C09996849 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):3
Diagnosis or signs:grape ingestion
Consult notes
06/03/2026 REASON- grape ingestion

HISTORY-
BAR, eddu normal, no vcds. Just fed 3 grapes by a friend, brought straight down for induce emesis
No other health concerns, has skin allergies is on special diet NO CHICKEN

EXAM-
Demeanour: BAR
BCS  3/5
HR:  128bpm
RR:   pant
T:    not performed
CRT: 1sec    
MM: pink & moist
CHEST: NAD
EYES: NAD
EARS: NAD
NOSE: NAD
ORAL EXAM: NAD  

ASSESSMENT:
fit for emesis

Tx:
Offerred some hypo wet food to fill stomach
1 tab apomorphine PO on gums to induce vomiting @ 3:22, V+ by 3:29pm brought up 6 chewed red grapes + wet food + some breakfast. 
once stopped given prevomax 1mg/kg (3.1ml) SC 

PLAN:
Monitor overnight, small meal tonight, may V+ in the next hour until prevomax kicks in. No rechecks req. 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 15:38:35
REASON- grape ingestion

HISTORY-
BAR, eddu normal, no vcds. Just fed 3 grapes by a friend, brought straight down for induce emesis
No other health concerns, has skin allergies is on special diet NO CHICKEN

EXAM-
Demeanour: BAR
BCS  3/5
HR:  128bpm
RR:   pant
T:    not performed
CRT: 1sec    
MM: pink & moist
CHEST: NAD
EYES: NAD
EARS: NAD
NOSE: NAD
ORAL EXAM: NAD  

ASSESSMENT:
fit for emesis

Tx:
Offerred some hypo wet food to fill stomach
1 tab apomorphine PO on gums to induce vomiting @ 3:22, V+ by 3:29pm brought up 6 chewed red grapes + wet food + some breakfast. 
once stopped given prevomax 1mg/kg (3.1ml) SC 

PLAN:
Monitor overnight, small meal tonight, may V+ in the next hour until prevomax kicks in. No rechecks req. 
2026-02-04T00:00:00Z 08:05:34
Jodie called, Said that a friend dog at the park has got KC and now Ollie is showing signs. 
Not super bad cough yet but knows this is from doggy friend. 
O to monitor and if gets worse or gunky discharge then to come in. 
O happy with this. 
Will keep him quarantined and isolated from other dogs until resolved x  
2025-12-17T00:00:00Z 14:07:34
O called and said that Ollie has pulled his bandage off this afternoon. Wound looks good and was taking him for a wee walk when called. 
Said for O to monitor over the next few days and not worth a new bandage for less than 24hr. 

IF thinks getting worse or opening up over the rest of the week, to let us know and maybe worth a bandage then. Otherwise going well and keep up with meds 

Previous claim history (3)

DateClaim #Diagnosis
2025-12-15C09631340WOUND - PRESENTING COMPLAINT
2025-10-11C9338181GASTROENTERITIS
2025-10-11C9361073GASTROINTESTINAL PROBLEMS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours150.002026-03-06
20000tstarc_apomorphine101.262026-03-06
30000tstarc_anti-nausea_medication85.012026-03-06

UPM+

  • DG02452INTOXICATION (POISONING), PLANT - GRAPE/RAISINDSTP_toxicity_-_grapes

Variant (sleepy_king)

INTOXICATION (POISONING), PLANT - GRAPE/RAISIN
DSTP_toxicity_-_grapes
Conf: 0.980
Threshold: 0.29
Above:
Correct?