C09974121 / invoice 10000
Species:CANINE
Breed:Papillon
Age (years):17
Diagnosis or signs:see notes
Consult notes
repeat diarrhoea and vomitting post pro kolin mh Can only come in the afternoon. Verified: NO HISTORY Presenting for: Follow-up for colitis with bloody faeces that had previously improved but has recurred over the last couple of days. Historical Conditions: - Previous episode of colitis with bloody faeces that improved with treatment Diet: - Currently eating chicken and rice - Went off food yesterday but eating again as of 3 hours prior to consultation V/D/C/S: - Bloody faeces returned yesterday - described as mixture of fresh red blood and dark/black blood - Diarrhoea present for last couple of days - One small vomit yesterday - Faeces described as liquid brown consistency when client went to shop yesterday - Patient noted to drip faeces during the night Current Meds: - Previously on Pro-Kolin paste but supply finished EXAM Mentation: BAR Wt: 4.5 kg (previously 4.6 kg - minimal weight loss) T: 38°C (normal) Abdominal: Palpable discomfort on abdominal palpation, gassy belly with gurgling and fluid noted Rectal: Rectal examination performed - faeces soft and brown with small amount of mucous present, no blood or black stool observed at time of examination ASSESSMENT Recurrent colitis - Patient had previously improved but symptoms have returned with bloody diarrhoea and vomiting. Given the recurrent nature, infectious causes less likely. Possible underlying causes include dietary indiscretion or other gastrointestinal conditions requiring further investigation. PLAN Diagnostics: - Blood test approved to assess WBC, RBC, kidney and liver function to evaluate for systemic causes of gastrointestinal signs - Abdominal ultrasound to be scheduled for future appointment New Meds/Tx: - Pro-Kolin paste dispensed to continue supportive gastrointestinal treatment Additional Discussion: - Total cost for today's recheck, Pro-Kolin paste and blood test: $466.25 - Blood sample collection will require shaving small patch of hair on neck or leg - Ultrasound appointment to be scheduled separately Client Comms: - Will call with blood test results - Client expressed concern about ongoing management difficulty over extended periods
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 15:20:00
repeat diarrhoea and vomitting post pro kolin mh Can only come in the afternoon. Verified: NO HISTORY Presenting for: Follow-up for colitis with bloody faeces that had previously improved but has recurred over the last couple of days. Historical Conditions: - Previous episode of colitis with bloody faeces that improved with treatment Diet: - Currently eating chicken and rice - Went off food yesterday but eating again as of 3 hours prior to consultation V/D/C/S: - Bloody faeces returned yesterday - described as mixture of fresh red blood and dark/black blood - Diarrhoea present for last couple of days - One small vomit yesterday - Faeces described as liquid brown consistency when client went to shop yesterday - Patient noted to drip faeces during the night Current Meds: - Previously on Pro-Kolin paste but supply finished EXAM Mentation: BAR Wt: 4.5 kg (previously 4.6 kg - minimal weight loss) T: 38°C (normal) Abdominal: Palpable discomfort on abdominal palpation, gassy belly with gurgling and fluid noted Rectal: Rectal examination performed - faeces soft and brown with small amount of mucous present, no blood or black stool observed at time of examination ASSESSMENT Recurrent colitis - Patient had previously improved but symptoms have returned with bloody diarrhoea and vomiting. Given the recurrent nature, infectious causes less likely. Possible underlying causes include dietary indiscretion or other gastrointestinal conditions requiring further investigation. PLAN Diagnostics: - Blood test approved to assess WBC, RBC, kidney and liver function to evaluate for systemic causes of gastrointestinal signs - Abdominal ultrasound to be scheduled for future appointment New Meds/Tx: - Pro-Kolin paste dispensed to continue supportive gastrointestinal treatment Additional Discussion: - Total cost for today's recheck, Pro-Kolin paste and blood test: $466.25 - Blood sample collection will require shaving small patch of hair on neck or leg - Ultrasound appointment to be scheduled separately Client Comms: - Will call with blood test results - Client expressed concern about ongoing management difficulty over extended periods
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-20 | C09932819 | GASTROENTERITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 88.00 | 2026-03-02 | — |
| 20000 | tstarc_diagnostic_test_-_blood_test | 185.00 | 2026-03-02 | — |
| 30000 | tstarc_diagnostic_test_-_haematology | 75.00 | 2026-03-02 | — |
| 40000 | tstarc_diagnostic_test_-_blood_test | 70.00 | 2026-03-02 | — |
| 50000 | tstarc_probiotics | 48.25 | 2026-03-02 | — |
UPM+
- DG00986GASTROENTERITISDSTP_gastroenteritis
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.890
Threshold: 0.68
Above: ✓
Correct?