C09987411 / invoice 20000
Species:CANINE
Breed:German Shepherd
Age (years):5
Diagnosis or signs:GapOnly see notes
Consult notes
pls do first aggressive - sedated xrays bloods and US. Place her on IVFT poss enema and large dog spey emed: meth0.2mg/kg iv maro1mg/kg iv midaz:0.1mg/kg iv inductio alfax 2mg/kg iv post-op pen sc melox sc xray: revela bronhicl interstitial pattern suggestiev of aspiration pnumonia and aerophagia cannot rule aour any cardiac mass u/s did no reveal any intrakuminal material indicatove of pyometra rectal: fecasl materail present surgery report for dog spey pateitn was placed on dorsal recumbency clipped and aseptically prepared for surgery. a a vnetral midline ceilotomy was perfromed liagsure was sued to liagte and cautereis biltaerla horn and a transfixxation was placed on the stump and ligated. the linear alba was appsoed with 0 pds ismple con the subcutis apposed with 2-0 pds simple ocn and the dermis with 2-0 pds intradermals medication dispensed ceph meloxicma doxy e-collar ongoing plan: redcheck in 2 weeks or earlier if cocnerns above meds housed in client dry envir
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 13:40:00
pls do first aggressive - sedated xrays bloods and US. Place her on IVFT poss enema and large dog spey emed: meth0.2mg/kg iv maro1mg/kg iv midaz:0.1mg/kg iv inductio alfax 2mg/kg iv post-op pen sc melox sc xray: revela bronhicl interstitial pattern suggestiev of aspiration pnumonia and aerophagia cannot rule aour any cardiac mass u/s did no reveal any intrakuminal material indicatove of pyometra rectal: fecasl materail present surgery report for dog spey pateitn was placed on dorsal recumbency clipped and aseptically prepared for surgery. a a vnetral midline ceilotomy was perfromed liagsure was sued to liagte and cautereis biltaerla horn and a transfixxation was placed on the stump and ligated. the linear alba was appsoed with 0 pds ismple con the subcutis apposed with 2-0 pds simple ocn and the dermis with 2-0 pds intradermals medication dispensed ceph meloxicma doxy e-collar ongoing plan: redcheck in 2 weeks or earlier if cocnerns above meds housed in client dry envir
2026-03-04T00:00:00Z 13:40:00
pls do first aggressive - sedated xrays bloods and US. Place her on IVFT poss enema and large dog spey emed: meth0.2mg/kg iv maro1mg/kg iv midaz:0.1mg/kg iv inductio alfax 2mg/kg iv post-op pen sc melox sc xray: revela bronhicl interstitial pattern suggestiev of aspiration pnumonia and aerophagia cannot rule aour any cardiac mass u/s did no reveal any intrakuminal material indicatove of pyometra rectal: fecasl materail present surgery report for dog spey pateitn was placed on dorsal recumbency clipped and aseptically prepared for surgery. a a vnetral midline ceilotomy was perfromed liagsure was sued to liagte and cautereis biltaerla horn and a transfixxation was placed on the stump and ligated. the linear alba was appsoed with 0 pds ismple con the subcutis apposed with 2-0 pds simple ocn and the dermis with 2-0 pds intradermals medication dispensed ceph meloxicma doxy e-collar ongoing plan: redcheck in 2 weeks or earlier if cocnerns above meds housed in client dry envir
2026-03-03T00:00:00Z 17:00:00
Go straight to room 4 hasn't defecated for a week Hx O thinks has been 7 days without defecating. Was in guide dogs for 1 week. She had d+ for 1 week. Off food first. Old diet based on dry + sardines. Now on mince + olive oil + pumpkin soup. They do give frozen chicken necks at least 1 a day. No vomiting. Panting a lot more. Not desexed. Had a period on 26th january. Had a couple of treats this mornings with coconut oil PE findings Limited PE aggressive tense on ab palpation Offered sedated xrays +/- GA enema +/- dog spey P will stay overnight today NPO No tx needed for today/tomorrow AM estimate is attached to file
Previous claim history (4)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-09 | C09601114 | DERMATITIS |
| 2025-10-01 | C9297222 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-06-16 | C8846700 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-01-15 | C8834403 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 99.00 | 2026-03-03 | — |
UPM+
- DG00519CONSTIPATIONDSTP_clinical_signs_-_constipation
Variant (sleepy_king)
PYOMETRA
DSTP_pyometra
Conf: 0.630
Threshold: 0.90
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description