C09998937 / invoice 10000

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Species:CANINE
Breed:Cavoodle
Age (years):4
Diagnosis or signs:CT - abdomen
Consult notes
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<p>Dear Colleagues,<br><br>Thank you for referring "Autumn" Daniel to ARC. Autumn was seen at our clinic on the 5th of March 2026. <br><br><span style="text-decoration: underline;"><strong>History</strong></span><span style="font-weight: 400;"><span style="text-decoration: underline;">:</span></span></p>
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<p><span style="font-weight: 400;">MAIN CONCERN = Haematuria. <br></span><span style="font-weight: 400;">---&gt; Autumn was seen by her referring veterinarian in December 2025 for urinary issues.<br>---&gt; Dysuria signs then included frequent urination, accidents in the house and 1 x bloody urine noted.<br>---&gt; She was started on a course of Abx (Amoxicillin-Clavulonic Acid) and NSAID (Meloxicam). <br>---&gt; Autumn responded well to above rx and clinical signs resolved.<br>---&gt; HOWEVER, in February 2026, she re-presented to her referring veterinarian with the same symptoms above alongside lethargy, hyporexia and 1 x V+ episode. <br>---&gt; Bloodwork performed was unremarkable.<br>---&gt; Urinalysis revealed haematuria and crystalluria (calcium oxalate dihydrate and some amorphous crystals) with C&amp;S being negative. <br><br>CURRENTLY, Autumn has been BAR, DUDE well, no more V+, no D+, no C+/S+, no PD but continues to have accidents in the house and is still urinating more frequently than normal (O has to take her out every 2-3h to prevent her peeing on the carpet at home).<br>---&gt; There has been no ACTUAL bloody urine noted so far in 2026. <br>---&gt; There has never been ACTUAL incontinence (either urinary or faecal). <br>---&gt; Occasional licking around genitalia but O says this can be normal behaviour for Autumn. <br> <br>Not currently on any special/prescription diets.<br>Current supplement(s) = probiotics. <br>Current topical and systemic medication(s):-<br>1. Cytopoint PRN (usually Q2m) for skin. <br>2. Elocon PRN (usually Q2wk) for ears. <br>Os reports NO known adverse drug reactions so far or previous anaesthetic events. <br><strong><br><span style="text-decoration: underline;">Physical Exam Findings:</span><br></strong></span><span style="font-weight: 400;">PE:-<br>BAR, very sweet but scared girl. <br>Face appears symmetrical with no swelling/bulging/atrophy noted through forehead/cheeks/nasal planum. <br>EEN fine with no overt major aural/ocular/nasal discharge noted. <br>MM P CRT &lt;2 moist.<br>---&gt; NO jaundice/icterus. <br>Oral exam - hard palate intact, no ulcers or petechia noted within mouth. <br>Submandibular LNs and popliteal LNs palpable but did NOT feel overly enlarged.<br>Chest auscultation - HR 120bpm with no audible heart murmur/arrhythmia today, femoral pulses strong and synchronous, panting and trembling with fear but bilateral lung sounds fine with normal effort and no crackles noted.<br>Abdo palpation - fine and seemed soft/comfy.<br>Temp - fine with no pyrexia noted. <br>Skin/coat/integument fine. <br></span><span style="font-weight: 400;">External visualisation of vulva NSF. <br>Did NOT perform an MSK or neurological exam today. <br><span style="text-decoration: underline;"><strong><br>Tests</strong>:<br></span>A 22G IV catheter was placed into Autumn's RIGHT cephalic vein. <br>Autumn was pre-medicated with Butorphanol 0.2mg/kg and Medetomidine 0.005mg/kg as an IV injection. <br>Autumn was pre-oxygenated and induced with alfaxalone intravenously to effect.<br>She was maintained on flow-by O2. <br>She was placed on IV fluid therapy throughout procedure and also 1h post-contrast at 10mL/kg/h. <br><span style="color: #626262; background-color: #ffffff;">Recovery was fine/uneventful. </span><br><br>A pre and post-contrast CT scan of the abdominal cavity was performed in sternal recumbency.<br>Contrast was administered intravenously without incident.<br>Pre- and post-contrast images were acquired and reconstructed into soft tissue, lung and bone algorithms.<br>These were sent to a radiologist for interpretation (see attached report). <br><br><br><span style="text-decoration: underline;"><strong>Assessment</strong>:</span> <br><br>???<br></span><span style="font-weight: 400;"><br><span style="text-decoration: underline;"><strong>Recommended Management Plan (Referring Vet to discuss with client)</strong>:</span> <br><br>???<br><br><br></span>Thank you for allowing us to be a part of Autumn's care. Please do not hesitate to contact us if you would like to discuss her case further. </p>
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<p>Kind regards,<br>Dr Elizabeth Hendricks<br>Dr. Gezzel Yong<br>Dr. Sue Ramoo<br>ARC</p>
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Previous claim history (18)

DateClaim #Diagnosis
2026-02-12C09891441URINARY TRACT INFECTION (UTI)
2026-02-11C09886587URINARY TRACT INFECTION (UTI)
2026-02-10C09883793URINARY TRACT INFECTION (UTI)
2026-02-10C09883793GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT
2026-01-29C09824259HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-15C09625185URINARY TRACT INFECTION (UTI)
2023-09-20C6332306ALLERGY
2023-09-20C6332306VACCINATIONS OR HEALTH CHECKS
2023-09-20C6332306HEARTWORM CONTROL
2023-04-20C5813265ALLERGY
2023-01-06C5453313ALLERGY
2022-12-19C5400514SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-12-19C5403896PRURITUS - PRESENTING COMPLAINT
2022-11-28C5330088HEARTWORM CONTROL
2022-11-14C5400506DESEXING
2022-11-14C5400506BLOOD SCREEN
2022-11-03C5255882EAR INFECTION
2022-10-11C5251772EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_ct1600.002026-03-05—

UPM+

  • DG02176HAEMATURIADSTP_clinical_signs_-_haematuria

Variant (sleepy_king)

URINARY TRACT INFECTION (UTI)
DSTP_urinary_infection_or_cystitis
Conf: 0.810
Threshold: 0.43
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description