C09990491 / invoice 10000

Reviewer

Species:CANINE

Breed:Border Collie

Age (years):4

Diagnosis or signs:GAPONLY - Bloodshot eyes

Consult notes

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<p>Bilateral uveal heamorrhage and anterior flare Rt eye. no known access to rat bait. has been acting normal at home.<br> multiple tiny petechial heamorrgaes on gums, lips, ears and abdomen.<br>nad heart and lungs, no abdo pain, t 38.6<br>is on stilboestrol once a week for incontinence<br>ddx IMT, coagulopathy<br>run bloods<br>severe thrombocytopeania. (&lt;50)<br>protein and biochem normal<br><br>APTT 106.8<br>PT 15  Both within normal</p>
<p>Decreased Platelets<br> </p>
<ul>
<li>
<div>Immune-mediated platelet destruction</div>
<ul>
<li>
<div>Primary (idiopathic) immune-mediated thrombocytopaenia (ITP)</div>
</li>
<li>
<div>Secondary ITP</div>
<ul>
<li>
<div>Infection</div>
</li>
<li>
<div>Neoplasia</div>
</li>
<li>
<div>Systemic immune-mediated disease</div>
</li>
<li>Drugs/vaccines</li>
</ul>
</li>
</ul>
</li>
<li>
<div>Increased platelet consumption</div>
<ul>
<li>
<div>Blood loss, acute and severe</div>
</li>
<li>
<div>Localised intravascular coagulation</div>
</li>
<li>
<div>Disseminated intravascular coagulation (DIC)</div>
</li>
<li>Neonatal alloimmune thrombocytopaenia</li>
<li>Post-transfusion purpura</li>
<li>Envenomation</li>
<li>Vasculitis/endocarditis</li>
</ul>
</li>
<li>
<div>Decreased platelet production</div>
<ul>
<li>Bone marrow suppression</li>
<li>Immune-mediated (targeting megakaryocytes)</li>
</ul>
</li>
<li>
<div>Idiopathic/multifactorial</div>
<ul>
<li>
<div>Infection</div>
</li>
<li>
<div>Neoplasia</div>
</li>
<li>
<div>Breed-related:   </div>
<ul>
<li>
<div>Macrothrombocytopaenia (giant platelet disorder)</div>
</li>
<li>
<div>Greyhounds - normal reference interval is lower than other breeds</div>
</li>
</ul>
</li>
</ul>
</li>
</ul>
<ul>
<li style="list-style-type: none;">
<ul>
<li>
<div>Endotoxaemia</div>
</li>
<li>
<div>Hypophosphataemia</div>
</li>
<li>
<div>Anaphylaxis</div>
</li>
</ul>
</li>
<li>Sequestration (rarely causes clinically relevant disease)</li>
</ul>
<p> </p>
<p><br><br><br></p>
</div></html>

Animal clinical history (3 most recent)

2025-11-17T00:00:00Z 08:51:00

Give 1 tablet once or twice a week

2025-10-24T00:00:00Z 09:32:00

Chem11 with SDMA to check renal fxn as per KCs hx. Maple looking very well. No dramas on the stilboestrol - did have one puddle inside when they went down to 1 tab BIW.LD to call with results.O reported Maple snapped at her 1yr old daughter the other day when she got in her grille - recommend seeing a behaviour vet and keeping the dog seperated from the child in the mean timeAddendum: bloods all fine - called with results. Persist with stilboestrol and watch for UTI symptoms. Sent email with behaviour vets contact details are follow up advice re keeping dog and child seperated.

2025-10-20T00:00:00Z 10:11:00

no more puddles in the houseseems a bit more relaxed and happy in herselfreported urine test results - pretty good aside from the casts that are presentthese *may* indicate renal issue, and the USG is appropriate so clinical suspicion for this is lowdiscussed how to make sure no major issue - to do a blood test and check renal enzymes - O agreed and would like to proceedif bloods are all normal then continue on low dose stilboestrol and med review in 3mths to discuss ongoing plan.

Previous claim history (15)

Date	Claim #	Diagnosis
2023-08-15	C6205338	INGEST FOREIGN OBJECT
2023-08-13	C6202563	INGEST FOREIGN OBJECT
2023-08-12	C6199961	INGEST FOREIGN OBJECT
2023-07-06	C6071596	INGEST FOREIGN OBJECT
2023-04-12	C5791032	COUNCIL REGISTRATION FEES
2023-03-29	C5782336	VACCINATIONS OR HEALTH CHECKS
2022-11-01	C5246695	DESEXING
2022-11-01	C5246695	HERNIA - UMBILICAL
2022-11-01	C5246695	EAR INFECTION
2022-11-01	C5250543	DESEXING
2022-11-01	C5250543	HERNIA - UMBILICAL
2022-11-01	C5250543	EAR INFECTION
2022-04-14	C4661150	CONJUNCTIVITIS
2022-03-07	C4547842	VACCINATIONS OR HEALTH CHECKS
2022-02-07	C4464148	VACCINATIONS OR HEALTH CHECKS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_diagnostic_test_-_blood_test	356.55	2026-03-05	—
20000	tstarc_diagnostic_test_-_blood_test	125.00	2026-03-05	—
30000	tstarc_diagnostic_test_-_blood_test	99.00	2026-03-05	—
40000	tstarc_diagnostic_test_-_coagulation	140.00	2026-03-05	—
50000	tstarc_consultation	105.00	2026-03-05	—

UPM+

DG01775THROMBOCYTOPENIADSTP_haematopoietic_condition_-_platelet_disorder

Variant (sleepy_king)

LETHARGY - PRESENTING COMPLAINT

DSTP_clinical_signs_-_lethargy

Conf: 0.130

Threshold: 0.30

Above: ✗

Correct?

Yes No

Acceptable?

Acceptable?Not acceptable — misleading outcome to client but no financial impactNot acceptable — potential financial impact

Reason (not acceptable — misleading)

Diagnosis description