C09973238 / invoice 10000
Species:CANINE
Breed:Border Collie Cross
Age (years):0
Diagnosis or signs:Vomiting & Diarrhoea
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p>a) puppy vaccs up to date, due for nexgard today<br>b) no food ro meds required<br>c) tried some new treats last night in kong, vomited food overnight, had some diarrhoea today and lethargic, not interested in eating today.<br>New puppy - had for 1 week now.<br>CC<br><br>Current medication & dose: none<br>------------------------------------------<br>GapOnly<br>What is the issue?<br>Vomiting & diarrhoea<br><br>Where is the issue?<br>Gastro<br><br>When did it start?<br>Yesterday overnight - found 2 vomitus, and 4 defecations today. Lethargy and inappetence <br><br>Is this a pre-existing condition according to the client?<br>No<br><br>What is the next step?<br>In house comprehensive cbc & biochem<br>If blood test is good - ok to manage as outpatient with maropitant, pro-kolin, RC GI tin & oralyte. <br>_____________________________<br><strong>History:<br></strong>Adopted from rescue 1 week ago, was spayed before acquired. UTD with vax, due to nexgard today<br>Been isolated, seeing family member only, no contact with any dog<br>Been well all week, yesterday had new food - Saviour Life kibble with new biscuit treat. <br>Found 2 vomitus this am, defecated twice - normal stool, later the day had 2 more soft stool with speckle of blood<br>Poor energy and just want to rest in crate all day, not eating or drinking at all<br>Does like to chew off toys & objects - nothing missing that O aware of. Generally remove toys that been chew up<br><strong><br>Examination:</strong><br>QAR, BCS5/9 - more energetic and engaging towards end of consult<br>HR = 132 = PR good intensity <br>Heart lung clear<br>CRT 1.5<br>MM pink moist<br>EENO = Desiduous teeth full mouth, oral cavity wnl. Pinna L mild dirt. Otoscopy both canals clear, TM intact<br>Abdo = Relax, no focal pain, no obvious FB palpable. No lip licking. Can feel spey scar wnl<br>LN = NAD<br>Temp = 38.1<br>Rectal = Mucosa normal, very mild brown stool on glove, no blood</p> </div> </div> <div> <div> <div> <div> <div><strong>Assessment:<br></strong>Acute v+ & d+ <br>DDx - dietary indiscretion, infectious (parvo?), FB<br><strong><br>Treatment:<br></strong>Venepuncture R jugular - very well behaved<br>Maropitant SC<br>Cleaned both ears with otoflush<strong><br><br>Plan:<br></strong>Home with prokolin, RC Gi tin, oralade<br>repeat blood in 1 week if well (biochem & PCV)<br><br> <br><strong>Follow up/reminders</strong></div> </div> </div> </div> </div></html>
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 128.66 | 2026-03-02 | — |
| 20000 | tstarc_diagnostic_test_-_blood_test | 239.52 | 2026-03-02 | — |
| 30000 | tstarc_anti-nausea_medication | 62.27 | 2026-03-02 | — |
| 40000 | tstarc_probiotics | 56.74 | 2026-03-02 | — |
| 50000 | tstarc_prescription_diet | 25.35 | 2026-03-02 | upstreamDSTP_prescription_diets |
| 60000 | tstarc_rehydration_therapy | 14.08 | 2026-03-02 | — |
UPM+
- DG02941PRESCRIPTION DIETSDSTP_prescription_diets
- DG02012FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINTDSTP_clinical_signs_-_diarrhoea
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.340
Threshold: 0.68
Above: ✗
Correct?
Reason (correct)