C09994524 / invoice 10000
Species:CANINE
Breed:German Shepherd
Age (years):2
Diagnosis or signs:Blood dx and V+++
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><span style="font-family: 'Helvetica';">History/Owner concerns-<br>Was fine yesterday<br>Today, lethargic, vomited, not eating and had blood stained stool around anus/tail<br>No access to rat bait, cannot rule out snake encounter<br>Other dogs at home normal<br>Vaccs UTD<br>Worming every 3 months<br><br>RECORD VITAL SIGNS:<br>Demeanour- QAR<br>MM colour/CRT- Pink, tacky MM's<br>Eyes - nsf<br>Ears- nsf<br>Nose and Throat- nsf<br>Mouth/teeth/gums/dental grade- nsf<br>Thyroid- nsf<br>Trachea/Lungs/Heart- nsf<br>GI tract/liver/pancreas/abdominal palpation- mildly tense on abdo palpation<br>Urogenital- nsf<br>Musculoskeletal- nsf<br>CNS/behaviour- nsf<br>Coat/skin/nails/anal sacs- nsf<br>Palpate lymph nodes- nsf<br>Abdominal palpation - non painful / no masses felt<br><br>Pt/Aptt - normal<br><br>See attached diagnostics: Mild dehydration - raised Ht and Alb<br><br>DDx:<br>Primary gastroenteritis due to dietary indiscretion?<br>AHDS?<br>Addisons?<br>Other?<br><br>TREATMENT:<br>Maropitant<br>Prokolin<br>Ondansteron take home<br><br>PLAN:<br>No indication for admission at this stage<br>If no improvement by tomorrow morning, will need admission for supportive care and further diagnostics</span></html>
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 08:02:00
Doing well clinicallyNo further vomiting, no diarrhoeaIs eatingStill lethargicPositive signsIf regresses, will need supportive care in hospital
2026-03-05T00:00:00Z 12:29:00
110.6 APTT16.1 PT
2026-03-05T00:00:00Z 12:29:00
Nurse: LauraVenous Gases+Potential of Hydrogen pH - 7.36 (7.350 - 7.450)CO2 partial pressure pCO2 - 40.7 (40.0 - 50.0) O2 Partial pressure pO2 - 34 (30.0 - 42.0)* Bicarbonate cHCO3 - 23.1 (15.0-23.0)* Base excess BE (ecf) - -2.3 (-4.0 - 4.0)*Oxygen saturation cSO2 - 63.2 (90.0-100.0)Chem+Sodium Na+ - 152 (139 - 150)Potassium K+ - 4.2 (3.4 - 4.9)Ionized Calcium Ca++ - 1.53 (1.12 - 1.40)Chloride Cl- - 117 (106 - 127) TCO2 - 22.4 (17.0-25.0)Hemotocrit Hct - 46 (35 - 50)* Hemoglobin CHgb - 15.7 (12.0 - 17.0)* Base excess BE(b) - -2.2 (-4.0 - 4.0)Meta+Glucose Glu - 5.5 (3.3 - 6.4)Lactate Lac - 2.33 (0.60 - 2.90) BUN - 22 (10 - 26) Urea - 7.9 (3.6 - 9.3)Creatinine Crea - 85 (44 - 115) BUN/Crea - 23.1 (0.2 - 400.0)*calculated values
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-02-04 | C8293287 | CORNEAL ULCER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_gases | 85.00 | 2026-03-05 | — |
| 20000 | tstarc_diagnostic_test_-_coagulation | 70.00 | 2026-03-05 | — |
| 30000 | tstarc_diagnostic_test_-_pancreatic_test | 95.00 | 2026-03-05 | — |
| 40000 | tstarc_diagnostic_test_-_blood_test | 165.00 | 2026-03-05 | — |
| 50000 | tstarc_diagnostic_test_-_haematology | 110.00 | 2026-03-05 | — |
| 60000 | tstarc_diagnostic_test_-_parvovirus | 61.14 | 2026-03-05 | — |
| 70000 | tstarc_consultation | 119.00 | 2026-03-05 | — |
| 80000 | tstarc_probiotics | 65.92 | 2026-03-05 | — |
| 90000 | tstarc_anti-nausea_medication | 126.23 | 2026-03-05 | — |
| 100000 | tstarc_anti-nausea_medication | 88.60 | 2026-03-05 | — |
UPM+
- DG00986GASTROENTERITISDSTP_gastroenteritis
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.870
Threshold: 0.68
Above: ✓
Correct?