C09982767 / invoice 10000
Species:CANINE
Breed:Scottish Terrier
Age (years):4
Diagnosis or signs:Unspecified
Consult notes
26/02/2026 Presented for gagging/retching. HISTORY: Retching and gagging began around 1pm today, 2hrs following a groom. Clear, colourless, watery fluid brought up, portions decreasing throughout the day. O reports Octavius vomits after drinking a lot of water in a short period of time occasionally, however this is an unusual amount for him. Ate dinner this evening and still drinking but has not brought up any food in the v+ following this time. UTD with FTW and vaccinations.HISTORY - Coughing described as cough-gag type, not reverse sneezing - Vomiting since approximately 2:00pm - Patient has history of occasional similar episodes but this is first occurrence this year Lifestyle Risk Factors: - Attended grooming appointment today (first grooming in extended period, potentially stressful) Other: - Patient described as terrier breed - Owner notes patient occasionally drinks water quickly and may vomit as a result - Patient reported to eat items on walks including campus footballs EXAM Mentation: BAR BCS: 4/5 Heart/lungs: nad MM: pink Skin Tent: normal Dental Score: 1 Abdomen: nad, soft Skin: normal Eyes: nad Ears: nad Temp: 39.4 Lymph Nodes: nad MSK/Neuro: 4x ambulatory Rectal: not assessed Throat: No tracheal sensitivity DIAGNOSTICS: bloods show mild liver elevations + respiratory alkalosis ASSESSMENT: gastritis / possible throat irritation / tonsilitis / foreign body possible hepatic pathology - not elevated enough to cause vomiting / current signs PLAN - Antiemetic injection to be administered tonight - Radiographs recommended if vomiting continues through antiemetic treatment due to concern for obstruction given patient's history of ingesting foreign objects - Recheck bloods in 2-3 weeks, abdo ultrasound if no improvement or worsening liver values Additional Discussion: - Monitor for coffee ground-type vomiting which would indicate more serious gastric irritation - Patient not typical for kennel cough as lacks tracheal sensitivity and respiratory signs - Foreign body obstruction possible given patient's tendency to ingest objects on walks, though classical presentation would include vomiting food as well as clear liquid Client Comms: - Advised to return for radiographs if vomiting persists despite antiemetic treatment - Monitor patient's demeanour and energy levels
Animal clinical history (3 most recent)
2026-02-26T00:00:00Z 21:35:18
Presented for gagging/retching. HISTORY: Retching and gagging began around 1pm today, 2hrs following a groom. Clear, colourless, watery fluid brought up, portions decreasing throughout the day. O reports Octavius vomits after drinking a lot of water in a short period of time occasionally, however this is an unusual amount for him. Ate dinner this evening and still drinking but has not brought up any food in the v+ following this time. UTD with FTW and vaccinations.HISTORY - Coughing described as cough-gag type, not reverse sneezing - Vomiting since approximately 2:00pm - Patient has history of occasional similar episodes but this is first occurrence this year Lifestyle Risk Factors: - Attended grooming appointment today (first grooming in extended period, potentially stressful) Other: - Patient described as terrier breed - Owner notes patient occasionally drinks water quickly and may vomit as a result - Patient reported to eat items on walks including campus footballs EXAM Mentation: BAR BCS: 4/5 Heart/lungs: nad MM: pink Skin Tent: normal Dental Score: 1 Abdomen: nad, soft Skin: normal Eyes: nad Ears: nad Temp: 39.4 Lymph Nodes: nad MSK/Neuro: 4x ambulatory Rectal: not assessed Throat: No tracheal sensitivity DIAGNOSTICS: bloods show mild liver elevations + respiratory alkalosis ASSESSMENT: gastritis / possible throat irritation / tonsilitis / foreign body possible hepatic pathology - not elevated enough to cause vomiting / current signs PLAN - Antiemetic injection to be administered tonight - Radiographs recommended if vomiting continues through antiemetic treatment due to concern for obstruction given patient's history of ingesting foreign objects - Recheck bloods in 2-3 weeks, abdo ultrasound if no improvement or worsening liver values Additional Discussion: - Monitor for coffee ground-type vomiting which would indicate more serious gastric irritation - Patient not typical for kennel cough as lacks tracheal sensitivity and respiratory signs - Foreign body obstruction possible given patient's tendency to ingest objects on walks, though classical presentation would include vomiting food as well as clear liquid Client Comms: - Advised to return for radiographs if vomiting persists despite antiemetic treatment - Monitor patient's demeanour and energy levels
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-27 | C09964066 | INFECTIOUS CANINE TRACHEOBRONCHITIS (KENNEL COUGH) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 429.00 | 2026-02-26 | — |
| 20000 | tstarc_consultation | 143.65 | 2026-02-26 | — |
| 30000 | tstarc_anti-nausea_medication | 87.50 | 2026-02-26 | — |
UPM+
- DG00981GASTRITISDSTP_gastroenteritis
Variant (sleepy_king)
VOMITING - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vomiting
Conf: 0.730
Threshold: 0.42
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description