C09992483 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):15
Diagnosis or signs:chronic intermittent progressive cough
Consult notes
Reason: Coughing getting worseSubjective: years ago dx with collapsing trachea +/- age related broncho restrictive dz. Treated with theophilline 200mg sid, has been on this ever since. However cough is getting progressively worse, more frequent, unrelated to eating/ drinking, can occur at any time of day. No laboured breathing associatedOther current treatments: trilostane, beransa, cytopoint, dermotic when required for chronic recurrent ear inefections, topical neocort, malaseb washObjective: FAS: 0/5HR/PR: 100 regular no murmur detectedTemp: 37.8MM: pinkCRT: 2s PULSE: normalRESP: no laboured breathing or resp distress, possible L caudal lung field a bit dullHydration: normalGIT:  nadU/G:  not checkedSkin/Ears: very good for Brian, lipoma L lat chest and top of rump areaM/S:  generalised stiffnessEyes: nadDental: 2/4Other: lnn normalAssessment: chronic intermittent progressive coughdiscussed chest xrays, otherwise medical management o is happy to proceed with xrays and bloods today Plan:  admit to surgery team for thoracic xraysTreatment - no significant findings on thoracic radstreat with doxycycline 50mg bid 2 weekscodeine 2ml bid when requiredif cough persists consider salbutamol MDI 100 mcg-300mcg tidReason: bloods and imagingLab:Anaemia as previously, moderate pre/non regenerative, suspect of chronic dzCrp high but not yet 30 - skin, airways, combinationOther changes see attachedTreatment:Xrays performed conscious with gentle manual restraintL thoracic/abdominalVD thoracic/abdominalElbows very arthritic as seen in lateral imagesHeart and lungs appear fairly normal. No fluid or gross changes evident.Abdomen appears ok.Assessment:Discussed with MIG and elected doxy & codeine trial.Plan:discharge with MIG tonightOn 2026-03-05, Brian Allman underwent a general anesthesia for chest rads  by Dr Brendan Sinnott and .PROCEDURE:    Xrays .View full Chart - GA Realtime at https://api.vetcheck.it/share/AU_14cc878f-1e9a-43a6-9ef4-dd9cb642e7cfOn 2026-03-05, Brian Allman was admitted for chest rads  under the care of Dr Brendan Sinnott and . Tasks/Procedures Performed: Walk | 0 | .View full Chart - Hospital Realtime at https://api.vetcheck.it/share/AU_877403f2-0500-4841-a385-aab380d9e42e

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 9:20?am
Reason: bloods and imagingLab:Anaemia as previously, moderate pre/non regenerative, suspect of chronic dzCrp high but not yet 30 - skin, airways, combinationOther changes see attachedTreatment:Xrays performed conscious with gentle manual restraintL thoracic/abdominalVD thoracic/abdominalElbows very arthritic as seen in lateral imagesHeart and lungs appear fairly normal. No fluid or gross changes evident.Abdomen appears ok.Assessment:Discussed with MIG and elected doxy & codeine trial.Plan:discharge with MIG tonightOn 2026-03-05, Brian Allman underwent a general anesthesia for chest rads  by Dr Brendan Sinnott and .PROCEDURE:    Xrays .View full Chart - GA Realtime at https://api.vetcheck.it/share/AU_14cc878f-1e9a-43a6-9ef4-dd9cb642e7cfOn 2026-03-05, Brian Allman was admitted for chest rads  under the care of Dr Brendan Sinnott and . Tasks/Procedures Performed: Walk | 0 | .View full Chart - Hospital Realtime at https://api.vetcheck.it/share/AU_877403f2-0500-4841-a385-aab380d9e42e    Vital Signs    
2026-03-05T00:00:00Z 8:38?am
Reason: Coughing getting worseSubjective: years ago dx with collapsing trachea +/- age related broncho restrictive dz. Treated with theophilline 200mg sid, has been on this ever since. However cough is getting progressively worse, more frequent, unrelated to eating/ drinking, can occur at any time of day. No laboured breathing associatedOther current treatments: trilostane, beransa, cytopoint, dermotic when required for chronic recurrent ear inefections, topical neocort, malaseb washObjective: FAS: 0/5HR/PR: 100 regular no murmur detectedTemp: 37.8MM: pinkCRT: 2s PULSE: normalRESP: no laboured breathing or resp distress, possible L caudal lung field a bit dullHydration: normalGIT:  nadU/G:  not checkedSkin/Ears: very good for Brian, lipoma L lat chest and top of rump areaM/S:  generalised stiffnessEyes: nadDental: 2/4Other: lnn normalAssessment: chronic intermittent progressive coughdiscussed chest xrays, otherwise medical management o is happy to proceed with xrays and bloods today Plan:  admit to surgery team for thoracic xraysTreatment - no significant findings on thoracic radstreat with doxycycline 50mg bid 2 weekscodeine 2ml bid when requiredif cough persists consider salbutamol MDI 100 mcg-300mcg tid    Vital Signs    Weight: 8.2;       Temperature: 37.8;       HeartRate: 100;       

Previous claim history (16)

DateClaim #Diagnosis
2026-02-23C09939271EAR INFECTION
2026-02-23C09939271HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-02-23C09939271ARTHRITIS
2026-01-27C09809954HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-01-27C09809954ARTHRITIS
2026-01-10C09805689HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-19C09709188EAR INFECTION
2025-12-19C09709188HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-19C09709188ARTHRITIS
2024-03-25C7037344HYPERADRENOCORTICISM ("CUSHING'S")
2024-03-15C7033865ANAEMIA
2024-02-07C7033857ARTHRITIS
2023-11-17C6541742ARTHRITIS
2023-10-20C6444262LIPOMA
2023-07-28C6147576HEPATOPATHY (LIVER DISORDER)
2022-03-09C4568700Cruciate Disease - Left Leg

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_opioids_-_codeine69.652026-03-05
20000tstarc_antibiotics_-_doxycycline84.302026-03-05
30000tstarc_consultation119.002026-03-05

UPM+

  • DG01981COUGHING - PRESENTING COMPLAINTDSTP_clinical_signs_-_coughing

Variant (sleepy_king)

COUGHING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_coughing
Conf: 0.810
Threshold: 0.40
Above:
Correct?