C10022455 / invoice 10000
Species:CANINE
Breed:British Bulldog
Age (years):3
Diagnosis or signs:Not eating
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <p>Not eating for past week, not eating today <br>Not drinking much <br>Not eating any foreign materials <br>Normally fed dog mince, soft kangaroo/chicken bites and leftovers<br>Not interested in dry food for > 1 week <br>Neighbours feeding the dog? - throwing chicken, cheese, curry ??? as Owner finding these <br>Cryptorchid <br>Parasite control - ?<br>Vacc UTD <br>Prev to Blacktown Vet near round about <br>Last night - d+ dark brown, sometimes blood near the rectum <br>Other day he v+ - watery components <br><br>Wife called husband and husband reporting that he was off food yesterday and fine before that, and off food before that <br><br>PE: QAR, MM pink, CRT < 1.5 sec, dental -mild tartar on PM, no discharge from eyes/nose, HR 120 regular, no murmur, lungs clear, abdomen soft - no obvious discomfort on palpation, skin/coat - dandruff <br><br>Ddx dietary indiscretion vs GI disease vs extra GI disease <br><br>Discussed conservative management vs TAHP and investigation <br>O elected TAHP <br><br>TAHP performed and results reported to O - leukocytosis due to neutrophilia, lymphopenia, monocytosis, eosinopenia, reduced NaCl likely due to d+<br>Attempted to do rectal - clear but limited due to reactive dog <br>Attempted for abdo U/S standing, sprayed alcohol - dog reactive <br>Replaced back to cage - 20 min later, noted watery offensive smelling D+, no blood <br><br>DDx GASTROENTERITIS vs PANCREATITIS vs other (toxin, foreign body) <br>Discussed with O to commence IVF and hospitalisation with anti-emetics, gastro-protectants, and antibiotics <br>Discussed that there is no one here at the clinic overnight and recommend transfer to Overnight care hospital - SASH Prospect vs ARH Baulkham Hills or Minchinbury<br>O elected Minchinbury <br><br>1555 hrs Administered cerenia 3.2 ml (SC) and methadone 1 ml (SC) - DOG VERY REACTIVE <br><br>Recommend: <br>O elected to transfer Rocky to ARH Minchinbury <br>Elected to have IVF started to ARH <br>Decided to go home and return in hour to transfer Rocky <br>Notes to be emailed to ARH Minchinbury </p> </div> </div> </div></html>
Previous claim history (8)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-04 | C09581762 | VACCINATIONS OR HEALTH CHECKS |
| 2025-12-04 | C09581762 | FLY BITES |
| 2024-12-20 | C8106423 | VACCINATIONS OR HEALTH CHECKS |
| 2024-12-20 | C8106423 | HEARTWORM CONTROL |
| 2023-08-10 | C6200083 | INTERDIGITAL CYST |
| 2023-07-03 | C6089682 | Preventative/Elective Procedure |
| 2023-06-16 | C6043310 | INGEST FOREIGN OBJECT |
| 2023-06-15 | C6043303 | BLEEDING - OTHER ORIFICE - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 340.00 | 2026-03-12 | — |
| 20000 | tstarc_consultation | 97.20 | 2026-03-12 | — |
| 30000 | tstarc_opioids_-_methadone | 39.57 | 2026-03-12 | — |
| 40000 | tstarc_anti-nausea_medication | 88.64 | 2026-03-12 | — |
UPM+
- DG00986GASTROENTERITISDSTP_gastroenteritis
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.650
Threshold: 0.68
Above: ✗
Correct?