C10013215 / invoice 10000
Species:CANINE
Breed:Border Collie
Age (years):4
Diagnosis or signs:r/v ITP
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>recovering well from ITP- on pred 40mg sid, also taking trazodone 150mg bid to help keep her quiet.<br> clinically well and quiet.<br> mm pink, hr 100, nad chest, no abdo pain. hyphamea resolving.<br> PLAN- continue meds for now.<br>r/v in 7d for more bloods.<br>platelets 310 and confirmed >150 on inVue dx.<br>PCv 36%<br>WCC normal</p></html>
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 09:35:00
still in GARS- stable, having a CT today. o not sure if had IV vinc or not. likely to stay in GARS for a couple of days
2026-03-05T00:00:00Z 13:19:00
Bilateral uveal heamorrhage and anterior flare Rt eye. no known access to rat bait. has been acting normal at home.multiple tiny petechial heamorrgaes on gums, lips, ears and abdomen.nad heart and lungs, no abdo pain, t 38.6is on stilboestrol once a week for incontinenceddx IMT, coagulopathyrun bloodssevere thrombocytopeania. (<50)protein and biochem normalAPTT 106.8PT 15 Both within normalAt risk of spontaenous bleeding event- ideally has IV vincristine first and imaging as part of work up. rule out neopalsia as primary cause and then if ok then start preds/immunosuppressants.Decreased PlateletsImmune-mediated platelet destructionPrimary (idiopathic) immune-mediated thrombocytopaenia (ITP)Secondary ITPInfectionNeoplasiaSystemic immune-mediated diseaseDrugs/vaccinesIncreased platelet consumptionBlood loss, acute and severeLocalised intravascular coagulationDisseminated intravascular coagulation (DIC)Neonatal alloimmune thrombocytopaeniaPost-transfusion purpuraEnvenomationVasculitis/endocarditisDecreased platelet productionBone marrow suppressionImmune-mediated (targeting megakaryocytes)Idiopathic/multifactorialInfectionNeoplasiaBreed-related: Macrothrombocytopaenia (giant platelet disorder)Greyhounds - normal reference interval is lower than other breedsEndotoxaemiaHypophosphataemiaAnaphylaxisSequestration (rarely causes clinically relevant disease)
2025-11-17T00:00:00Z 08:51:00
Give 1 tablet once or twice a week
Previous claim history (4)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-07 | C10004798 | THROMBOCYTOPENIA - IMMUNE-MEDIATED - PRIMARY (IDIOPATHIC, ITP) |
| 2026-03-06 | C10004902 | THROMBOCYTOPENIA - IMMUNE-MEDIATED - PRIMARY (IDIOPATHIC, ITP) |
| 2026-03-05 | C09990491 | THROMBOCYTOPENIA |
| 2026-03-05 | C09993626 | THROMBOCYTOPENIA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_haematology | 237.00 | 2026-03-11 | — |
| 20000 | tstarc_diagnostic_test_-_blood_test | 99.00 | 2026-03-11 | — |
| 30000 | tstarc_consultation-revisit | 92.00 | 2026-03-11 | — |
UPM+
- DG01778THROMBOCYTOPENIA - IMMUNE-MEDIATED - PRIMARY (IDIOPATHIC, ITP)DSTP_haematopoietic_condition_-_platelet_disorder
Variant (sleepy_king)
THROMBOCYTOPENIA
DSTP_haematopoietic_condition_-_platelet_disorder
Conf: 0.950
Threshold: 0.35
Above: ✓
Correct?