C09974845 / invoice 10000
Species:CANINE
Breed:Shih Tzu Cross
Age (years):3
Diagnosis or signs:vomiting + lethargic
Consult notes
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 3:05 PM
Reason: Lethagic And V+Owner went back home dog still vomited few times and started developed diarrhea (still have shape, no blood noticed), just abit unsettle keep finding area to feel comfortableExaminaitonBARMM pink CRT<2Lung sound clearHR 112 RR 32 temp 37.9Abdominal palpation mild tense in mid abdomenWalking fine no limping/ataxiaPeripheral LN wnlPLR menance palpebral gag reflex CP withdrawal refelx wnlTick search -vePlan:Start with blood test and xrayMethadone 0.2mg/kg IVHartman 10ml/kg bolusBlood shows moderate high WBC NEU , mild reduced KXray only noticed stomach slightly dilated with gas, but no obvious FB noticed and no obvious obstructive pattern noticedDiscuss with owner ideally next step is ultrasound and possibly monitor overnightHowever we don't have a proper ultrasound machine today,Discuss referral to VSSOwner consented Vital Signs
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-02 | C09972782 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2025-10-17 | C9395841 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2025-08-07 | C9062445 | VACCINATIONS OR HEALTH CHECKS |
| 2025-08-07 | C9062445 | HEARTWORM CONTROL |
| 2025-04-11 | C8573966 | PATELLA LUXATION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_procedure_fee_-_radiology | 282.20 | 2026-03-02 | — |
| 20000 | tstarc_procedure_fee_-_radiology | 126.50 | 2026-03-02 | — |
| 30000 | tstarc_iv_catheterisation | 130.20 | 2026-03-02 | — |
| 40000 | tstarc_opioids_-_methadone | 38.80 | 2026-03-02 | — |
| 50000 | tstarc_diagnostic_test_-_blood_test | 229.00 | 2026-03-02 | — |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
VOMITING - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vomiting
Conf: 0.770
Threshold: 0.42
Above: ✓
Correct?