C10000614 / invoice 10000
Species:CANINE
Breed:Kelpie
Age (years):16
Diagnosis or signs:Diarrhoea
Consult notes
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 12:54 PM
Here for abdominal ultrasoundEven with metronidazole, still not getting betterAppetite was improved, but still very pickyBiochem: ALT: 505ALKP: <2000GGT: 116Sedated with butorpahnol and alfaxanAbdo u/s:Liver :Irregular, mixed echogenicity enlarged capsuleMulitple tumors on the left and right medial lobe of the liverEnalarged GB, almost compeltely filled with sludgeSuspecting liver neoplasiaOptions for biopsy vs palliativeOs chose palliativeWill place on denamarin for 1 monthOs will PTS at the start of april Vital Signs
2026-03-02T00:00:00Z 1:39 PM
Reason: DiarrhoeaAppointment Notes: inappetant and D+Review for diarrhoea and poor appetiteVomiting once today as wellWatery mucoid diarrhoeaProkoalin ( 2 tubes) not helped muchCurrently on phenomavBARHR: 134 grade 3/6 murmurRR: clear lung soundsUnable to touch mouthTries to biteAbdo: comfortableProblem list:Poor appetiteChronic diarrhoeaDdx: food intolerence vs worms vs bacteria vs organ dysfunction vs pancreatitis vs EPI vs neoplasaiSeizure on phenoElevation liver enzymes ( pheno related or true liver disease)Plan is to get abdo u/s done on thursday Vital Signs
Previous claim history (13)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-17 | C09914416 | ARTHRITIS |
| 2026-02-02 | C09837399 | FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT |
| 2025-12-18 | C09643474 | ARTHRITIS |
| 2022-07-28 | C6621847 | SEIZURE DISORDER |
| 2022-04-14 | C4662194 | SEIZURES |
| 2022-04-14 | C4662194 | RENAL (KIDNEY) DISORDER |
| 2022-04-14 | C4662194 | LIPOMA |
| 2022-01-05 | C4662194 | RENAL (KIDNEY) DISORDER |
| 2021-11-05 | C4305759 | SEIZURE DISORDER |
| 2021-07-28 | C4115797 | SEIZURES |
| 2021-06-12 | C3829969 | SEIZURES |
| 2021-04-08 | C3783429 | SEIZURES |
| 2010-12-04 | 0172011268 | VOMITING - OTHER - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 90.00 | 2026-03-02 | — |
| 20000 | tstarc_probiotics | 40.15 | 2026-03-02 | — |
| 30000 | tstarc_antibiotics_-_metronidazole | 28.25 | 2026-03-02 | — |
UPM+
- DG02882NEOPLASM - HEPATIC (LIVER)DSTP_mass_lesion_-_hepatic_(liver)
Variant (sleepy_king)
FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_diarrhoea
Conf: 0.850
Threshold: 0.13
Above: ✓
Correct?
Reason (correct)