C09996151 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):13
Diagnosis or signs:heart ultrasound prior to GA
Consult notes
dental - Jarred ultrasound report attached 
heart scan first

ACVIMJ early stage D MMMVD

Unnaceptable anaesthetic risk based on JC ultrasound

O said that Charlies cough and sleeping resp rate have improved with frusemide therapy that was started 4-6 weeks ago. 

SRR 20> 12 at the moment

Tx options
1. Reccomend refferal to dentist as they have an anaesthetist to provide a better assessment and care for high risk patient such as charlie  on whether it would be worth while to go ahead with the dental. Main complaint is reluctance to eat kibble and with the  advanced dental disease dealing with the teeth is reccomended to see if it would help with this issue. Said we could do the dental here but high risk of complications. While the risk might be high at the dentist as well the expertise of the anaesthetist and with Dr Kevin doing the procedure we can ensure that any complications are minimised/addressed appropriately. Mentioned to owner the specialist may want to repeat the scan +/- bloods as well.

Plan: Send refferal to animalius. O to pick up dog

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 09:00:00
dental - Jarred ultrasound report attached 
heart scan first

ACVIMJ early stage D MMMVD

Unnaceptable anaesthetic risk based on JC ultrasound

O said that Charlies cough and sleeping resp rate have improved with frusemide therapy that was started 4-6 weeks ago. 

SRR 20> 12 at the moment

Tx options
1. Reccomend refferal to dentist as they have an anaesthetist to provide a better assessment and care for high risk patient such as charlie  on whether it would be worth while to go ahead with the dental. Main complaint is reluctance to eat kibble and with the  advanced dental disease dealing with the teeth is reccomended to see if it would help with this issue. Said we could do the dental here but high risk of complications. While the risk might be high at the dentist as well the expertise of the anaesthetist and with Dr Kevin doing the procedure we can ensure that any complications are minimised/addressed appropriately. Mentioned to owner the specialist may want to repeat the scan +/- bloods as well.

Plan: Send refferal to animalius. O to pick up dog

Previous claim history (25)

DateClaim #Diagnosis
2026-02-23C09981136ARTHRITIS
2026-02-19C09929089ARTHRITIS
2026-02-19C09929089HEART (CARDIAC) DISEASE
2026-01-12C09744057ARTHRITIS
2026-01-12C09744057HEART (CARDIAC) DISEASE
2025-08-30C9160778ARTHRITIS
2025-08-30C9160778HEART MURMUR
2025-08-30C9160778COUGHING
2025-03-19C8470835HEART (CARDIAC) DISEASE
2025-03-19C8471770HEART (CARDIAC) DISEASE
2025-03-17C8463876ARTHRITIS
2024-11-29C8014602ARTHRITIS
2024-10-03C7814517VACCINATIONS OR HEALTH CHECKS
2024-10-03C7814517HIP PAIN
2024-09-19C7748955HIP PAIN
2024-09-19C7748955ALTERNATIVE THERAPIES
2023-04-04C5855936DIARROHEA
2023-04-04C5855936BACK PAIN
2023-02-16C5609993RESPIRATORY TRACT INFECTION
2023-02-16C5609993TEETH CLEANING
2023-02-16C5609993DENTAL ILLNESS TREATMENT
2022-01-02C5582963BACK PAIN
2013-09-04C0148800SNAKE BITE
2013-07-18C0148778SKIN LESIONS
2013-07-01C0148778MICROCHIPPING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_ultrasound570.002026-03-06

UPM+

  • DG01973CARDIAC (HEART) ABNORMALITY - HEART MURMUR - PRESENTING COMPLAINTDSTP_clinical_signs_-_heart_murmur

Variant (sleepy_king)

CARDIAC (HEART) ABNORMALITY - HEART MURMUR - PRESENTING COMPLAINT
DSTP_clinical_signs_-_heart_murmur
Conf: 0.740
Threshold: 0.25
Above:
Correct?