C10021451 / invoice 10000

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Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):7
Diagnosis or signs:abdominal ultrasound + heart scan
Consult notes
Assessment:Examine:  IV catheter placed.  0.15 cc butorphanol given slow IV. Adequate sedation.An abdominal ultrasound was performed. The report is as follows:1. Urinary Bladder - all well2. Medial iliac & hypo gastric Lymph nodes: ok3. Adrenal glands: ok - not enlarged4. Left and right kidneys showed good corticomedullary differentiation. 5. Spleen: The spleen was normal in size, shape and echogenicity.  6.  The pancreas was normal in appearance. 7. The stomach - ok8. The liver was swollen and increased in echogenicity.  Texture is finer. The gallbladder was normal in size with a distinct mucocele.9. The Colon - ok10. Intestines - okLaboratory: Right lateral radiograph of the chest showed a Vetebral Left Atrial Size (VLAS) is 2.3 (VLAS < 2.3 - likely stage B1 - recheck 6-12 months, VLAS 2.3-2.9 likely stage B2, VLAS > 3.0 consistent with stage B2) Laboratory: Ultrasound scan of the right side of the heart showed LA:AO (Left atrial diameter to Aorta diameter ratio) is around 1.7Assessment: Hardly any change compared with 3 months ago.  Borderline stage B2 heart disease - might benefit from pimebedan medication , but perhaps not at this stage

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 10:57?am
Assessment:Examine:  IV catheter placed.  0.15 cc butorphanol given slow IV. Adequate sedation.An abdominal ultrasound was performed. The report is as follows:1. Urinary Bladder - all well2. Medial iliac & hypo gastric Lymph nodes: ok3. Adrenal glands: ok - not enlarged4. Left and right kidneys showed good corticomedullary differentiation. 5. Spleen: The spleen was normal in size, shape and echogenicity.  6.  The pancreas was normal in appearance. 7. The stomach - ok8. The liver was swollen and increased in echogenicity.  Texture is finer. The gallbladder was normal in size with a distinct mucocele.9. The Colon - ok10. Intestines - okLaboratory: Right lateral radiograph of the chest showed a Vetebral Left Atrial Size (VLAS) is 2.3 (VLAS < 2.3 - likely stage B1 - recheck 6-12 months, VLAS 2.3-2.9 likely stage B2, VLAS > 3.0 consistent with stage B2) Laboratory: Ultrasound scan of the right side of the heart showed LA:AO (Left atrial diameter to Aorta diameter ratio) is around 1.7Assessment: Hardly any change compared with 3 months ago.  Borderline stage B2 heart disease - might benefit from pimebedan medication , but perhaps not at this stage    Vital Signs

Previous claim history (11)

DateClaim #Diagnosis
2026-03-05C09996169APPETITE DECREASED - PRESENTING COMPLAINT
2026-03-05C09996169POLYDIPSIA - PRESENTING COMPLAINT
2025-12-04C09581331MASS LESION - EYELID
2025-12-02C09581323HEART (CARDIAC) DISEASE
2020-02-29C2757560INGEST FOREIGN OBJECT
2020-02-29C2758158INGEST FOREIGN OBJECT
2020-02-11C2720176PYODERMA
2019-10-18C2505379HEARTWORM CONTROL
2019-05-17C2240132DESEXING
2019-04-01C2157080VACCINATIONS OR HEALTH CHECKS
2019-04-01C2157080VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_opioids_-_butorphanol44.992026-03-12—
20000tstarc_hospitalisation85.002026-03-12—
30000tstarc_anti-nausea_medication46.612026-03-12—
40000tstarc_procedure_fee_-_echocardiogram270.002026-03-12—
50000tstarc_procedure_fee_-_ultrasound425.002026-03-12—
60000tstarc_sedation_for_procedure175.002026-03-12—

UPM+

  • DG02093POLYDIPSIA - PRESENTING COMPLAINTDSTP_clinical_signs_-_polyuria_or_polydipsia
  • DG02205HEART (CARDIAC) DISEASEDSTP_clinical_signs_-_heart_murmur

Variant (sleepy_king)

ANOREXIA - PRESENTING COMPLAINT
DSTP_clinical_signs_-_anorexia
Conf: 0.230
Threshold: 0.82
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description