C09978827 / invoice 10000

Species:CANINE
Breed:Mastiff Cross
Age (years):9
Diagnosis or signs:Incontinence - Urine
Consult notes
03/03/2026 - Bindy, Dog

Reason:
- Urinary incontinence

History:
- Urinary leaking when sleeping. Previous episodes treated with medication which resolved. Drank pool water at Christmas - leaked for one day then resolved. Drank pool water at Indy Bar approximately one week ago - leaking ongoing since. Eating well. No increased water intake. No other issues.

Examination:
Mentation: BAR
BCS (0-5):3.5/5
mm: pmg               CRT: <2s
HR: 110                RR: normal
Ln:nad
Dental Grade:1
Heart/lungs: NAD. Abdomen: NAD.


Assessment:
1. Urinary incontinence

- Likely hormonal (low oestrogen)
- Urine sample collected to rule out bladder infection
- If no infection: stilboestrol to be dispensed
- Pentosan course due - owner away next week, to start on return

Treatment:
- Awaiting urine results - stilboestrol if no infection

Urinalysis: th
Cystocentesis
USG 1.050+
pH 6.5
Prot Trace
Bld Small trace
Gluc Negative
Sediment: No crystals seen. 
Diff quick: Unremarkable

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 11:30:17
- Bindy, Dog

Reason:
- Urinary incontinence

History:
- Urinary leaking when sleeping. Previous episodes treated with medication which resolved. Drank pool water at Christmas - leaked for one day then resolved. Drank pool water at Indy Bar approximately one week ago - leaking ongoing since. Eating well. No increased water intake. No other issues.

Examination:
Mentation: BAR
BCS (0-5):3.5/5
mm: pmg               CRT: <2s
HR: 110                RR: normal
Ln:nad
Dental Grade:1
Heart/lungs: NAD. Abdomen: NAD.


Assessment:
1. Urinary incontinence

- Likely hormonal (low oestrogen)
- Urine sample collected to rule out bladder infection
- If no infection: stilboestrol to be dispensed
- Pentosan course due - owner away next week, to start on return

Treatment:
- Awaiting urine results - stilboestrol if no infection

Urinalysis: th
Cystocentesis
USG 1.050+
pH 6.5
Prot Trace
Bld Small trace
Gluc Negative
Sediment: No crystals seen. 
Diff quick: Unremarkable
2025-12-29T00:00:00Z 14:28:21
ao/am- removed sutures from all three sites, wounds healed really well

Previous claim history (13)

DateClaim #Diagnosis
2025-12-15C09630442MASS LESION - MAMMARY
2025-12-09C09601143VACCINATIONS OR HEALTH CHECKS
2025-12-09C09601143HEARTWORM CONTROL
2017-11-21C1646890PAD WOUND
2017-10-24C1662251MASS LESION
2017-10-24C1662251MASS LESION - ABDOMINAL
2017-10-24C1662251MASS LESION - ADRENAL
2017-10-24C1662251MASS LESION - ANAL
2017-10-24C1662251MASS LESION - ANAL GLAND/SAC
2017-10-24C1662251MASS LESION - AXILLA
2017-10-24C1662251MASS LESION - BILE DUCT
2017-09-28C1646890MISCELLANEOUS CONDITIONS
2017-09-28C1668853REVERSE SNEEZING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation96.002026-03-03
20000tstarc_diagnostic_test_-_urine_test78.002026-03-03
30000tstarc_grooming22.002026-03-03
upstreamDSTP_general_exclusion

UPM+

  • DG01879URINARY INCONTINENCEDSTP_urinary_incontinence

Variant (sleepy_king)

URINARY INCONTINENCE
DSTP_urinary_incontinence
Conf: 0.900
Threshold: 0.25
Above:
Correct?