C09977672 / invoice 10000

Species:FELINE
Breed:Domestic Short Hair
Age (years):12
Diagnosis or signs:repeat medication
Consult notes
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<p>History <br> - pulmonary disease and diabetes <br><br>Plan <br> - home with more predmix oral for ongoing management of resp disease</p>
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Animal clinical history (3 most recent)

2026-02-12T00:00:00Z 10:24:00
History - Has responded well to ab's, and breathing back to within normal range.  Coughing once-twice daily.  Weight is stable, keto sticks have shown -ve glucose and ketonesOtherwise O reports going ok, EDDU nad, no V+/D+. Clinical Exam:- BAR- e/e/m: dne- Cardioresp: HR = 160 , mm's = pink, CRT < 2s. NAD on auscultation- Abdo: soft and comfortable throughout- MSk: ambulating well in consult- Integument: nice coat- Neuro: NA- Temp: 38.2Assessment: StablePlan: Owner keen to reduce pred, will start with 1/2 dose eod and full dose eod for next 2 weeks.  If tolerates and no loss of cough control, can try 0.125ml sid for next month.  OTC re response
2026-02-06T00:00:00Z 16:16:00
new box of Insulin Pen Needle 31gx8mm
2026-01-06T00:00:00Z 18:33:00
Hx- O reports Sorme has been coughing more than usual and vomitingPre medical hx- diabetes and intersitual lung dzpred 2.5mg SIDinsulin 2.0IU BIDCEBARWell hydratedCVS: MM pink while hissyAbdo palp: comfortable no palpable abnormalitiesChest: very crackly, did notice more nasal congestion which O says is not normal as per her interstitial lung dzTemp: 38.7No ext klymphadneopathyA- suspect secondary bacterial infection-URTA- vomiting DDX infection (lung) vs acute abdomenP- home on ondansetron and commence clavulox along with doxycycline. rv in 2 weeks. need to monitor weight- if she continues to decline in weight, need a freestyle libre placedcontinue insulin and pred as is

Previous claim history (19)

DateClaim #Diagnosis
2026-02-12C09891505COUGHING - PRESENTING COMPLAINT
2026-02-06C09866379DIABETES MELLITUS
2026-01-06C09718494COUGHING - PRESENTING COMPLAINT
2025-12-17C09641754DIABETES MELLITUS
2025-12-17C09641754PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2025-12-11C09611009DIABETES MELLITUS
2025-12-05C09584544WEIGHT LOSS - PRESENTING COMPLAINT
2025-12-05C09584847ALTERNATIVE THERAPIES
2023-03-06C5672720MISCELLANEOUS CONDITIONS
2023-02-27C5634236RESPIRATORY TRACT INFECTION, LOWER (LRTI)
2023-02-27C5634236DENTAL ILLNESS TREATMENT
2023-02-27C5634236DENTAL ILLNESS TREATMENT
2023-02-24C5634223RESPIRATORY TRACT INFECTION, LOWER (LRTI)
2023-02-24C5760421RESPIRATORY TRACT INFECTION, LOWER (LRTI)
2022-04-30C4715896DENTAL ILLNESS TREATMENT
2022-04-30C4715896VACCINATIONS OR HEALTH CHECKS
2022-04-30C4715902VACCINATIONS OR HEALTH CHECKS
2022-04-12C4723024COUNCIL REGISTRATION FEES
2021-07-09C3993041VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_corticosteroids56.992026-03-03

UPM+

  • DG02709MASS LESION - PULMONARY (LUNG)DSTP_mass_lesion_-_pulmonary_(lung)

Variant (sleepy_king)

COUGHING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_coughing
Conf: 0.520
Threshold: 0.40
Above:
Correct?
Reason (correct)