C10010011 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavoodle

Age (years):0

Diagnosis or signs:Spey Bitch Routine

Consult notes

10/03/2026 Reason:Hepatopathy

History: Booked in for spey today. Prega had elevated ALT. 

Current medication:None

Examination:
Mentation:BAR
BCS (0-5):3/5
mm:pmg                CRT: <2s
HR: 150.                  RR:panting
Ln:nad
Dental Grade:Teething. Top R canine (104) deciduous canine. Bottom canine (404) grinding against 103. Might resolve if we remove deciduous canine.
Heart/lungs: NAD. Abdomen: NAD.
Temp 39.4 after admit but down to 39C after an hour. 

Labs: Prega: CBC normal. Biochem Alt 328 (<118). More than twice elevated. 
 
Assessment: Hepatopathy of unknown origin. Might be a transient change. Viral/ toxin? 
Options:
1. Rec send FHP to NV so we have CRP and more comprehensive profile. 
2. Recheck bloods in 5-7days. 

Plan: Phone owner with bloods
Delay spey

ttponalm at 10.51am. 
ttponalm 12.03pm

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 10:42:03

Reason:Hepatopathy

History: Booked in for spey today. Prega had elevated ALT. 

Current medication:None

Examination:
Mentation:BAR
BCS (0-5):3/5
mm:pmg                CRT: <2s
HR: 150.                  RR:panting
Ln:nad
Dental Grade:Teething. Top R canine (104) deciduous canine. Bottom canine (404) grinding against 103. Might resolve if we remove deciduous canine.
Heart/lungs: NAD. Abdomen: NAD.
Temp 39.4 after admit but down to 39C after an hour. 

Labs: Prega: CBC normal. Biochem Alt 328 (<118). More than twice elevated. 
 
Assessment: Hepatopathy of unknown origin. Might be a transient change. Viral/ toxin? 
Options:
1. Rec send FHP to NV so we have CRP and more comprehensive profile. 
2. Recheck bloods in 5-7days. 

Plan: Phone owner with bloods
Delay spey

ttponalm at 10.51am. 
ttponalm 12.03pm

2026-02-04T00:00:00Z 15:55:13

4.2 bt - all nails trimmed, very well behaved <3 Trimmed hair around eyes also.

Previous claim history (1)

Date	Claim #	Diagnosis
2026-01-07	C09752482	Grooming

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_diagnostic_test_-_blood_test	40.00	2026-03-10	—
20000	tstarc_diagnostic_test_-_blood_test	80.00	2026-03-10	—
30000	tstarc_diagnostic_test_-_blood_test	286.00	2026-03-10	—
40000	tstarc_consultation	86.40	2026-03-10	—

UPM+

DG02244HEPATOPATHY (LIVER DISORDER)DSTP_liver_disorder

Variant (sleepy_king)

HEPATOPATHY (LIVER DISORDER)

DSTP_liver_disorder

Conf: 0.630

Threshold: 0.26

Above: ✓

Correct?

Yes No