C10015809 / invoice 10000

Reviewer

Species:FELINE

Breed:Maine Coon

Age (years):0

Diagnosis or signs:Hernia

Consult notes

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<p><strong><span data-contrast="auto"><span style="font-weight: 400;"><span style="color: #ff0000;">Have reminders been checked? Y</span><br><span style="color: #ff0000;">Has the owner been advised of this? None due</span><br></span><br>GapOnly claim Insurance Summary<br>First Clinic Signs: Hernia growing in size over last 2 months<br>Diagnosis/Suspected: Umbilical hernia - congenital vs surgically induced<br>Summary/Suspected Cause: As above<br>Any other conditions being treated/known health concerns(if any): No<br>Treatment/Plan: Discuss surgery, booked in for monday<br><br></span></strong><span data-contrast="auto"><br>Presented for CONCERN.</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><span data-contrast="auto">Hx: </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><span data-contrast="auto">General Hx:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">EDDU?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Any changes?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Lifestyle/other animals:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Diet:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> UTD spot-on. Royal canin kitten</span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Para:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Meds: </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Access to toxins?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
<li data-leveltext="-" data-font="Calibri" data-listid="3" data-list-defn-props='{"335551671":0,"335552541":1,"335559684":-2,"335559685":1080,"335559991":360,"469769226":"Calibri","469769242":[8226],"469777803":"left","469777804":"-","469777815":"hybridMultilevel"}' aria-setsize="-1" data-aria-posinset="0" data-aria-level="1"><span data-contrast="auto">Other concerns?</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></li>
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<p><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">PE:</span></strong><span data-contrast="auto"> </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Cardio: Regular rate and rhythm, no murmur detected. </span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Resp: No wheezes or crackles auscultated</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Oral: CRT &lt;2s, pink and moist MM. Dentition </span><span data-contrast="auto">GRADE</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Eyes: Bilaterally symmetrical,  clear and no presence of discharge</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Ears: No erythema or discharge noted</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">Integument: NAD</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">GIT Palpation: Abdomen comfortable on palpation, no obvious masses</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> <br></span><span data-contrast="auto">MSK: Comfortable on flexion and extension. No lameness noted.</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">Assessment</span></strong> <br><span data-contrast="auto">     </span><span data-contrast="auto">Ddx:</span><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">Treatment</span></strong><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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<p><strong><span data-contrast="auto">Plan</span></strong><span data-ccp-props='{"201341983":0,"335559739":160,"335559740":259}'> </span></p>
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Animal clinical history (3 most recent)

2026-01-16T00:00:00Z 13:00:00

Have reminders been checked? Y/NHas the owner been advised of this? YHX:Diet: As prev.Preventatives: O thinks its the revolution +No V+ or D+NCCseye issue seems to have resolvedDue for 3rd kitten vaccExam:OMMs pink CRT 1 sec, no malocclusion issuesChest: no murmurs/arrhythmiasAbdomen: no internal abnormalities however 7-10mm diam ovoid umbilical hernia.  soft.  reduceableMSN: NSFs/no hind dew clawsSkin/ears/eyes/coat: NSFsTx:F3 Vanguard inj s.c #3Plan:Advised to monitor hernia closely - if increases in size, becomes hard and/or becomes unwell, rec surgical repairContinue preventativesbooster F3 due in 12 months

2026-01-05T00:00:00Z 14:37:00

Called O @ 2.37pm - no asnwer so sent sms to advise if concerns to call back.

2025-12-24T00:00:00Z 13:21:00

O called, Eye not really improving, has now spread to other eye, sneezing worse.  Mentioned vet had said can just get some antibiotics.Spoke to SB - advised we need to be doing further diagnostics, AB's are not indicated given the cat is clinically well, bright and eating. Ideally need conjunctival/ oropharyngeal swabs because if it is viral in origin can give appropriate anti-virals - oral or systemic. Concerned antibiotics will destroy microbiome given age and it is otherwise well. Also need to discuss vacc status - if alreayd finished kitten course need to do another one and possibly booster 4 weeks after pending on age finished. To make a booking in the new year.

Previous claim history

Date	Claim #	Diagnosis
No prior claims.

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	97.00	2026-03-11	—

UPM+

DG02250HERNIADSTP_hernia_-_umbilical

Variant (sleepy_king)

HERNIA

DSTP_hernia_-_umbilical

Conf: 0.520

Threshold: 0.90

Above: ✗

Correct?

Yes No