C10000442 / invoice 10000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):8
Diagnosis or signs:see notes
Consult notes
Ongoing cough, gaining weight but off food

Client noted coughing and gagging past week; also seems to be off food the past few days and yet is gaining weight, though not getting access to other food. 
Overdue for vaccinations

BAR
BCS 4/9
Tracheal pinch positive
Mm pink
HR 120; grade 1 systolic ejection murmur
NAD otherwise

DDx; ITB; HypoT; other

Recommended
- treat for suspected ITB with Abs and NSAIDs
- Blood screen iChm 17; CBC + T4 but postpone until cough resolved in case T4 suppression
- Vaccinated in 7-10 days after end of course of ABs.

Animal clinical history (3 most recent)

2026-03-07T00:00:00Z 11:00:00
Ongoing cough, gaining weight but off food

Client noted coughing and gagging past week; also seems to be off food the past few days and yet is gaining weight, though not getting access to other food. 
Overdue for vaccinations

BAR
BCS 4/9
Tracheal pinch positive
Mm pink
HR 120; grade 1 systolic ejection murmur
NAD otherwise

DDx; ITB; HypoT; other

Recommended
- treat for suspected ITB with Abs and NSAIDs
- Blood screen iChm 17; CBC + T4 but postpone until cough resolved in case T4 suppression
- Vaccinated in 7-10 days after end of course of ABs.

Previous claim history (24)

DateClaim #Diagnosis
2025-07-21C8991791GASTROENTERITIS
2025-07-21C8991791HEART MURMUR
2025-07-19C8984457VOMITING - OTHER - PRESENTING COMPLAINT
2025-07-19C8984457EAR INFECTION
2025-03-15C8458628SNAKE BITE
2024-05-13C7258196MISCELLANEOUS CONDITIONS
2024-04-20C7147449HIP PAIN
2024-04-12C7129881HIP PAIN
2024-04-12C7129881URINARY TRACT INFECTION (UTI)
2024-01-23C6815018MISCELLANEOUS CONDITIONS
2024-01-23C6817239LAMENESS LH
2024-01-19C6777731LAMENESS LH
2023-06-29C6045882HEARTWORM TESTS
2023-06-29C6045882HEARTWORM CONTROL
2023-05-08C5866252HIP PAIN
2022-08-19C5030087INFECTIOUS CANINE TRACHEOBRONCHITIS (KENNEL COUGH)
2022-08-19C5030087TICK PARALYSIS
2022-08-19C5030087MASS LESION - SKIN (CUTANEOUS)
2022-08-19C5055805KENNEL COUGH
2020-12-29C3399519HOT SPOT
2020-12-18C3392476HOT SPOT
2020-11-09C3315095PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINT
2020-10-22C3315030LAMENESS RF
2019-12-09C2647874SEIZURES

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation104.002026-03-07
20000tstarc_meloxicam46.302026-03-07
30000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid64.202026-03-07

UPM+

  • DG01981COUGHING - PRESENTING COMPLAINTDSTP_clinical_signs_-_coughing

Variant (sleepy_king)

COUGHING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_coughing
Conf: 0.760
Threshold: 0.40
Above:
Correct?