C10012024 / invoice 10000
Species:FELINE
Breed:Domestic Short Hair
Age (years):2
Diagnosis or signs:Consultation - V+ x 2 today
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p>Consulting with Vet Nurse: no</p> </div> </div> <div> <div> <p>PRESENTING COMPLAINT: <br>- Vomited twice today with hair tie found in second vomit<br>- Minor eye discharge</p> </div> </div> <div> <div> <p>HISTORY:<br>- Vomited BID today, hair tie found in second vomit episode<br>- Hair tie appeared broken up, unsure if complete<br>- Eye discharge noted, some cleared by owner but some remains<br>- EDDU: On sensitive diet, consistent with toileting, water intake unknown since vomiting episodes<br>- Owner suspects hair tie from new toy with elastic components<br>- Previous history of ingesting rubber bands</p> </div> </div> <div> <div> <p>Current diet: Sensitive diet</p> </div> </div> <div> <div> <p>Weight: 6<br>BCS: 3.5/5</p> </div> </div> <div> <div> <p>EXAMINATION: <br>Eyes: mild discharge Lt eye - will examine under sedation<br>Abdo: nice and soft, no organomegaly or hard faeces, no discomfort on palpation<br>MM pink and moist, crt <2<br>Heart and chest sound fine<br>Lns WNLs<br>Demeanour: BAR</p> </div> </div> <div> <div> <p>PROBLEM LIST:<br>- Foreign body ingestion (hair tie)<br>- Vomiting BID<br>- Rt eye discharge<br>- Overweight</p> </div> </div> <div> <div> <p>DDx:<br>- Foreign body obstruction vs irritation<br>- Mild conjunctivitis/foreign material in eye</p> </div> </div> <div> <div> <p>ASSESSMENT: Concerned about potential remaining elastic material in gastrointestinal tract that could cause intestinal obstruction. Patient currently bright and alert which is encouraging. Eye issue appears minor with foreign hair removed. Weight management needed.</p> </div> </div> <div> <div> <p>TREATMENT in consult room/Meds dispensed:<br>Admitted for xrays under sedation - will check eye under sedation</p> </div> </div> <div> <div> <p>VET TECH actions:<br>Generate client summary in VetNotes <br>Discuss estimate: X-rays under sedation, possible overnight monitoring, potential ultrasound tomorrow<br>Email handout: none needed</p> </div> </div> <div> <div> <p>PLAN:<br>- Admit for sedation and X-rays to assess for foreign body obstruction<br>- Monitor gas patterns in stomach and intestinal movement<br>- Possible overnight stay for monitoring vs home with emergency instructions<br>- Recheck X-rays tomorrow to compare progression<br>- Ultrasound if suspicious of foreign body on X-ray<br>- Address eye under sedation if needed<br>- Reduce food by 10% for weight management<br>- Insurance pre-approval discussed</p> </div> </div> <div> <div> <p>Revisit recommended? Yes, tomorrow for recheck X-rays<br>Call back scheduled? Yes, after initial X-ray results</p> </div> </div></html>
Animal clinical history (3 most recent)
2026-03-10T00:00:00Z 18:37:00
Reason for investigation: Potential fbPre-med or sedation:medetomodine 0.12ml, butorphanol 0.18ml IM @5.51pmIv placedViews: L and R abdo, VD abdoResults: No obvious obstruction, faeces in colon, no gas in SI.Plan: Gave O two options - could recheck xray tomorrow to ensure passing or could monitor at home - O to decide and let us know.Eye: neg fluorescein stain uptake, no evidence of conjunctivitis.
2025-11-20T00:00:00Z 09:33:00
Consulting with Vet Nurse: noPRESENTING COMPLAINT: - Annual vaccinationHISTORY:EDDU: Pooing fine, no vomiting recently except hairball- Completed course of ear drops for ear infection, ears seem better- Indoor only cat- On sensitive diet (wet and dry food)Parasite prevention used: Due this monthWeight: 5.9BCS: 3.5/5EXAMINATION: Ears: clearOtherwise NADDemeanour: BAR, good boy during examinationNails clipped: YesPROBLEM LIST:- Annual vaccination due- Ear infection follow-up- Overweight- Parasite prevention dueASSESSMENT: Cat presenting for routine vaccination. Previous ear infection appears to be resolved. Weight management needed to prevent future health issues as cat ages.TREATMENT in consult room/Meds dispensed:- Annual vaccination given- Nails clipped: YesVET TECH actions:Generate client summary in VetNotes Email handout: Parasite prevention informationPLAN:- Monitor for vaccine reactions over next 24-48 hours (lethargy, being off food normal for 24-48 hours)- Continue parasite prevention monthly including ear mite coverage- Weight management - do not allow further weight gain- Monitor ear condition
2025-10-03T00:00:00Z 09:41:00
Consulting with Vet Nurse: Yes - KatPRESENTING COMPLAINT: - Constipation for 2 days since enema on WednesdayHISTORY:EDDU: Eating and drinking normally, no urination issues, no defecation since Wednesday after enema, not straining- Presented Wednesday with increased vomiting- Had enema Wednesday, passed mushy brown stool (no blood, lighter colour)- No vomiting since Wednesday- Owner feeding smaller amounts of wet food only (sensitivity diet)- Scabby lesions behind ears and under chin for 9 months, scratching noted- O has changed bowls to stainless sCurrent medications: NoneParasite prevention used: Revolution, last given September, due mid-OctoberCurrent diet: Royal Canin veterinary sensitive stomach wet food (changed from usual wet and dry Royal Canin)EXAMINATION: Eyes: NADEars: scabs behind ears, lots of gooey brown material in both canals, cleaned in consult, ear swab performed showing bacteria (cocci) and some yeast bilaterallyAG: Very full anal glands expressed completly (externally)MM: Pink and moistChest: NADAbdo: Doughy consistency, no painful areas, no masses palpatedCoat & Skin: Scabby lesions behind ears, scabs under chin consistent with chin acnePROBLEM LIST:- Constipation post-enema- Bilateral ear infection- Chin acne with scabs- History of vomiting/GI sensitivityDDx:- Post-enema constipation with low residue diet vs other pathology causing constipation- Bacterial/yeast otitis externa- Feline chin acne- Possible IBD/food sensitivityASSESSMENT: Mild concern level for constipation as patient is eating, drinking, not straining and has normal vital signs. Likely related to recent enema and low residue diet. Ear infection requires treatment. Chin acne manageable with hygiene.TREATMENT in consult room/Meds dispensed:- Anal glands expressed- Ear cleaning performed- Demotic ear drops 20ml (4 drops each ear twice daily for 10 days)- Chlorhexidine wipes prepared for chin/ear scabsPLAN:- Continue sensitive diet trial for several weeks- Monitor for bowel movements- Apply ear drops as directed- Wipe scabs with chlorhexidine solution daily- Consider Feliway for stress management- If no bowel movement or straining develops, imaging may be required
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-10-03 | C9303935 | CONSTIPATION |
| 2025-10-03 | C9303935 | EAR INFECTION |
| 2025-10-01 | C9293367 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2025-10-01 | C9293367 | PRESCRIPTION DIETS |
| 2025-09-02 | C9172571 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2025-04-28 | C8635864 | CONJUNCTIVITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_sedation_for_procedure | 107.69 | 2026-03-10 | — |
| 20000 | tstarc_hospitalisation | 59.00 | 2026-03-10 | — |
| 30000 | tstarc_fluid_therapy | 39.00 | 2026-03-10 | — |
| 40000 | tstarc_iv_catheterisation | 45.00 | 2026-03-10 | — |
| 50000 | tstarc_consultation | 119.00 | 2026-03-10 | — |
| 60000 | tstarc_procedure_fee_-_radiology | 471.90 | 2026-03-10 | — |
UPM+
- DG01992DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINTDSTP_foreign_body_ingestion
Variant (sleepy_king)
VOMITING - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vomiting
Conf: 0.740
Threshold: 0.42
Above: ✓
Correct?
Reason (correct)