C09985826 / invoice 10000

Reviewer

Species:FELINE

Breed:Domestic Short Hair

Age (years):6

Diagnosis or signs:Ultrasound

Consult notes

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<p>Hx:<br>Has been well in himself <br>EDDU normally, no V/D <br>Doing much better since teeth were removed <br>Normal activity <br><br>Sedation:<br>Butorphanol 0.4mg/kg (0.2mL) &amp; Medetomidine 0.015mg/kg (0.07mL) IM @ 11.39am - perfect sedation<br><br>Abdominal ultrasound:<br>- Bladder: anocheoic urine with occasioanal hyperechoic flecks, no abnormalities bladder wall<br>- Kidneys: Normal corticomedullary distinction (prominent valves within the medulla), both appear wnl, both 4.5cm <br>- Adrenals: Left 3mm, Right not visualised <br>- Spleen: homogenous appearance, no abnormalities visualised<br>- Liver: homogenous appearance, hypoechoic to spleen, no abnormalities visualised<br>- Gall bladder: no abnormalities visualised<br>- GIT: stomach contains ingesta, no dilation SI, normal wall layering, normal peristalsis, colon gas dropout<br>- Pancreas: no abnormalities visualised<br>- Lymph nodes: no abnormalities visualised<br>- Mesentery: no abnormalities visualised <br><br>Plan:<br>No concerns on abdominal ultrasound <br>Clinically well in himself <br>O to monitor for any changes but no further action required currently<br>Can repeat bloods in 3-6 months or sooner if concerned </p>
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Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 09:09:00

ALT 334 (20 - 100) - Prev 184 GGT < 5 (0 - 2)Called O with results. ALT elevated from previous hx. Based on SB history recc ultrasound as next step in workup. Booked in tomorrow.

2026-01-23T00:00:00Z 10:57:00

-extraction site's healed well-O has no concerns -recc liver panel as in SB notes- O declined due to cost -O said she will do liver panel in a month or so

2026-01-15T00:00:00Z 13:01:00

Called O to let her know can use meloxicam for 3 days. Lou doing well at the moment, O will call if any concerns.

Previous claim history (2)

Date	Claim #	Diagnosis
2026-01-13	C09750912	DENTAL (TOOTH) DISORDER
2026-01-08	C09728321	VACCINATIONS OR HEALTH CHECKS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_hospitalisation	95.00	2026-03-04	—
20000	tstarc_opioids_-_butorphanol	49.84	2026-03-04	—
30000	tstarc_procedure_fee_-_ultrasound	350.00	2026-03-04	—
40000	tstarc_anaesthesia_-_alfaxan	90.00	2026-03-04	—
50000	tstarc_sedation_for_procedure	48.39	2026-03-04	—

UPM+

DG02104PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINTDSTP_clinical_signs_-_abnormal_test_result

Variant (sleepy_king)

PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT

DSTP_clinical_signs_-_abnormal_test_result

Conf: 0.460

Threshold: 0.42

Above: ✓

Correct?

Yes No