C10003488 / invoice 10000
Species:CANINE
Breed:Cavoodle
Age (years):5
Diagnosis or signs:see notes
Consult notes
08/03/2026 DATE/TIME of CONSULTATION: 10:45hrs, Sun 08/03/26 CLINICIAN: EH PRESENTING COMPLAINT: Painful HISTORY: NQR last 24-48hrs. Vomited on Friday; none since. Not settling overnight. Also lethargic and reluctant to jump onto bed at home Painful on spinal palpation at home. Back right leg maybe some lameness at home. Not eating since Friday - sensitive stomach normally but more so than normal. No diarrhoea solid still Nil medications Nil PMHx CLINICAL FINDINGS: Mentation: HR: 100 RR: 24 brpm MM: pink CRT: <2 Temp 39.4 Abdominal palpation nsf, soft and comfortable. Reactive and painful around upper lumbar spine, otherwise nsf. Comfortable on neck manipulation. CP WNL hindlimbs& forelimbs, withdrawal WNL. RHL unable to appreciate any lameness; patella 0/4, nil cranial draw or tibial thrust. PROBLEM LIST: Reduced appetite Vomit Lethargy Anxiety Fever/hyperthermia DIAGNOSTIC TESTS: CBC: NSF Biochem: NSF (mildly low ALP) CRP: WNL DIAGNOSIS: Suspect spinal pain: ddx IVDD, MSK sprain/strain, discospondylitis, MUO vs other. Due to normal CRP/other bloods, inflammatory/infectious causes are less likely. Grade 1/5 TREATMENT: Options discussed: 1/ Outpatient management: rest 2-4 weeks, pain relief. 2/ INI recommend representing for additional diagnostics (likely CT spine) CLIENT COMMUNICATION/PLAN: Owner happy to trial at home and INI will bring back.
Animal clinical history (3 most recent)
2026-03-08T00:00:00Z 10:45:35
DATE/TIME of CONSULTATION: 10:45hrs, Sun 08/03/26 CLINICIAN: EH PRESENTING COMPLAINT: Painful HISTORY: NQR last 24-48hrs. Vomited on Friday; none since. Not settling overnight. Also lethargic and reluctant to jump onto bed at home Painful on spinal palpation at home. Back right leg maybe some lameness at home. Not eating since Friday - sensitive stomach normally but more so than normal. No diarrhoea solid still Nil medications Nil PMHx CLINICAL FINDINGS: Mentation: HR: 100 RR: 24 brpm MM: pink CRT: <2 Temp 39.4 Abdominal palpation nsf, soft and comfortable. Reactive and painful around upper lumbar spine, otherwise nsf. Comfortable on neck manipulation. CP WNL hindlimbs& forelimbs, withdrawal WNL. RHL unable to appreciate any lameness; patella 0/4, nil cranial draw or tibial thrust. PROBLEM LIST: Reduced appetite Vomit Lethargy Anxiety Fever/hyperthermia DIAGNOSTIC TESTS: CBC: NSF Biochem: NSF (mildly low ALP) CRP: WNL DIAGNOSIS: Suspect spinal pain: ddx IVDD, MSK sprain/strain, discospondylitis, MUO vs other. Due to normal CRP/other bloods, inflammatory/infectious causes are less likely. Grade 1/5 TREATMENT: Options discussed: 1/ Outpatient management: rest 2-4 weeks, pain relief. 2/ INI recommend representing for additional diagnostics (likely CT spine) CLIENT COMMUNICATION/PLAN: Owner happy to trial at home and INI will bring back.
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-emergency/afterhours | 225.00 | 2026-03-08 | — |
| 20000 | tstarc_diagnostic_test_-_blood_test | 99.00 | 2026-03-08 | — |
| 30000 | tstarc_diagnostic_test_-_biochemistry | 247.27 | 2026-03-08 | — |
| 40000 | tstarc_diagnostic_test_-_haematology | 126.50 | 2026-03-08 | — |
| 50000 | tstarc_diagnostic_test_-_blood_test | 46.07 | 2026-03-08 | — |
| 60000 | tstarc_anticonvulsant_medication_-_gabapentin | 43.60 | 2026-03-08 | — |
| 70000 | tstarc_opioids_-_buprenorphine | 45.96 | 2026-03-08 | — |
| 80000 | tstarc_anti-nausea_medication | 58.90 | 2026-03-08 | — |
UPM+
- DG02086PAIN - SPINAL - PRESENTING COMPLAINTDSTP_clinical_signs_-_spinal_pain
Variant (sleepy_king)
LETHARGY - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lethargy
Conf: 0.230
Threshold: 0.30
Above: ✗
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description