C09997066 / invoice 10000
Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):1
Diagnosis or signs:V+ , lethargic
Consult notes
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<p><span data-contrast="auto">Presented for Vx and inappetence.</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> Last week vx for 2d - was then back on his food so owner wasn't worried. Vx then started back up on wednesday. Yellow bile. Not eating anything last night which is very abnormal for him. Normally food motivated. Has been very flat and lethargic. Not drinking water, eating ice that owner is giving. No indiscretions or toxins. Eating a lot of grass. Not a FB eater. Scavenger. Social dog. Other dog at home is fine<br><br>Prev - NGS <br>Diet - R/c biscuits<br>Meds - No</span></p>
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<p><strong><span data-contrast="auto">PE:</span></strong><span data-contrast="auto"> </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">BAR, running away, quite wiggly, requires a good head rub<br>Cardio: Regular rate and rhythm, no murmur detected. </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Resp: No wheezes or crackles auscultated</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Oral: CRT <2s, pink and moist MM. </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'><br></span><span data-contrast="auto">Eyes: Bilaterally symmetrical, clear and no presence of discharge</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Ears: No erythema or discharge noted</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Integument: NAD</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">GIT Palpation: Abdomen comfortable on palpation, no obvious masses</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">MSK: Comfortable on flexion and extension. No lameness noted.</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br>Unable to take temperature due to patient demeanour, est. 5% dehydration</span></p>
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<p><strong><span data-contrast="auto">Assessment</span></strong> <br>Offered X-rays + US as cannot r/o FB at this stage. Owner does not think he's ingested anything. Opted to begin with conservative therapy and monitor throughout the day. If any Vx to proceed with diagnostics. Consented to bloodwork + supportive therapy.<br><br><span style="color: #626262; background-color: #ffffff;">WBC 14.6 10^9/L 4 - 14.1 High Stress leukogram</span><br style="background-repeat: no-repeat; background-color: #ffffff; color: #626262;"><span style="color: #626262; background-color: #ffffff;">NEU# 12.8 10^9/L 2.3 - 9.8 High</span><br style="background-repeat: no-repeat; background-color: #ffffff; color: #626262;"><span style="color: #626262; background-color: #ffffff;">MON# 0.7 10^9/L 0 - 0.4 High</span><br style="background-repeat: no-repeat; background-color: #ffffff; color: #626262;"><span style="color: #626262; background-color: #ffffff;">GLU 6.4 * mmol/L 3.3 - 6.1 High Mild stress hyperglycaemia</span><br style="background-repeat: no-repeat; background-color: #ffffff; color: #626262;"><span style="color: #626262; background-color: #ffffff;">K+ 3.3 * mmol/L 3.7 - 5.8 Low GIT losses</span><br><br>Cerenia 1.8mL + Ondansetron 1.8mL IV @9:30am <br>IV hartmanns 93mL/hr <br><br>Attempted to feed chicken at 1pm - sniffed but refused to eat. Anxious patient. No vx throughout the day. Phoned owner with update. Opted to monitor overnight. If any Vx in next 24hrs owner is happy to present to SASH for further investigation. Bland feed. </p>
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Animal clinical history (3 most recent)
2025-11-27T00:00:00Z 09:33:00
2mls placed in each earTried to cut nails as requested by OToo stressed and didn't like feet getting touchedTold O we can try again at ear recheck in 2 weeks. If unable to cut then, chat to vet about gaba prior to nail clippings
2025-11-18T00:00:00Z 08:35:00
Have reminders been checked? YHas the owner been advised of this? YHx: Last few days has been scratching at ears and rubbing face along the carpet. Seems sore when O try to touch. No hx of ear issues. Loves to go swimming. Otherwise doing well. EDDU well and no coughing, sneezing, vomiting or diarrhoea. Diet: RC puppy dry + meat Prop: NGS (monthly) Meds: None Exam:Eyes: No discharge noted. Eyes clear.Ears: Pinna on both ears inflamed. Brown waxy discharge present in the right ear. Yellow mucous discharge in the left ear. Oral: MM pink and moist. Minimal build up present. Cardioresp: No murmur or arrhythmia. Lung sounds clear.Integ: Coat in good condition.MSK: Ambulating well, no pain on joint palpation, good range of motion.Cytology:L ears: Coccci ++++ Malasezzia ++ R ears: Malasezzia ++++ Plan: Discussed with O ear infection present. Will start on treatment today and recheck 2 weeks after second dose. Discussed ear cleaning once resolved and recc epiotic. Cleaned ears with epiotic in consult. Instilled 2ml EKT into both ears. Dispensed pred 10mg SID for 6 days.
2025-09-16T00:00:00Z 15:23:00
Presented for 3rd vaccination (Overdue, opted for intranasal vaccination). EDDU. No Vx/Dx notedPara: NGS utd Concerns: Had anaphylactoid reaction a few weeks prior, unsure to what. Desexing: Planning on 1.5-2yrsPE: Cardio: Regular rate and rhythm, no murmur detected. Resp: No wheezes or crackles auscultated Oral: CRT <2s, pink and moist MM. Deciduous dentition, good occlusion Eyes: Bilaterally symmetrical, clear and no presence of discharge Ears: No erythema or discharge noted, L-ear infected claw/tooth markIntegument: Small papules on abdomen Other: n Hernia, n Dew claws, y Testicles descended, n cleft palate Showed plant handout, recognised a large amount. Will take home and remove suspect plants. Revisit if K develops ear infection secondary to cut on ear. Plan: C5 (Intranasal) - due 16.9.26
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-11-18 | C9503938 | OTITIS EXTERNA |
| 2025-09-08 | C9196245 | ALLERGIC REACTION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 200.00 | 2026-03-06 | — |
| 20000 | tstarc_diagnostic_test_-_haematology | 95.00 | 2026-03-06 | — |
| 30000 | tstarc_consultation | 97.00 | 2026-03-06 | — |
| 40000 | tstarc_food | 9.90 | 2026-03-06 | upstreamDSTP_general_exclusion |
| 50000 | tstarc_fluid_therapy | 120.00 | 2026-03-06 | — |
| 60000 | tstarc_anti-nausea_medication | 75.47 | 2026-03-06 | — |
| 70000 | tstarc_anti-nausea_medication | 55.89 | 2026-03-06 | — |
UPM+
- DG00981GASTRITISDSTP_gastroenteritis
Variant (sleepy_king)
ANOREXIA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_anorexia
Conf: 0.470
Threshold: 0.82
Above: ✗
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description