C10005012 / invoice 10000
Species:CANINE
Breed:Shetland Sheepdog
Age (years):10
Diagnosis or signs:Consultation - Elevated Liver Enzymes
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>VL: None<br>History: Has rapid weight loss. Appetite is normal, defaecating and urinating normally. Seen by Eden and bloods taken, marked elevations in ALP and AST<br><br>Owner concerns: Rapid weight loss. Was 11.2 2years ago and has been fairly consistently around 11kg until recently<br><br>Current Preventatives/Vaccinations: due for vacc but otherwise utd. On monthly preventatives<br><br><br>Physical Exam:<br>Behaviour: QAR<br>Cardioresp: HR 80, no murmurs. RR 15 without effort. MM light pink/tacky/<2s<br>Temperature:Nottaken, yesterday was 38.2 according to O with Eden (waiting on hx)<br>Skin and coat: Clipped feet but no lesions<br>LNS: Palpably normal<br>Eyes and Ears: NAD<br>Musculoskeletal: Exam not performed<br>Abdominal: Empty. So empty despite breakfast - 2cups of biscuits. Cannot palpate evenSI or spleen.<br>Genitourinary: Grossly normal<br>BCS: 1.5-2/5 - severely underweight under the hair coat<br>Dental score: 1/4<br>Diet: Eureka biscuits andziwipeak<br><br>Problem List: Weight loss, elevated liver enzymes<br><br>Differential Diagnosis:<br><br>Diagnostics: Admit for US<br><br>Medications:<br><br>Recommendations Ongoing/Recheck:</p> </div></html>
Animal clinical history (3 most recent)
2023-07-27T00:00:00Z 16:15:00
EEN NAD, teeth grade 2 plaque on the canines, MM p/m, chest ausc NAD, BCS 3/5, abdo palp and HLs NAD
2022-07-14T00:00:00Z 15:45:00
BCS idealTeeth greatStill intermittently lame on the LF - advised can remove plate as can feel it and it's uncomfortable to play withChest sounds greatABdo palp NADC5 given
2021-05-20T00:00:00Z 04:15:00
HX: see prev. Still intermittent lameness on LF following fx and plating, 12months on. PE: BAR. Walking fine in here, no pain on palpation of leg or plate, rom etc WNLs. Mm-pink teeth ok. NAD on thoracic auscultaiton. Abdo palp unremarkable. C5 vacrepeat xrays and plate removal
Previous claim history (13)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09991672 | LETHARGY - PRESENTING COMPLAINT |
| 2023-07-27 | C6143837 | VACCINATIONS OR HEALTH CHECKS |
| 2022-07-15 | C4926057 | VACCINATIONS OR HEALTH CHECKS |
| 2021-05-20 | C3761773 | VACCINATIONS OR HEALTH CHECKS |
| 2020-10-19 | C3251435 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
| 2020-09-04 | C3148342 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
| 2020-07-01 | C3008290 | FRACTURE OF THORACIC LIMB - RADIUS AND ULNA |
| 2018-10-29 | C1902275 | BITE INJURY - DOG BITE |
| 2018-03-03 | C1555402 | VACCINATIONS OR HEALTH CHECKS |
| 2017-01-17 | C1058111 | VACCINATIONS OR HEALTH CHECKS |
| 2016-04-20 | C0796085 | DESEXING |
| 2016-04-20 | C0796085 | DEWCLAW REMOVAL |
| 2016-01-15 | C0707177 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 99.00 | 2026-03-09 | — |
| 20000 | tstarc_procedure_fee_-_ultrasound | 195.00 | 2026-03-09 | — |
| 30000 | tstarc_hospitalisation | 47.00 | 2026-03-09 | — |
UPM+
- DG02149WEIGHT LOSS - PRESENTING COMPLAINTDSTP_clinical_signs_-_weight_or_muscle_loss
Variant (sleepy_king)
LETHARGY - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lethargy
Conf: 0.590
Threshold: 0.30
Above: ✓
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description