C09973580 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):5
Diagnosis or signs:Consultation
Consult notes
02/03/2026 T 38.4
HR120


02/03/2026 History:
- Inappetence since yesterday; did not eat dinner, not present for breakfast this morning
- Lethargy noted at home; found lying on floor rather than greeting at top of stairs
- Blood found on carpet this morning; red/brown colour, no yellow tinge
- No vomiting observed
- Normal stool collected this morning
- Urination normal on walks; no straining or frequent small urinations noted
- Relocated from London 7 weeks ago; Bailey arrived 01/02/2026
- No acclimatisation to Australian heat
- Food changed since arrival; tolerated well until now
- Previous history of self-trauma to paw prior to flight; licked area open causing bleeding

Physical Exam Findings:
- BCS: Good size; not underweight or overweight
- BAR, Crt1s, Mms pink, moist, T 385, RRNorm
- Oral Cavity: Dental disease present; lower canine erupting causing underbite with incisor displacement; gum damage likely over time; dental cleaning recommended, may need extraction of incisors
- Integument: Scar present on paw from previous self-trauma
- Abdomen: No abdominal pain


Diagnostic Results:
- Urine test performed; USG 1.045, iatrogenic blood only (non-haemolysed red cells)

Assessment:
- Problem list:
1. Haematemesis vs haematuria - likely gastrointestinal 
2. Inappetence
3. Lethargy
4. Dental disease

Plan:
- Carafate TID on empty stomach, 30 minutes before other medication
- Losec SID
- Bland diet: white rice, small meals (2 tablespoons), wait 1 hour between feeds
- Monitor urination for straining, blood, frequent small urinations
- Dental cleaning to be booked 
- L inguinal skin lesion removal to be performed at same time as dental - new estimate

Communications:
- Discussed likely gastrointestinal cause given inappetence and lethargy
- If blood is from stomach, possible causes include torn capillary from intense vomiting or peptic gastric ulceration
- If urine test clear, confirms gastrointestinal origin and medications will proceed
- If urine abnormal, medications will change accordingly

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 14:32:31
History:
- Inappetence since yesterday; did not eat dinner, not present for breakfast this morning
- Lethargy noted at home; found lying on floor rather than greeting at top of stairs
- Blood found on carpet this morning; red/brown colour, no yellow tinge
- No vomiting observed
- Normal stool collected this morning
- Urination normal on walks; no straining or frequent small urinations noted
- Relocated from London 7 weeks ago; Bailey arrived 01/02/2026
- No acclimatisation to Australian heat
- Food changed since arrival; tolerated well until now
- Previous history of self-trauma to paw prior to flight; licked area open causing bleeding

Physical Exam Findings:
- BCS: Good size; not underweight or overweight
- BAR, Crt1s, Mms pink, moist, T 385, RRNorm
- Oral Cavity: Dental disease present; lower canine erupting causing underbite with incisor displacement; gum damage likely over time; dental cleaning recommended, may need extraction of incisors
- Integument: Scar present on paw from previous self-trauma
- Abdomen: No abdominal pain


Diagnostic Results:
- Urine test performed; USG 1.045, iatrogenic blood only (non-haemolysed red cells)

Assessment:
- Problem list:
1. Haematemesis vs haematuria - likely gastrointestinal 
2. Inappetence
3. Lethargy
4. Dental disease

Plan:
- Carafate TID on empty stomach, 30 minutes before other medication
- Losec SID
- Bland diet: white rice, small meals (2 tablespoons), wait 1 hour between feeds
- Monitor urination for straining, blood, frequent small urinations
- Dental cleaning to be booked 
- L inguinal skin lesion removal to be performed at same time as dental - new estimate

Communications:
- Discussed likely gastrointestinal cause given inappetence and lethargy
- If blood is from stomach, possible causes include torn capillary from intense vomiting or peptic gastric ulceration
- If urine test clear, confirms gastrointestinal origin and medications will proceed
- If urine abnormal, medications will change accordingly
2026-03-02T00:00:00Z 14:08:13
T 38.4
HR120

Previous claim history (1)

DateClaim #Diagnosis
2026-02-03C09844241DENTAL (TOOTH) DISORDER

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation135.002026-03-02
20000tstarc_sucralfate_(carafate)52.502026-03-02
30000tstarc_reflux_medication51.002026-03-02
40000tstarc_procedure_fee_-_centesis52.002026-03-02
50000tstarc_diagnostic_test_-_urine_test125.002026-03-02

UPM+

  • DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.380
Threshold: 0.68
Above:
Correct?
Reason (correct)