C09987321 / invoice 10000

Species:CANINE
Breed:Chow Chow
Age (years):5
Diagnosis or signs:breathing
Consult notes
02/03/2026 6:15:48 PM JL:Maintain 7.5 mg prednisolone daily alongside the antibioticsAppointment Notes: ADMIT FOR CHEST X-RAY  JH  ------- Sms reply: YHistory: - RRR 28 last night, but it was contend when his breathing was a bit irregular - Hacking cough when playing/eating/randomly (not something new) Examine: - Propofol slow IV given to effect to observe larynx during breathing: soft tissue inflammation and swelling, elongated soft palate, white phlegm ++, no obvious evidence of laryngeal paralysis - Butorphenol 0.5ml IV given and Chest X-rays performed - Minor era clean with otoflush Assessment: - Suspected inflammation+/- inflammation of the larynx causing worsening of stertors - Elongated soft palate - Chest x-rays clear Plan: - Blood taken. O to drop off urine - Continue with Pred: 10mg SID for 3-5d, followed with 5mg EOD till finished 

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 10:06?am
Appointment Notes: ADMIT FOR CHEST X-RAY  JH  ------- Sms reply: YHistory: - RRR 28 last night, but it was contend when his breathing was a bit irregular - Hacking cough when playing/eating/randomly (not something new) Examine: - Propofol slow IV given to effect to observe larynx during breathing: soft tissue inflammation and swelling, elongated soft palate, white phlegm ++, no obvious evidence of laryngeal paralysis - Butorphenol 0.5ml IV given and Chest X-rays performed - Minor era clean with otoflush Assessment: - Suspected inflammation+/- inflammation of the larynx causing worsening of stertors - Elongated soft palate - Chest x-rays clear Plan: - Blood taken. O to drop off urine - Continue with Pred: 10mg SID for 3-5d, followed with 5mg EOD till finished     Vital Signs    MMColour: Pink;       Neck: Abnormal (Hacking cough on tracheal palpation );       Heart: Normal;       Lungs: Normal (clear lung sound );       Demeanour: BAR;       Temperature: 38.8;       HeartRate: 80;       BodyScore: 5;       CRT: Less than 1;       
2026-03-02T00:00:00Z 3:56?pm
02/03/2026 6:15:48 PM JL:Maintain 7.5 mg prednisolone daily alongside the antibiotics    Vital Signs    

Previous claim history (13)

DateClaim #Diagnosis
2025-12-15C09631840HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-10C09614007HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-10-27C7872572BROKEN NAIL
2023-10-29C6468131GASTROINTESTINAL PROBLEMS
2023-04-04C5757996ALLERGY
2023-01-11C5472349DIARROHEA
2022-11-22C5312593PYODERMA
2022-11-19C5305425FOREIGN BODY
2022-06-22C4855607ALLERGY
2022-03-30C4621837KENNEL COUGH
2022-01-25C4428490DERMATITIS - PYOTRAUMATIC (ACUTE MOIST)
2022-01-25C4428490PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2022-01-09C4380607DERMATITIS - PYOTRAUMATIC (ACUTE MOIST)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_anaesthesia_-_inhalation_anaesthetic292.302026-03-04
20000tstarc_opioids_-_butorphanol56.602026-03-04
30000tstarc_hospitalisation85.002026-03-04
40000tstarc_procedure_fee_-_radiology280.202026-03-04
50000tstarc_procedure_fee160.002026-03-04
60000tstarc_food14.002026-03-04
upstreamDSTP_general_exclusion
70000tstarc_anaesthesia_-_propofol36.902026-03-04
80000tstarc_diagnostic_test_-_t4241.102026-03-04
90000tstarc_trazodone25.702026-03-04
100000tstarc_food25.002026-03-04
upstreamDSTP_general_exclusion
110000tstarc_diagnostic_test_-_urine_test50.002026-03-04

UPM+

  • DG02539LARYNGITISDSTP_laryngeal_disease

Variant (sleepy_king)

LARYNGEAL PARALYSIS
DSTP_laryngeal_disease
Conf: 0.650
Threshold: 0.90
Above:
Correct?