C09982736 / invoice 10000

Species:FELINE
Breed:Domestic Short Hair
Age (years):13
Diagnosis or signs:F3 Vaccination and Health Check
Consult notes
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<div><span style="font-weight: bold;">Subjective:</span><br>Owner reports that Sammy has been well in himself, has had a few days of vomiting a few weeks ago but has resolved since then. Did not give methimazole this morning. UTD with bravecto every 3 months. Currently on K/D food, owner has been reducing amount to assist with weight loss.</div>
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<p>Presented by: Michael<br><br><span style="font-weight: bold;">Objective:</span><br>Current medication: methimazole 2.5mg BID<br>Demeanour: QAR<br>Eyes: good<br>Ears: clean<br>HR: 180bpm<br>RR:  30bpm<br>Thoracic auscultation: NAD<br>Oral exam: DGS 2, pink mm, crt &lt;2s<br><br>Lymph nodes: NAD<br>Abdomen: NAD<br>Reproductive: NAD<br>Skin: NAD<br>Gait/limbs: NAD<br><br><span style="font-weight: bold;">Assessment:</span><br>Intentional weight loss, hyperthyroid<br><br><span style="font-weight: bold;">Plan:</span><br>Nobivac Tricat: Batch 2509302, Exp: 03/2028 given SQ, next due in 1 year<br><br>Recommend bringing in for fasted bloods with nurse and ensure giving methimazole in the morning as per usual. Owner to catch urine sample and bring in as well.</p>
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Animal clinical history (3 most recent)

2026-02-25T00:00:00Z 12:07:00
Methimazole 2.5mg BID x 9ml9 RepeatsLast bloods and check: 23/01/2026Booked in for next blood draw next week.
2026-01-27T00:00:00Z 09:39:00
FBE:- bands^ 0.2 (<0.1), all other parameters WNLBiochem:urea sl^ 11.6 (11.5)creatinine norm 137 (160)SDMA norm 11 (0-15) - prev 17/10- usg prev 1.028TT4 <6 - prev 25/55/36- Currently on methimazole 2 clicks AM (5mg) and 1 click (2.5mg) PM - reduce to 1 click AM and PM and r/chk TT4 in 1mo 
2026-01-23T00:00:00Z 09:18:00
Subjective:Has been about 3 months since his last solensia injection - owner thinks slightly uncomfortable In for follow up bloods CKD - no PU/PD noted at home Owner thinks he has put on some weight Current diet: Hills oral/metabolic consistently and owner is starting to mix in k/d wet and dry He otherwise seems happy and bright Currently on methimazole 2 clicks AM (5mg) and 1 click (2.5mg) PMNo other concerns Objective:Oral: Grade 2 dental disease - moderate tartar Chest: Clear lungs, no murmursAbdo: Comfortable on palpation Skin: NADMSK: Comfortable on spinal palpation, good ROM in hips and HLs, good muscle mass Eyes/ears: NADBCS: 7/9 - overweight Assessment:1. OA 2. Hyperthyroid 3. CKD Plan:Solensia injection administered SC (B: 822303, Exp: 7/27) Collected bloods for wellness + SDMA - follow up with T4 and kidneys Owner thinking he will do solenisa injections every 2-3 months 

Previous claim history (7)

DateClaim #Diagnosis
2026-01-23C09799307CHRONIC KIDNEY (RENAL) DISEASE (CRF, CKD) (AZOTAEMIA UNSPECIFIED)
2026-01-23C09799307OSTEOARTHRITIS
2025-12-12C09624531HYPERTHYROIDISM
2022-01-23C4430646VOMITING - OTHER - PRESENTING COMPLAINT
2022-01-23C4430646OTITIS EXTERNA
2022-01-23C4435594VOMITING - OTHER - PRESENTING COMPLAINT
2021-01-17C3453622EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(feline)32.002026-03-04
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_consultation107.002026-03-04—
30000tstarc_diagnostic_test_-_urine_test26.252026-03-04—

UPM+

  • DG02343HYPERTHYROIDISMDSTP_hyperthyroidism

Variant (sleepy_king)

HYPERTHYROIDISM
DSTP_hyperthyroidism
Conf: 0.460
Threshold: 0.24
Above: ✓
Correct?