C09989313 / invoice 10000
Species:CANINE
Breed:French Bulldog
Age (years):6
Diagnosis or signs:See clinical notes
Consult notes
05/03/2026 HISTORY presented for shaking and unsettled - vomited once yesterday after worming given. no further vomiting since - diarrhoea last night but today (4th March) normal stool in the morning - started from about 630pm (4th March) noted some trembling (whole body) - consistently tremoring and not something you can snap him out of it - not lethargic otherwise. and doesnt seem to be in pain - ate dinner normally about 430pm Diet: Prime roll no changes BOAs surgery at 1yo no major issue since then no access to known toxins RV = Cragieburn vet - no long term meds or conditions EXAM BAR, nice dog taking treats HR 108 no murmur or arrhythmia RR panting lung sound clear bilaterally Temp 39.3 ** Abdomen soft and comfortable MM Pink and moist CRT <2secs MSK - ambulating well on all four. no neck/ back pain Neuro - normal PLR, palpebral and gag. normal CP intermittent mild but generalised tremor seen in consult ASSESSMENT tremoring open ddx - tremorgenic toxicity (possible but no known access to anything) vs secondary to pain/ discomfort (not found on PE) vs primary neurological issue - pre-ictal/ post ictal ? PLAN medication trial given stable otherwise gabapentin 200mg PO BID Trazodone 50mg PO SID- BID if tremoring continues in the next 12-24hrs / getting worse --> represent for reassessment O is going away and O's mother will be looking after- lives in Point Cook. recommend to attend GVH as emergency if worsening/ not getting better COMMUNICATION plan as above 05/03/2026 HISTORY: Presented for: tremoring Non-stop tremoring all night Continued this morning Did not want to eat this am Saw some fertiliser balls amongst mulch, unsure if eaten it No compost Unchanged since visit last night No long term meds, has been healthy EXAM: BAR, lovely boy HR 150bpm, no m/a, ssfp RR panting, lung sounds clear Temp 39.3 Abdomen soft, comfortable MM pink, crt<2sec MSK: ambx4, no apparent lameness, no joint pain elicited Neuro: normal CN responses, normal CPs, no apparent deficits ASSESSMENT: Mild tremors - ddx tremorgenic toxin vs neuro vs MSK vs other DIAGNOSTICS: CBC: Mild neutrophilia Eosinopaenia Chem17 + lytes: Mild hyperalbuminaemia Rest WNL Blood gases: Mild resp alkalosis PLAN: Offered: 1. admit for monitoring and anti-tremor medication 2. monitor at home and continue gaba and traz COMMUNICATION
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 10:46:27
HISTORY: Presented for: tremoring Non-stop tremoring all night Continued this morning Did not want to eat this am Saw some fertiliser balls amongst mulch, unsure if eaten it No compost Unchanged since visit last night No long term meds, has been healthy EXAM: BAR, lovely boy HR 150bpm, no m/a, ssfp RR panting, lung sounds clear Temp 39.3 Abdomen soft, comfortable MM pink, crt<2sec MSK: ambx4, no apparent lameness, no joint pain elicited Neuro: normal CN responses, normal CPs, no apparent deficits ASSESSMENT: Mild tremors - ddx tremorgenic toxin vs neuro vs MSK vs other DIAGNOSTICS: CBC: Mild neutrophilia Eosinopaenia Chem17 + lytes: Mild hyperalbuminaemia Rest WNL Blood gases: Mild resp alkalosis PLAN: Offered: 1. admit for monitoring and anti-tremor medication 2. monitor at home and continue gaba and traz COMMUNICATION
2026-03-05T00:00:00Z 02:09:56
HISTORY presented for shaking and unsettled - vomited once yesterday after worming given. no further vomiting since - diarrhoea last night but today (4th March) normal stool in the morning - started from about 630pm (4th March) noted some trembling (whole body) - consistently tremoring and not something you can snap him out of it - not lethargic otherwise. and doesnt seem to be in pain - ate dinner normally about 430pm Diet: Prime roll no changes BOAs surgery at 1yo no major issue since then no access to known toxins RV = Cragieburn vet - no long term meds or conditions EXAM BAR, nice dog taking treats HR 108 no murmur or arrhythmia RR panting lung sound clear bilaterally Temp 39.3 ** Abdomen soft and comfortable MM Pink and moist CRT <2secs MSK - ambulating well on all four. no neck/ back pain Neuro - normal PLR, palpebral and gag. normal CP intermittent mild but generalised tremor seen in consult ASSESSMENT tremoring open ddx - tremorgenic toxicity (possible but no known access to anything) vs secondary to pain/ discomfort (not found on PE) vs primary neurological issue - pre-ictal/ post ictal ? PLAN medication trial given stable otherwise gabapentin 200mg PO BID Trazodone 50mg PO SID- BID if tremoring continues in the next 12-24hrs / getting worse --> represent for reassessment O is going away and O's mother will be looking after- lives in Point Cook. recommend to attend GVH as emergency if worsening/ not getting better COMMUNICATION plan as above
Previous claim history (15)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-09-24 | C7744409 | CONJUNCTIVITIS |
| 2024-09-02 | C7656733 | URINARY TRACT INFECTION (UTI) |
| 2024-09-02 | C7656769 | URINARY TRACT INFECTION (UTI) |
| 2023-08-02 | C6193098 | INGEST FOREIGN OBJECT |
| 2023-05-29 | C5977751 | GASTRITIS |
| 2023-02-14 | C5586118 | BACK PAIN |
| 2021-11-06 | C4221195 | LIPOMA |
| 2021-10-30 | C4394409 | VACCINATIONS OR HEALTH CHECKS |
| 2021-10-30 | C4394409 | FLEA/TICK/WORM CONTROL |
| 2021-07-01 | C3867822 | BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS) |
| 2021-06-08 | C3815246 | HEARTWORM CONTROL |
| 2021-06-08 | C3815246 | FLEA/TICK/WORM CONTROL |
| 2021-03-29 | C3635033 | VOMITION & DIARRHOEA |
| 2021-03-26 | C3623395 | DIARROHEA |
| 2021-02-11 | C3623415 | HAEMORRAGHIC ENTERITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 90.00 | 2026-03-05 | — |
| 20000 | tstarc_diagnostic_test_-_blood_test | 260.00 | 2026-03-05 | — |
UPM+
- DG02135TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINTDSTP_clinical_signs_-_tremor
Variant (sleepy_king)
TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_tremor
Conf: 0.840
Threshold: 0.90
Above: ✗
Correct?