C09997832 / invoice 10000
Species:CANINE
Breed:Poodle - Standard Cross
Age (years):5
Diagnosis or signs:Urinary issues + Gastroeneterits (now resolved)
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <div> <div> <div> <div> <div><span style="color: #ff0000;">Have reminders been checked? </span><br><span style="color: #ff0000;">Has the owner been advised of this? </span><br><br><strong>GapOnly claim Insurance Summary</strong><br><strong>First Clinic Signs: Two nights ago GAstro signs + Urinary signs today..</strong><br><strong>Diagnosis/Suspected: Open for Gastros + Hx of Bladder stones and crystals</strong><br><strong>Summary/Suspected Cause: Open - acute dehyd event prempting haematuria? other. UA no crystals or bacteria.</strong><br><strong>Any other conditions being treated/known health concerns(if any): CAOX bladder stones with Diet</strong><br><strong>Existing Treatment/Plan: Running blood work. Need to r/c rectal to assess prostate, repeat UA and feed ONLY canned Urinary food.</strong><br><br>History:<br>Blood coloured urine this morning.<br><br>Two nights ago - V+ during the night, undigested kibble, bits of bark/stick content, and massive D+ a few bouts. Woke very lethargic but happy on walk. Ate two feed of kibble yesterday. Small amts but O happy.<br>No more V no more d+.<br><br>At the beach this morning - passed the bloody urine - HX of crystals two types. Has had stones removed. Prev vet<br>Passed faeces yesterday a more normal faeces now.<br>Fed canned food this morning.<br><br>RC Urinary S/O - dry and wet<br>Beef liver treat source (restricted)<br>Some other human food sources<br>Does get babysat with Nan so could def get other food sources as well<br><br>Pex:<br> <div>MM pink, CRT <2s. </div> <div>CV/Resp: heart auscultates clear, no murmur noted. Clear breath sounds in all lung fields on auscultation, normal effort.</div> <div>Ocular: Eyes clear, no discharge, no blepharospasm. </div> <div>Aural: Ears no discharge, no erythema, no odour. </div> <div>Nasal: No nasal discharge.</div> <div>Oral: DG2 - not fully examined<br>GI/UG: abdominal palpation - soft and no obvious abnormalities palpated, no obv stone palpable<br>Integ: skin in good condition, no lesions<br>PLN: peripheral lymph nodes palpable < 1cm<br>MSK: Ambulating without lameness.</div> <div>Attempted Rectal to check prostate and palp for stones but large formed faeces present</div> <div> </div> Prob List: <br>Haematuria<br>Gastroenteritis resolved<br><br>Lab:<br>UA Test 05/03/26<br>6:12 PM<br>Ketones - 0 mmol/L<br>Bilirubin - 0 umol/L<br>Protein +1 0.3 g/L<br>Glucose - 0 mmol/L<br>Blood +3 200 Cell/uL<br>pH 7.5<br><br></div> </div> </div> </div> </div> </div> </div> </div> <div> <div> <div>USG 1.032<br>Blood Cells<br>RBC >100 / HPF<br>WBC <5 / HPF<br>Bacteria<br>Cocci None to Rare<br>Rods None to Rare<br>Casts<br>Hyaline Cast <1 / LPF<br>Non-Hyaline Cast <1 / LPF<br>Crystals<br>Struvite <1 / HPF<br>Calcium Oxalate Dihydrate <1 / HPF<br>Bilirubin <0.1 / HPF<br>Cystine <0.1 / HPF<br>Ammonium Biurate <0.1 / HPF<br><br>Assessment:<br>Haematuria</div> <div>- UA more concentrated than ideal for CaOx, but sediment no detactable crystals or bact on this sample, RBC 3+<br><br>TAHP<br>ALB 43 g/L 25 - 44<br>ALP 74 U/L 20 - 150<br>ALT 30 U/L 10 - 118<br>AMY 583 U/L 200 - 1200<br>TBIL 5 umol/L 2 - 10<br>BUN 5.7 mmol/L 2.5 - 8.9<br>CA 2.89 mmol/L 2.15 - 2.95<br>PHOS 1.21 mmol/L 0.94 - 2.13<br>CRE 78 umol/L 27 - 124<br>GLU 6.2 * mmol/L 3.3 - 6.1 High<br>NA+ 150 mmol/L 138 - 160<br>K+ 3.5 * mmol/L 3.7 - 5.8 Low<br>TP 71 g/L 54 - 82<br>GLOB 28 g/L 23 - 52<br> <br>RBC 6.4 10^12/L 5.7 - 8.7<br>HGB 142 g/L 123 - 200<br>HCT 45.8 % 36.7 - 59.6<br>MCV 71.9 fL 61.2 - 73.6<br>MCH 22.3 pg 18.9 - 26.4<br>MCHC 323 g/L 301 - 388<br>RDW 12.9 % 11.8 - 13.9<br>WBC 15.7 10^9/L 4 - 14.1 High<br>NEU% 81.6 % 0 - 100<br>LYM% 13.5 % 0 - 100<br>MON% 2.6 % 0 - 100<br>EOS% 2.3 % 0 - 100<br>BAS% 0 % 0 - 100<br>NEU# 12.8 10^9/L 2.3 - 9.8 High<br>LYM# 2.1 10^9/L 0.7 - 3.7<br>MON# 0.4 10^9/L 0 - 0.4 High<br>EOS# 0.4 10^9/L 0 - 0.8<br>BAS# 0 10^9/L<br>PLT 360 10^9/L 121.6 - 440.6<br>MPV 14.5 fL 9.5 - 13.6 High<br>RTC% 0.3 %<br>RTC# 21.9 10^9/L 0 - 100<br><br>Inflam Leukogram - stress vs systemic inflam, mild<br><br>Plan: <br>? Did discuss whether the acute gastroenteritis has triggered the event, short dehyd event....<br>O consents to TAHP<br>Discussed no crystals or bacteria in this sample, just blood. Doesnt rule out prostate or bladder stone, or that another urine sample could reveal more<br>Discussed repeat UA sampling - O will bring in another sample to reassess<br>Discussed rectal to check prostate - O happy to come in for r/c of this, <br>At this stage feed Urinary wet exclusively and encourage water consumption<br>Call w blood results. DIscussed abdo US may be indicated as well.<br><br>Called O w blood results and discussed - plan stays the same. DO repeat UA, repeat rectal and feed canned urinary for the weekend. O aware of SASH if anything changes. Email O hx incase.</div> </div> </div></html>
Animal clinical history (3 most recent)
2025-12-18T00:00:00Z 14:51:00
Have reminders been checked? YHas the owner been advised of this? VaxGapOnly claim Insurance SummaryFirst Clinic Signs: N/A - vaccination and health checkDiagnosis/Suspected: N/A - vaccination and health checkSummary/Suspected Cause: - vaccination and health checkAny other conditions being treated/known health concerns(if any): nilTreatment/Plan: Given C5 SQHx:On urinary food (wet and dry)Not on any medicationsUTD NGSEDDU wellHas a sensitive stomach, is a bit of a scavengerPEx:BAR, mm pk+m crt<2sec. EEN wnl. Very mild calculus upper canines.Cardiac ausc wnl. Lung sounds clear. Abdominal palpation soft and comfortable. Ambulating well. WBx4. LNs wnl.A little overweightTx: Given C5 SQPlan:C5 due 12mthReduce food by 5% -aim for weight of 9.5-10kg
2025-05-14T00:00:00Z 13:35:00
Have reminders been checked? YHas the owner been advised of this? YHx: Darker hair on back started growing in 6-8 weeks ago. Initaly rough but now softened. Not itchy or bothered by the spot. In the last week O feels like loosing balance more and after jumping off the bed has slipped walking around the corner multiple times in the last few days. Yesterday when O was throwing ball to him kept missing and getting hit in the face. Otherwise BAR and doing well. EDDU well and no coughing, sneezing, vomiting or diarrhoea. Diet: RC urinary + treats (beef liver) + wet + probiotic Prop: NGS (monthly)Meds: None Exam:Eyes/ears: No discharge noted. Eyes clear. Normal menace and PLR. Able to follow a dropped cotton ball. Oral: MM pink and moist. Minimal build up present. Cardioresp: No murmur or arrhythmia. Lung sounds clear.Integ: Coat in good condition. Discoloured patch of hair along the caudal aspect of the dorsal spine. MSK: Ambulating well, no pain on joint palpation, good range of motion. Normal proprioception. Comfortable on spinal pressure. Question if tense on range of motion of neck to the left and down. Plan: DDx: Soft tissue trauma vs behavioural vs IVDD vs meningitis vs neoplasia vs other Discussed with O suspect slight neck pain and may be cause of signs at home. Will trial on pain relief and if not improving or getting worse to bring back for reassessment. If O can gets videos will also be helpful. Dispensed meloxicam SID for 3-5 days. Discussed with O suspect change in hair colour due to trauma and O mentioned runs under bed to hide a lot and drags this section of back under bed. Skin not irritated and likely not to grow back to normal colour. O to monitor and if getting worse to bring back for recheck.
2024-12-20T00:00:00Z 11:55:00
Have reminders been checked? YHas the owner been advised of this? YHx: Has been chewing at foot since this morning. No limping or yelping seen in the last 24hr. Broken glass in the house a few days ago but O feels got it all up. EDDU well and no coughing, sneezing, vomiting or diarrhoea. Diet: RC urinary + treats (beef liver) + wetProp: NGS (monthly)Meds: None Exam:Eyes/ears: No discharge noted. Eyes clear.Oral: MM pink and moist. Minimal build up present. Cardioresp: No murmur or arrhythmia. Lung sounds clear.Integ: Coat in good condition. Between digits 4-5 skin inflamed and saliva staining present between toes. No obvious penetrating wound or discharge. MSK: Ambulating well, no pain on joint palpation, good range of motion.Plan: Clipped and cleaned between toes with dilute chlorhexidine. Placed E-collar and to keep on until medications finish. If not getting better to return for recheck. Dispensed pred 5mg SID for 6 days.
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-18 | C09646435 | VACCINATIONS OR HEALTH CHECKS |
| 2025-05-14 | C8708949 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_urine_test | 65.00 | 2026-03-06 | — |
| 20000 | tstarc_consultation | 97.00 | 2026-03-06 | — |
| 30000 | tstarc_diagnostic_test_-_blood_test | 200.00 | 2026-03-06 | — |
| 40000 | tstarc_diagnostic_test_-_haematology | 95.00 | 2026-03-06 | — |
UPM+
- DG02176HAEMATURIADSTP_clinical_signs_-_haematuria
Variant (sleepy_king)
HAEMATURIA
DSTP_clinical_signs_-_haematuria
Conf: 0.280
Threshold: 0.21
Above: ✓
Correct?