C09975099 / invoice 10000

Species:CANINE
Breed:French Bulldog
Age (years):1
Diagnosis or signs:Checkup
Consult notes
02/03/2026 For post spey complication - follow up recheck
S:
Hasn' utinated much 
No vomiting or retching
Ate a small mount - playing
Passing small amount of faeces - orange colour but not blood
Lethargic
Cerenia sat night & sun night
SLeepy after methadone 
Gaba 200mg made her more sleepy
O:
MM pink, CRT<2secs, HR 100, T 38.4
Suture line is good, but she has developed seroma,m 5-6cm diameter under neath
Vaginal exam - - dark thick blood
A:
Post pyo-spey - complications
P:
Recommended IVFT treatment for the day to rehydrate, given not enough water/food intake
Also adding 2nd abx

22G IV catheter with ahrtmanns
- Baytril 1.3ml IV
- Clav 250mg 3/4 tab given orally
- cerenia injection

a/d slurry 25ml fed
Water 10mls given

- mirtazapine 15mg 1/4 tab given orally

Tolet her regularly

Home with 
- baytril 150mg 1/2 tab SID PO from tomorrow morning
- clav tablet restart tonight
- mirtazapine 15mg 1/4 tab tomorrow evening

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 09:41:09
For post spey complication - follow up recheck
S:
Hasn' utinated much 
No vomiting or retching
Ate a small mount - playing
Passing small amount of faeces - orange colour but not blood
Lethargic
Cerenia sat night & sun night
SLeepy after methadone 
Gaba 200mg made her more sleepy
O:
MM pink, CRT<2secs, HR 100, T 38.4
Suture line is good, but she has developed seroma,m 5-6cm diameter under neath
Vaginal exam - - dark thick blood
A:
Post pyo-spey - complications
P:
Recommended IVFT treatment for the day to rehydrate, given not enough water/food intake
Also adding 2nd abx

22G IV catheter with ahrtmanns
- Baytril 1.3ml IV
- Clav 250mg 3/4 tab given orally
- cerenia injection

a/d slurry 25ml fed
Water 10mls given

- mirtazapine 15mg 1/4 tab given orally

Tolet her regularly

Home with 
- baytril 150mg 1/2 tab SID PO from tomorrow morning
- clav tablet restart tonight
- mirtazapine 15mg 1/4 tab tomorrow evening

Previous claim history (6)

DateClaim #Diagnosis
2026-02-28C09968048DESEXING-COMPLICATIONS
2026-02-27C09966469DESEXING
2026-02-26C09960694DESEXING
2026-02-24C09949474DISCHARGE - VAGINAL - PRESENTING COMPLAINT
2025-12-06C09904525BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS)
2025-12-06C09904525DENTAL ILLNESS TREATMENT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_hospitalisation50.002026-03-02
20000tstarc_fluid_therapy220.002026-03-02
30000tstarc_antibiotics_-_enrofloxacin54.252026-03-02
40000tstarc_antibiotics_-_enrofloxacin26.942026-03-02
50000tstarc_anti-nausea_medication48.652026-03-02
60000tstarc_mirtazapine22.902026-03-02
70000tstarc_prescription_diet4.852026-03-02
upstreamDSTP_prescription_diets

UPM+

  • DG02100POST-OPERATIVE COMPLICATION - OTHER - PRESENTING COMPLAINTDSTP_post-operative_complication
  • DG02941PRESCRIPTION DIETSDSTP_prescription_diets

Variant (sleepy_king)

POST-OPERATIVE COMPLICATION - OTHER - PRESENTING COMPLAINT
DSTP_post-operative_complication
Conf: 0.800
Threshold: 0.50
Above:
Correct?