C09985924 / invoice 10000

Species:CANINE
Breed:Pug Cross
Age (years):11
Diagnosis or signs:Medicine workup
Consult notes

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 11:39 AM
Date and Time:Veterinarian:History: Preventative Care:Diet:Current Medications:Examination: CardiovascularHR – Cardiac sounds - Normal S1/S2. No murmur or arrhythmiaMM, CRT - Pulses , peripheries - Femoral pulses normodynamic and synchronous. Peripheral temperature warm.NIBP -RespiratoryRR - Respiratory pattern - Normal respiratory patternBreath sounds - Normal breath sounds all lung fields. Gastrointestinal/Nutrition/Hepatobiliary/Endocrine/UrogenitalOral Exam - NADAbdominal palpation - No palpable mass or organomegaly, no reaction to palpation.Urogenital - NADRectal examination - NAD Renal/Fluid/ElectrolyteHydration - Body Weight - Immunology:Rectal temperature -Peripheral lymph nodes - Peripheral nodes palpably normalMusculoskeletal:Gait - Normal gaitMusculoskeletal - NADBody condition score - Neurology/PainMentation – Normal MentationModified Glasgow Pain Scale - / 24MGCS: Motor /6 , Brain Stem Reflexes /6, Level of Consciousness /6, Total /18Integument / Special Senses:Integument – NADOcular / Vision – NADInstrumentation:Peripheral Intravenous Catheters – Location? Last re-wrapped and assessed? PatencyDiagnostic plan: DOG - PCV (37-55 %):TP (55-75 g/l):Serum:Haematology (Abnormalities):Biochemistry (Abnormalities):Blood Smear:-	RBC Morphology - -	WBC Morphology - -	Platelets - CAT -PCV (30-45 %):TP (62-81 g/l):Serum: Haematology (Abnormalities):Biochemistry (Abnormalities):Blood Smear:-	RBC Morphology - -	WBC Morphology - -	Platelets - Assessment: Problem List (active) and Differential List:1.2.3.4.PLAN: In-hospital care plan / Contingencies: ----Medications at Discharge:Pending Test ResultsCLIENT COMMUNICATION / INFORMATION: -INTERNAL COMMUNICATION / NOTES: -Thank you for this referral. Please do not hesitate to contact us by phone (03) 8721 1414 or email our team at gvhwerribee@greencrossvet.com.au if you would like to discuss this case further.History-Update:Hospital: Medical care  Details:Diagnostic Imaging:  Ultrasound  Findings:Diagnostic Imaging:  Ultrasound  Findings:    Vital Signs    

Previous claim history (7)

DateClaim #Diagnosis
2023-10-27C6569145HEART MURMUR
2023-05-04C5862684SEIZURE(S) - PRESENTING COMPLAINT
2022-09-01C5068588ABSCESS
2022-09-01C5082257MISCELLANEOUS CONDITIONS
2021-08-26C4038170ANAL SAC ABSCESS
2020-07-28C3058639GASTROINTESTINAL PROBLEMS
2015-08-14C0596994NEUROLOGICAL (NERVOUS SYSTEM) DISORDER (UNSPECIFIED)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_hospitalisation0.012026-03-04
20000tstarc_diagnostic_test_-_haematology286.002026-03-04
30000tstarc_consultation-revisit147.702026-03-04
40000tstarc_hospitalisation1.702026-03-04
50000tstarc_hospitalisation34.202026-03-04
60000tstarc_hospitalisation24.002026-03-04
70000tstarc_hospitalisation28.702026-03-04
80000tstarc_hospitalisation34.402026-03-04
90000tstarc_procedure_fee_-_ultrasound423.002026-03-04
100000tstarc_anti-nausea_medication57.802026-03-04
110000tstarc_anti-nausea_medication90.002026-03-04
120000tstarc_anti-nausea_medication91.402026-03-04
130000tstarc_corticosteroids30.392026-03-04

UPM+

  • DG01460PROTEIN-LOSING ENTEROPATHY (PLE)DSTP_inflammatory_bowel_disease_(ibd)

Variant (sleepy_king)

PAIN - ABDOMINAL - PRESENTING COMPLAINT
DSTP_clinical_signs_-_abdominal_pain
Conf: 0.140
Threshold: 0.90
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description