C10011241 / invoice 10000

Species:CANINE
Breed:Miniature Schnauzer
Age (years):10
Diagnosis or signs:Ultrasound prior to dental procedure of heart and abdo scan to recheck heart and abdomen. Medicatio and uerine test from ultrasound findings
Consult notes
Medication - see other notes fortoday

please call O to discussed


Scan done on the 8/09/2025 by rebecca Lonsdale


MV regurgitation marked
- LADialat moderate 26.9
LA:AO = 1.7 - lavil= 14ml
- LV dIALAT= mild (39.9mm)
-TV Regurg velocity
PG = 35.3mmhg
- AO regirg = minimal



Jarrad ultrasound scan
-  LA 1.7
- 

Called 11:05
Told owner since he is on pimobendan we can go ahead with anaesthetic. Heart patients will have an increased risk under GA. The ultrasound report mentioned there is a general anaesthetic risk to this patient under the assumption that pimobendan was not started. This patient has been on pimobendan for 8 months. Therefore we can go ahead with the anaesthetic. 

Will 
1. Get urine sample for UA, Culture and wet micro$280
2. Vaccinate today

Owner to ask greencross joondalup for ultrasound report from specialist so we can compare results to the scan done today to make an informed decision.

 Cardiac & Abdominal U/S 

conscious u/.sound:

cardiac- moderate mitral valve disease and significant left atrial and mitral valve regurgitation

adv anaesthetic risk- to stay vetmedin 

adv owner teeth are not so abd as to need a n urgent ga for dnetal with extractions
adv safer  to brush teeth and we will start pulse therapy with clindamycin


abdominal- bladder stone seen (owners already aware of this)
                  - adv urine  sample for determining appropriate diet

C5 Vaccination given

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 11:00:00
please call O to discussed


Scan done on the 8/09/2025 by rebecca Lonsdale


MV regurgitation marked
- LADialat moderate 26.9
LA:AO = 1.7 - lavil= 14ml
- LV dIALAT= mild (39.9mm)
-TV Regurg velocity
PG = 35.3mmhg
- AO regirg = minimal



Jarrad ultrasound scan
-  LA 1.7
- 

Called 11:05
Told owner since he is on pimobendan we can go ahead with anaesthetic. Heart patients will have an increased risk under GA. The ultrasound report mentioned there is a general anaesthetic risk to this patient under the assumption that pimobendan was not started. This patient has been on pimobendan for 8 months. Therefore we can go ahead with the anaesthetic. 

Will 
1. Get urine sample for UA, Culture and wet micro$280
2. Vaccinate today

Owner to ask greencross joondalup for ultrasound report from specialist so we can compare results to the scan done today to make an informed decision.
2026-03-10T00:00:00Z 11:00:00
please call O to discussed


Scan done on the 8/09/2025 by rebecca Lonsdale


MV regurgitation marked
- LADialat moderate 26.9
LA:AO = 1.7 - lavil= 14ml
- LV dIALAT= mild (39.9mm)
-TV Regurg velocity
PG = 35.3mmhg
- AO regirg = minimal



Jarrad ultrasound scan
-  LA 1.7
- 

Called 11:05
Told owner since he is on pimobendan we can go ahead with anaesthetic. Heart patients will have an increased risk under GA. The ultrasound report mentioned there is a general anaesthetic risk to this patient under the assumption that pimobendan was not started. This patient has been on pimobendan for 8 months. Therefore we can go ahead with the anaesthetic. 

Will 
1. Get urine sample for UA, Culture and wet micro$280
2. Vaccinate today

Owner to ask greencross joondalup for ultrasound report from specialist so we can compare results to the scan done today to make an informed decision.
2026-03-10T00:00:00Z 11:00:00
please call O to discussed


Scan done on the 8/09/2025 by rebecca Lonsdale


MV regurgitation marked
- LADialat moderate 26.9
LA:AO = 1.7 - lavil= 14ml
- LV dIALAT= mild (39.9mm)
-TV Regurg velocity
PG = 35.3mmhg
- AO regirg = minimal



Jarrad ultrasound scan
-  LA 1.7
- 

Called 11:05
Told owner since he is on pimobendan we can go ahead with anaesthetic. Heart patients will have an increased risk under GA. The ultrasound report mentioned there is a general anaesthetic risk to this patient under the assumption that pimobendan was not started. This patient has been on pimobendan for 8 months. Therefore we can go ahead with the anaesthetic. 

Will 
1. Get urine sample for UA, Culture and wet micro$280
2. Vaccinate today

Owner to ask greencross joondalup for ultrasound report from specialist so we can compare results to the scan done today to make an informed decision.

Previous claim history (5)

DateClaim #Diagnosis
2023-10-25C6455196DENTAL (TOOTH) DISORDER
2022-02-10C4477920MISCELLANEOUS CONDITIONS
2022-02-10C4587915PEMPHIGUS DISORDER
2021-02-12C3518220VACCINATIONS
2021-02-12C3518220FLEA/TICK/WORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_ultrasound810.002026-03-10
20000tstarc_antibiotics_-_clindamycin95.852026-03-10

UPM+

  • DG00590DENTAL (TOOTH) DISORDERDSTP_dental_(tooth)_disorder
  • DG02205HEART (CARDIAC) DISEASEDSTP_clinical_signs_-_heart_murmur

Variant (sleepy_king)

HEART (CARDIAC) VALVE DISORDER
DSTP_heart_condition_-_valve_disorder
Conf: 0.550
Threshold: 0.70
Above:
Correct?
Acceptable?
Reason (potential financial impact)
Diagnosis description