C09978990 / invoice 10000

Species:FELINE
Breed:Tabby
Age (years):5
Diagnosis or signs:Consult-lameness
Consult notes
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<p>O noticed limping a couple of days ago<br>Indoor/outdoor cat<br>No CSVD, EDUD normally<br>No other concerns<br><br>Clinical<br>- BAR, BCS 6/9<br>- Eyes, ears, nose NAD<br>- Mouth: CRT &lt;2 MMPM, dental score 1/4<br>- Thoracic aus NAD, normal rate and rhythm lungs clear<br>- Abdominal palpation NAD<br>- REctal: not performed<br>- MSK: mild lamness noted o right fore, no obvious swelling, Cat bite wound present on antebrachium, has scabbed over<br><br>Diff: susect CBA<br><br>Plan: AB + Loxicom for one week, recheck if no better</p>
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Animal clinical history (3 most recent)

2022-11-29T00:00:00Z 18:00:00
MH: Julia rang back for results. Adv we spoke to Daniel with results on 26/11/2022. Julia wanted a diagnosis over the phone. Relayed phone call to JK to discuss results with Julia.JK: Spoke to Julia. Mentioned that NG called Daniel on 26/11/2022 to relay fPL results (which were WNL). Julia mentioned that Daniel did not relay any info to her. Relayed all of the blood test results to Julia. No concerns with the bloods, nothing to explain the pyrexia- most likely PUO. Julia reports that Django is otherwise doing well and back to his usual self. Continue to monitor him to ensure that he is constantly on the improve, review if concerned. O thankful for chat over the phone. 
2022-11-26T00:00:00Z 12:00:00
advised o that there is no issue with the pacreas parameters on the bloods and asked how django is going. o advised that he would have heard if he was not doing well so he must be okay for now. o advised no news is good news. 
2022-11-24T00:00:00Z 12:40:00
Stress hyperglycaemiaRest of parameters NSF, TT4 normalPossible PUO? Awaiting FPL result.AK spoke to Daniel - relayed above result. Django has improved a lot since visit. Discussed unknown source of infection still, consider recheck + imaging if still pyrexic. O happy with plan. Advised awaiting FPL results - O said to ring if result is abnormal, otherwise ok to leave it as is. 

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation103.002026-03-03
20000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid75.172026-03-03
30000tstarc_meloxicam54.692026-03-03

UPM+

  • DG00246BITE INJURY - CAT BITEDSTP_fight_or_bite_wound

Variant (sleepy_king)

PYREXIA OF UNKNOWN ORIGIN (PUO)
DSTP_pyrexia_of_unknown_origin_(puo)
Conf: 0.790
Threshold: 0.90
Above:
Correct?
Reason (correct)