C09976727 / invoice 10000

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Species:CANINE
Breed:French Bulldog
Age (years):10
Diagnosis or signs:Walk-in - Seizure like event
Consult notes
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<p><strong><span data-contrast="auto"><span style="font-weight: 400;"><span style="color: #ff0000;"><span style="color: #000000;">Walk-in - Seizure like event, stopped breathing, check up<br></span></span></span></span></strong><span style="font-weight: 400;"><span style="color: #ff0000;"><span style="color: #000000;">MT and nurses triaged. Wife to come back. Husband dropped off</span></span></span><strong><span data-contrast="auto"><span style="font-weight: 400;"><span style="color: #ff0000;"><span style="color: #000000;"><br></span><br>Have reminders been checked? Y/N</span><br><span style="color: #ff0000;">Has the owner been advised of this? Y/N</span><br></span><br>GapOnly claim Insurance Summary<br>First Clinic Signs: Seizure this morning <br>Diagnosis/Suspected: Neurological vs toxin vs respiratory vs other <br>Summary/Suspected Cause: Neurological &gt;&gt;<br>Any other conditions being treated/known health concerns(if any): No<br>Treatment/Plan: Begin with bloodwork, discussed referral - owner declined<br><br></span></strong><span data-contrast="auto"><br>Presented for CONCERN.This morning head was on the ground, backlegs were. Shaking/tremoring. Eyes rolled back. Tongue turned blue. Falling over. Thought he;d passed. Pumped his chest. Walking. <br><br>Tu7rning to the right hsnf<br>Side to side movements<br><br>15 minutes<br>Slight amount of <br>Frothing from the mouth<br>Not all there <br>Barkling at walls, staring at them<br><br></span></p>
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<p><span data-contrast="auto">Hx: </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><span data-contrast="auto">General Hx:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">EDDU?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Any changes?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Lifestyle/other animals:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Diet:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Para:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Meds: </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Access to toxins?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Other concerns?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
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<p><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">PE:</span></strong><span data-contrast="auto"> </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Cardio: Regular rate and rhythm, no murmur detected. </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Resp: No wheezes or crackles auscultated</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Oral: CRT &lt;2s, pink and moist MM. Dentition </span><span data-contrast="auto">GRADE</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Eyes: Bilaterally symmetrical,  clear and no presence of discharge</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Ears: No erythema or discharge noted</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Integument: NAD</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">GIT Palpation: Abdomen comfortable on palpation, no obvious masses</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">MSK: Comfortable on flexion and extension. No lameness noted.</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">Assessment</span></strong> <br><span data-contrast="auto">     </span><span data-contrast="auto">Ddx:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">Treatment</span></strong><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">Plan</span></strong><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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Animal clinical history (3 most recent)

2026-02-11T00:00:00Z 10:28:00
Was the pet ok following the last administration (side effects)? YesWhat other medications is he/she curerntly taking? (Drug, route, dose, frequency) NoneIs any itching present? Mild/Moderate/Extreme? Itchy last week30mg Inj SQBatch: 840615Expiry: 02.2027
2025-12-24T00:00:00Z 09:23:00
Have reminders been checked? Y - Cytopoint doing today History:11pm last night seemed off balance Has walked into the door today Eyes appear quite gunky Has had large amount of diarrhoea - yellow liquid, no blood or mucous Not normally dog with sensitive gut Has had several vomits O hasn't fed him for 24 hours No changes in diet O aware of, not normally a scavenger Is starting to get a bit itchy again, Cytopoint worked well last time Pex:Neuro: Quiet mentation, vestibular gait and stumbling and falling to the right side when standing. Bilateral horizontal nystagmus but with occassional vertical in right eye - fast phase to the right. EENT: MM pink, slightly tacky, CRT <2s. Eyes clear, bilateral mucoid discharge, mild scleral injection, no blepharospasm. Ears no discharge, no erythema, no odour. No nasal discharge.CV/Resp: heart auscultates clear, no murmor noted. Clear breath sounds in all lung fields on auscultation, nomal effort.GI/UG: abdominal palpation - very tense but no abnormalities palpatedInteg: skin in good condition, no lesionsLN: peripheral lymph nodes palpable < 1cmMSK: Ambulating with vestibular gait in all limbs.  Fluorescein stain:  no uptake bilaterally Assessment:Discussed with O nystagmus and loss of balance ddx idiopathic vestibular vs intracranial lesion. Unsure if V/D is linked as well or if just coincidental. Trial supportive care and monitor but if deteriorates recommend take him into SASH as they have a neurologist.    Tx:Applied Amacin to both eyes1.4mL Cerenia SC 30mg Cytopoint (820640, 01/2027)Plan:Amacin both eyes BID for 3-5 days Pro-kolin BID for 3 days Cerenia PO for 4 days q24h Monitor neuro status and if deteriorates re-check at SASH over the holidays, otherwise if doesn't progress but is otherwise doing ok signs can linger for several weeks 
2025-09-05T00:00:00Z 09:25:00
-eating and drinking -doing really well -no concerns 

Previous claim history (9)

DateClaim #Diagnosis
2026-02-11C09886139HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-24C09674111NYSTAGMUS - PRESENTING COMPLAINT
2025-12-24C09674111OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2025-12-24C09674111HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2018-02-08C1547990COLITIS
2018-01-08C1548054SKIN CONDITIONS
2017-09-15C1548829VACCINATIONS OR HEALTH CHECKS
2017-09-15C1548829FLEA/TICK/WORM CONTROL
2017-09-15C1548829MICROCHIPPING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_blood_test200.002026-03-03—
20000tstarc_diagnostic_test_-_haematology95.002026-03-03—
30000tstarc_consultation97.002026-03-03—

UPM+

  • DG01589SEIZURE DISORDERDSTP_seizure_and_epilepsy

Variant (sleepy_king)

SEIZURE DISORDER
DSTP_seizure_and_epilepsy
Conf: 0.880
Threshold: 0.19
Above: ✓
Correct?