C09972076 / invoice 10000

Reviewer

Species:CANINE

Breed:Maltese Cross

Age (years):14

Diagnosis or signs:revisit

Consult notes

Appointment Notes: recheckHistory:Didn't respond at all to mirtazapine / cerenia.Owner started preds 2.5mg 7pm last nightAte well overnight - owner shocked when woke up this am.Seems much brighter tooReview of abd u/s: non-specific hepatopathy i/d on u/s: inflammtory v infiltrative neoplasia.  Liver enzymes markedly improved post dental so less likely neoplasiaHasn't really eaten much since dental 3wks agoExamine:BARVery underweight: BCS 1/5Abd palpation NADMmbs pink, no signs of jaundiceOral exam NAD except some sutures still presentAuscultation normalPalpable LNs normalPlan:1. Continue preds 2.5mg sid

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 11:13?am

Appointment Notes: recheckHistory:Didn't respond at all to mirtazapine / cerenia.Owner started preds 2.5mg 7pm last nightAte well overnight - owner shocked when woke up this am.Seems much brighter tooReview of abd u/s: non-specific hepatopathy i/d on u/s: inflammtory v infiltrative neoplasia.  Liver enzymes markedly improved post dental so less likely neoplasiaHasn't really eaten much since dental 3wks agoExamine:BARVery underweight: BCS 1/5Abd palpation NADMmbs pink, no signs of jaundiceOral exam NAD except some sutures still presentAuscultation normalPalpable LNs normalPlan:1. Continue preds 2.5mg sid    Vital Signs    Weight: 2.3;

Previous claim history (25)

Date	Claim #	Diagnosis
2026-02-16	C09911766	HEPATOMEGALY
2026-02-15	C09911872	HEPATOMEGALY
2026-02-14	C09911844	HEPATOMEGALY
2026-02-13	C09911766	HEPATOMEGALY
2026-02-06	C09867551	DENTAL ILLNESS TREATMENT
2026-02-06	C09867551	HEPATOMEGALY
2026-02-05	C09858529	ANOREXIA - PRESENTING COMPLAINT
2026-02-05	C09858529	DENTAL ILLNESS TREATMENT
2020-04-18	C2853908	ANAL SAC DISORDER
2020-02-29	C2756508	VACCINATIONS OR HEALTH CHECKS
2020-02-29	C2756508	ALTERNATIVE THERAPIES
2020-02-29	C2756508	HEARTWORM CONTROL
2020-02-29	C2756508	BEHAVIOURAL THERAPY
2019-05-14	C2231474	VACCINATIONS OR HEALTH CHECKS
2019-05-14	C2231474	HEARTWORM CONTROL
2019-02-14	C2133922	EYE CONDITIONS
2018-04-27	C1647045	DENTAL ILLNESS TREATMENT
2018-04-19	C1647045	HEARTWORM CONTROL
2017-04-01	C1167560	VACCINATIONS OR HEALTH CHECKS
2017-04-01	C1167560	HEARTWORM CONTROL
2016-06-16	C0847868	TEETH CLEANING
2016-06-16	C0847868	HEARTWORM TEST OR BLOOD SCREEN
2016-06-10	C0847874	VACCINATIONS OR HEALTH CHECKS
2013-05-22	C0103947	TOXICITY
2013-05-22	C0103947	TOXICITY

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	80.00	2026-03-02	—

UPM+

DG02244HEPATOPATHY (LIVER DISORDER)DSTP_liver_disorder

Variant (sleepy_king)

HEPATOPATHY (LIVER DISORDER)

DSTP_liver_disorder

Conf: 0.870

Threshold: 0.26

Above: ✓

Correct?

Yes No