C09995100 / invoice 10000
Species:CANINE
Breed:Border Collie
Age (years):12
Diagnosis or signs:Check up
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>230g BID now<br>2% of 18.1lg - 450g<br>Discussed weight<br>Aim 17kg<br>25% veggies<br>Ultrasound all ok <br><br>- recheck addison level<br>- recheck thyroid<br>- general wellness bloods<br>- consider microbiome testing if weight loss hasn't stabilised.<br><br>O: skin feels good, teeth ok, heart ok. licking wrists.<br><br>P: Full bloods, reduce to 2%. lose weight. <br><br>Subjective:<br>- Annual health check and weight management consultation<br>- Weight gain concerns: currently 18.1kg, target weight 16.5-17kg (25% reduction needed)<br>- Previous skin allergies well controlled with dietary management<br>- Joint issues and muscle fatigue affecting mobility<br>- Urinary incontinence episodes related to muscle weakness<br><br>Past Medical History:<br>- Skin allergies: resolved with dietary modifications, last injection treatment 2 years ago<br>- Joint issues requiring veterinary attention<br>- Previous dental stage 1 procedure 5 years ago<br>- Blood tests completed last year including T4 and TSH levels<br><br>Objective:<br>- Physical examination: heart sounds good, teeth condition satisfactory, no palpable lumps detected<br>- Weight: 18.1kg (target 16.5-17kg)<br>- Stools: good consistency<br>- Skin condition: well controlled<br><br>Assessment:<br>- Weight management required for joint health optimisation<br>- Age-related metabolic changes contributing to weight gain<br>- Joint and muscle issues affecting mobility and continence<br><br>Plan:<br>- Reduce daily food intake to 400g (200g per meal)<br>- Eliminate treats completely<br>- Continue current protein rotation (beef, fish, chicken, turkey, pork - avoiding kangaroo in summer)<br>- Maintain 25% vegetable content in diet<br>- Consider gut microbiome testing (insurance coverage to be explored)<br>- Annual blood work: T4 levels, general wellness panel including electrolytes<br>- Referral to Dr Rose for joint assessment and potential stem cell therapy<br>- Activity modification for joint protection<br>- Monitor weight loss progress over 2-3 months before considering microbiome testing<br><br>ADD ON CANCER TEST AS WELL SCREENING</p> </div></html>
Previous claim history (12)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-09-11 | C9210915 | PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT |
| 2025-08-08 | C9066441 | HYPERADRENOCORTICISM ("CUSHING'S") |
| 2025-08-04 | C9047844 | HYPOTHYROIDISM |
| 2025-02-13 | C8330037 | LAMENESS RF |
| 2025-02-12 | C8324583 | VACCINATIONS OR HEALTH CHECKS |
| 2024-10-17 | C7835144 | LAMENESS LF |
| 2024-09-05 | C7671354 | LAMENESS LF |
| 2024-07-17 | C7475243 | DERMATITIS |
| 2023-07-19 | C6118929 | PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT |
| 2023-07-19 | C6118929 | PAPILLOMA |
| 2023-07-19 | C6118929 | SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT |
| 2022-10-03 | C5162625 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 230.00 | 2026-03-06 | — |
| 20000 | tstarc_consultation | 110.00 | 2026-03-06 | — |
| 30000 | tstarc_diagnostic_test_-_blood_test | 63.80 | 2026-03-06 | — |
UPM+
- DG02148WEIGHT GAIN - PRESENTING COMPLAINTDSTP_clinical_signs_-_obesity_or_weight_gain
Variant (sleepy_king)
WEIGHT LOSS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_weight_or_muscle_loss
Conf: 0.510
Threshold: 0.90
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description