C09977013 / invoice 10000
Species:FELINE
Breed:British Short Hair
Age (years):2
Diagnosis or signs:Revisit - not eating
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div><span style="font-family: arial, helvetica, sans-serif;"><strong><span style="font-family: 'Arial Bold'; font-weight: bold;">Progressive VET Care Malvern East</span><br><br>Reminders checked: </strong>yes - overdue vacc<strong><br><br>HISTORY</strong>:<br>Nose improving but not eating - has eaten a small amount only. Goes to eat but doesn't want to. Bit nqr overall still too.<br><br><strong>EXAMINATION</strong>:<strong><br></strong>Nose ulcerated centrally but starting to dry out<br>Small ulceration RHS tongue<br>MMs pink/moist, CRT <2s<br>Submandibular LNs mildly enlarged<br>T38.6<br>Abdo palp comfortable, NAD<br><br><strong>DIAGNOSIS</strong>:<strong><br></strong>Reduced appetite - pain vs pyrexia vs meds related vs other <br><br><strong>TREATMENT</strong>: <strong><br></strong>Cerenia 0.46ml SC, buprenorphine 0.15ml SC<br>Home with cerenia tabs 1/4 24mg SID and buprenorphine syringes 0.2ml OTM 2-3x daily - O to monitor for any dysphoria after buprenorphine and hold off on repeat doses if noted<br>Continue steroids and ABs - O wondering about stopping steroids but recommend continuing this given nose is improving and also for appetite<br><br><strong>Reminders updated: </strong>no - still overdue vacc but on steroids atm</span></div> </div> </div></html>
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 11:33:00
Received, many thanks. As discussed with Tim and per his reques I have attached Bumba's photo of the nose.It is much better and he has finally started eating wet and dry food, drinking and being more bright.I have question for Tim regarding steroid continuation or discontinuing it. I gave him last dose this morning.Also wish to ask Tim another question if he can call me when time permitting.Warm regards,Nikki Savic0412384278
2026-03-02T00:00:00Z 09:00:00
Vet has checked all hx and Ok for nurse to send
2026-02-27T00:00:00Z 17:31:00
Progressive VET Care Malvern EastReminders checked: yesHISTORY:red nose a few days ago then yesterday was brown spots the today oozingEXAMINATION:central area of nose is ulcerated and redsmall red spot on LHs noseboth sub mand L nodes area upT upDIAGNOSIS:infection sec to chemical vs immune vs other. TREATMENT: clav and steroidPLAN: r/v asap if unwell or worse at allReminders updated: yes
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-27 | C09970039 | DERMATITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 98.00 | 2026-03-01 | — |
| 20000 | tstarc_opioids_-_buprenorphine | 35.90 | 2026-03-01 | — |
| 30000 | tstarc_anti-nausea_medication | 36.23 | 2026-03-01 | — |
| 40000 | tstarc_anti-nausea_medication | 20.02 | 2026-03-01 | — |
UPM+
- DG00592DERMATITISDSTP_skin_-_dermatitis
Variant (sleepy_king)
ANOREXIA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_anorexia
Conf: 0.310
Threshold: 0.82
Above: ✗
Correct?
Reason (correct)