C09996525 / invoice 10000

Species:CANINE
Breed:Shih Tzu
Age (years):12
Diagnosis or signs:Admit - ultrasound
Consult notes
06/03/2026 KMS - admitted for ultrasound with Insight to investigate elevated liver enzymes
         - O had no other concerns. Still no clinical signs of PU/PD noted by O at home
         - TPR wnl
         - Sedation: 0.03mg/kg acepromazine IM + 0.2mg/kg butorphanol IM
         - Ultrasound performed by Insight
         - Main findings: enlarged adrenal glands, mixed echogenicity within the liver parenchyma with hyperechoic nodules
         - Called O and offered FNA. O happy with that
         - FNA of left liver parenchyma and nodule was collected to be sent to external lab for cytology (Alfaxalone to effect was used for this)
         - Patient was discharged and advised I will call back with cytology results once available as well as the final ultrasound report

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 14:46:56
KMS - admitted for ultrasound with Insight to investigate elevated liver enzymes
         - O had no other concerns. Still no clinical signs of PU/PD noted by O at home
         - TPR wnl
         - Sedation: 0.03mg/kg acepromazine IM + 0.2mg/kg butorphanol IM
         - Ultrasound performed by Insight
         - Main findings: enlarged adrenal glands, mixed echogenicity within the liver parenchyma with hyperechoic nodules
         - Called O and offered FNA. O happy with that
         - FNA of left liver parenchyma and nodule was collected to be sent to external lab for cytology (Alfaxalone to effect was used for this)
         - Patient was discharged and advised I will call back with cytology results once available as well as the final ultrasound report
2026-02-14T00:00:00Z 13:26:07
- Insight called asking to re-book Nelson's US for Friday 6th March as already in the area on this day
- Called O who is happy to push it back a day, confirmed with Insight -ML

Previous claim history (15)

DateClaim #Diagnosis
2026-02-12C09891795PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2026-01-07C09719833HYPERSENSITIVITY DISORDER (ALLERGY)
2025-08-08C9070297PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2025-07-24C9004162DENTAL (TOOTH) DISORDER
2025-07-10C8948054PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2025-07-10C8948054DENTAL (TOOTH) DISORDER
2025-06-30C8900633HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-03-12C8443158HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-02-19C8354018HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-30C8270331HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-13C8188964HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-12-30C8136184HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-08-29C7640734HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-08-01C7531328HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-07-01C7408473ALLERGY

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_hospitalisation146.302026-03-06
20000tstarc_sedation_for_procedure254.102026-03-06
30000tstarc_procedure_fee_-_ultrasound850.002026-03-06
40000tstarc_diagnostic_test_-_cytology254.552026-03-06
50000tstarc_diagnostic_test_-_cytology198.852026-03-06

UPM+

  • DG02104PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINTDSTP_clinical_signs_-_abnormal_test_result

Variant (sleepy_king)

PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
DSTP_clinical_signs_-_abnormal_test_result
Conf: 0.690
Threshold: 0.42
Above:
Correct?