C09996380 / invoice 10000

Species:CANINE
Breed:Australian Koolie
Age (years):0
Diagnosis or signs:treatment
Consult notes
06/03/2026 SUMMARY: Induce emesis

ate coffee ground approx 20 min prior to presentation 
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INDUCE EMESIS:
Apomorphine: 
2mg SC given

RESULTS:
multiple v+ 
more than 10x
decent amount of coffee ground noted in vomit
last few v+ were very mucousy and no further coffee ground like content noted 

Metoclopramide Reversal Given: 1.76ml SC 
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PLAN:
no recheck needed
recall on tuesday to make sure back to normal 

Rec = Recall     Rev = Revisit     Rem = Reminder

Animal clinical history (3 most recent)

2026-01-15T00:00:00Z 10:47:39
REASON: final puppy vax
Nurse: -
Presented by: Hilary
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HOME CARE AND PREVENTIONS
Vaccinations: C3 due
Nutrition: optimum puppy tins + kibble + rice + veg
Worming: nexgard spectra
Hwp: ^
Flea Treatment: ^
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SUBJECTIVE / HISTORY: 
doing well
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
-
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OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 5
DS (0-4): 0

T: 37.9
P: 130
R: <30

APPEARANCE/DEMEANOUR: BAR
SKIN & COAT: n
EARS: n
EYES: n
ORAL: losing deciduous incisors
MM: pink and moist
CVS: no audible murmur, fpss
RESP: n
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
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ASSESSMENT: 
Problems:
due final puppy vax

Further Procedure & Diagnostic Needs [Client Response]:
-

Medication:
protech C3 inj into scruff

Ongoing medication prescriptions? Renewed prescriptions: -
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
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PLAN / CE: 
nurse HC 6m
Finalised by AR
Rec = Recall     Rev = Revisit     Rem = Reminder
2025-12-18T00:00:00Z 11:28:21
REASON: 2nd puppy vx 
Nurse: am 
Presented by: Hilary 
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HOME CARE AND PREVENTIONS
Vaccinations: due, given today 
Nutrition: VIP puppy wet, puppy kibble (unsure of brand) 
Worming: utd (unsure of brand)
Hwp: ^
Flea Treatment: nil 
CE: recommnended nexgard spectra 
discussed toilet training  
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SUBJECTIVE / HISTORY: 
happy active boy 
EDDU normal 
crate trained, doesn't whine or wee in the crate 
chewing on everything 
mostly toilet trained 
no V+ or D+ 
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil 
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OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 5
DS (0-4): 0

T: -
P: 120
R: panting - excited 

APPEARANCE/DEMEANOUR: BAR, happy sweet boy 
SKIN & COAT: 
EARS: n
EYES: n
ORAL: n
MM: p, m, <2s
CVS: reg, nma
RESP: clear on ausc 
ABDO/GIT: soft on pal 
UROGEN: n
NEURO: n, normal mentation + ambulation 
MSK: muscles symmetrical
LN: n
n : Normal     - : Not Examined
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ASSESSMENT: 
Problems:
urinating inside the house


Ddxi:
- 

Further Procedure & Diagnostic Needs [Client Response]:
O consented to vax

O bringing grey to parent's house with dogs. other dogs healthy + vax utd. explained ideally separate them, but if have to then monitor - e.g. coughing etc

Medication:
Fit for vaccination. 
Protech C3 given s/c dorsal neck at the level of the shoulder blades.
Bronchishield III given intranasally.

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
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PLAN / CE: 
vax 4 weeks with vet

Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation101.602026-03-06
20000tstarc_apomorphine101.522026-03-06
30000tstarc_anti-nausea_medication50.782026-03-06
40000tstarc_hospitalisation69.852026-03-06
50000tstarc_procedure_fee_-_emesis123.762026-03-06

UPM+

  • DG02034INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINTDSTP_toxicity_-_unspecified

Variant (sleepy_king)

DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINT
DSTP_foreign_body_ingestion
Conf: 0.650
Threshold: 0.19
Above:
Correct?
Reason (correct)