C09977422 / invoice 10000

Species:CANINE
Breed:Poodle - Toy
Age (years):1
Diagnosis or signs:D+ Continue
Consult notes
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<p><strong>HISTORY: </strong><br>- D+ resolved on prev. medications but started again when meds stopped <br>- D+ currently happening, with some red blood<br>- Otherwise well <br>- Not wanting to eat today (ate yesterday)<br><br><strong>PHYSICAL EXAMINATION: </strong><br>Mentation: BAR <br>CARDIAC: NAD <br>RESP: NAD <br>ABD. PALP: NAD <br>RECTAL: NAD <br>LN: NAD <br><br><strong>DIAGNOSTICS: </strong><br>1. In House CBC/Chem15/Lytes/Panc<br>Mild elevation ALT 333<br>Mild increase CPL 242<br><br><strong>ASSESSMENT: </strong><br>Elevated CPL likely secondary to GIT <br>Likely primary GIT Issue (eg. infectious vs other) <br><br><strong>COMMUNICATION: </strong><br>- Owner elected to be called with blood test result <br>- JR STO OTP, relayed results. Owner advised not wanting to eat today still. Advised to try something like boiled lean beef.<br> <br><br><strong>PLAN: </strong><br>- START Prokolin 30ml x 3ml PO BID until finished <br>- Owner to drop off stool sample AND PAY for Faecal PCR <br>- Bland diet (boiled chicken/rice) <br>- INI / deterioration over weekend, consider restarting Metronidazole. <br><br>JR<br><br><br></p>
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Animal clinical history (3 most recent)

2026-02-25T00:00:00Z 09:02:00
VETNOSTICS  FAECAL PCR RESULTSSalmonella spp. DNA Not DetectedCampylobacter jejuni DNA Not DetectedCampylobacter coli DNA Not DetectedCryptosporidium canis DNA Not DetectedGiardia spp. DNA Not DetectedParvovirus DNA Not DetectedCanine Coronavirus RNA Not DetectedClostridium net F toxin DNA Not DetectedClostridium perfringens Toxin A DNA DETECTED 14.79Clostridium perfringens CPE Toxin DNA DETECTED 16.81ASSESSMENT: Possible Clostridial Enteritis COMMS: JR STO OTP Stools improved, still a bit soft but not diarrhoea Discussed Clostridial may / may not be cause of diarrhoea PLAN: - Nil additional treatment - Complete Prokolin course and transition but to normal diet - If D+ return this week, then consider repeat metro VS Amoxyclav trial JR
2026-02-11T00:00:00Z 15:44:00
 HISTORY Monday arvo - ate some wagyu beef with pepperhad diarrhoea 3 x today, with fresh blood. with some mucous.had some soft poo on Sunday eveningone vomit in the house, but owner unsure which dog (as other dog does vomit too)was boarding for a few days Friday - SundayEXAMgum colour pink, moist. CRT normalbilateral MPL - grade 2 - hard to assess as dog was very wiggly in consultabdo palp NAD - comfortableunable to do a rectal exam, temperature check was difficult - temp 38ASSESSMENT infectious? dietary indiscretionbilateral MPL - O to monitorPLANoral metronidazole liquid 0.6ml BID for 5 daysprokolin 2ml BID for 5-7 daysbland diet initiallyif diarrhoea not resolving, might need further investigation eg faecal testingOWNER COMMUNICATION
2025-07-26T00:00:00Z 09:19:00
HISTORYPresenting for: Third vaccinationCurrent Meds: Flea control product from Pet Circle - simparica trioEDDU normallyEXAMMentation: BARHR: 120MM: Pink and moistOral: Deciduous dentition presentCardiovascular: No murmurs or arrhythmiaLymph Nodes: Within normal limitsT: 38.6°CIntegumentary: Weight gain from 1.5kg to 1.8kg notedASSESSMENTApparently healthy - Ok to vaccinatePLANVaccinations:- C4 vaccine, coronavirus and leptospirosis administered. Next due in 1 yearClient Comms:- Discussed normal post-vaccination effects including potential lethargy for 24 hours- Advised to seek immediate veterinary care if signs of allergic reaction (swollen face, collapse, vomiting, seizures) occur within 1-2 hours post-vaccination

Previous claim history (1)

DateClaim #Diagnosis
2026-02-11C09977342FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit85.002026-02-21
20000tstarc_diagnostic_test_-_blood_test266.302026-02-21
30000tstarc_diagnostic_test_-_pancreatic_test64.602026-02-21
40000tstarc_probiotics43.122026-02-21

UPM+

  • DG00981GASTRITISDSTP_gastroenteritis

Variant (sleepy_king)

FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_diarrhoea
Conf: 0.770
Threshold: 0.13
Above:
Correct?
Reason (correct)