C10005496 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):1
Diagnosis or signs:Inappetance; Vomitting
Consult notes
09/03/2026 
HISTORY
- Vomiting multiple times yesterday during the day , initially food then bile and stomach acid
- Reduced appetite, only ate a quarter of her usual food amount this morning 
- Normal dinner consumption the previous night without subsequent vomiting
- No bowel movement since illness onset
- Regular diet includes kibble, raw food, and a gut supplement
- No recent changes in diet or new treats introduced
- Known to scavenge and rebury food , eats horse faeces 

EXAM
Temperature: 38.7°C (normal)
Gums: Moist and shiny
General demeanor: Bright and energetic
ears NDA
Eyes NDA
LN WNL
Chest clear
no murmur
NDA abdo palpation
coat and skin NDA 

DIAGNOSIS
- Suspected primary gastrointestinal disease due to dietary indiscretion

PLAN
1. Administer antiemetic injection (Prevomax ) 1.3 mls s/c at 11.00 am 
2. Prescribe antiemetic tablets for home use- cerenia 
3. Dietary change to bland diet (chicken and rice) for 3-5 days before reintroducing regular food
4. Monitor eating, drinking, urination, and defecation at home 
5. Consider further diagnostics (blood tests, X-rays, fecal analysis) if no improvement with symptomatic treatment

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 15:20:27

HISTORY
- Vomiting multiple times yesterday during the day , initially food then bile and stomach acid
- Reduced appetite, only ate a quarter of her usual food amount this morning 
- Normal dinner consumption the previous night without subsequent vomiting
- No bowel movement since illness onset
- Regular diet includes kibble, raw food, and a gut supplement
- No recent changes in diet or new treats introduced
- Known to scavenge and rebury food , eats horse faeces 

EXAM
Temperature: 38.7°C (normal)
Gums: Moist and shiny
General demeanor: Bright and energetic
ears NDA
Eyes NDA
LN WNL
Chest clear
no murmur
NDA abdo palpation
coat and skin NDA 

DIAGNOSIS
- Suspected primary gastrointestinal disease due to dietary indiscretion

PLAN
1. Administer antiemetic injection (Prevomax ) 1.3 mls s/c at 11.00 am 
2. Prescribe antiemetic tablets for home use- cerenia 
3. Dietary change to bland diet (chicken and rice) for 3-5 days before reintroducing regular food
4. Monitor eating, drinking, urination, and defecation at home 
5. Consider further diagnostics (blood tests, X-rays, fecal analysis) if no improvement with symptomatic treatment

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation119.002026-03-09
20000tstarc_anti-nausea_medication60.332026-03-09
30000tstarc_anti-nausea_medication58.662026-03-09
40000tstarc_probiotics45.712026-03-09
50000tstarc_hospitalisation59.592026-03-09

UPM+

  • DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.530
Threshold: 0.68
Above:
Correct?
Reason (correct)