C09974483 / invoice 10000
Species:CANINE
Breed:Poodle - Toy Cross
Age (years):10
Diagnosis or signs:V+ + inappetant
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p dir="ltr"><span style="font-weight: 400;"><span style="color: #ff0000;">Have reminders been checked? </span><br><span style="color: #ff0000;">Has the owner been advised of this? </span><br><br><br></span><br>Hx: <br><br>V+ a lot on and off last few months. <br>lethargic and flat after <br>growls at O when tocuhing belly<br>going to Q store and had bloods last month unsure results<br>not as excited in food anymore<br>last lot of D+ last month<br>V+ twice this morning<br>not a foreign body eater </p> </div> </div> <div> <div> <p dir="ltr">EDDU well and no coughing, sneezing, vomiting or diarrhoea. </p> </div> </div> <div> <div> <p dir="ltr">Diet: Low fat dry + chicken + rice <br>Prop: None <br>Meds: None1</p> </div> </div> <div> <div> <p dir="ltr">Exam:<br>Eyes/ears: No discharge noted. Eyes clear.<br>Oral: MM pink and moist. Build up starting to form on most teeth. <br>Cardioresp: No murmur or arrhythmia. Lung sounds clear.<br>Integ: Coat in good condition.<br>MSK: Ambulating well, no pain on joint palpation, good range of motion.<br>Abdo: Comfortable on palpation. Questionable thickening over the caudal abdo. </p> </div> </div> <div> <p dir="ltr">Plan: <br>DDx: Gastro vs IBD vs addisons vs parasites vs neoplasia vs inflammation vs infection vs other <br><br>Discussed with O possible causes. Would recc a ultrasound to investigate thickening. Booked for Thursday. Discussed cortisol + CPL testing as well penidng bloods from Q store </p> </div></html>
Animal clinical history (3 most recent)
2026-02-04T00:00:00Z 12:17:00
O called asking for us to give an estimate of getting abdominal ultrasound. Advised we would need a consult cause the vets may determine that might not require a U/S. O said she wants to do it anyway as she believes theres an abdominal issue. O inquired about price and I gave a rough estimate and stated she would need to pay a consult fee with that anyway. She then wanted me to send it to her insurance to do a pre gap approval, however i stated I would talk to a vet first to see if it was possible. O hung up whilst on hold however spoke to SB who confirmed we would need to do a consult first to determine pre approval as need to fill out questions
2025-09-17T00:00:00Z 15:40:00
Have reminders been checked? Y/N VaccHas the owner been advised of this? Y/N NoGapOnly claim Insurance SummaryFirst Clinic Signs: Recheck after EKT, ongoing infection. Shaking head againDiagnosis/Suspected: No findings on swab, ear infection resolvedSummary/Suspected Cause: No findings on swab, ear infection resolvedAny other conditions being treated/known health concerns(if any): NoTreatment/Plan: Ear swab, clean ears at home, C3 triennual vaccinationPresented for ear recheck. Has started shaking head again recently. No water/liquids in ears since last dose. Forgot to give tablets, has 6 left over - steroid course incomplete. Unsure if has epiotic at home but was using in past to clean ears. Consented to C3 triennual. EDDU, no vx/dx. Did have a small Vx recently after kangaroo meat. PE: Cardio: Regular rate and rhythm, no murmur detected. Resp: No wheezes or crackles auscultated Oral: CRT <2s, pink and moist MM. Eyes: Bilaterally symmetrical, clear and no presence of discharge Ears: No erythema or discharge noted, R-ear mild brown discharge on swab. TM intact, NAD otoscopyIntegument: NAD GIT Palpation: Abdomen comfortable on palpation, no obvious massesAssessment Cytology - bilateral debris. Ear infection resolved. Discussed returning to epiotic ear cleaning routine. Briefly discussed cortavance if Rx infx. Treatment C3 SQ - due 17.9.28
2025-08-28T00:00:00Z 16:14:00
2.5ml EKT instilled left ear Beransa 5mg given (751318, 12/2025)
Previous claim history (9)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-06 | C09865792 | GASTROENTERITIS |
| 2025-12-30 | C09690713 | ARTHRITIS |
| 2021-01-09 | C3430773 | MAST CELL TUMOUR |
| 2020-12-30 | C3409168 | LIPOMA |
| 2020-12-15 | C3371898 | MASS LESION |
| 2020-12-09 | C3362163 | LIPOMA |
| 2020-12-09 | C3362163 | SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT |
| 2019-03-05 | C2152437 | GASTROINTESTINAL PROBLEMS |
| 2019-01-19 | C2064068 | ALLERGY |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 97.00 | 2026-03-02 | — |
UPM+
- DG00986GASTROENTERITISDSTP_gastroenteritis
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.700
Threshold: 0.68
Above: ✓
Correct?