C09999956 / invoice 10000

Species:CANINE
Breed:Poodle - Toy
Age (years):1
Diagnosis or signs:New weight recorded
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>HISTORY<br>Presenting for: assessment regarding potential heat cycle and discussion of desexing timing.<br>Drinking/Urination: Occasional inappropriate urination including excitement urination when seeing cats and sometimes urinating near but not in the designated tray on balcony. On walks, may continue squatting to urinate after initial normal urination. No straining etc. <br>Current Meds: Nil.<br>Other: Owner suspects possible heat cycle around Christmas time due to observed humping behaviour and perceived vulvar swelling, though longer hair coat at that time made visualisation difficult. Hair recently clipped short allowing better visualisation of vulvar area. Though NO discharge/blood noted at all.<br><br>EXAM<br>Mentation: BAR<br>Dental grade 1<br>Cardiovascular: Heart sounds regular - no muirmur/arrhythmia<br>Urogenital: Vulva examined - does not appear overly enlarged or swollen. No discharge noted, no blood staining on cotton tip. <br>No current signs of heat cycle.<br>BCS 4.5/9<br><br>ASSESSMENT<br>Pre-heat assessment - Currently not in heat cycle but likely to commence soon given age. Vulvar appearance normal for non-oestrus state.<br><br>Situational inappropriate urination vs other? - Likely behavioural (excitement-related) rather than urinary tract infection given absence of other signs<br><br>PLAN<br>Additional Discussion:<br>- Desexing can be scheduled anytime from now. If signs of heat cycle present on day of surgery, procedure will be postponed by couple of months<br>- Anaesthetic risk discussed <br>- Monitor urination patterns - if prolonged inappropriate urination or straining develops, urine sample recommended to screen for UTI vs other structural urogenital pathology</p></html>

Animal clinical history (3 most recent)

2025-09-16T00:00:00Z 08:33:00
PR STO O called 8:30amO wanted to check if he needed to bring in Doris as one of her littermates have passed away from seizures and the unregistered breeder has gone MIA. Doris is BAR and EDDU is all normal with no concerns apart from Doris's slight anxiety. PR said we are happy to see them to check her over and so that O can ask vet questions or we can continue monitoring at home as clinically well. O to discuss with partner and call back.
2025-09-15T00:00:00Z 08:00:00
Reason for test:recheck post UTICollection method: voided sampleTest completed: (Time + Initials) JRMacroscopy (Sample appearance): NAD, looked at slide under microscope and some debris present however is voided sample so non concerning. no RBC, WBC or bacteria presentUA Analyzer:WBC 8 however no WBC present under microscope---Assessment:UTI cleared upstill peeing frequently but not inappropriately. O also thinks she is just paying more attention to when she is going so unsure if still increased frequency.O to monitor and revisit if recurs
2025-09-02T00:00:00Z 16:41:00
Clinical Notes checked: [JR and 2/9/25]Historythis morning peeing more frequentlywent and then a few minutes later went again but nothing came outurinated on pathway, not like hernormal coloured urineotherwise well within self, EDDU normally and BAR at homeno V/DExam.Demeanour: BARTemp: 38.4BCS - 5/9Eyes NSFEars NSFOral exam: NAD, mm pink, CRT <2, moist, deciduous teeth erutpedDental grade: NADCardiac ausc: HR= wnl, no murmur, reg rate and rhythmRespiratory: RR= wnl, clear bilat, normal effortAbdo: NSF on abdo palpationMSK: NSF on joint palpationSkin: NSFL/N: NSFTests performed- urinalysis - significant WBC, otherwise none remarkableAssessment -problem list1. pollakiuria2. pyruiaddx vaginitis v UTI v otherPlan -given acute onset and the level of WBC in urine (19 HPF) treating as UTIif no improvement in clinical signs can consider vaginal swabs v further work up, potentially juvenile vaginitis however unable to closely assess vagina due to amount of furTreatments:amoxyclauv 50mg BID fpor 5 daysurinalysis in 7 days

Previous claim history (1)

DateClaim #Diagnosis
2026-01-05C09712143HYMENOPTERA STINGS (BEE, WASP)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation136.002026-03-07

UPM+

  • DG02137URINATION ABNORMAL - INAPPROPRIATE URINATION - PRESENTING COMPLAINTDSTP_clinical_signs_-_urination_inappropriate

Variant (sleepy_king)

URINATION ABNORMAL - INAPPROPRIATE URINATION - PRESENTING COMPLAINT
DSTP_clinical_signs_-_urination_inappropriate
Conf: 0.350
Threshold: 0.90
Above:
Correct?