C10016193 / invoice 10000
Species:CANINE
Breed:Golden Retriever
Age (years):6
Diagnosis or signs:D+
Consult notes
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<p><span data-contrast="auto">Presented for Dx revisit. Dx began 6d ago. No improvement since visiting AES 2d prior. Nearly out of prokolin, has been using BID. Small amounts of poorly formed stools. Started feeding low fat gi as of last night, prior to this was feeding lyka. Has lost weight over last 6-12m but was switched to lyka 1yr ago. EDU, never very energetic but slightly flatter than normal. No toxins, no fb's.<br><br>Diet - lyka - no changes for 12m<br>Prev - UTD, tried to find product but unsure of name<br>Indiscretions - Chicken, was at the groomer on wednesday, peaut butter smackos</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: Could not examine, moist</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>Anxious, better when facing/leaning into dad, 38.2, mild erythema around anus</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}'> dietary indiscretion vs parasitic vs food intolerance vs neoplasia vs ibd vs organopathy vs toxin vs endocrine vs pancreatitis vs other <br><br>Discussed with owner otherwise happy and healthy on examination. Possible that continuing on regular lyka diet may not have allowed gut to settle down fully. Recommend feeding low fat GI food solely with prokolin and assessing response. Discussed differentials with owner. </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}'> <br>Prokolin BID PRN<br>Cont. on low fat GI food </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}'> If Dx persists for a further 5d to revisit for further workup - bloodwork, US, faecal testing</span></p>
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Animal clinical history (3 most recent)
2026-03-10T00:00:00Z 11:58:00
Still D+Otherwise seems fine, EDU as per normalNo vomiting and still his happy selfAdvised O to try bland diet with pro-kolinLet her know that is can take a few days to settleIf he deteroriates to bring in for a recheck
2026-03-09T00:00:00Z 12:50:00
Reason: - D+ 4 DaysTreatment:Pro-Kolin+ paste administered orally, to be continued twice daily until diarrhoearesolves. Dx: - Dietary indiscretion- Food intolerance/allergy- Infectious gastroenteritisFollow up call:LD - still D+ will ocntinue prokolin
2025-07-24T00:00:00Z 08:16:00
Have reminders been checked? Y doing todayHistory:Has had a couple of episodes of urine leakage in bed overnight Otherwise no concerns - no straining, no blood, no odour EDDU normallyNo V/D Diet: dry and Lyka UTD monthly prohylatics Pex:EENT: MM pink, CRT <2s. Eyes clear, no discharge, no blepharospasm. Ears no discharge, no erythema, no odour. No nasal discharge.CV/Resp: heart auscultates clear, no murmor noted. Clear breath sounds in all lung fields on auscultation, nomal effort.GI/UG: abdominal palpation - soft and no obvious abnormalities palpatedInteg: skin in good condition, no lesionsLN: peripheral lymph nodes palpable < 1cmMSK: Ambulating without lameness.UA:pH 6 Bili 3, urobili 8rest wnl No sediment Tx:Vanguard C4 SC Vanguard KC PO Plan:Vacc due in 12 months O to monitor urination concerns - nothing of concern now recommend bloods if develops any vomiting/ diarrhoea/ lethargy/ inappetance - suspect high bili due to very concentrated sample Discussed weight loss
Previous claim history (13)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-08 | C10002674 | FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT |
| 2021-03-17 | C3598253 | ELBOW DYSPLASIA |
| 2020-12-13 | C3370456 | FOREIGN BODY - INTESTINAL, LARGE |
| 2020-12-02 | C3340807 | ELBOW DYSPLASIA |
| 2020-11-23 | C3318381 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2020-11-20 | C3314109 | LAMENESS RF |
| 2020-10-30 | C3268391 | DIARROHEA |
| 2020-10-28 | C3266359 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2020-10-28 | C3266359 | EAR CONDITIONS |
| 2020-10-19 | C3238824 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2020-10-15 | C3230247 | EAR CONDITIONS |
| 2020-10-15 | C3230247 | VOMITION |
| 2020-07-30 | C3102390 | INGEST FOREIGN OBJECT |
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 | — |
| 20000 | tstarc_probiotics | 80.96 | 2026-03-11 | — |
| 30000 | tstarc_prescription_diet | 51.90 | 2026-03-11 | upstreamDSTP_prescription_diets |
UPM+
- DG01993DIETARY INDISCRETION - OTHER - PRESENTING COMPLAINTDSTP_dietary_indiscretion
Variant (sleepy_king)
FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_diarrhoea
Conf: 0.540
Threshold: 0.13
Above: ✓
Correct?
Reason (correct)