C09996097 / invoice 10000

Species:CANINE
Breed:Pug
Age (years):11
Diagnosis or signs:Consultation
Consult notes

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 14:05:58
Called Anne 
getting back sx in 4-6 weeks 
started tracheal collapse coughing again 
otherwise well 
coughing twice a day 
about 6 weeks 

recommend lomotil, will organise script through blakes pharmacy that deliver it 
SW
2026-03-06T00:00:00Z 11:11:00
O requesting to speak with SW specifically regarding Valentina's coughing (noticed this for a few months), reports otherwise DUDE and BAR, no other concerns.
Expl that if concerned could come in for in-person appt, offered one for this afternoon but O declined as would struggle to get in.
O says they would rather discuss the issue with SW before booking an appt.
O advised to contact us sooner if Valentina deteriorates or O becomes more concerned 
2025-12-09T00:00:00Z 14:23:13
O called wanting to chat. Valentina went for a walk last night (Sunday 7th Dec) and when she got home she collapsed. Was responsive but breathing very heavily. Had a sneezing fit. Lasted about 10 mins and then was fine. Is fine today, eating and drinking as normal. Just wanted to run it by you. - ES 

SW called back 
sounds like allergic collapse episode, had swollen face and tongue and was pale 
Anne used to be emergency nurse 
slowly recovered and says back to normal now 
would like emergency medicine on hand incase, looked up if giving adrenaline for anaphylaxis would be 120mcg for Valentina 
chemist have 150 mcg for baby's epipen, dont need script need to talk to pharmacist - will email to pharmacist 
explain also side effects so only give if concerned Valentina going to die and straight to emergency 
SW

Previous claim history (14)

DateClaim #Diagnosis
2018-07-09C1767478TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
2016-07-18C0950364VOMITING - OTHER - PRESENTING COMPLAINT
2016-07-18C0950364HYPERSENSITIVITY
2016-07-18C0951308HYPERSENSITIVITY
2016-07-18C0952654HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2016-07-17C0879821HYPERSENSITIVITY
2016-07-17C0879821VOMITING - OTHER - PRESENTING COMPLAINT
2016-07-17C0950364VOMITING - OTHER - PRESENTING COMPLAINT
2016-07-17C0952654HYPERSENSITIVITY
2016-03-02C0762655PATELLA LUXATION
2016-01-18C0722896PATELLA LUXATION - MEDIAL
2015-04-01C0500938HEARTWORM CONTROL
2015-04-01C0500938FLEA/TICK/WORM CONTROL
2015-03-28C0500938DIARRHOEA - PRESUMED SELF-LIMITING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-phone/web79.252026-03-06
20000tstarc_prescription_fee49.002026-03-06

UPM+

  • DG00275BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS)DSTP_brachycephalic_airway_disease

Variant (sleepy_king)

COLLAPSE/SYNCOPAL EPISODES - PRESENTING COMPLAINT
DSTP_clinical_signs_-_collapse_or_syncope
Conf: 0.850
Threshold: 0.90
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description