C09975435 / invoice 10000
Species:CANINE
Breed:Rottweiler
Age (years):5
Diagnosis or signs:Medication and bloods
Consult notes
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 5:28 PM
History: On-going management of pheno levels for epileptic seizures- partially managed by Dr Laura, neuro, at SASHRoughly 8 seizures or so in last 2 months. Recent pheno changes:27/01 - inc to 180mg bid pheno12/02 - inc to 200mg bid pheno (+ keppra post-seizure)Single grand mal seizure seen in the past few weeks.Resolved before benzo's givenExamination: BAR; minimal exam performed due to temperamentAssessment: Needs bloods to assess current pheno levels since changing- Dr Laura rec'd aiming for 130-140umol/L- to consider zonisemide in future if uncontrolled seizures with PBE at max effective rangeTreatment: Continue 200mg pheno po bid for the momentKeppra as needed for breakthrough seizures- - 2000mg keppra immediately following, then 1000mg tid q3dPlan:Pending results- dose change pending results (+/- adjunctive maintenance anti-epileptic, zonesimide)Email results to brit Vital Signs
Previous claim history (26)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-28 | C09820472 | SEIZURE DISORDER |
| 2026-01-22 | C09793661 | SEIZURE DISORDER |
| 2026-01-15 | C09760727 | SEIZURE DISORDER |
| 2026-01-06 | C09724729 | SEIZURE DISORDER |
| 2025-06-10 | C8818178 | GASTROENTERITIS |
| 2025-05-05 | C8690134 | SEIZURE DISORDER |
| 2025-03-28 | C8516150 | SEIZURES |
| 2025-03-28 | C8516150 | BEHAVIOURAL THERAPY |
| 2025-03-07 | C8426920 | SEIZURES |
| 2025-02-07 | C8299166 | SEIZURES |
| 2025-01-24 | C8241115 | SEIZURE DISORDER |
| 2025-01-24 | C8243450 | SEIZURES |
| 2025-01-24 | C8243450 | URINARY INCONTINENCE |
| 2023-02-27 | C5651470 | VOMITION |
| 2022-07-01 | C4885274 | VACCINATIONS OR HEALTH CHECKS |
| 2022-07-01 | C4885274 | EAR INFECTION |
| 2022-07-01 | C4885274 | BEHAVIOURAL THERAPY |
| 2022-02-19 | C4511868 | MASS LESION - SKIN (CUTANEOUS) |
| 2022-02-19 | C4511868 | URINARY INCONTINENCE |
| 2022-01-04 | C4369983 | URINARY INCONTINENCE |
| 2021-11-13 | C4237152 | LIMPING |
| 2021-10-21 | C4172032 | INGEST FOREIGN OBJECT |
| 2021-10-08 | C4139443 | DESEXING |
| 2021-10-08 | C4139443 | Preventative/Elective Procedure |
| 2021-10-08 | C4139443 | HEARTWORM CONTROL |
| 2021-10-08 | C4139443 | FLEA/TICK/WORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 104.00 | 2026-03-02 | — |
| 20000 | tstarc_diagnostic_test_-_phenobarbitone_levels | 200.85 | 2026-03-02 | — |
| 30000 | tstarc_levetiracetam | 100.85 | 2026-03-02 | — |
UPM+
- DG01589SEIZURE DISORDERDSTP_seizure_and_epilepsy
Variant (sleepy_king)
SEIZURE DISORDER
DSTP_seizure_and_epilepsy
Conf: 1.000
Threshold: 0.19
Above: ✓
Correct?