C09984642 / invoice 10000

Species:CANINE
Breed:Chihuahua
Age (years):12
Diagnosis or signs:see history attached
Consult notes
04/03/2026 Diagnosis:Hepatocellular carcinoma, multi-focal/ nodular.  Diagnosed Nov 2024; on Palladia, surgery for partial liver tumour resection on 17/06/25.  Palladia revisit

History: 

Physical Examination findings: Bright, alert and responsive.
Heart & Lungs: no notable murmurs or arrythmias auscultated; normal respiratory rate and effort, normal bronchovesicular sounds on auscultation
Gastrointestinal: soft comfortable abdomen on palpation
Rectal exam:soft stools on glove, no internal lymphadenopathy 
Integument: no obvious lesions, wounds or ectoparasites
Lymph Nodes: no peripheral lymphadenopathy noted
Mm pink, crt < 2 secs, HR 102, RR 40 , Temp 38.8 , Wt: 3.4

Laboratory results: Standard profile + UA pending 

Treatment: Toceranib Phosphate 10mg PO MWF
  
Comments: 

We will see Zorro again in x weeks time.  Please feel free to call or email if you have any further queries regarding Zorro.

Previous claim history (21)

DateClaim #Diagnosis
2026-01-30C09843263CARCINOMA/CARCINOMA IN SITU
2026-01-19C09789060OTITIS EXTERNA
2025-12-17C09639331CARCINOMA/CARCINOMA IN SITU
2025-04-28C8633965CARCINOMA/CARCINOMA IN SITU
2025-03-19C8470574CARCINOMA/CARCINOMA IN SITU
2025-02-10C8312003CARCINOMA/CARCINOMA IN SITU
2025-01-06C8159680CARCINOMA/CARCINOMA IN SITU - HEPATOCELLULAR
2024-12-10C8056598CARCINOMA/CARCINOMA IN SITU - HEPATOCELLULAR
2024-11-28C8011296MASS LESION - HEPATIC (LIVER)
2024-11-21C7978853MASS LESION - HEPATIC (LIVER)
2024-11-12C7952550MASS LESION - HEPATIC (LIVER)
2024-08-29C7644081MASS LESION - SKIN (CUTANEOUS)
2024-02-07C6852359MASS LESION - SKIN (CUTANEOUS)
2023-10-31C6512223COUGHING - PRESENTING COMPLAINT
2023-10-25C6462571HEALTH CHECK
2023-04-03C5754827DENTAL (TOOTH) DISORDER
2023-04-03C5754827VACCINATIONS OR HEALTH CHECKS
2022-06-30C4880515TEETH CLEANING
2022-06-17C4843653BLOOD SCREEN
2022-04-28C4843658VACCINATIONS OR HEALTH CHECKS
2022-04-28C4843658FLEA/TICK/WORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit205.002026-03-04
20000tstarc_diagnostic_test_-_urine_test242.002026-03-04

UPM+

  • DG00328CARCINOMA/CARCINOMA IN SITU - HEPATOCELLULARDSTP_carcinoma

Variant (sleepy_king)

CARCINOMA/CARCINOMA IN SITU
DSTP_carcinoma
Conf: 0.990
Threshold: 0.33
Above:
Correct?