C10024321 / invoice 10000
Species:CANINE
Breed:Dachshund - Smooth Haired
Age (years):7
Diagnosis or signs:Ultrasound
Consult notes
Appointment Notes: bladder USHistory:Noticed urine cloudy and malodorous again - UA yesterday showed recurrent UTI - neutrophils and rods+++++Recc u/s for C&S and to rule out bladder stone Current meds = cystopro (started yesterday), long term prazosin + diazepam (spinal - O manually expresses bladder and bowels), 2wks finished amoxyclav course for previous rod UTI. Subjective: barObjective: HR: 160 nad RR: shakingMM/CRT: pm, 1secTemp: 39.5ASA: 2 Laboratory: PAS Hct 64% > haemoconcentratedMild leukopenia/neutropenia > ddx: overwhelming infection, immunosuppression. Rest of CBC and biochem WNL Treatment: Trazodone 25mg PO at home Butorphanol 10mg/mL 0.18mL IV 12:36pm > much more settled for u/s thereafterImaging: > Urinary Bladder > moderately full 2.5x5x3cm of mostly anechoic urine, mild to moderate hyperechoic mobile sediment, no cystoliths noted, wall nad 1.6-2.2mm, no mass or irregular wall thickening present, > Left Kidney > 44.4mm longitudinal axis, no pyelectasia, normal corticomedullary differentiation, several small medullary mineralisations > Right Kidney > 45.0mm longitudinal axis, no pyelectasia, normal corticomedullary differentiation> Colon > gas and faeces present > Peritoneum > no free fluid noted > Lymph Nodes > no enlarged LN seen> Uterus/ovaries > not seen (speyed) Assessment: 1. Mild bladder sediment > most likely cellular based on UTI results>> No evidence of cystolith or bladder wall thickening2. L kidney mild mineralisations > incidental Treatment:Start amoxyclav 100mg PO BID whilst awaiting C&S results Discussion with O: KRUWent through changes on blood and US. Explained amoxy/clav TGH on. Await C+S results. Increase manual expression of bladder at home. Continue cystopro. Plan: FUC tomorrow post sedated u/s Await C&S results > change abx if necessary Continue cystopro long termRegular manual bladder expressions (increased frequency compared to normal) Discharge booked later this afternoon to go through findings/plan
Animal clinical history (3 most recent)
2026-03-12T00:00:00Z 8:19?am
Appointment Notes: bladder USHistory:Noticed urine cloudy and malodorous again - UA yesterday showed recurrent UTI - neutrophils and rods+++++Recc u/s for C&S and to rule out bladder stone Current meds = cystopro (started yesterday), long term prazosin + diazepam (spinal - O manually expresses bladder and bowels), 2wks finished amoxyclav course for previous rod UTI. Subjective: barObjective: HR: 160 nad RR: shakingMM/CRT: pm, 1secTemp: 39.5ASA: 2 Laboratory: PAS Hct 64% > haemoconcentratedMild leukopenia/neutropenia > ddx: overwhelming infection, immunosuppression. Rest of CBC and biochem WNL Treatment: Trazodone 25mg PO at home Butorphanol 10mg/mL 0.18mL IV 12:36pm > much more settled for u/s thereafterImaging: > Urinary Bladder > moderately full 2.5x5x3cm of mostly anechoic urine, mild to moderate hyperechoic mobile sediment, no cystoliths noted, wall nad 1.6-2.2mm, no mass or irregular wall thickening present, > Left Kidney > 44.4mm longitudinal axis, no pyelectasia, normal corticomedullary differentiation, several small medullary mineralisations > Right Kidney > 45.0mm longitudinal axis, no pyelectasia, normal corticomedullary differentiation> Colon > gas and faeces present > Peritoneum > no free fluid noted > Lymph Nodes > no enlarged LN seen> Uterus/ovaries > not seen (speyed) Assessment: 1. Mild bladder sediment > most likely cellular based on UTI results>> No evidence of cystolith or bladder wall thickening2. L kidney mild mineralisations > incidental Treatment:Start amoxyclav 100mg PO BID whilst awaiting C&S results Discussion with O: KRUWent through changes on blood and US. Explained amoxy/clav TGH on. Await C+S results. Increase manual expression of bladder at home. Continue cystopro. Plan: FUC tomorrow post sedated u/s Await C&S results > change abx if necessary Continue cystopro long termRegular manual bladder expressions (increased frequency compared to normal) Discharge booked later this afternoon to go through findings/plan Vital Signs
Previous claim history (12)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-21 | C09938169 | URINARY TRACT INFECTION (UTI) |
| 2024-02-12 | C6888734 | INTERVERTEBRAL DISC DISEASE |
| 2024-02-11 | C6865761 | GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT |
| 2023-07-03 | C6057505 | VACCINATIONS OR HEALTH CHECKS |
| 2022-07-11 | C4913159 | VACCINATIONS OR HEALTH CHECKS |
| 2021-10-04 | C4147624 | GASTROINTESTINAL PROBLEMS |
| 2021-10-02 | C4120879 | GASTROINTESTINAL PROBLEMS |
| 2020-04-29 | C2869503 | VACCINATIONS OR HEALTH CHECKS |
| 2020-03-05 | C2769084 | INGEST FOREIGN OBJECT |
| 2019-10-29 | C2524881 | DESEXING |
| 2019-10-29 | C2524881 | HEARTWORM TEST OR BLOOD SCREEN |
| 2019-10-16 | C2496945 | INGEST FOREIGN OBJECT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 35.25 | 2026-03-12 | — |
| 20000 | tstarc_sedation_for_procedure | 100.00 | 2026-03-12 | — |
| 30000 | tstarc_procedure_fee_-_ultrasound | 150.00 | 2026-03-12 | — |
| 40000 | tstarc_hospitalisation | 60.00 | 2026-03-12 | — |
| 50000 | tstarc_diagnostic_test_-_blood_test | 110.00 | 2026-03-12 | — |
| 60000 | tstarc_procedure_fee_-_centesis | 65.00 | 2026-03-12 | — |
| 70000 | tstarc_diagnostic_test_-_urine_test | 264.95 | 2026-03-12 | — |
UPM+
- DG01885URINARY TRACT INFECTION (UTI)DSTP_urinary_infection_or_cystitis
Variant (sleepy_king)
URINARY TRACT INFECTION (UTI)
DSTP_urinary_infection_or_cystitis
Conf: 0.940
Threshold: 0.43
Above: ✓
Correct?