C09998842 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):2
Diagnosis or signs:See notes
Consult notes

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 6:32 PM
Reason: Throat Obstruction? heavy breathingHISTORY:Current meds:Prophylaxis:Pre-existing conditions:Access to toxins eg. Rodenticide:TRIAGE:HR:RR:Temp:Mm: Crt:Mentation:Pain Scale (0-4):Hydration status (%):EXAMINATION:Body Condition Score: Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4):  - Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: no detectable abnormalities, faeces:  Urinary: NSFReproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:DIAGNOSTIC/MANAGEMENT PLAN:DIAGNOSTICS:ASSESSMENT:TREATMENT:PLAN:CLIENT COMMUNICATION:------------------------------------------------------------------------CLIENT DISCHARGE NOTESPRESENTING CONCERNS:PROBLEM LIST FROM PHYSICAL EXAMINATION AND HISTORY:ASSESSMENT:PLAN/DISCUSSION:TREATMENTS ADMINISTERED:Medications for Administration at Home:SPECIFIC HOME CARE INSTRUCTIONS:The Animal Emergency Service advises a reassessment with your regular vet within 48 hours to monitor your pets progress.  If your pet's condition deteriorates or they become flat or lethargic, go off their food and water, develop vomiting or diarrhoea or if you have any concerns please contact the Animal Emergency Service or your regular vet immediately.If your pet is going home and has a pressure wrap over where an IV catheter was placed please remove it within 20 minutes of leaving the hospital.Thank you for trusting the Animal Emergency Service with the care of your pet.    Vital Signs    

Previous claim history (7)

DateClaim #Diagnosis
2025-05-24C8752130BREEDING RELATED
2025-04-04C8545869PYREXIA OF UNKNOWN ORIGIN (PUO)
2025-03-29C8517588VOMITING - OTHER - PRESENTING COMPLAINT
2025-03-28C8514839VOMITION
2024-03-02C6946575VACCINATIONS OR HEALTH CHECKS
2024-03-02C6946575HEARTWORM CONTROL
2024-03-02C6946575FLEA/TICK/WORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours215.002026-03-06
20000tstarc_opioids_-_butorphanol69.152026-03-06

UPM+

  • DG02117RESPIRATORY NOISE INCREASED - PRESENTING COMPLAINTDSTP_clinical_signs_-_respiratory_noise

Variant (sleepy_king)

DYSPNOEA - WITHOUT COUGHING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_dyspnoea
Conf: 0.470
Threshold: 0.90
Above:
Correct?
Reason (correct)