C09995691 / invoice 10000

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Species:CANINE
Breed:Labradoodle
Age (years):1
Diagnosis or signs:lethargic, vomiting on and off since monday.
Consult notes
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<p><strong>HISTORY:vomitted a few times in 4 days. vomitted bile mostly and food one time. still eating. very active but les sso in last 4 days. faeces are large in volume and softer but not profuse diahorea. eating grass.quieter a t hoem is usually really hyperactive. is naughty and will chew on toys -is genrally in a crate all day as will chew and destray anything lying around. </strong><br><br>EDDU:softer faeces and alrge amount. eating wlel<br>Heart worm prevention: Intestinal worming: Flea control: Tick control:ngs<br>Diet:<br>Current medications:nil<br><br><strong>EXAMINATION</strong>:<br>MM: Pink and moist <br>CRT &lt; 2 second<br>Demeanour: BAR<br>Hydration: Euhydrated <br>Cardiovascular: Dual heart sounds auscultated, no murmur or arrhythmia detected, SSFP<br>Respiratory: Normal bronchovesicular sounds bilaterally, normal effort<br>Neurological: Appropriate &amp; normal mentation, gait and posture<br>Musculoskeletal exam: normal <br>Gastrointestinal: Comfortable on abdominal palpation. increased sounds colic paibn. no foreign bodies or masses palapable but is very dramatic and screamed just to take temp rectal check full of soft faeces <br>Genito /Urinary: Bladder palpates WNL<br>Integument: Coat condition, no ectoparasites visualised <br>Eyes: Symmetrical, no ocular discharge or blepharospasm<br>Ears: Normal, no auricular discharge bilaterally<br>Mouth: Dental grade0 /4<br>Lymph Nodes: Submandibular, prescapular and popliteal palpate normally<br>Rectal: Normal anal glands, no masses, normal faeces <br>Thyroid: No thyroid slip <br>behaviour- very hyepractive and loud <br><strong>PROBLEM LIST</strong>:vomitting intermittent over last 4 days food once and bile rest. <br>.<br><br><strong>ASSESSMENT</strong>:indescrimiante ingestion,foreign body. gastritis,infection <br>.<br><br><strong>PLAN</strong>:maroptiant and prokolon. home on cerenia for 2 days. ensure drinking hydration is good now. INI then xrays and imaging. bloods ivf.<br><br>Revisit: Needed/not needed<br><br>.</p>
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Animal clinical history (3 most recent)

2025-11-25T00:00:00Z 16:42:00
3rd puppy vac HISTORY:In today for final puppy vacDoing well - no current concerns. EDUF all normal UTD with NGSEXAMINATION:Lovely dogHydration: EuhydratedCardiovascular: NAD - Normal heart sounds, no murmur identifiedRespiratory: NAD - Normal bronchovesicular sounds with no crackles/wheezesNeurological: NAD Musculoskeletal: NAD Gastrointestinal: NAD Genito /Urinary: NADIntegument: NAD Eyes: RIGHT: NAD LEFT: NADEars: RIGHT: NAD LEFT: NAD Mouth: NADTeeth: Deciduous teeth errupted and in wear. Missing the 704 - possibly has fractured, however no remnant palpable within gum.Occlusion: NADLymph Nodes: NADPROBLEM LIST:Missing 704 - fallen out vs broken off?-> recommend to monitor closely to ensure adult tooth comes through ok ASSESSMENT:Fit for vac TREATMENT:Protech C4: 5257037B exp 28.10.2026 and Protech Bronchi-shield Oral 5245047A exp 10.02.2027PLAN:Recommend recheck at 6mths to ensure adult teeth have all errupted 
2025-10-24T00:00:00Z 16:22:00
2nd puppy vac HISTORY: New puppy, BIOP for approx 2 wks. UTD with W/T/F px - last administered by breederAlready desexed - done at 7wks of ageSettling in to new home really well - no concerns Feeding RC puppy food EXAMINATION:Lovely dog Hydration: EuhydratedCardiovascular: NAD - Normal heart sounds, no murmur identifiedRespiratory: NAD - Normal bronchovesicular sounds with no crackles/wheezesNeurological: NAD Musculoskeletal: NAD Gastrointestinal: NAD Genito /Urinary: NADIntegument: NAD Eyes: RIGHT: NAD LEFT: NADEars: RIGHT: NAD LEFT: NAD Mouth: NADTeeth: Deciduous teeth errupted and in wearOcclusion: NADLymph Nodes: NADASSESSMENT:CE unremarkable - fit for vac TREATMENT:Protech C4: 5257037B exp 28.10.2026 and Protech Bronchi-shield Oral 5245046B exp 09.10.2026Home with puppy pack and NGS PLAN:To give NGS tonight. Repeat worming in 2 wks Due for final vaccine in 4 wks 

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation97.002026-03-06—
20000tstarc_anti-nausea_medication54.692026-03-06—
30000tstarc_probiotics43.122026-03-06—
40000tstarc_anti-nausea_medication44.322026-03-06—

UPM+

  • DG00986GASTROENTERITISDSTP_gastroenteritis

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.660
Threshold: 0.68
Above: ✗
Correct?