C09991641 / invoice 10000
Species:CANINE
Breed:Welsh Corgi - Pembroke
Age (years):3
Diagnosis or signs:V+
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> </div> </div> </div> <div> <div> <div> <div> <p>VET: Dr Zinzi Osborn<br>DVM NSW V11892<br>Locum Veterinarian</p> </div> </div> </div> </div> <div> <div> <p><strong>HISTORY</strong>:<br>BIB: Vomiting on and off for 1 week - initially food vomiting thought to be from eating too quickly, progressing to bloody vomits with clots occurring in middle of night. Decreased appetite - not eating dinner, barely touching dry food. No change in water consumption, no blood in stool, no change in stool colour or consistency.<br>Current medications: <br>TFW/vacc UTD? Worming reminder for December<br>EDUDE? <br>Any concern/s: <br>- Vomiting food initially, now bloody vomits with clots<br>- Decreased appetite<br>- Episodes occurring at night</p> </div> </div> <div> <div> <p><strong>EXAMINE</strong>:<br>Mentation/Demeanour: QAR, nervous but minimal, well behaved<br>BCS: /9 <br>Vitals MM: pink, tacky CRT: HR/RR 100/32, Temperature 38.7°C<br>CVS-Resp: <br>Femoral Pulse: <br>Mouth: <br>Neck: <br>Eyes: <br>Ears: tender, bothering patient<br>Nose: <br>LNs (subman, pre-scap, axillary, inguinal, popliteal): <br>Abd: Tense in cranial abdomen, protective of abdomen especially front area near stomach<br>Integument: <br>Urogenital: Moderate bladder<br>Rectal: <br>MSK: <br>Neuro: Mild head tilt</p> </div> </div> <div> <div> <p><strong>PROBLEM LIST</strong>:<br>- Vomiting with blood clots<br>- Decreased appetite <br>- Cranial abdominal pain/tenderness<br>- Mild head tilt<br>- Ear discomfort<br><br><strong>ASSESSMENT</strong>:<br>Gastric ulceration suspected based on hematemesis. Differential diagnoses include pancreatitis given cranial abdominal pain and location of tenderness around stomach, pancreas, liver and spleen region. Pancreatic inflammation can cause significant discomfort and deteriorate quickly.</p> </div> </div> <div> <div> <p><strong>RECOMMENDATION & CLIENT COMMUNICATION</strong>:<br>- Blood work results pending to rule out pancreatitis and assess overall health status<br>- Monitor for worsening symptoms<br><br><strong>LABORATORY</strong>:<br>Full comprehensive panel including pancreatic test (cPLI):<br>Increased cPLi (mild)<br>Increased SDMA (marginal to mild)<br>Increased Cl (mild to moderate)<br>Remaining biochem, lytes and CBC unremarkable</p> </div> </div> <div> <div> <p><strong>PLAN</strong>:<br>Recheck recommended: Pending blood work results - Hospitalisation vs at home care</p> </div> </div> <div> <div> <p><strong>COMMS</strong> 12:31:39<br>Enfield Vet: I can confirm Maggie has pancreatitis. I recommend she be admitted for 24 hours for IV fluids and IV medications. Reassessing her tomorrow morning. Estimate for overnight care generally falls between $1000 - 1200 including the consultation & blood tests. While I am in consult I will have the nurses at the front desk sort out her admission. Otherwise you're more than welcome for me to finish my consult. Regards, Dr Zinzi 9747 3999<br><br><strong>ADMIT FOR INPATIENT MEDICAL CARE</strong>:<br>IVFT Hartmanns maintenance<br>Maropitant (Prevomax) SID PRN<br>Losec (Eso-Omeprazole) ~1mg/kg 20mg BID PO 5d<br>Buprenorphine (Temgesic) 15ug/kg BID PRN IV<br><br>**************************************************************<br><strong>PM VITALS: </strong><br>T: 37.4C --> hotties placed <br>HR: 120, nil murmur <br>ABD. PALP: tense <br>IVFT x 1/2 maint.: 20ml/hr<br><br><strong>TREATMENT: </strong><br>Buprenorphine 0.6ml given IV <br>Losec NOT given as only given 5hrs ago <br><br><strong>COMMUNICATION: </strong><br>JR STO OTP <br>advised of all <br><br><strong>PLAN: </strong><br>CONTINUE IVFT Hartmanns maintenance AM <br>CONTINUE Maropitant IV SID <br>CONTINUE Losec 20mg PO BID (12hrs) 1 hr prior to food 5d<br>CONTINUE Buprenorphine IV/IM 0.6ml - 1ml BID as needed <br>Reassess & call O AM<br>Discharge when clinical improvement eg. eating / nil vomit<br><br>JR<br><br></p> </div> </div></html>
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 08:42:00
Hospitalisation Day #: 2  Diagnosis/Reason: Intermittent Vomiting - Inappetence - Elevated cPLi   AMOvernight history:Not interested in food (spat out of mouth) Nil defecation Nil vomitExamination:CARDIAC: NAD RESP: NAD MM: pink/moist ABD. PALP: slightly more comfortable than yesterday PM but still a bit tense Cranial-mid T: 38.4Assessment:Stable but still not eatingTreatment:IV catheter replaced (chewed out) Losec 20mg given PO Buprenorphine 0.6ml given IVClient Comms:JR STO OTP Owner advised is unlikely to eat in hospital Discussed trialling her at home w meds given she is otherwise clinically stable. O happy with plan Plan:Maropitant 2ml due 1PMDischarge PM, owner to bring food to see if will eat but regardless likely send home with meds. If still not eating within 24hrs, consider adding Ondansetron +/- readmission TGHW Losec 20mg PO BID until finished TGHW Codeine 30mg PO BID 5d starting this PM Day time hospital notes:PMExamination:Assessment:Treatment:Plan:Client Comms:
2025-11-25T00:00:00Z 14:26:00
HISTORY- Know issues w vulval folds - keeping clean and ensuring that it remains dry between urinating- Recent exacerbation of symptoms - circling, trying to reach her back end- Booked for AGs but not needing expressiong - booked with vet insteadEXAMVulval folds: Inflamed, very dark almost black pigmentation, signs of urine staining and signs of infectionLABORATORYCytology Cocci 2+ neuts 4+DIAGNOSIS- Skin infection- Possible UTI riskTREATMENTConvenia (cefovecin) - dc why it would not be first line option and importance - O agreed to cost and prefers this option - oral medication is a fight 2mL SQCytopoint 20mg SQPLAN1. Continue using wipes in between skin folds +/- happy to Rx bacticorten for inflammation and superficial bacterial component2. Recheck by the end of the week, esp if no significant improvement3. Reiterated surgery option - vulvoplasty
2024-12-19T00:00:00Z 09:34:56
Examination Text:Reason: Sr12, QuantumAppointment Notes: Overdue remindersExamine: Overweight reduce portions stop feeding on one plateTreatment: Proheart sr12 1ml scBravectto quantum 2ml sc
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 266.30 | 2026-03-04 | â |
| 20000 | tstarc_diagnostic_test_-_pancreatic_test | 64.60 | 2026-03-04 | â |
| 30000 | tstarc_consultation | 110.00 | 2026-03-04 | â |
| 40000 | tstarc_fluid_therapy | 176.50 | 2026-03-04 | â |
| 50000 | tstarc_anti-nausea_medication | 72.28 | 2026-03-04 | â |
| 60000 | tstarc_reflux_medication | 40.30 | 2026-03-04 | â |
| 70000 | tstarc_hospitalisation | 87.70 | 2026-03-04 | â |
| 80000 | tstarc_opioids_-_buprenorphine | 53.22 | 2026-03-04 | â |
| 90000 | tstarc_hospitalisation | 87.70 | 2026-03-05 | â |
| 100000 | tstarc_fluid_therapy | 85.70 | 2026-03-05 | â |
| 110000 | tstarc_opioids_-_buprenorphine | 46.73 | 2026-03-05 | â |
| 120000 | tstarc_opioids_-_codeine | 42.00 | 2026-03-05 | â |
| 130000 | tstarc_anti-nausea_medication | 72.28 | 2026-03-05 | â |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
PANCREATITIS
DSTP_pancreatitis
Conf: 0.760
Threshold: 0.43
Above: â
Correct?
Reason (correct)