C09981391 / invoice 10000

Species:CANINE
Breed:Miniature Dachshund
Age (years):2
Diagnosis or signs:See Notes
Consult notes
03/03/2026 HISTORY: Bee reaction - allergic reactions
Symptoms first started an hour ago 
had some vomiting, food and then bile and saliva. 
dairrhoea bit of blood as well 
dad saw her eat half the bee 
no meds longterm
Pre-existing conditions/ current medications

EXAMINATION:
BAR, BCS 5/9, T 37.7
Eyes: nad
Ears: nad
Oral: nad
MM: pm <2s
HR: 150, no hm/a. pulse strong and synchronous
RR: 20, no crackles or wheezes
Abdomen: soft and nonpainful
LN: nad
BP tried to take measurement - timed out

ASSESSMENT:
vomiting, HGE following bee ingestion

TREATMENT/ TREATMENT PLAN:
prevomax 1mg/kg sq 
dont have niramine so instructed O to give half zyrtec tablet tonight and tomorrow 

COMMUNICATION:
closley monitor overnight for worsening symptoms and return 
may take 12-24 hours to recover 

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 18:33:38
HISTORY: Bee reaction - allergic reactions
Symptoms first started an hour ago 
had some vomiting, food and then bile and saliva. 
dairrhoea bit of blood as well 
dad saw her eat half the bee 
no meds longterm
Pre-existing conditions/ current medications

EXAMINATION:
BAR, BCS 5/9, T 37.7
Eyes: nad
Ears: nad
Oral: nad
MM: pm <2s
HR: 150, no hm/a. pulse strong and synchronous
RR: 20, no crackles or wheezes
Abdomen: soft and nonpainful
LN: nad
BP tried to take measurement - timed out

ASSESSMENT:
vomiting, HGE following bee ingestion

TREATMENT/ TREATMENT PLAN:
prevomax 1mg/kg sq 
dont have niramine so instructed O to give half zyrtec tablet tonight and tomorrow 

COMMUNICATION:
closley monitor overnight for worsening symptoms and return 
may take 12-24 hours to recover 
2025-08-25T00:00:00Z 10:25:08
Suture removal
Subjective: Finished all meds. Pups are 7 weeks today and doing well - she is totally separated from them.
Objective: Wound has healed well.
Diagnosis: Suture removal
Plan: Remove sutures and apply neocort in consult
Pups will be going to new homes in a week and clients have decide to keep her separated from them - agree this would be best.
2025-08-15T00:00:00Z 10:55:04
Removed draintube
Wound looks great. Mammary gland not hard
Shes doing well
Eating drinking

Previous claim history (4)

DateClaim #Diagnosis
2026-01-14C09763586HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-08-11C9080676MASTITIS
2025-08-06C9056656MASTITIS
2025-08-03C9046205MASTITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours165.002026-03-03
20000tstarc_anti-nausea_medication31.102026-03-03

UPM+

  • DG02286HYMENOPTERA STINGS (BEE, WASP)DSTP_insect_bite/sting

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.730
Threshold: 0.68
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description