C09971824 / invoice 10000
Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):1
Diagnosis or signs:Check up unwell and bumps on skin
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>History:<br><br>- Camping trip over the weekend, deep in the bush<br>- Rash on belly first couple of days, itchy, resolved after a couple of days with bath<br>- Diarrhoea yesterday - single episode<br>- Lethargy noted - not normal behaviour, isolating herself, not wanting to interact<br>- Eating reduced, drinking water normally<br>- Possible mushroom ingestion yesterday - mushrooms noted in backyard due to rain, unclear if consumed? Owner thinks probably didn't<br>- Swimming during camping trip<br>- On tick prevention (Simparica)<br><br>Past Medical History:<br><br>- Urinary incontinence - currently on Propalin 0.9ml once daily<br>- Dose previously reduced from 0.8ml due to leaking, then increased to 0.9ml but could not could with hyperexcitability with BID so reduced to SID <br>- Nervous disposition - anxiety<br><br>Physical Examination:<br><br>- Demeanour: nervous, took treats well<br>- Temperature: 38.6<br>- Coat: crusty lesions on body wall, hair falling out from lesions mild at this stage <br>- Not consistent with hives due to crusting present likely staph from swimming or undelrying allergy <br>- Thoracic ascul: wnl<br>- Abdo palp: wnl <br>- LNs: wnl<br><br>Assessment & Plan:<br><br>1. Staph skin infection<br><br>- Likely secondary to swimming and stress from camping environment<br>- PyoHex shampoo twice weekly for 4-6 weeks, 10 minutes contact time<br>- Follow with QV bath oil (1 tablespoon in 1 litre water) to prevent drying<br>- Zyrtec 10mg daily for 5 days for allergic component<br><br>2. Lethargy<br><br>- Likely stress-related from camping - on guard, likely did not sleep well<br>- Expect improvement over next couple of days<br>- Blood tests if vomiting or appears very unwell<br><br>3. Urinary incontinence<br><br>- Continue Propalin at lowest effective dose<br>- Recommended dose 1ml twice daily (2 x 25kg = 50mcg/kg) but owner does not want to give BID <br>- Can trial 0.7ml twice daily, increase to 0.8ml twice daily if needed but owner says controlled on 0.9mls SID so ok to stay on that <br>- Script provided for 100ml (50mcg/ml concentration)<br>- Counselled on side effects: vomiting, weight loss, hypertension, diarrhoea, decreased appetite, seizures, twitching (rare), restlessness, anxiety, irritability<br>- Alternative options available if Propalin sided effects unmanageable <br><br>Key Takeaways:<br><br>- PyoHex shampoo twice weekly for 4-6 weeks, followed by QV bath oil<br>- Zyrtec 10mg daily for 5 days<br>- Monitor for vomiting or worsening lethargy - blood tests if needed<br>- Propralin script provided - use lowest effective dose, ideally twice daily<br><br>Next Steps:<br><br>- Monitor for improvement over next couple of days<br>- Return if vomiting, very unwell, or not improving<br>- Blood tests available if needed</p> </div></html>
Animal clinical history (3 most recent)
2026-01-09T00:00:00Z 15:58:00
Owners called with update for Rach been 4 weeks when they started on Propalin 0.8ml BID and she was very anxious getting very skittish so then owners started to only give in SID and it seems a lot better
2025-11-24T00:00:00Z 16:59:00
Laboratory:USG 1.054pH 5Sedi WNL.Assessment: True incontinence - likely PSMI.Plan:1. Treatment trial: Propalin 0.8mL PO BID.2. Re-evaluate in 2 weeks.Tried to call Christina - no answer so l/m.Called back 26/11 - relayed all of above. O happy to start Propalin. Reqested email & phone call update in 2 weeks time. Will then taper to lowest effective frequency. Can also write script if needing long term.
2025-11-08T00:00:00Z 11:43:00
History:- Presenting for investigation of urinary leakage.- The owner reports seeing urine trickling out of the dog, even while walking. It is not a conscious dribble. Also occurs when she is sleeping.- The issue started around 6 months of age and is now worsening. It occurs pretty much daily.- Started a few weeks prior to desexing. After desexing, issue escalatd & became more apparent.- When urinating consciously, there is no noticeable straining, no haematuria or pollakiruia.- Drinking appears normal, not excessive compared to other dogs in the household.- Appetite is normal; eats when required.- Current parasite prophylaxis is up to date.Past Medical History:- Desexed female, 8 months old.Physical Examination:- Demeanour: Bright and alert.- Examination is difficult due to nervous demeanour.- HR/PR 110, MM = p/m CRT <2s.- Auscultation - normal.- Ears/eyes/skin NAD- Abdo: Soft & comfortable, no palpable pain or discomfort.- Vulva: Markedly hooded, not inflamed or erythematous. No d/c. No surrounding dermatitis.Assessment & Plan:1. Urinary Incontinence- DDx = Urethral sphincter mechanism incompetence (USMI) is a strong possibility.- Other DDx = ectopic ureters (but would have expected issue much earlier), contributing UTI, crystalluria, PUPD (overflow), other..- Explained the likely cause is USMI post-desexing. Counselled owner on how to collect a first-morning urine sample for urinalysis, as this will be the most concentrated sample. Advised to use a clean container to catch the urine mid-stream.- Treatment will be determined based on urinalysis results. If USMI is confirmed, a trial of medication will be initiated and tapered to the lowest effective dose.Key Takeaways:- Collect a first-morning urine sample for analysis.- Monitor for any changes in urination or vulvar irritation.Next Steps:- Drop off urine sample for urinalysis - PAID- A treatment plan will be formulated based on the results.
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-11-08 | C9469155 | URINARY INCONTINENCE |
| 2025-07-07 | C9477920 | VACCINATIONS OR HEALTH CHECKS |
| 2025-06-16 | C9484383 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-emergency/afterhours | 130.00 | 2026-02-28 | — |
| 20000 | tstarc_prescription_fee | 35.00 | 2026-02-28 | — |
UPM+
- DG00592DERMATITISDSTP_skin_-_dermatitis
- DG01879URINARY INCONTINENCEDSTP_urinary_incontinence
Variant (sleepy_king)
URINARY INCONTINENCE
DSTP_urinary_incontinence
Conf: 0.810
Threshold: 0.25
Above: ✓
Correct?