C09989549 / invoice 10000
Species:CANINE
Breed:Labrador
Age (years):4
Diagnosis or signs:Checkup | Diarrhoea | Annual health check
Consult notes
05/03/2026 History Presented for recheck after presenting with diarrhoea yesterday. Initially diarrhoea was cowpat consistency, now watery consistency. Has had 8 bouts of small watery diarrhoea last night, moreso at the beginning of evening, seemed to be able to hold motion in early morning. Currently on chicken and rice. Still eating well, drinking well, urinating normally. Has not defaecated this morning. No vomiting. Exam HR 120, no murmur RR clear lung sounds MM pink, CRT <2s Abdomen relaxed, increased gut sounds Eyes and ears no significant change Skin NAD Attempted temperature but dog very intolerant of thermometer - some moist brown staining when taken out Plan - discussed further diagnostics - can do blood tests or ultrasound today, faecal analysis would take a couple days, and would not recommend antibiotics at this point - owner declined for today - to monitor, continue probiotics and bland food - owner has details for emergency afterhours should it be needed - to ring tomorrow for update | 04/03/2026 HISTORY - Diarrhoea started in the morning, occurring multiple times - Stool consistency between water and soft, like cow pat - No vomiting reported. Appetite remains excellent. - Loud noises from abdomen, not malodorous - Possible ingestion of dietary indiscretion / foreign objects (possum droppings, wife's hair bands) - History of ear infections, last occurred over a year ago, has started to scratch ear last couple of days. - Regular all wormer q3m and simparica trio q1m - all up to date. - no blood or mucus in d+ EXAM General: Dog is alert and responsive, anxious Hydration ok mm pink, moist, CRT <2sec Teeth - good Ears/eyes - both smelly, very ear shy. Swab - yeasts 5-10/hpf bilaterally. Chest ausc - NSF, no murmur. HR 140pm. Abdo palp - no sig pain reaction, no palpable masses. LNs wnl T 38.3 Hips/knees NSF Skin/coat NSF Rectal - tiny smear of watery light brown d+ Assessment - 1/ Acute d+ (infectious, FB, dietary indiscretion, inflammatory, toxin) vs extra GIT (pancreatitis, liver, renal, endocrine, hypoA etc) 2/ hx of giardia, c perfringens, tapeworm Plan - 1/ Offered further inv with blood test, faecal test, +/- abdo imaging. O declined for now. 2/ Rec bland diet + pro-kolin. RV if no better or worsens over next 24 hours. 3/ Supplied faecal pot to submit faecal sample for PCR testing. | 15/11/2025 BIB Mr & Mrs Simparica trio monthly. No health concerns. PE - mm pink, moist, CRT <2sec Teeth - good Ears/eyes - nsf Chest ausc - NSF, no murmur. Abdo palp - NSF LNs wnl T 38.6 Hips/knees NSF Skin/coat NSF Assessment - 1/ Fit for vacc Plan - 1/ KC vacc sc 2/O would like lepto vacc -gave lepto 2 sc dorsal neck. booster due in 2-4 weeks. 3/ Supplied fenpral
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 14:59:13
HISTORY - Diarrhoea started in the morning, occurring multiple times - Stool consistency between water and soft, like cow pat - No vomiting reported. Appetite remains excellent. - Loud noises from abdomen, not malodorous - Possible ingestion of dietary indiscretion / foreign objects (possum droppings, wife's hair bands) - History of ear infections, last occurred over a year ago, has started to scratch ear last couple of days. - Regular all wormer q3m and simparica trio q1m - all up to date. - no blood or mucus in d+ EXAM General: Dog is alert and responsive, anxious Hydration ok mm pink, moist, CRT <2sec Teeth - good Ears/eyes - both smelly, very ear shy. Swab - yeasts 5-10/hpf bilaterally. Chest ausc - NSF, no murmur. HR 140pm. Abdo palp - no sig pain reaction, no palpable masses. LNs wnl T 38.3 Hips/knees NSF Skin/coat NSF Rectal - tiny smear of watery light brown d+ Assessment - 1/ Acute d+ (infectious, FB, dietary indiscretion, inflammatory, toxin) vs extra GIT (pancreatitis, liver, renal, endocrine, hypoA etc) 2/ hx of giardia, c perfringens, tapeworm Plan - 1/ Offered further inv with blood test, faecal test, +/- abdo imaging. O declined for now. 2/ Rec bland diet + pro-kolin. RV if no better or worsens over next 24 hours. 3/ Supplied faecal pot to submit faecal sample for PCR testing.
2025-11-15T00:00:00Z 17:19:25
BIB Mr & Mrs Simparica trio monthly. No health concerns. PE - mm pink, moist, CRT <2sec Teeth - good Ears/eyes - nsf Chest ausc - NSF, no murmur. Abdo palp - NSF LNs wnl T 38.6 Hips/knees NSF Skin/coat NSF Assessment - 1/ Fit for vacc Plan - 1/ KC vacc sc 2/O would like lepto vacc -gave lepto 2 sc dorsal neck. booster due in 2-4 weeks. 3/ Supplied fenpral
2025-01-31T00:00:00Z 19:40:20
NH spoke to O who reports Shadow is continuing to improve each day and is now mostly back to her normal self. For GIARDIA treat with febantel10mg/kg po q24h for 5 days. O to purchase Drontal for LARGE dogs (contains febantel 875mg) - give half a tablet once daily for 5 days. Will still need to use fenpral as per DM advice for tapeworm as the drontal dosing is for giardia and not adequate to treat tapeworm. Clostridium perfringens to be treated using the metrogyl that has already been dispensed. Rec to finish course. Explained shadow's diarrhoea may have been caused by these infectious organisms or he is a carrier and there may be another underlying cause. Rec to RV when back to normal self for rpt bloods, monitor TBIL, include CLP (i,e, idexx THP) Ok to slowly transition back to usual diet. If symptoms recur consider abdo u/s +/- rpt faecal testing.
Previous claim history (18)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-04-17 | C7127878 | FLEA/TICK/WORM CONTROL |
| 2024-04-17 | C7127878 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-04-17 | C7127878 | GASTROINTESTINAL PROBLEMS |
| 2023-12-06 | C6623153 | DESEXING |
| 2023-12-06 | C6623153 | BLOOD SCREEN |
| 2023-11-15 | C6533926 | VACCINATIONS OR HEALTH CHECKS |
| 2023-04-18 | C5800512 | LAMENESS LF |
| 2022-10-25 | C5225743 | DIARROHEA |
| 2022-10-25 | C5225743 | PRESCRIPTION DIETS |
| 2022-10-24 | C5222096 | POLYURIA/POLYDIPSIA - PRESENTING COMPLAINT |
| 2022-10-24 | C5222096 | DIARROHEA |
| 2022-10-24 | C5222096 | PRESCRIPTION DIETS |
| 2022-10-24 | C5222096 | FLEA/TICK/WORM CONTROL |
| 2022-10-05 | C5161921 | VACCINATIONS OR HEALTH CHECKS |
| 2022-10-05 | C5161921 | FLEA/TICK/WORM CONTROL |
| 2022-10-05 | C5161921 | Grooming |
| 2022-10-05 | C5161921 | TEETH CLEANING |
| 2022-10-05 | C5161921 | HEARTWORM CONTROL |
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 | — |
UPM+
- DG02012FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINTDSTP_clinical_signs_-_diarrhoea
Variant (sleepy_king)
FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_diarrhoea
Conf: 0.800
Threshold: 0.13
Above: ✓
Correct?