C09980365 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):2
Diagnosis or signs:uncontrolled urinating
Consult notes
WET HERSELF IN HER SLEEP LAST NIGHT AND DOESN'T SEEM HERSELF

Hx: Large amount of urine in bed
One patch on her rump the night before
Also seems to have leaked this morning
Malodourous urine
No other obvious dysuria

S: BAR, affectionate, loves treats

O: PE NAD
Bladder empty (just passed urine / collected) and abdo comfortable

Urinalysis plus Sedivue:
Clear yellow, free catch
SG 1.012
Else NSF

A: Primary urinary incontinence - hormone related? 

P: Discussed
1. Further dx eg blood test to rule out other sys disease
2. Xrays and ultrasound to examine bladder, poss undetected uroliths? etc
3. Trial ab course as worked last time although may be incidental incont resolves
4. Propalin +- incurin /stilboestrol if still refractory

O keen to go stepwise as above
Awaiting comp profile

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 13:20:00
WET HERSELF IN HER SLEEP LAST NIGHT AND DOESN'T SEEM HERSELF

Hx: Large amount of urine in bed
One patch on her rump the night before
Also seems to have leaked this morning
Malodourous urine
No other obvious dysuria

S: BAR, affectionate, loves treats

O: PE NAD
Bladder empty (just passed urine / collected) and abdo comfortable

Urinalysis plus Sedivue:
Clear yellow, free catch
SG 1.012
Else NSF

A: Primary urinary incontinence - hormone related? 

P: Discussed
1. Further dx eg blood test to rule out other sys disease
2. Xrays and ultrasound to examine bladder, poss undetected uroliths? etc
3. Trial ab course as worked last time although may be incidental incont resolves
4. Propalin +- incurin /stilboestrol if still refractory

O keen to go stepwise as above
Awaiting comp profile

Previous claim history (22)

DateClaim #Diagnosis
2026-02-19C09928572HYPERSENSITIVITY DISORDER (ALLERGY)
2026-02-05C09863495OTITIS EXTERNA
2026-01-22C09799814URINARY TRACT INFECTION (UTI)
2026-01-22C09799814EAR INFECTION
2026-01-17C09773476URINARY TRACT INFECTION (UTI)
2026-01-13C09751696URINARY TRACT INFECTION (UTI)
2026-01-12C09751696OTITIS EXTERNA
2026-01-08C09727100URINARY TRACT INFECTION (UTI)
2026-01-08C09727100OTITIS EXTERNA
2026-01-02C09702101OTITIS EXTERNA
2025-12-30C09691819URINARY TRACT INFECTION (UTI)
2025-10-02C9302558HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-08-22C9129014VACCINATIONS OR HEALTH CHECKS
2025-08-22C9129014Preventative/Elective Procedure
2025-07-24C9005148OTITIS EXTERNA
2025-07-14C8962399OTITIS EXTERNA
2025-07-11C8953619OTITIS EXTERNA
2025-07-01C8910382OTITIS EXTERNA
2025-04-30C8649838HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-30C8649838Preventative/Elective Procedure
2025-04-02C8535995HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-03-29C8517356EAR (AURAL) INFECTION - FUNGAL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation91.002026-03-03
20000tstarc_diagnostic_test_-_blood_test369.152026-03-03
30000tstarc_diagnostic_test_-_urine_test99.002026-03-03

UPM+

  • DG01879URINARY INCONTINENCEDSTP_urinary_incontinence

Variant (sleepy_king)

URINARY INCONTINENCE
DSTP_urinary_incontinence
Conf: 0.740
Threshold: 0.25
Above:
Correct?