C09974829 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):7
Diagnosis or signs:Not eating and vomiting
Consult notes
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<p><strong>History</strong><br>Vomiting on and off for 2 weeks<br>Appetite up and down <br>No diarrhoea<br><br style="background-repeat: no-repeat; background-color: #ffffff; color: #626262;"><strong>Physical exam</strong><br>MM pink and moist, CRT &lt;2 seconds<br>Abdomen: reacted on cranial abdominal palpation, no masses palpated<br>Temp: 38.6<br><br><strong>Treatment</strong><br>Bland diet <br>Prevomax 0.63ml SC<br>Recheck INI</p>
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Animal clinical history (3 most recent)

2025-11-03T00:00:00Z 15:51:00
EDDU all ok at homerecheck earBARtemp 38.4CLEFT ear - infection resolved, mild inflammation on otoscopic examination, swab negative - had Mariana holdabdominal palpation NADheart/lungs NADMM pink and moistHas been licking at the LFL where the leg was clippedno need to repeat osurniaAntibiotic lotion for the legrecheck if needed
2025-10-28T00:00:00Z 11:59:00
Eddie doing great at home. No concerns. EUDD OK.
2025-10-27T00:00:00Z 10:51:00
Historyowner requests dex injection as itchy around eyes and inflammation/eye weeping that responds to dex injectionPre op checkmild periocular inflammation HR: 120RR: pantingMM: pinkCRT: <2TEMP: not takenPremedicationsmedetomidine 5ug/kg (0.03mLs) IM in cervical muscle @ 11:11am - stopped barkingMethadone 0.3mg/kg (0.2mLs) /medetomidine 5ug/kg (0.03mLs) IM in cervical muscle @ 12:07pmClipped cephalic with size 40 blade and prepped with chlorhex and alcohol, IV catheter placedInductionPreoxygenated and given alfaxan 0.8 ml given slow IVMaintained on ISO and O2 via ETT size 6.5 0.3mLs airIV fluids started. Hartmanns solution 31ml/hrSurgical NotesPacked throat with tampon.Full mouth dental radiographs taken.All teeth scaled and polished and probedMISSING 311note 411 present, unable to xray, tried multiple timesEXTRACTIONS:nonePeri and Post Op medicationsDexason 0.31mLs IM @ 1:34pm Plucked ears and cleaned, clipped the LEFT earOsurnia appliedHome medications_noneHome careObserve for loss of appetite, excess licking or salivating, pawing at mouth.Home care notes provided  normal diet is okRecoveryNo issues on extubation. O called with update and discharge time.Recheck ear in 7 days

Previous claim history (7)

DateClaim #Diagnosis
2022-09-29C5149412PATELLA LUXATION
2022-09-24C5129922PATELLA LUXATION
2022-09-13C5104638PATELLA LUXATION - MEDIAL
2021-11-22C4261316MISCELLANEOUS CONDITIONS
2021-11-22C4261838PRURITUS - PRESENTING COMPLAINT
2021-08-05C3963963VOMITION & DIARRHOEA
2021-08-05C3964000VOMITION & DIARRHOEA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation123.502026-03-02
20000tstarc_anti-nausea_medication72.412026-03-02

UPM+

  • DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting

Variant (sleepy_king)

VOMITING - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vomiting
Conf: 0.490
Threshold: 0.42
Above:
Correct?