C09995465 / invoice 10000

Reviewer

Species:CANINE

Breed:Italian Lagotto Romagnolo

Age (years):9

Diagnosis or signs:See notes

Consult notes

Reason: Breathing heavily

History:
Breathing excitably more frequently at random times of day for the last 2 weeks
BAR otherwise and DUDE ok
No coughing or sneezing present

Physical Examination:
BAR, temp:   BAR, temp not taken
BCS -  4/5
Lymph nodes: normal
Mouth - dental disease grade 2, mucous membranes: pink, Crt <2sec
Ears - no abnormalities
Eyes - conjunctiva and orbit normal
Skin and coat - normal
Chest - thoracic auscultation normal, HR: 100
Abdomen - all abdominal viscera palpate normally
Limbs - no lameness detected

Assessment:
Breathing more heavily - Ddx: bronchitis, tracheal collapse, hyperexcitability (behavioural)
Anxious

Plan: 
INI to breathing or noticing exercise intolerance, consider radiographs for investigation

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 12:22:00

Reason: Breathing heavily

History:
Breathing excitably more frequently at random times of day for the last 2 weeks
BAR otherwise and DUDE ok
No coughing or sneezing present

Physical Examination:
BAR, temp:   BAR, temp not taken
BCS -  4/5
Lymph nodes: normal
Mouth - dental disease grade 2, mucous membranes: pink, Crt <2sec
Ears - no abnormalities
Eyes - conjunctiva and orbit normal
Skin and coat - normal
Chest - thoracic auscultation normal, HR: 100
Abdomen - all abdominal viscera palpate normally
Limbs - no lameness detected

Assessment:
Breathing more heavily - Ddx: bronchitis, tracheal collapse, hyperexcitability (behavioural)
Anxious

Plan: 
INI to breathing or noticing exercise intolerance, consider radiographs for investigation

Previous claim history (18)

Date	Claim #	Diagnosis
2021-11-10	C4316906	HEARTWORM TEST OR BLOOD SCREEN
2021-11-10	C4316906	NASAL (NOSE) HYPERKERATOSIS
2019-12-22	C2624044	VOMITING - PRESUMED SELF-LIMITING
2019-11-12	C2644815	STIFLE STRAIN
2019-11-09	C2542090	MISCELLANEOUS CONDITIONS
2019-11-09	C2647529	LAMENESS RH
2019-08-20	C2398235	SIALOCOELE
2019-08-17	C2394474	MASS LESION - SKIN (CUTANEOUS)
2019-03-05	C2136101	CLAW INJURY (TRAUMATIC)
2018-12-26	C1991411	EAR INFECTION
2018-12-26	C2394485	EAR INFECTION
2018-12-21	C1988650	EAR INFECTION
2018-12-21	C2394479	EAR INFECTION
2018-12-01	C1979975	VACCINATIONS OR HEALTH CHECKS
2018-04-26	C1881236	EAR INFECTION
2017-11-04	C1835599	VACCINATIONS OR HEALTH CHECKS
2017-11-04	C1835599	FLEA/TICK/WORM CONTROL
2017-11-04	C1835599	HEARTWORM CONTROL

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	129.00	2026-03-06	—

UPM+

DG00291BRONCHITISDSTP_asthma_and_bronchitis

Variant (sleepy_king)

DYSPNOEA - WITHOUT COUGHING - PRESENTING COMPLAINT

DSTP_clinical_signs_-_dyspnoea

Conf: 0.370

Threshold: 0.90

Above: ✗

Correct?

Yes No

Reason (correct)