C09992191 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):9
Diagnosis or signs:Canine Echocardiogram and X-rays
Consult notes
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<p>Echo and thoracic radiographs performed - MMVD Stage B2, starting on Pimobendan 5mg HALF tablet PO BID </p>
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Animal clinical history (3 most recent)

2026-02-25T00:00:00Z 10:12:00
Subjective:Owner trialled Laika two nights ago and had some bad diarrhoea last night. Owner gave a bit more food as seemed a bit hungry last night. Very loose stools this morning (melted soft serve). Still interested in eating this morning - owner fed only chicken jerky. In the last three weeks, owner reports that Lulu has had a bit of cough and seems to be clearing her throat. Does it about 4x a day. Presented by: RozObjective:Current medication: nilDemeanour: QAREyes: goodEars: cleanTemp: 37.8CHR: 120bpmRR: 25bpmThoracic auscultation: grade 2-3 heart murmur ausculatedOral exam: DGS 2, pink mm, crt <2sHacking cough on tracheal pinchLymph nodes: NADAbdomen: NADReproductive: NADSkin: NADGait/limbs: NADAssessment:Heart murmur, coughing ddx. kennel cough, collapsing trachea, heart diseasePlan:Doxycycline 100mg SID for 10 days orallyRecommend booking in for Sedation, echo and chest radiographs, keeping away from other dogs for now in case of cough being infectious. Owner to count SRR. Heart murmur identified in 2024, but much quieter then. Discussed possibly requiring medication pending echo results. Owner to feed boiled chicken and rice for the next few days and slowly introduce new food.
2025-06-20T00:00:00Z 17:44:00
Owner noticed a lump between Lulu's shoulders where she got the vaccination - not bothered by it, not getting any bigger. Injection site reaction - firm swelling between shoulder blades - owner to monitor for now and should go down in the next few weeks. Revisit INI.
2025-06-13T00:00:00Z 16:01:00
S : BIB Roz, gen well, due canine cough vacc (o queried/discussed whether vacc required/needed, advised ideally since does socialize/etc, C3 up to date so just CC due now)- reduced walks, does go park off leash- dental care : gel with gauze , dental spray - once weekly, Greenies, small raw Cx neck, dental Nov 2024O : sl tartar upper canines, rest of teeth quite good, handscaled off plaque, adv increase freq cleaning at home, dental home care options handout (turkey necks, bully sticks, etc)P : Nobivac BB/Pi2 s/cB: 2433807exp 6/2026)Parasite Control: on Sentinel monthly, may change in future as getting phased out

Previous claim history (2)

DateClaim #Diagnosis
2022-11-21C5308871LIPOMA
2022-11-21C5308871SEBACEOUS CYST

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_echocardiogram556.502026-03-05
20000tstarc_hospitalisation65.002026-03-05
30000tstarc_procedure_fee_-_radiology410.002026-03-05
40000tstarc_diagnostic_test_-_blood_pressure77.002026-03-05
50000tstarc_heart_medication_-_pimobendan132.002026-03-05

UPM+

  • DG02221HEART (CARDIAC) VALVE DISORDERDSTP_heart_condition_-_valve_disorder

Variant (sleepy_king)

HEART (CARDIAC) VALVE DISORDER
DSTP_heart_condition_-_valve_disorder
Conf: 0.740
Threshold: 0.70
Above:
Correct?