C10004660 / invoice 10000
Species:FELINE
Breed:Ragdoll
Age (years):5
Diagnosis or signs:Haematuria & Stranguria
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <p><strong>HISTORY: </strong><br>Presenting Complaint: Increase haematuria and continued stranguria <br>- Seen 2 days ago with stranguria & haemauria --> started on Meloxicam & Temgesic <br>- Still happening and urine seems more haematuric <br>- Still otherwise well <br>Meds: Meloxicam PO SID & Temgesic PO BID <br><br><strong>PHYSICAL EXAMINATION: </strong><br>Mentation: BAR <br>ABD. PALP: Comfortable, empty bladder, not blocked <br>**CARDIAC: G1murmur noted today (stress?) <br>RESP: NAD <br><br><strong>ASSESSMENT: </strong><br>DDX: FIC vs UTI vs STONES <br><br><strong>COMMUNICATION: </strong><br>- Discussed assessment with owner, recommended further investigation. O consent. <br><br><strong>TREATMENT: </strong><br>Gabapentin 60mg PO given in hospital this AM<br><br><strong>DIAGNOSTICS: </strong><br><span style="text-decoration: underline;">1. Bladder ultrasound </span><br>Bladder wall ~0.18cm<br>Hyperechoic material in center of bladder, mobile, likely blood clot<br>Nil obvious shadowing to indicate stones <br><span style="text-decoration: underline;">2. USG/Dipstick/Sedivue </span><br>Suspect Rods <br><span style="text-decoration: underline;">3. Vetnostics C&S </span><br>Pending results<br><br><strong>ASSESSMENT: </strong><br>FLUTD/FIC + UTI <br><br><strong>COMMUNICATION: </strong><br>JR STO OTP Advised of findings and assessment & plan <br><br><br><strong>PLAN:</strong> <br>- START Amoxyclav 250mg x 1/2 tab PO BID for 5 days <br>- START Cystophan as per box directions<br>- Await Urine C&S results <br>- CONTINUE on all other medications <br>- RC: INI / 1-2 weeks post abx. <br><br><br>JR</p> </div> </div> </div></html>
Animal clinical history (3 most recent)
2026-02-25T00:00:00Z 09:09:00
VETNOSTICS URINE C&S RESULTS Nil growthCOMMUNICATION: JR LVM for O to call backPLAN: - Nil additional tx. Can stop abx. - Continue on current medications previous prescribed (Cystophan, Meloxicam. Gaba, Temgesic) - Consider C/D Multicare StressJR
2026-02-21T00:00:00Z 11:47:00
HISTORY Presenting Complaint: Straining to urinate with pink litter noted- Started this morning going to litter tray frequently- Yesterday urination & defecation was normalEEDD: wnlMeds: NilC-/S-/D-/V-PHYSICAL EXAMINATION Mentation: BARMM: Pink, moistEENT: NADCARDIAC: NADRESP: NADSKIN: NADDENTAL: **ABD. PALP: Bladder very small, not blocked, mod. amount of firm faeces in colonDIAGNOSTICS1. In House Chem 10NSFASSESSMENT - Feline lower urinary tract disease/cystitis - not currently blocked- Constipation potentially contributing to strainingCOMMUNICATION - Discussed physical examination findings, differentials/assessment & planPLAN- START Meloxicam 0.5ml PO SID for 5 days- START Temgesic 0.3ml PO BID for 3 days then START Gabapentin 50mg BID PO 7d- START Lactulose 2ml PO BID for 3 days- Re-check: INIJR
2025-03-21T00:00:00Z 15:02:00
HISTORY Vaccine this am. v+ food 2 x this afternoon. Circling/uncomfortable since vaccine. Red nose. EXAMHR 220 but stressed. No arrhythmia. Lungs clear and not dyspnoeic. mm pink with normal crt.LNs normal. Abdomen palpates normally. temp 39.7No other abnormalities. ASSESSMENT Probable mild vaccine reactionLABORATORYTREATMENT Niramine 0.5ml s/c.Prevomax 0.5ml s/c. PLANOWNER COMMUNICATIONMonitor. Recheck if not improving. Consider next vaccine in 3 years and a heath check only in 12 months.
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-revisit | 85.00 | 2026-02-23 | — |
| 20000 | tstarc_hospitalisation | 87.70 | 2026-02-23 | — |
| 30000 | tstarc_diagnostic_test_-_urine_test | 79.60 | 2026-02-23 | — |
| 40000 | tstarc_procedure_fee_-_ultrasound | 174.40 | 2026-02-23 | — |
| 50000 | tstarc_procedure_fee_-_centesis | 62.30 | 2026-02-23 | — |
| 60000 | tstarc_diagnostic_test_-_culture_and_sensitivity | 163.00 | 2026-02-23 | — |
| 70000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 38.20 | 2026-02-23 | — |
| 80000 | tstarc_supplement_-_urinary_supplements | 63.14 | 2026-02-23 | upstreamDSTP_alternative_therapy_-_unspecified |
UPM+
- DG02139URINATION ABNORMAL - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_urination_abnormal
Variant (sleepy_king)
FELINE LOWER URINARY TRACT DISEASE (FLUTD)
DSTP_feline_lower_urinary_tract_disease_(flutd)
Conf: 0.680
Threshold: 0.18
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description