C10020958 / invoice 10000
Species:FELINE
Breed:British Short Hair
Age (years):8
Diagnosis or signs:update owner: and plan:
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>Improving according to owner but feces is still hameatochezia. @ end. <br><br>Discuss results, <br>clos perfringens high range toxins. <br>2ndary is main poroblem, and usually self limiting when underlying dz controlled. <br><br>but because this episode is so bad, <br>i'd do a course abx to aid with recovery + monitor response. <br><br>a: severe IBD flare up vs other disease. <br><br>P; 5 days metrogyl <br><br>other meds currenyl <br>pred 5mg SID<br>mirtazipine 1.8mg EOD <br>temvet 0.15ml q6-12hrs. </p> </div></html>
Animal clinical history (3 most recent)
2026-03-11T00:00:00Z 11:25:00
Owner show me feces: Have stopped Creon since 3 days ago. Day one, feces D+, with looks like very oily.Day 2 Formed feces large, layer of blood surrounding it. Day 3 Softer, less blood. Day 4 formed soft type 3, minimal blood. Diet only eating ziwipeak now, avoiding his normal meat diets.No vomiting. O; hard to handle as per usual. very reactive tries to attack all the time. abdo palpation: nothing obviouis, large amount of feces present. thor nad/mouth nad. msk cannot assess. anus nad. a: still flare up IBS? CREON rx? known suspected IBD + pancreatic insufficiency suspected (owner declined tests ect but massive response to starting creon). tx; Symtpmatic for now. 1) stop CREON. 2) pred 5mg SID3) mirtazipine PO SID-EOD. 4)Cerenia 4mg SID. p; monitor response. pending faecal PCR results. INB, likely repeat imaging.
2026-03-10T00:00:00Z 10:19:00
if still d+ and abdo pain, consider faecal testing, repeat abdo imaging +/d+ dx, ongoing suspected GI IBD disease vs acute infecfious, vs creon reltaed. owner stopped CREON Saturday, feces become quote oily as per owner report. then d+ thaat day. improved since then. stopped eating his meat, only eating canned food. P; increase pred 5mg SID >> continue off creon for now. send away feces for testing. INB, may need repeat imaging ect.
2026-03-09T00:00:00Z 10:42:00
current medication: 1. creon 10000 SID for suscept EPI2. pred 2.5mg SID for chronic enteropathysee prev notes, had positive response to creon before. however since the d+ episode recently O noticed Louis showing signs of discomfort when on creon. O wondering whether can stop the medication or not. O has stopped giving creon since fridayhypoexia since last visit: off usual diet (lamb, kangeroo) and will only eat small amount of ziwi wet lamb cannoticed greasy soft faeces yesterday with blood mucus A; - chronic enteropathy - CKD- steatorrhea from EPI?P; hold stool sample for potential PCRo to continue pred 2.5mg PO today and monitor clinical signs blood for cobalamin b12? continue creon but lower dose? metronidazole trial?
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-11 | C10014630 | GASTROINTESTINAL PROBLEMS |
| 2026-03-10 | C10008376 | DIARROHEA |
| 2026-03-05 | C09991950 | CHRONIC KIDNEY (RENAL) DISEASE (CRF, CKD) (AZOTAEMIA UNSPECIFIED) |
| 2026-02-23 | C09942874 | VOMITION & DIARRHOEA |
| 2026-02-16 | C09907985 | DIARROHEA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_metronidazole | 26.02 | 2026-03-12 | — |
UPM+
- DG00981GASTRITISDSTP_gastroenteritis
Variant (sleepy_king)
FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_diarrhoea
Conf: 0.400
Threshold: 0.13
Above: ✓
Correct?
Reason (correct)