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)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-03 | C09844241 | DENTAL (TOOTH) DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 135.00 | 2026-03-02 | — |
| 20000 | tstarc_sucralfate_(carafate) | 52.50 | 2026-03-02 | — |
| 30000 | tstarc_reflux_medication | 51.00 | 2026-03-02 | — |
| 40000 | tstarc_procedure_fee_-_centesis | 52.00 | 2026-03-02 | — |
| 50000 | tstarc_diagnostic_test_-_urine_test | 125.00 | 2026-03-02 | — |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.380
Threshold: 0.68
Above: ✗
Correct?
Reason (correct)