C10007496 / invoice 10000
Species:CANINE
Breed:Miniature Schnauzer
Age (years):11
Diagnosis or signs:Osteoarthritis and Canine Standard Blood Monitoring Profile
Consult notes
Bloods saved on file: YesAny abnormalities on bloods: YesMCH *20 ( 21 - 26 ) *[ ] pg MCHC *322 ( 324 - 363 ) *[ ] Reticulocyte Haemoglobin *19.8 ( 22.2 - 28.6 ) *[ ] Neutrophils *10.8 ( 3.1 - 10.3 ) [ ]* Band Neutrophils *0.5 ( 0.0 - 0.2 ) [ ] *Mild smudging of RBC's. 38 nRBCs/100wbc. Moderate toxic change. Globulins *39 ( 23 - 38 ) [ ]* ALT *145 ( 13 - 98 ) ALP *901 ( 0 - 182 )AST*134 (17 - 84 )CK * 1,151 (73 - 522 )Triglycerides 3.74 ( 0.2 -1.7 )T4, total < 9 (13 -47 )Nurse / Vet to relay : MDInterpretation:mild neutrophilia: stress response, inflammatory (toxic changes reported)hyperglobulinemia: stress, hemoconcentrationlow T4: iatrogenic (Phenomav)elevated liver enzymes (ALP > ALT); ALP is stable (reduced since last blood work 902). Changes consistent with Phenomav CK elevation: sample collection changes consistent with long-term phenomav usage, mild inflammatory response- bloods taken for ataxia and lethargy; no recent seizuresPlan:Coco is stumbling and struggling with walking around house. Ataxic episodes and OA events with trying to get to couch. Struggling with walks. - nsaid trial for OA; Onsior 10mgs SID for Six days, revisit on seventh day- discussed neuro referral and potential for further imaging for ataxia Has owner been called: Yes, bloods relayed / No / Yes, message left
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 10:55?am
Bloods saved on file: YesAny abnormalities on bloods: YesMCH *20 ( 21 - 26 ) *[ ] pg MCHC *322 ( 324 - 363 ) *[ ] Reticulocyte Haemoglobin *19.8 ( 22.2 - 28.6 ) *[ ] Neutrophils *10.8 ( 3.1 - 10.3 ) [ ]* Band Neutrophils *0.5 ( 0.0 - 0.2 ) [ ] *Mild smudging of RBC's. 38 nRBCs/100wbc. Moderate toxic change. Globulins *39 ( 23 - 38 ) [ ]* ALT *145 ( 13 - 98 ) ALP *901 ( 0 - 182 )AST*134 (17 - 84 )CK * 1,151 (73 - 522 )Triglycerides 3.74 ( 0.2 -1.7 )T4, total < 9 (13 -47 )Nurse / Vet to relay : MDInterpretation:mild neutrophilia: stress response, inflammatory (toxic changes reported)hyperglobulinemia: stress, hemoconcentrationlow T4: iatrogenic (Phenomav)elevated liver enzymes (ALP > ALT); ALP is stable (reduced since last blood work 902). Changes consistent with Phenomav CK elevation: sample collection changes consistent with long-term phenomav usage, mild inflammatory response- bloods taken for ataxia and lethargy; no recent seizuresPlan:Coco is stumbling and struggling with walking around house. Ataxic episodes and OA events with trying to get to couch. Struggling with walks. - nsaid trial for OA; Onsior 10mgs SID for Six days, revisit on seventh day- discussed neuro referral and potential for further imaging for ataxia Has owner been called: Yes, bloods relayed / No / Yes, message left Vital Signs
Previous claim history (20)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09992757 | LETHARGY - PRESENTING COMPLAINT |
| 2026-03-05 | C09992757 | ONYCHODYSTROPHY, UNSPECIFIED |
| 2022-06-03 | C4821532 | URINARY TRACT INFECTION (UTI) |
| 2021-03-10 | C3595229 | SEIZURES |
| 2021-03-04 | C3565664 | SEIZURES |
| 2021-01-27 | C3476216 | DENTAL ILLNESS TREATMENT |
| 2021-01-20 | C3476216 | HEARTWORM CONTROL |
| 2020-03-25 | C2835342 | SEIZURES |
| 2019-02-04 | C2063362 | TEETH CLEANING |
| 2019-01-04 | C2007180 | VACCINATIONS OR HEALTH CHECKS |
| 2019-01-04 | C2007180 | VACCINE REACTION |
| 2019-01-04 | C2007180 | HEARTWORM CONTROL |
| 2019-01-04 | C2007180 | FLEA/TICK/WORM CONTROL |
| 2018-04-20 | C1626639 | DESEXING |
| 2017-01-06 | C1061816 | VACCINATIONS OR HEALTH CHECKS |
| 2017-01-06 | C1061816 | HEARTWORM CONTROL |
| 2017-01-06 | C1061816 | FLEA/TICK/WORM CONTROL |
| 2016-01-02 | C0698844 | VACCINATIONS OR HEALTH CHECKS |
| 2016-01-02 | C0698844 | HEARTWORM CONTROL |
| 2016-01-02 | C0698844 | HEARTWORM TEST OR BLOOD SCREEN |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_onsior_(robenacoxib) | 56.30 | 2026-03-06 | — |
UPM+
- DG01126OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD))DSTP_osteoarthritis
Variant (sleepy_king)
GAIT ABNORMALITY - ATAXIA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_ataxia
Conf: 0.290
Threshold: 0.16
Above: ✓
Correct?
Reason (correct)