C09995968 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):8
Diagnosis or signs:SEE NOTES
Consult notes
SEE NOTES

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 12:00:00
NOTES: IDEXX LABORATORIES: Adelaide, Brisbane, Melbourne,              
 Sydney  Ph 1300 44 3399                                         
                                                                 
 VET: DR KATRINA MILLIGAN        LAB No: 2001534508              
 CLINIC No: B0014                OWNER: HELLA                    
 CLINIC: Manly Road Veterinary   ANIMAL ID: SHIVA                
 Hospital                        SP: CANINE                      
 219 Manly Road                  SEX AGE: FE  8Y3D               
 Manly West                                                      
 QUEENSLAND 4179                                                 
                                                                 
 COLLECTED:05/03/2026            TESTS REQUESTED:                
 RECEIVED:   06/03/2026          Canine Total Annual Health      
 PRINTED:    05/03/2026          Profile                         
                                                                 
                                                                 
                                                                 
 HAEMATOLOGY                                                     
                                                                 
 Test                   Result   Alert  Units   Reference Range  
                                                                 
 *RBC                    7.1            x10^12/L5.4 - 8.7        
 *HAEMOGLOBIN            161            g/L     134 - 207        
 *HAEMATOCRIT            0.50           L/L     0.38 - 0.57      
 *RETICULOCYTE %         0.5            %                        
 *RETICULOCYTE ABS       36             x10^9/L 10 - 110         
      Uncertainty of Measurement for Reticulocytes: 8.1%         
                                                                 
                                                                 
                                                                 
 *RETIC HGB              25.0           pg      24.5 - 31.8      
 *MCV                    70             fL      59 - 76          
 *MCH                    23             pg      22 - 26          
      Uncertainty of Measurement for MCH: 1.8%                   
                                                                 
                                                                 
 *MCHC                   322     Low    g/L     326 - 392        
 *PLATELET COUNT         239            x10^9/L 143 - 448        
 *WBC                    7.7            x10^9/L 4.9 - 17.6       
 *NEUTROPHILS%           64.0           %                        
 *NEUTROPHILS            4.9            x10^9/L 2.9 - 12.7       
 *LYMPHOCYTES%           27.6           %                        
                                                                 
 *LYMPHOCYTES            2.1            x10^9/L 1.1 - 5.0        
 *MONOCYTES%             4.6            %                        
 *MONOCYTES              0.4            x10^9/L 0.0 - 1.2        
 *EOSINOPHILS%           3.7            %                        
 *EOSINOPHILS            0.3            x10^9/L 0.0 - 1.5        
      Uncertainty of Measurement for Eosinophils: 15.3%          
                                                                 
                                                                 
 *BASOPHILS%             0.1            %                        
 *BASOPHILS              0.0            x10^9/L 0.0 - 0.1        
      Uncertainty of Measurement for Basophils: 15.2%            
                                                                 
 *BLOOD SMEAR            The CBC parameters including WBC count  
 EXAMINATION             and differential have been generated by 
                         the Sysmex XN analyser.                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 


                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
 VET: DR KATRINA MILLIGAN        LAB No: 2001534508              
 CLINIC No: B0014                OWNER: HELLA                    
 CLINIC: Manly Road Veterinary   ANIMAL ID: SHIVA                
 Hospital                        SP: CANINE                      
 219 Manly Road                  SEX AGE: FE  8Y3D               
 Manly West                                                      
 QUEENSLAND 4179                                                 
                                                                 
                                                                 
 BIOCHEMISTRY                                                    
                                                                 
 Test                   Result   Alert  Units   Reference Range  
                                                                 
 *SODIUM                 150            mmol/L  139 - 153        
 *POTASSIUM              4.7            mmol/L  3.9 - 5.9        
 *CHLORIDE               111            mmol/L  101 - 118        
 *BICARBONATE            22             mmol/L  12 - 26          
                                                                 
 *NA:K RATIO             31.9                   26.0 - 35.0      
 *ANION GAP              21.7           mmol/L  14.0 - 32.0      
 *GLUCOSE, FL.OX         4.1            mmol/L  3.3 - 6.8        
 *GLUCOSE, SERUM         2.7     Low    mmol/L  3.3 - 6.8        
      A glucose result obtained from a plain serum clot tube     
      has the potential to provide a falsely lowered result      
      due to ongoing consumption of glucose in such tubes.       
      The result obtained from a Fluoride Oxalate tube will      
      be a more accurate estimation of the true glucose          
      value.                                                     
                                                                 
                                                                 
 *UREA                   8.5            mmol/L  2.5 - 10.0       
 *CREATININE             0.10           mmol/L  0.05 - 0.13      
 *SDMA                   8              ug/dL   0 - 14           
      For more details about IDEXX SDMA please visit https:/     
      /www.idexx.com.au/en-au/veterinary/reference-laborator     
      ies/sdma/                                                  
                                                                 
                                                                 
 *CALCIUM                2.7            mmol/L  1.9 - 2.9        
 *PHOSPHATE              1.0            mmol/L  0.8 - 2.1        
 *CA:P RATIO             2.7                    1.2 - 3.0        
 *PROTEIN, TOTAL         72             g/L     52 - 80          
 *ALBUMIN                36             g/L     23 - 40          
                                                                 
 *GLOBULIN               36             g/L     25 - 45          
 *A:G RATIO              1.0                    0.6 - 1.4        
 *BILIRUBIN, TOTAL       3              umol/L  0 - 7            
 *ALP                    119            IU/L    1 - 150          
 *ALP STEROID ISOENZYME  35             IU/L                     
      Uncertainty of Measurement for Corticosteroid-Induced      
      ALP: 12.1%                                                 
                                                                 
                                                                 
 *AST                    54             IU/L    18 - 80          
 *ALT                    43             IU/L    16 - 90          
 *CK                     441            IU/L    73 - 510         
                                                                 
                                                                 
                                                                 
                                                                 


                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
 VET: DR KATRINA MILLIGAN        LAB No: 2001534508              
 CLINIC No: B0014                OWNER: HELLA                    
 CLINIC: Manly Road Veterinary   ANIMAL ID: SHIVA                
 Hospital                        SP: CANINE                      
 219 Manly Road                  SEX AGE: FE  8Y3D               
 Manly West                                                      
 QUEENSLAND 4179                                                 
                                                                 
                                                                 
 BIOCHEMISTRY                                                    
                                                                 
 Test                   Result   Alert  Units   Reference Range  
                                                                 
 *CHOLESTEROL            8.8            mmol/L  3.5 - 9.0        
 *AMYLASE                519            IU/L    333 - 1500       
      Uncertainty of Measurement for Amylase: 8.8%               
                                                                 
                                                                 
 *LIPASE (DGGR)          242            IU/L    0 - 250          
 *GAMMA GT               4              IU/L    0 - 9            
      Uncertainty of Measurement for GGT: 9.8%                   
                                                                 
 *SAMPLE APPEARANCE      Nil haemolysis                          
 *                       Nil lipaemia                            
                                                                 
 *T4 TOTAL               23             nmol/L  13 - 52          
      T4 General Interpretive Guidelines                         
                                                                 
      Result consistent with normal thyroid function. Target     
      values following replacement therapy for                   
      hypothyroidism:                                            
      * Peak T4 (sample collected 4-6 hours after thyroxine      
      administration):  27 - 70 nmol/L;                          
      * Trough T4 (sample collected within one hour of the       
      next scheduled dose):  12 - 50 nmol/L.                     
                                                                 
                                                                 
                                                                 
 ENDOCRINOLOGY                                                   
                                                                 
   This report has been accepted based on criteria approved by   
   the Head of Clinical Pathology ANZ, Dr Philippa McLaren.      
                                                                 
   Thank you for submitting your pathology sample to IDEXX. For  
   comprehensive and patient specific support contact IDEXX      
   Medical Consulting Service on 1300 44 33 99.                  
   Pet owners must contact their veterinarian for advice to      
   adhere to the legal veterinarian-client-patient relationship. 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
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2026-03-05T00:00:00Z 12:00:00
WEIGHT: 38.00
HISTORY: 05 Mar 2026 05:53:11 pm KAM

Presented for acting lethargic at home. 
Just seems to be sleeping most of the day. Does perk up when goes out e.g. coming here. 
normal appetite at home
Hasn't put on any weight past 8 months (prev weight 38.3). Has been rec weight loss. O has cut back on food. 
Due for her next heat shortly. Last one 9 months ago and she generally has a heat every 9-10 months  

hx of:
- cutaneous papilloma surgically removed
- otitis externa
- fish hook ingestion, treated conservatively April 2024
- not UTD vaccintions- prev declined
- seen previously for lethargy on walks, rec weight loss

prev weight= 38.0. Has been rec weight loss previousl

Examination:
T:38.0 Capillary refill time 1-2s mm pink and moist
HR:128bpm RR: panting

demeanor: Bright & Responsive, boisterous
eyes/ears: No abnormalities detected
oral: DS 1 upper canines - excellent dentition
LN: submandibular, prescapular and popliteal WNL
cardio/resp: no murmurs, no arrhythmias, normal BV sounds bilat
abdo: soft, comfortable, difficult to discern organ detail as overweight
BCS: 7/9 

Assessment:
lethargy DDX overweight vs MSK vs cardiovascular vs endocrine (hypothyroidismn) vs other

Plan:
Rec TAHP bloods to rule out hypoT and investigate causes of lethargy. Also good idea as 8YO and hasn't had a blood test previously. Will call with results over the next couple of days

Previous claim history (10)

DateClaim #Diagnosis
2021-02-26C3630017OTITIS EXTERNA
2021-01-09C3449847DIARROHEA
2020-12-04C3351893Conditions
2020-07-23C3071253VACCINATIONS OR HEALTH CHECKS
2020-05-29C2964085VOMITING - PRESUMED SELF-LIMITING
2020-04-21C2869018VOMITING - PRESUMED SELF-LIMITING
2020-02-15C2743468VOMITING - PRESUMED SELF-LIMITING
2019-12-21C2624817HOT SPOT
2019-07-23C2355874OTITIS EXTERNA
2018-10-20C1926005INGEST FOREIGN OBJECT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_blood_test242.702026-03-05
20000tstarc_consultation113.452026-03-05

UPM+

  • DG02037LETHARGY - PRESENTING COMPLAINTDSTP_clinical_signs_-_lethargy

Variant (sleepy_king)

PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
DSTP_clinical_signs_-_abnormal_test_result
Conf: 0.360
Threshold: 0.42
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description