-05-12	C0283652	GASTRITIS - ACUTE
2012-11-05	C0014099	SKIN LESIONS
2012-10-19	C0014099	KENNEL COUGH

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_diagnostic_test_-_acth_stimulation_test	250.95	2026-03-13	—
20000	tstarc_synacthen	122.60	2026-03-13	—
30000	tstarc_hospitalisation	45.00	2026-03-13	—
40000	tstarc_consultation-revisit	55.00	2026-03-13	—
50000	tstarc_diagnostic_test_-_urine_test	32.85	2026-03-13	—
60000	tstarc_diagnostic_test_-_urine_test	29.55	2026-03-13	—

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?

Yes No