C10000938 / invoice 10000

Reviewer

Species:CANINE

Breed:Staffordshire Bull Terrier

Age (years):2

Diagnosis or signs:Hymenoptera stings (bee, wasp)

Consult notes

02/03/2026 DATE/TIME of CONSULTATION: 19:41hrs, Mon 02/03/26
CLINICIAN: BLT
PRESENTING COMPLAINT: Swollen face
HISTORY:
Presents today for swollen face. 
No recent changes
was out for basketball event, returned home with welts and swelling on head. 
No respiratory issues, EDDU still normal. 
No scratching, no vomiting observed

CLINICAL FINDINGS: TPR performed by nurses. 
BCS: 5/9
Demeanour: BAR, high energy. 
Eyes: clear, BAR, Symmetrical
Cardiopulmonary: clear BV lung sounds, no murmur on ausc. 
Abdo palp: soft, comfy NAD, no hives observed
MSK: ROM WNL
Neuro: reflexes WNL
integument: swollen muzzle

PROBLEM LIST:
1. swollen muzzle

DIFFERENTIALS:
1. insect sting/bite sensitivity. 

OPTIONS PROVIDED:
1. outpatient tx with medication
O consents

DIAGNOSTIC TESTS: nil
DIAGNOSIS:
Open causes

TREATMENT:
niramine 0.5mg/kg Administered IM

CLIENT COMMUNICATION/PLAN:
O to monitor ongoing.

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 21:34:35

DATE/TIME of CONSULTATION: 19:41hrs, Mon 02/03/26
CLINICIAN: BLT
PRESENTING COMPLAINT: Swollen face
HISTORY:
Presents today for swollen face. 
No recent changes
was out for basketball event, returned home with welts and swelling on head. 
No respiratory issues, EDDU still normal. 
No scratching, no vomiting observed

CLINICAL FINDINGS: TPR performed by nurses. 
BCS: 5/9
Demeanour: BAR, high energy. 
Eyes: clear, BAR, Symmetrical
Cardiopulmonary: clear BV lung sounds, no murmur on ausc. 
Abdo palp: soft, comfy NAD, no hives observed
MSK: ROM WNL
Neuro: reflexes WNL
integument: swollen muzzle

PROBLEM LIST:
1. swollen muzzle

DIFFERENTIALS:
1. insect sting/bite sensitivity. 

OPTIONS PROVIDED:
1. outpatient tx with medication
O consents

DIAGNOSTIC TESTS: nil
DIAGNOSIS:
Open causes

TREATMENT:
niramine 0.5mg/kg Administered IM

CLIENT COMMUNICATION/PLAN:
O to monitor ongoing.

Previous claim history (11)

Date	Claim #	Diagnosis
2026-01-06	C09713035	HYPERSENSITIVITY DISORDER (ALLERGY)
2026-01-06	C09713035	OTITIS EXTERNA
2025-09-01	C9164796	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-05-15	C8713614	DESEXING
2025-05-15	C8713614	FOLLICULITIS
2025-05-04	C8698972	EAR INFECTION
2025-03-13	C8445850	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-29	C8262600	ELBOW DYSPLASIA (CANINE) - MEDIAL CORONOID PROCESS DISEASE, NO FRAGMENT IDENTIFIED
2025-01-08	C8170187	ELBOW DYSPLASIA
2025-01-08	C8170899	ELBOW DYSPLASIA
2024-11-25	C7992728	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-emergency/afterhours	225.00	2026-03-02	—
20000	tstarc_antihistamine	45.01	2026-03-02	—

UPM+

DG02378INSECT BITE(S)DSTP_insect_bite/sting

Variant (sleepy_king)

INSECT BITE(S)

DSTP_insect_bite/sting

Conf: 0.700

Threshold: 0.22

Above: ✓

Correct?

Yes No