C09980644 / invoice 10000
Species:CANINE
Breed:Bull Arab Cross
Age (years):9
Diagnosis or signs:Injection
Consult notes
03/03/2026 Presenting complaint - Vomited up Amoxyclav this morning, wasn't eating so tablet was only given with some chicken. Hasn't been interested in food since, has not vomited. History: - EDDU: Inappetant - d/v/c/s: Vomited once this morning - Other pets/Travel Hx: None - Current medications: Amoxyclav 500mg BID - Vaccinations and flea/worming tx: Utd HR: 140 RR: 42 Temp: 38.2 MM/CRT: Pink, <2s Demeanor: BAR BCS: 4/9 CV: Grade 2-3 pansystolic heart murmur R side > L side Respiratory: Normal resp effort & lung sounds bilaterally Abdomen: Soft & pliable, no pain response observed upon palpation. Mild distended appearance of abdomen, no fluid wave Eyes/nose: Clean, no discharge, redness, or other abnormalities noted Ears: Clean, no discharge, redness, or other abnormalities noted Teeth: Grade 2-3/4 Gingivitis, plaque on molars Integument: Clean, healthy coat MSK: Ambulatory. Normal gait. Urogenital: No redness, swelling or discharge noted around penis/vaginal or anal area Neuro: Normal mentation. Full neuro exam not performed LN: wnl Assessment: Heartmurmur - DCM vs MMVD vs other Lethargy/inappetance - Bacterial pneumonia vs CHF (R sided >L sided) vs neoplasia vs other Vomiting - Abx reaction vs progression of pathology above Treatment: Prevomax 3.8ml SQ Plan: Recommend repeat diagnostics (xrays or TFAST/AFAST) if no improvement overnight If no improvement overnight, recommend going to hospital with 24hr hospitalisation/monitoring capabilities Gave 2 cans of A/d wet food to help with appetite
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 17:33:33
Presenting complaint - Vomited up Amoxyclav this morning, wasn't eating so tablet was only given with some chicken. Hasn't been interested in food since, has not vomited. History: - EDDU: Inappetant - d/v/c/s: Vomited once this morning - Other pets/Travel Hx: None - Current medications: Amoxyclav 500mg BID - Vaccinations and flea/worming tx: Utd HR: 140 RR: 42 Temp: 38.2 MM/CRT: Pink, <2s Demeanor: BAR BCS: 4/9 CV: Grade 2-3 pansystolic heart murmur R side > L side Respiratory: Normal resp effort & lung sounds bilaterally Abdomen: Soft & pliable, no pain response observed upon palpation. Mild distended appearance of abdomen, no fluid wave Eyes/nose: Clean, no discharge, redness, or other abnormalities noted Ears: Clean, no discharge, redness, or other abnormalities noted Teeth: Grade 2-3/4 Gingivitis, plaque on molars Integument: Clean, healthy coat MSK: Ambulatory. Normal gait. Urogenital: No redness, swelling or discharge noted around penis/vaginal or anal area Neuro: Normal mentation. Full neuro exam not performed LN: wnl Assessment: Heartmurmur - DCM vs MMVD vs other Lethargy/inappetance - Bacterial pneumonia vs CHF (R sided >L sided) vs neoplasia vs other Vomiting - Abx reaction vs progression of pathology above Treatment: Prevomax 3.8ml SQ Plan: Recommend repeat diagnostics (xrays or TFAST/AFAST) if no improvement overnight If no improvement overnight, recommend going to hospital with 24hr hospitalisation/monitoring capabilities Gave 2 cans of A/d wet food to help with appetite
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-02 | C09972459 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2026-02-09 | C09877567 | PYREXIA OF UNKNOWN ORIGIN (PUO) |
| 2026-02-07 | C09869775 | PYREXIA OF UNKNOWN ORIGIN (PUO) |
| 2026-02-03 | C09843595 | VACCINATIONS OR HEALTH CHECKS |
| 2026-02-03 | C09843595 | MASS LESION |
| 2022-01-21 | C4519253 | HAEMANGIOSARCOMA - CUTANEOUS (SKIN) |
| 2022-01-21 | C4519253 | PRESCRIPTION DIETS |
| 2021-09-28 | C4519253 | HEARTWORM TEST OR BLOOD SCREEN |
| 2021-09-28 | C4519253 | OSTEOARTHRITIS |
| 2021-09-28 | C4519253 | DENTAL ILLNESS TREATMENT |
| 2021-09-28 | C4519253 | TEETH CLEANING |
| 2021-09-28 | C4519253 | SOFT TISSUE INJURY |
| 2021-09-28 | C4553949 | BLOOD SCREEN |
| 2021-09-28 | C4553949 | OSTEOARTHRITIS |
| 2021-09-28 | C4553949 | DENTAL ILLNESS TREATMENT |
| 2021-02-23 | C4553949 | VOMITING - OTHER - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 77.00 | 2026-03-03 | — |
| 20000 | tstarc_anti-nausea_medication | 131.63 | 2026-03-03 | — |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
VOMITING - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vomiting
Conf: 0.900
Threshold: 0.42
Above: ✓
Correct?