C09970956 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):6
Diagnosis or signs:Consultation
Consult notes
01/03/2026 Coughing since yesterday
Still BAR DUDE at home
does not attend dog park or day care etc
Does chew cones in garden, bully sticks etc

CE:
- qar, gentle dog
- abdo palp nad
- mm pink and moist, tartar canines
- temp 38.8
- lungs clear, rr 22
- hr 98, murmur as before
- tracheal pinch negative but definitely sensitive around larynx 
- small area of red midline tongue
- throat looks ok on conscious exam but explained to owner sedation required for full exam

Possible irritation from chewing cone/sticks
Has consult booked with JS Monday at 9am

Offered codeine
- discussed benefits vs side effects
o declined for now

Plan:
paracetamol for possible pain on throat 
soft food
reduce activity
if no improvement -> sedation, x-rays and examine throat +/- bloodwork

Animal clinical history (3 most recent)

2026-03-01T00:00:00Z 11:13:10
Coughing since yesterday
Still BAR DUDE at home
does not attend dog park or day care etc
Does chew cones in garden, bully sticks etc

CE:
- qar, gentle dog
- abdo palp nad
- mm pink and moist, tartar canines
- temp 38.8
- lungs clear, rr 22
- hr 98, murmur as before
- tracheal pinch negative but definitely sensitive around larynx 
- small area of red midline tongue
- throat looks ok on conscious exam but explained to owner sedation required for full exam

Possible irritation from chewing cone/sticks
Has consult booked with JS Monday at 9am

Offered codeine
- discussed benefits vs side effects
o declined for now

Plan:
paracetamol for possible pain on throat 
soft food
reduce activity
if no improvement -> sedation, x-rays and examine throat +/- bloodwork

Previous claim history (30)

DateClaim #Diagnosis
2025-12-18C09643792HYPERSENSITIVITY DISORDER (ALLERGY)
2023-06-05C6466687ALLERGY
2023-05-08C5872385ALLERGY
2023-04-08C5787796ALLERGY
2023-02-27C5682102ALLERGY
2023-01-25C5541849ALLERGY
2022-12-31C5453486DERMATITIS
2022-10-29C5252423DERMATITIS
2022-10-14C5201859VACCINATIONS OR HEALTH CHECKS
2022-10-14C5201859HEARTWORM CONTROL
2022-07-04C4905085ALLERGY
2022-03-21C4602985EAR (AURAL) INFECTION
2021-12-04C4326195ALLERGY
2021-10-15C4326192VACCINATIONS OR HEALTH CHECKS
2021-10-15C4326192HEARTWORM CONTROL
2021-05-18C3778742GASTROENTERITIS
2021-05-03C3729515GASTRITIS
2021-05-03C3729515PRESCRIPTION DIETS
2021-01-29C3488980DESEXING
2021-01-29C3488980DENTAL ILLNESS TREATMENT
2021-01-29C3488980HEARTWORM CONTROL
2020-12-01C3337452DIARROHEA
2020-11-28C3336290DIARROHEA
2020-11-28C3336290PRESCRIPTION DIETS
2020-10-21C3245324HEARTWORM CONTROL
2020-10-21C3245324VACCINATIONS OR HEALTH CHECKS
2020-10-21C3245324FLEA/TICK/WORM CONTROL
2020-09-30C3197996FLEA/TICK/WORM CONTROL
2020-09-30C3197996HEARTWORM CONTROL
2020-09-30C3197996VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours192.502026-03-01
20000tstarc_paracetamol57.502026-03-01

UPM+

  • DG01981COUGHING - PRESENTING COMPLAINTDSTP_clinical_signs_-_coughing

Variant (sleepy_king)

PAIN - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_pain
Conf: 0.260
Threshold: 0.39
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description