C09985667 / invoice 10000
Species:CANINE
Breed:Golden Retriever
Age (years):1
Diagnosis or signs:Acute Gagging
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p>Verified: Yes</p> </div> </div> <div> <div> <p>HISTORY<br>Presenting for: Presented for acute gagging, as if something stuck in throat<br>Historical Conditions: Recently desexed on 23/01/26<br>Doesn't go to daycare, no other dogs at home. <br>Other: Was out in backyard this morning, did get a bone but bone is still present and not missing. Owner picks up bone every time finished with it</p> </div> </div> <div> <div> <p>EXAM<br>Mentation: Very irritated<br>Oral: No evidence of trauma or foreign material in back of mouth<br>Throat: Struggled when small amount of water syringed into mouth in terms of swallowing<br>Diagnostics: Pre-general anaesthetic bloods - Lymphocytosis only . Cephalic catheter placed. Medetomidine and Torbugesic given IV, followed by alphaxalone for radiographs<br>Rectal temp 39.6 degrees C<br>Heart - no murmur or arrythmia</p> </div> </div> <div> <div> <p>ASSESSMENT<br>Acute gagging - possible oesophageal foreign body<br>Mildly pyrexic </p> </div> </div> <div> <p>PLAN<br>Diagnostics:<br>- Radiographs of neck and chest approved by owner<br>- May need endoscopy to check oesophagus is clear if radiographs inconclusive<br><br>Medications/Treatments:<br>- Medetomidine and Torbugesic IV for sedation<br>- Alphaxalone IV for general anaesthesia for imaging<br>- Maintenance GA - ISO + O2<br>- Metoclopramide IV post op<br>- Reversed Medetomidine with Antisedan <br><br>Client Comms:<br>- Owner signed estimate for up to $3,000 for full workup including potential endoscopy<br>- Advised if only radiographs required, cost closer to $1,200<br><br>Radiographs:<br>- Small area of lucency in the oesophagus<br>- Material with the stomach<br>- Chest clear<br>- Some small shards of bone in colon <br><br>Scope placed down to check no FB or damage present in the oesophagus. <br>NAD on oesophageal scope<br>Grass present in stomach<br><br>Suspect irritation from eating grass caused acute gagging signs. <br>O. to monitor and let us know if any further gagging / vomiting / diarrhoea etc. <br><br>Communication - <br>Called Georgina and discussed findings. Advised that there isn't anything stuck in the oesophagus<br>Discharge booked for 4.20 pm this afternoon. <br><br><br></p> </div></html>
Animal clinical history (3 most recent)
2026-02-03T00:00:00Z 17:45:00
Georgie called as had some questions as wasn't present in the consult yesterday. Hazel doing OK today, perhaps less vaginal discharge than previous few days. Owner wondering if could be thrush like women get. Advised unlikely, saw cocci bacteria on the slide so suspicious more of vaginitis vs dislodged blood clot. Hazel still super bright, eating drinking etc.Advised to monitor the discharge over the next few days and let us know if not improving.
2026-02-02T00:00:00Z 15:41:00
Verified: YESClient: AdamHistory: In for POC, ended up with seroma that needed antibiotics which healed well. However now noticed after the last 2 days a vulval discharge - brown in colour. Well in herself, DUDE. No v/d/c/s. Not lethargic.Exam:Mentation: BARMM pink moist crt<2HR 100bpm, regular lungs OK pantingAbdo palp soft - spey wound looks fine, healing wellTemp 38.8CModerate vulval discharge on the hair around her vulva, taken swab.Swab - mild cocci. no obvious neutrophilia, no obvious RBC present.DDX: dislodged clot? vaginitis post op? Urinating fine.Plan:Diagnostics: n/aTreatment:- Amoxyclav 500mg 1 tablet PO BID for 7 days- Loxicom SID for 5-7 days again- Recheck with vet in 5-7 days, shaved fur to monitor discharge easier. Let us know if getting worse*Did not charge cytology as poss spey related issue*.3/2 NCB o busy at the moment but will call back mcGeorgina called back. Has some questions about the consult yesterday. O feels thiss started after being put on antibotics fro GAE so just wanted to check if it is thrush realted to antibotis should she be on something different. Also had questions about the possible clot so suggest bet give her a call to discuss mc
2026-01-29T00:00:00Z 14:18:00
Spayed 1 week ago and went to GAE overnight as ruptured seroma - has been very restless, only rested 2hrs overnight, unsure if painful. Attempted to call owner to discuss either more pain relief or gabapentin to help settle her especially at night - did not pick up and unable to leave voice mail.5.30pm Called Georgie - seems to have improved a lot in the last three hours so happy to monitor tonight and touch base tomorrow if sedatives/pain relief needed. Advised can give 500mg paracetamol tablet tonight for pain relief if needed (approx 18mg/kg).
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-02 | C09840722 | SEROMA |
| 2025-09-19 | C9284190 | HEARTWORM CONTROL |
| 2025-09-19 | C9284190 | FLEA/TICK/WORM CONTROL |
| 2025-07-23 | C9015159 | ALLERGY |
| 2025-06-27 | C8934269 | SKIN (CUTANEOUS) ABNORMALITY - ERUPTIONS/HIVES/RASH - PRESENTING COMPLAINT |
| 2025-06-04 | C8866571 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 128.95 | 2026-03-04 | — |
| 20000 | tstarc_hospitalisation | 204.42 | 2026-03-04 | — |
| 30000 | tstarc_procedure_fee_-_radiology | 485.80 | 2026-03-04 | — |
| 40000 | tstarc_anti-nausea_medication | 55.65 | 2026-03-04 | — |
| 50000 | tstarc_anaesthesia_-_inhalation_anaesthetic | 662.70 | 2026-03-04 | — |
| 60000 | tstarc_procedure_fee_-_endoscopy | 442.23 | 2026-03-04 | — |
UPM+
- DG02020GAGGING/RETCHING - PRESENTING COMPLAINTDSTP_clinical_signs_-_gagging_or_retching
Variant (sleepy_king)
DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINT
DSTP_foreign_body_ingestion
Conf: 0.560
Threshold: 0.19
Above: ✓
Correct?
Reason (correct)