C10009145 / invoice 10000

Species:CANINE
Breed:Cocker Spaniel
Age (years):4
Diagnosis or signs:SEE NOTES
Consult notes
bone stuck, struggling to move air?

At raw lamb bone 25min ago
Distress at home. unable to settle. 
trouble breathing?
liquid ++++ regurged. 
EDDU+ before this.
Gets bones commonly
At kibble, cheese and bacon for breakfast. 

Examine:
Appears uncomfortable. 
RR panting- crackles heard right side
HR 160
mm p+m- possibly hyperperfused? crt 1sec
quick mouth assessment no bone in mouth. 
URT sounds heard as well. 
abdomen nad

Discuss options with O. bone trauma in mouth, oesphageal FB or present in stomach. 
Referral needed for oesphageal. 

Place IV 
Sedate 0.15ml/0.15ml Dom/torb IV to initally assess
top up 3ml propfol
No Fb in mouth, swelling ++ around the vocal cords, slightly displaced to left, however clear.

Transfer to Rads- appears to have bone lodge in the hiatus of oesphagous. 
Appears to have asp pneo as well. 

O2 supplemented. Sp02 98%
maintaining 95% off. should be ok to transfer with O. O aware this may change when get there
Call VSOS to see if accept case through emergency. 
Awaiting call back to send over with O. 

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 13:05:00
bone stuck, struggling to move air?

At raw lamb bone 25min ago
Distress at home. unable to settle. 
trouble breathing?
liquid ++++ regurged. 
EDDU+ before this.
Gets bones commonly
At kibble, cheese and bacon for breakfast. 

Examine:
Appears uncomfortable. 
RR panting- crackles heard right side
HR 160
mm p+m- possibly hyperperfused? crt 1sec
quick mouth assessment no bone in mouth. 
URT sounds heard as well. 
abdomen nad

Discuss options with O. bone trauma in mouth, oesphageal FB or present in stomach. 
Referral needed for oesphageal. 

Place IV 
Sedate 0.15ml/0.15ml Dom/torb IV to initally assess
top up 3ml propfol
No Fb in mouth, swelling ++ around the vocal cords, slightly displaced to left, however clear.

Transfer to Rads- appears to have bone lodge in the hiatus of oesphagous. 
Appears to have asp pneo as well. 

O2 supplemented. Sp02 98%
maintaining 95% off. should be ok to transfer with O. O aware this may change when get there
Call VSOS to see if accept case through emergency. 
Awaiting call back to send over with O. 
2026-03-10T00:00:00Z 12:23:00
bone stuck, struggling to move air?

At raw lamb bone 25min ago
Distress at home. unable to settle. 
trouble breathing?
liquid ++++ regurged. 
EDDU+ before this.
Gets bones commonly
At kibble, cheese and bacon for breakfast. 

Examine:
Appears uncomfortable. 
RR panting- crackles heard right side
HR 160
mm p+m- possibly hyperperfused? crt 1sec
quick mouth assessment no bone in mouth. 
URT sounds heard as well. 
abdomen nad

Discuss options with O. bone trauma in mouth, oesphageal FB or present in stomach. 
Referral needed for oesphageal. 

Place IV 
Sedate 0.15ml/0.15ml Dom/torb IV to initally assess
top up 3ml propfol
No Fb in mouth, swelling ++ around the vocal cords, slightly displaced to left, however clear.

Transfer to Rads- appears to have bone lodge in the hiatus of oesphagous. 
Appears to have asp pneo as well. 

O2 supplemented. Sp02 98%
maintaining 95% off. should be ok to transfer with O. O aware this may change when get there
Call VSOS to see if accept case through emergency. 
Awaiting call back to send over with O. 
2026-02-03T00:00:00Z 15:31:00
skin and poss. lump

heat rash on neck few months ago
swimming and collar rubbing or keeping moisture under
settled after treatment

since then is scratching in general
not seen anything in skin
cyst or skin tag behind ear

looking clean and shiney in coat
skin not feeling hot or greasy
no erytema present
coupld small pustules on ventral abdomen - superficial pyoderma
bit knotted under pectoral region

small skin tag caudal to R ear on neck - not concerned
1-2mm, normal colour, not inflammed, not sensiitve

looking good in herself
loves running through the grass
feel may be more seasonal - temperature, humidity, plant growth as cause

intersperse bathing with Aloveen with pyohex if notice any pustures
given antihistamine sheet to settle low grade itch
see if enough to settle
over next couple of months with cooler weather - may find settles fully

Previous claim history (4)

DateClaim #Diagnosis
2023-02-19C5681711ADVERSE REACTION TO DRUG (UNSPECIFIED)
2022-10-12C5681764VACCINATIONS OR HEALTH CHECKS
2022-10-12C5681764FLEA/TICK/WORM CONTROL
2022-10-12C5681764HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_radiology309.752026-03-10
20000tstarc_hospitalisation86.102026-03-10
30000tstarc_opioids_-_butorphanol59.852026-03-10
40000tstarc_sedation_for_procedure112.352026-03-10
50000tstarc_iv_catheterisation69.802026-03-10
60000tstarc_consultation116.502026-03-10

UPM+

  • DG00842FOREIGN BODY - OESOPHAGEALDSTP_foreign_body_ingestion

Variant (sleepy_king)

DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINT
DSTP_foreign_body_ingestion
Conf: 0.440
Threshold: 0.19
Above:
Correct?