C10006589 / invoice 10000
Species:FELINE
Breed:Domestic Short Hair
Age (years):3
Diagnosis or signs:Skin
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>History: see prev re: hydronephrosis - going to animalius next week to discuss surgery. <br>Owner noticed sore skin over the shoulder blade last night. Otherwise well<br><br></p> <p>Examine: BAR, has lost a little weight since last seen, tear dropped shaped partial thickness ulcerated area of skin over the shoulder blade, approx 2 mm x 10 mm. Otherwise examination as before. <br><br>Assessment: suspect local trauma. With cessation of self trauma, should heal well. No NSAIDs due to underlying renal change<br><br>Plan: soft collar and betadine lotion for 3-4 days, extend if needed. Recheck only if concerned. </p></html>
Animal clinical history (3 most recent)
2025-12-08T00:00:00Z 14:34:00
Good afternoon Konrad, I just tried to call to chat to you about your handsome boy Ren. I can see that the ultrasound showed significant fluid accumulation around the left kidney and this is what made it feel as though the kidney was larger than the other. Knowing the best way to proceed for Ren is a challenge and I would recommend we refer him to an Veterinary Internal Medicine specialist for a second opinion. Surgical removal of the kidney may need to be discussed however this is a big decision to make and I want to make sure we have as much information as possible. If you would like to go ahead with referral, please let us know. Once we have your consent we will send Ren's medical history and a request form to Animalius in Bayswater. You will then contact them directly to book an appointment at a time that suits you. I do not think we need to make any urgent decisions as Ren otherwise appears to be very well. I do think, however, that it would be a very good plan to arrange the second opinion within the next few months. Sincerely, Dr Hannah Beveridge
2025-12-04T00:00:00Z 14:33:00
gaba 100mg given todayneeded dom/torb sedation IM for ultrasoundultrasound L kidney shows huge hydronephrosis, loss of anatomical structure of L kidney. Risk of rupturing. Kidney ideally needs removingNo obvious calculi in either kidney.cysto sample collected - dipstick:trace proteinpH 6.5usg 1.014urine sent for UPCR
2025-11-26T00:00:00Z 15:44:00
Abdo U/S booked for 4th december @10am Ren coming in at 8:30 am fasted and M.L will organise gaba for chill,O will collect 27th
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-09 | C09878093 | HYDRONEPHROSIS |
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_elizabethan_(buster)_collar | 17.49 | 2026-03-09 | — |
UPM+
- DG01845TRAUMATIC INJURYDSTP_traumatic_injury
Variant (sleepy_king)
RENAL (KIDNEY) DISORDER
DSTP_renal_disease_-_chronic
Conf: 0.620
Threshold: 0.17
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description