C09973289 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):8
Diagnosis or signs:Checkup
Consult notes
02/03/2026 CULTURE Heavy growth (>10^8 CFU/L)
 Org 1: E.coli
 SUSCEPTIBILITY
 Ampi/Amoxycillin R Cefovecin S
 Cephalexin S Enrofloxacin S
 Doxycycline R Sulpha/Trimeth S
 Marbofloxacin S 

Liver parameters improved
Kidney parameters stable and still elevated
Calcium wnl
C&S still positive for UTI

Plan:
Start marbo 37.5mg (3.3mg/kg) SID for 14d then recheck urine 2-3d after stopping
Start cystopro one capsule daily

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 11:03:25
CULTURE Heavy growth (>10^8 CFU/L)
 Org 1: E.coli
 SUSCEPTIBILITY
 Ampi/Amoxycillin R Cefovecin S
 Cephalexin S Enrofloxacin S
 Doxycycline R Sulpha/Trimeth S
 Marbofloxacin S 

Liver parameters improved
Kidney parameters stable and still elevated
Calcium wnl
C&S still positive for UTI

Plan:
Start marbo 37.5mg (3.3mg/kg) SID for 14d then recheck urine 2-3d after stopping
Start cystopro one capsule daily

Previous claim history (10)

DateClaim #Diagnosis
2026-02-10C09892245HEPATOTOXICITY (LIVER TOXICITY)
2026-02-09C09880812HEPATOTOXICITY (LIVER TOXICITY)
2026-02-09C09881282HEPATOTOXICITY (LIVER TOXICITY)
2026-02-09C09883718HEPATOTOXICITY (LIVER TOXICITY)
2026-02-07C09870788HEPATOTOXICITY (LIVER TOXICITY)
2026-02-06C09867100PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2026-02-06C09868463HEPATOTOXICITY (LIVER TOXICITY)
2026-02-05C09881275HEPATOTOXICITY (LIVER TOXICITY)
2026-01-03C09881260MASS LESION - EAR (AURAL)
2025-12-31C09699650MASS LESION - EAR (AURAL)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_antibiotics_-_marbofloxacin93.892026-03-02
20000tstarc_supplement_-_urinary_supplements43.532026-03-02
upstreamDSTP_alternative_therapy_-_unspecified

UPM+

  • DG01885URINARY TRACT INFECTION (UTI)DSTP_urinary_infection_or_cystitis

Variant (sleepy_king)

HEPATOPATHY (LIVER DISORDER)
DSTP_liver_disorder
Conf: 0.250
Threshold: 0.26
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description