C10000014 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavalier King Charles Spaniel

Age (years):11

Diagnosis or signs:Medication

Consult notes

pathology report on UPC test:Creatinine 4.5 mmol/L Protein 0.44 g/L Protein/Creat Ratio 0.87 (< 0.41)The increased protein: creatinine ratio suggests a protein-losing nephropathy.called O to discuss results>- recommend to increase ACE-I dose to (0.44mg/kg) 3.75mg PO SID for another 4 weeks. O has about 7 tablets left at home- will dispense more ACE-1 today for O to pick up- recommend to repeat comp, dipstick and UPC in 4 weeks.

Animal clinical history (3 most recent)

2026-03-07T00:00:00Z 8:33?am

pathology report on UPC test:Creatinine 4.5 mmol/L Protein 0.44 g/L Protein/Creat Ratio 0.87 (< 0.41)The increased protein: creatinine ratio suggests a protein-losing nephropathy.called O to discuss results>- recommend to increase ACE-I dose to (0.44mg/kg) 3.75mg PO SID for another 4 weeks. O has about 7 tablets left at home- will dispense more ACE-1 today for O to pick up- recommend to repeat comp, dipstick and UPC in 4 weeks.     Vital Signs

Previous claim history (10)

Date	Claim #	Diagnosis
2016-02-05	C0753776	RENAL FAILURE
2016-02-04	C0753776	ANOREXIA - PRESENTING COMPLAINT
2016-02-02	C0753776	RENAL FAILURE
2016-02-01	C0753776	RENAL FAILURE
2016-01-31	C0753776	RENAL FAILURE
2016-01-31	C0753776	AZOTAEMIA (UNSPECIFIED)
2016-01-30	C0753776	AZOTAEMIA (UNSPECIFIED)
2015-11-02	C0676596	HEARTWORM TEST OR BLOOD SCREEN
2015-11-02	C0676596	HEARTWORM CONTROL
2015-08-07	C0676596	VACCINATIONS OR HEALTH CHECKS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_benazapril	182.50	2026-03-07	—

UPM+

DG01973CARDIAC (HEART) ABNORMALITY - HEART MURMUR - PRESENTING COMPLAINTDSTP_clinical_signs_-_heart_murmur

Variant (sleepy_king)

SYSTEMIC HYPERTENSION

DSTP_hypertension

Conf: 0.370

Threshold: 0.32

Above: ✓

Correct?

Yes No

Reason (correct)