C10006370 / invoice 10000
Species:FELINE
Breed:Domestic Short Hair
Age (years):10
Diagnosis or signs:Consult: mild dypsnoea
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <div> <div> <div> <div> <div><span dir="ltr" role="presentation">H: Eating and drinking normally, behaviour is normal.<br><br>Obtained from CRCC when when he was a kitten.<br><br>Started on 4/3, started not breathing well, not liked to be picked up.<br>Went to CRCC on 5/3, had CATP, chest xray: prominent vascular pattern, few area with bronchial pattern, and interestitial caudal<br>mid lobe, no mass/nodule <br><br>Has been eating less than before: 30% less than usual since started being unwell<br>Did want to play last night. Overall not particularly more quieter than usual<br>O has been noticing that his abdomen is expanding and collapsing a lot when breathing, the same since being unwell<br><br>Indoor/outdoor: indoor only<br>Other animals at home: 2 other cats at home, gets along fine.<br>Flea/worming preventatives: none<br>Vaccination status: last vaccinated on 12/12/2025<br>Diet: Felix wet, m/d dry (for the other cat at home)<br>Sneezing/coughing/V+/D+: none<br>Other pre-existing conditions: constipation (for >2 years), possible blocked tear duct on left side<br>Ongoing meds: Movicol 1/2 tsp BID<br><br>S: Eyes: Normal; Ears: Normal; Nose: Normal<br>Mouth: Normal. all teeth missing on left upper quadrant and left lower quadrant except LLC. RUC and RLPM3 missing. rest of teeth clean.<br>Skin & S/C: Normal, no flea or flea dirt found<br>Musculskeletal: Normal<br>Thoracic Auscultation: Normal overall, no obvious heart murmur, no crackling lungs<br>Abdominal Palpation: Normal, not particularly painful or reactive anywhere<br>Neuro: Normal<br><br>O: HR 156, RR 78 (shallow breaths), MM pink, CRT 1sec<br>BT=38.9<br>BP: 135mmHg (cuff 3 RFL, 145, 140, 135, 135)<br><br>Awake chest xray revealed: no obvious vascular pattern compared to 4 days ago, but more slightly more worsened and consistent with alveolar pattern instead<br><br>Awake echo revealed:<br>LA:Ao=1.07:1<br>IVSd=0.29cm<br>LVWPd=0.54cm<br>FS=61.56%<br><br>No obvious pleural effusion<br><br>A: echo not consistent with any heart disease specifically, but is found to have ventricular volume overload, suspect early stages of heart disease and heading towards CHF despite not currently consistent with it, hence no obvious dypsnoea and still eating and bright<br>Mild weight gain compared to 4 days ago: could be consistent with fluid retention in lungs<br><br>T: 10mg frusemide PO<br><br>P: trial on frusemide, o to monitor RRR at home, recheck later in the week, earlier if no better. If alveolar pattern improves on frusemide, then continue with tx, if worsens then reassess. Discussed next steps are to be referred to cardiology specialists for 2nd opinion, and/or specialist centres for chest CT scans if not doing well.</span></div> </div> </div> </div> </div> </div> </div> </div></html>
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09992616 | DYSPNOEA - WITHOUT COUGHING - PRESENTING COMPLAINT |
| 2024-10-23 | C7858758 | DENTAL (TOOTH) DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 91.00 | 2026-03-09 | — |
| 20000 | tstarc_procedure_fee_-_radiology | 319.33 | 2026-03-09 | — |
| 30000 | tstarc_diagnostic_test_-_blood_pressure | 47.12 | 2026-03-09 | — |
| 40000 | tstarc_procedure_fee_-_ultrasound | 500.00 | 2026-03-09 | — |
| 50000 | tstarc_diuretic_-_frusemide | 32.70 | 2026-03-09 | — |
UPM+
- DG02212HEART (CARDIAC) FAILURE, CONGESTIVEDSTP_heart_condition_-_heart_failure
Variant (sleepy_king)
HEART (CARDIAC) FAILURE, CONGESTIVE
DSTP_heart_condition_-_heart_failure
Conf: 0.490
Threshold: 0.21
Above: ✓
Correct?