C10009346 / invoice 10000

Species:CANINE
Breed:Poodle - Standard
Age (years):5
Diagnosis or signs:Diarrhoea with vomiting
Consult notes
Reason: Diarrhoea with vomiting

History
Has been managed for Atypical Addisons for 2years

Sloppy and then firm
Whimpering- toilet 
Passed a stool indoors
Small Vx afterwards
Small pieces of bone in Vx

Last 2-3months, tending towards pica
Still drinking larger amounts
Some periods of tenesmus without passing anything

Current medications
Zycortal q28days 0.9ml SQ
Prednisolone 2.5mg EOD and 5mg EOD
This works out to 0.1-0.2mg/kg

Examine
BCS: 6/9. 2.8kg weight gain in 12months

mm pink, moist, crt <2secs
HR 72bpm
FP strong and synchronous
RR 28bpm
Chest clear on auscultation
Abdomen comfortable on palpation

Temperature: Normothermic
Rectal: empty rectum, soft pale brown stool. No blood or mucus

Eyes: mild epiphora bilaterally
Ears: some hair at opening, no smell or discharge
Oral: NAD
Dental grade: 2/4 
Skin: NSF
M/S: NSF
Neuro: BAR in consult. Normal cranial n. No CP deficits
Eating treats when offered

Problem list
Atypical addisons
Vomiting- single episode
Diarrhoea
Pica
Weight gain




DDx

Plan
GHP bloods with electrolytes
Maropitant 26.2mg SQ
Pro-kolin 

Switch to Cortate 0.3-0.5mg/kg/day= 7.5mg - 13mg
Reduce dose of prednisolone to 0.04mg/kg/day = 1.0mg

Previous claim history (22)

DateClaim #Diagnosis
2026-03-06C09993819HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)
2026-01-09C09731948HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)
2025-12-19C09648981HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)
2025-12-19C09648981BEHAVIOURAL THERAPY
2025-12-15C09665473HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)
2025-12-12C09616159HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)
2025-12-12C09616159FLEA/TICK/WORM CONTROL
2024-09-09C7686981VACCINATIONS OR HEALTH CHECKS
2024-09-09C7686981ADDISONS DISEASE
2024-08-09C7564104ADDISONS DISEASE
2024-03-28C7076238ADDISONS DISEASE
2024-03-14C7014208ADDISONS DISEASE
2024-03-14C7014208BEHAVIOURAL THERAPY
2024-03-14C7076238BEHAVIOURAL THERAPY
2024-02-13C6886947ADDISONS DISEASE
2024-01-30C6824790GASTROINTESTINAL PROBLEMS
2024-01-16C6816116GASTROINTESTINAL PROBLEMS
2024-01-03C6730924GASTROINTESTINAL PROBLEMS
2024-01-02C6717880GASTROINTESTINAL PROBLEMS
2023-12-20C6686120GASTROINTESTINAL PROBLEMS
2023-12-05C6673566VOMITING - OTHER - PRESENTING COMPLAINT
2022-05-19C4767728DESEXING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation106.502026-03-10
20000tstarc_anti-nausea_medication86.002026-03-10
30000tstarc_probiotics56.502026-03-10
40000tstarc_anti-nausea_medication70.002026-03-10
50000tstarc_diagnostic_test_-_blood_test289.002026-03-10

UPM+

  • DG02347HYPOADRENOCORTICISM (ADRENOCORTICAL HYPOFUNCTION)DSTP_hypoadrenocorticism_(addison's_disease)

Variant (sleepy_king)

FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_diarrhoea
Conf: 0.700
Threshold: 0.13
Above:
Correct?
Reason (correct)