C10010872 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):4
Diagnosis or signs:Induce emesis
Consult notes
10/03/2026 Presented for -  Ate a whole bag of pineapple lumps lollies (185g) sometime this morning - could be up to 2hrs before. No prior health concerns

Exam: BAR, very boisterous
MM moist pink, CRT1s
Difficult for further exam as very boisterous, jumping and backing up 
BCS: 4/9
Temp: not taken
Skin: nad
Joints/Gait: no lameness, full ortho exam not performed

Treatment in clinic:
Unable to place IV catheter due to being very hyperactive 
Apomorphine given SC at 0.08mg/kg 

Emesis successful - wrapper and lots of lollies in vomitus 
Metomide given 4.5mls SC 
135mls charcoal given 

Plan: 
O to monitor for hyperactivity, persistent vomiting and/or diarrhea 

- nurse ccall put in for tomorrow

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 12:58:06
Presented for -  Ate a whole bag of pineapple lumps lollies (185g) sometime this morning - could be up to 2hrs before. No prior health concerns

Exam: BAR, very boisterous
MM moist pink, CRT1s
Difficult for further exam as very boisterous, jumping and backing up 
BCS: 4/9
Temp: not taken
Skin: nad
Joints/Gait: no lameness, full ortho exam not performed

Treatment in clinic:
Unable to place IV catheter due to being very hyperactive 
Apomorphine given SC at 0.08mg/kg 

Emesis successful - wrapper and lots of lollies in vomitus 
Metomide given 4.5mls SC 
135mls charcoal given 

Plan: 
O to monitor for hyperactivity, persistent vomiting and/or diarrhea 

- nurse ccall put in for tomorrow
2025-09-02T00:00:00Z 16:51:03
Presented for vaccination
no concerns

Current medications: nil
Parasite control: lapsed

Mentation: boisterous
EDUF:  nad
Diet: 
MM:  pink
CRT:  imm
DS: 0/4 - but distance exam
LN:  nad 
Ears: nad externally
Eyes:  nad
HR:  ~ 120 
Chest Auscultation:  brief listen - nsf
Abdo Palpation: unable to perform
BCS: 4/9
Temp:  not assessed
Rectal Exam:   unable to perform
Skin:  nad
Joints/Gait:  gait normal, unable to examine joints
Urogenital: nad

Problem list:  nil

Plan:  KC is late, DHP due 3 months - elect to do both together
discussed unable to administer intra-nasal - if dog going to kennels or similar would recommend booster bbpi 

Vaccine Batch numbers:
Nobivac DHP:  2505001
Nobivac Bp/Pi: 2433807
 
2023-12-06T00:00:00Z 08:40:57
Presented for vaccination
recent enterotomy - has fully recovered

Current medications:
Parasite control: simparica / cazitel

Mentation: exuberant
EDUF:  nad
Diet: 
MM:  pink
CRT:  imm
DS: 0/4
LN:  nad
Ears:  nad
Eyes:  nad
HR:  140 - difficult to time
Chest Auscultation: nad
Abdo Palpation: difficult as so anxious
BCS: 4/9
Temp: not assessed
Rectal Exam:  externally nad
Skin:  nad
Joints/Gait: nad.  nb mouthy when examining hindlimbs
Urogenital: nad

Problem list:  continues to be very food motivated and prone to stealing food

Vaccine Batch numbers:
Nobivac Bp/Pi: 2305404

Previous claim history (1)

DateClaim #Diagnosis
2023-11-02C6486194FOREIGN BODY, BONE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation108.002026-03-10
20000tstarc_activated_charcoal108.032026-03-10
30000tstarc_activated_charcoal85.052026-03-10
40000tstarc_procedure_fee_-_emesis142.522026-03-10
50000tstarc_anti-nausea_medication58.092026-03-10
60000tstarc_apomorphine69.942026-03-10
70000tstarc_prescription_diet5.752026-03-10
upstreamDSTP_prescription_diets

UPM+

  • DG01992DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINTDSTP_foreign_body_ingestion
  • DG02941PRESCRIPTION DIETSDSTP_prescription_diets

Variant (sleepy_king)

INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
DSTP_toxicity_-_unspecified
Conf: 0.430
Threshold: 0.21
Above:
Correct?
Reason (correct)