C10014570 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):13
Diagnosis or signs:claim
Consult notes
CT request
Wellness Check Up - Increased RR

HISTORY:
dx: DR Geoff B2 heart disease April 2024  has been progressive in last scan vet medin 5mg 1/2 bid 
Onwer has been monitoring RR this week has been up as high as 40 presviously around 20 , slightly more coughing 
seems unsettled sitting up more , doesnt want to lie down 
dental GA 1 month ago , no fluids during or anaesethic concerns 

Examine : happy in consult 
grade 4-5 murmur hrt rate 150 
mm pink refil / 2 
teeth look good 
chest no crackles r laboured breathing 

procedure blood test urea and creat ok 
alt slightly elevation 
alp 1000 has gone up hx of gall bladder disease on Ursiodile 

procedure : chest xrays showed v/d left and right later
significantly enlarge heart and right atrium 
lung pattern show alveolar pattern particulalry around the perihilar region 

dx: early CHF pulmonary odema 

tx: give add frusamide 20mg 1 tablet bid 

recheck urea and creat in week , advised reultrasound gall bladder also due to increase in alp . '
owner to monitor RR closely and cough and  call immediately if up
advised low salt food. 

Animal clinical history (3 most recent)

2026-02-25T00:00:00Z 15:30:00
CT request
Wellness Check Up - Increased RR

HISTORY:
dx: DR Geoff B2 heart disease April 2024  has been progressive in last scan vet medin 5mg 1/2 bid 
Onwer has been monitoring RR this week has been up as high as 40 presviously around 20 , slightly more coughing 
seems unsettled sitting up more , doesnt want to lie down 
dental GA 1 month ago , no fluids during or anaesethic concerns 

Examine : happy in consult 
grade 4-5 murmur hrt rate 150 
mm pink refil / 2 
teeth look good 
chest no crackles r laboured breathing 

procedure blood test urea and creat ok 
alt slightly elevation 
alp 1000 has gone up hx of gall bladder disease on Ursiodile 

procedure : chest xrays showed v/d left and right later
significantly enlarge heart and right atrium 
lung pattern show alveolar pattern particulalry around the perihilar region 

dx: early CHF pulmonary odema 

tx: give add frusamide 20mg 1 tablet bid 

recheck urea and creat in week , advised reultrasound gall bladder also due to increase in alp . '
owner to monitor RR closely and cough and  call immediately if up
advised low salt food. 

Previous claim history (16)

DateClaim #Diagnosis
2026-02-26C10014363MITRAL VALVE MYXOMATOUS DEGENERATION
2026-02-26C10014464MITRAL VALVE MYXOMATOUS DEGENERATION
2026-02-02C09883585CHOLANGIOHEPATITIS
2026-02-02C09883760CHOLANGIOHEPATITIS
2026-01-28C09859640DENTAL ILLNESS TREATMENT
2026-01-28C09859640TEETH CLEANING
2026-01-28C09859640EAR INFECTION
2026-01-28C09859640MITRAL VALVE MYXOMATOUS DEGENERATION
2026-01-28C09859727DENTAL ILLNESS TREATMENT
2026-01-28C09859727TEETH CLEANING
2026-01-28C09859727EAR INFECTION
2026-01-28C09859727MITRAL VALVE MYXOMATOUS DEGENERATION
2025-12-10C09669652LETHARGY - PRESENTING COMPLAINT
2025-12-10C09670375LETHARGY - PRESENTING COMPLAINT
2024-10-15C7864204MITRAL VALVE MYXOMATOUS DEGENERATION
2024-10-15C7864204CHOLANGIOHEPATITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_blood_test110.002026-02-25
20000tstarc_procedure_fee_-_radiology450.002026-02-25
30000tstarc_consultation-revisit78.002026-02-25
40000tstarc_diagnostic_test_-_urine_test30.002026-02-25
50000tstarc_diuretic_-_frusemide36.502026-02-25
60000tstarc_food47.902026-02-25
upstreamDSTP_general_exclusion

UPM+

  • DG02786MITRAL VALVE MYXOMATOUS DEGENERATIONDSTP_heart_condition_-_valve_disorder

Variant (sleepy_king)

HEART (CARDIAC) VALVE DISORDER
DSTP_heart_condition_-_valve_disorder
Conf: 0.490
Threshold: 0.70
Above:
Correct?