C10007959 / invoice 10000
Species:FELINE
Breed:Ragdoll
Age (years):1
Diagnosis or signs:Blood in stool
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>HISTORY<br>Presenting for: Biscotti, a young male cat, presented for stressing other cat at home - chasing him around the other household. Is less annoying to the other cat when he is exercised/stimulated with toys by the kids but when he has heaps of energy he is constantly trying to play with Ferrero (other cat) and they get into fights as a result. O thinks P has also had blood in stool noted since December. But after some questioning O not actualyl certain this is Biscotti's poo and not Ferrero (other cat). O worried the fresh blood in the stool could be d.t. Biscotti eating other cat's food who is on Royal Canin Digestive food (dry kibble) d.t. having a sensitive stomach. Other cat is a grazer and so O struggling to stop Biscotti from eating his food. Both cats also receive fresh raw meat. No vomiting or diarrhoea.<br>Current Meds: Tried Feliway and "anti-anxiety" treats - ineffective. <br>Preventatives: No current worming.<br>Lifestyle Risk Factors: Indoor only. </p> </div> <div> <p><span style="font-weight: 400;">Examine:<br></span><span style="font-weight: 400;">Demeanor: BAR<br></span><span style="font-weight: 400;">BCS: 5/9<br></span><span style="font-weight: 400;">Hydration: MM pink & moist, CRT <2s<br></span><span style="font-weight: 400;">Eyes: Open and comfortable. Full ophthalmologic exam not performed<br></span><span style="font-weight: 400;">Ears: No erythema. No malodour. No waxy discharge bilaterally. Responds to sound. </span><span style="font-weight: 400;">No history of pruritus.<br></span><span style="font-weight: 400;">Nose: No ulceration. No crusting. No nasal discharge. <br></span><span style="font-weight: 400;">Oral exam: </span><span style="font-weight: 400;">0/4 - no tartar or gingivitis <br></span><span style="font-weight: 400;">LNs: Submandibular, prescapular and popliteal LN small, round, symmetrical. <br></span><span style="font-weight: 400;">Integument: Shiny coat. No diffuse areas of redness, crusting or scaling noted. No dryness. No obvious lumps noted. Normal skin recoil.<br></span><span style="font-weight: 400;">Cardiovascular: HR = 180. No heart murmur or arrhythmia auscultated. <br></span><span style="font-weight: 400;">Respiratory: No coughing. No sneezing. Clear lung sounds in all 4 quadrants. No increased respiratory effort. <br></span><span style="font-weight: 400;">Abdomen palpation: Comfortable. <br></span><span style="font-weight: 400;">Rectal exam: Full rectal examination was not performed. <br></span><span style="font-weight: 400;">Urogenital: Not examined.<br></span><span style="font-weight: 400;">MSK: Ambulating normally - weight-bearing in all limbs. Not favouring a certain limb when standing still. Full MSK exam not performed.<br></span><span style="font-weight: 400;">Neuro: Appropriate mentation. Full neurological exam not performed.</span></p> </div> <div> <p>ASSESSMENT<br>1. Fresh frank blood in stool - DDX - stress colitis secondary to behavioural issues vs dietary indiscretion vs infectious vs other. <br>2. Behavioural issues - kitten-related excessive energy and play behaviour causing stress to household cats</p> </div> <div> <p>PLAN<br>New Meds/Tx:<br>- Probiotic capsules - sprinkle one capsule daily onto food<br>- Worming tablet - one tablet each for both cats (dose range up to 8kg)<br>- Consider anti-anxiety medication if stress colitis persists (gaba). </p> </div> <div> <p>Diet Recs:<br>- Cook meat rather than feeding raw to eliminate parasite risk<br>- Implement scheduled feeding for other cat rather than free-choice to prevent food stealing<br>- Consider microchip-activated feeder for Ferrero to prevent Biscotti accessing digestive food</p> </div> <div> <p>Additional Discussion/Plan: <br>- Fecal testing available for $200 if conservative management fails<br>- Monitor to identify which cat is producing bloody stool<br>- Increase mental stimulation and play for Biscotti to reduce stress on Ferrero<br>- Consider harness training for additional exercise<br>- Book separate appointment for Ferrero for anxiety management.</p> </div></html>
Animal clinical history (3 most recent)
2025-12-22T00:00:00Z 08:23:00
History:Presenting for third kitten vaccination. O reports P doing well - EDDU normally. No CSVD. Still trying to eat other cat (11yo ragdoll M) food. Other cat not a fan of Biscotti as a bit too intense/kitten like for him. Biscotti doing really well with the kids at home. O has no concerns today. Preventatives: O obtained parasite prevention from pet shop. Examine:Demeanor: BARBCS: 5/9Hydration: MM pink & moist, CRT <2sEyes: Open and comfortable. Full ophthalmologic exam not performed.Ears: No erythema. No malodour. No waxy discharge bilaterally. Responds to sound. No history of pruritus.Nose: No ulceration. No crusting. No nasal discharge. Oral exam: 0/4 - no tartar or gingivitis.LNs: Submandibular, prescapular and popliteal LN small, round, symmetrical. Integument: Shiny coat. No diffuse areas of redness, crusting or scaling noted. No dryness. No obvious lumps noted. Normal skin recoil.Cardiovascular: HR = 208. No heart murmur or arrhythmia auscultated but purring so much very difficult to hear.Respiratory: No coughing. No sneezing. Clear lung sounds. No increased respiratory effort. Abdomen palpation: Comfortable.Rectal exam: Full rectal examination was not performed. Urogenital: No pain on palpation of kidneys or bladder, normal external genitalia.MSK: Ambulating normally - weight-bearing in all limbs. Not favouring a certain limb when standing still. No pain or crepitus or resistance felt on full range of motion for all limbs. Neuro: Appropriate mentation. Full neurological exam not performed.Assessment:1. OK to vaccinate.Plan:1. F3 next due in 12 months.
2025-10-28T00:00:00Z 09:12:00
History:Presenting for second kitten vaccination. BIOP for about 3 weeks. Obtained from breeder in Camden. O reports P doing well - EDDU normally. No CSVD. Is trying to eat other cat (11yo ragdoll M) food, which other cat is not happy about. O has no concerns today. Diet: Kitten kibble + raw mince meat. Preventatives: Had flea/tick treatment and IW prior to coming home from breeder. Examine:Demeanor: BARBCS: 5/9Hydration: MM pink & moist, CRT <2sEyes: Open and comfortable. Full ophthalmologic exam not performed.Ears: No erythema. No malodour. No waxy discharge bilaterally. Responds to sound. No history of pruritus.Nose: No ulceration. No crusting. No nasal discharge. Oral exam: 0/4 - no tartar or gingivitis.LNs: Submandibular, prescapular and popliteal LN small, round, symmetrical. Integument: Shiny coat. No diffuse areas of redness, crusting or scaling noted. No dryness. No obvious lumps noted. Normal skin recoil.Cardiovascular: HR = 200. No heart murmur or arrhythmia auscultated. Respiratory: No coughing. No sneezing. Clear lung sounds. No increased respiratory effort. Abdomen palpation: Comfortable.Rectal exam: Full rectal examination was not performed. Urogenital: No pain on palpation of kidneys or bladder, normal external genitalia.MSK: Ambulating normally - weight-bearing in all limbs. Not favouring a certain limb when standing still. No pain or crepitus or resistance felt on full range of motion for all limbs. Neuro: Appropriate mentation. Full neurological exam not performed.Assessment:1. OK to vaccinate.Client comm:- Discussed parasite prevention, O wanting to get from petshop.Plan:1. F3 booster in 4 weeks.
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 109.00 | 2026-03-10 | — |
| 20000 | tstarc_probiotics | 88.17 | 2026-03-10 | — |
| 30000 | tstarc_flea,_intestinal_worm_and_heartworm_control | 24.86 | 2026-03-10 | upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication |
UPM+
- DG02939HEARTWORM CONTROLDSTP_routine_care_-_heartworm_control
- DG02013FAECAL APPEARANCE ABNORMAL - HAEMATOCHEZIA - PRESENTING COMPLAINTDSTP_clinical_signs_-_abnormal_defaecation
- DG02937FLEA/TICK/WORM CONTROLDSTP_routine_care_-_flea/tick/worm_preventative_medication
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.480
Threshold: 0.68
Above: ✗
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description