C09990600 / invoice 10000

Species:CANINE
Breed:Australian Shepherd
Age (years):0
Diagnosis or signs:Abdominal ultrasound ford chronic D+
Consult notes
PRESENTED FOR: Abdominal ultrasoundREASON FOR REFERRAL:2m hx of intermittent D+ (faecal PCR negative) managed with pro-kolin + metroniazole (improved but not resolved). Followed by ingestion of safety razor and enterotomy to remove blades but possibly not all recovered. Followed by recent (last 3 days) history of more dramatic D+ (urgent, large volumes very liquid) + vomiting (last 24 hours) which resolved with single 4mg dose of ondansetron. Today presents flat but normothermic and cardiovascularly stable with no pain on abdominal palpation. Confident no toxic exposure but cannot 100% r/o ingestion of sock, other clothing etc. as is a laundry thief.Concern re potential partial obstruction vs post-op complications vs IBD vs other.INITIAL EXAM: BAR, sweet girl HR: 87bpmRR: WNLMM/ CRT: pink <2sCATHETER PLACED: right cephalic DRUGS GIVEN:  0.16ml Torb IV, 0.04ml Dom IV, 5ml Propofol IV over scan length, 0.04ml Atipamezole IM on completion SAMPLES: Owner consented to sampling, nil takenNOTES: Smooth recovery. TH spoke to Dr Lacey regarding the gastrotomy scar healing

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 10:17?am
PRESENTED FOR: Abdominal ultrasoundREASON FOR REFERRAL:2m hx of intermittent D+ (faecal PCR negative) managed with pro-kolin + metroniazole (improved but not resolved). Followed by ingestion of safety razor and enterotomy to remove blades but possibly not all recovered. Followed by recent (last 3 days) history of more dramatic D+ (urgent, large volumes very liquid) + vomiting (last 24 hours) which resolved with single 4mg dose of ondansetron. Today presents flat but normothermic and cardiovascularly stable with no pain on abdominal palpation. Confident no toxic exposure but cannot 100% r/o ingestion of sock, other clothing etc. as is a laundry thief.Concern re potential partial obstruction vs post-op complications vs IBD vs other.INITIAL EXAM: BAR, sweet girl HR: 87bpmRR: WNLMM/ CRT: pink <2sCATHETER PLACED: right cephalic DRUGS GIVEN:  0.16ml Torb IV, 0.04ml Dom IV, 5ml Propofol IV over scan length, 0.04ml Atipamezole IM on completion SAMPLES: Owner consented to sampling, nil takenNOTES: Smooth recovery. TH spoke to Dr Lacey regarding the gastrotomy scar healing    Vital Signs    

Previous claim history (3)

DateClaim #Diagnosis
2026-03-03C09980101GASTROENTERITIS
2026-02-15C09907939INGEST FOREIGN OBJECT
2026-02-04C09853436GASTROINTESTINAL PROBLEMS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_ultrasound595.002026-03-05

UPM+

  • DG00986GASTROENTERITISDSTP_gastroenteritis

Variant (sleepy_king)

DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINT
DSTP_foreign_body_ingestion
Conf: 0.910
Threshold: 0.19
Above:
Correct?
Reason (correct)