C10003682 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):6
Diagnosis or signs:Checkup
Consult notes
09/03/2026 Reason: recheck heart + bloods

Cough has completely stopped since increasing frusemide to 30mg AM + PM and 20mg middle day dose.
Started doxy and niacinamide a month ago, nose looks markedly improved. Continue at this dose. 
Not as keen on eating prime100 anymore but hasn't lost appetite, still eats chicken really well
Lost 1kg in last month

MM pink
CRT <2s
Grade 2 dental dz
HR 160, grade 5/6 murmur
Chest clear, panting
T 39
Abdomen comfortable

R lateral taken 
VHS 12.5, congestion looking much improved 

Plan:
Continue current frusemide dose 
Continue doxy and niacinamide
Repeat bloods today to assess kidney parameters with increased frusemide dose + check for any evidence of weight loss
Weight loss possibly from switching metabolic dry to prime100 wet only
Get daily intake and assess calories and see if we can increase this and if he can gain weight

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 11:52:15
Reason: recheck heart + bloods

Cough has completely stopped since increasing frusemide to 30mg AM + PM and 20mg middle day dose.
Started doxy and niacinamide a month ago, nose looks markedly improved. Continue at this dose. 
Not as keen on eating prime100 anymore but hasn't lost appetite, still eats chicken really well
Lost 1kg in last month

MM pink
CRT <2s
Grade 2 dental dz
HR 160, grade 5/6 murmur
Chest clear, panting
T 39
Abdomen comfortable

R lateral taken 
VHS 12.5, congestion looking much improved 

Plan:
Continue current frusemide dose 
Continue doxy and niacinamide
Repeat bloods today to assess kidney parameters with increased frusemide dose + check for any evidence of weight loss
Weight loss possibly from switching metabolic dry to prime100 wet only
Get daily intake and assess calories and see if we can increase this and if he can gain weight

Previous claim history (15)

DateClaim #Diagnosis
2026-02-23C09944950HEART (CARDIAC) VALVE DISORDER
2026-02-11C09888346GASTROENTERITIS
2026-02-09C09883775HEART (CARDIAC) DISEASE
2026-02-09C09883775VACCINATIONS OR HEALTH CHECKS
2026-01-19C09775455GASTROENTERITIS
2026-01-17C09783733CONGESTIVE HEART FAILURE
2026-01-17C09783733HEPATOPATHY (LIVER DISORDER)
2025-12-17C09666119HEART (CARDIAC) DISEASE
2025-12-08C09599995PATELLA LUXATION
2025-12-01C09568525LAMENESS LH
2020-11-25C3325676PATELLA LUXATION
2020-11-04C3277371PATELLA LUXATION
2020-10-26C3260046PATELLA LUXATION
2020-07-18C3038082EAR INFECTION
2020-07-18C3038082CRUCIATE LIG RUPTURE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_anti-diarrhoeal_medication72.332026-03-09
20000tstarc_diagnostic_test_-_blood_test228.002026-03-09
30000tstarc_procedure_fee_-_radiology210.002026-03-09
40000tstarc_consultation-revisit100.002026-03-09

UPM+

  • DG00986GASTROENTERITISDSTP_gastroenteritis

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.240
Threshold: 0.68
Above:
Correct?