C10024349 / invoice 10000
Species:CANINE
Breed:Belgian Shepherd - Malinois
Age (years):4
Diagnosis or signs:check up
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <p>has vomited this morning twice and has had a vomiting issues over last few months<br>last 2-3 weeks has been vomiting at least once weekly and sometimes twice weekly<br>loose stool 2 days ago and this morning quite watery<br>no fresh blood, some mucous in stool<br>he is on the kangaroo version of the frontier and sometimes the fish version<br>NB that both dogs have diarrhoea atm, started with Zulu's soft stools and now both he and Delta have watery stools today- more likely they have some type infectious diarrhoea atm<br>Zulu has always needed lots of food to maintain his bodyweight and has always passed 3 dtools per day so appears to have a fast metabolism, he has always tended to vomit although it has been more frequent recently<br>Examination: lovely coat<br>weight ideal<br>abd palp OK<br>chest ausc OK<br>mm pink and not tacky<br>CRT normal 1 sec<br>Lns OK<br>did not take temp today<br>Assessment: longer term occ vomiting could be more functional issue or could be IBD, extra GI causes or other primary gut disease, addisons possible but unlikely<br>could also have fast metabolism but could be underlying EPI as passes larger volumes of stools<br>for today I think he and Delta have an acute gastro type illness that they have shared<br>Treatment: cerenia as comiting worse today<br>pro kolin<br>Plan: for more chronic vomiting and increased stool production plan would be<br>1) initial FASTED bloods for aurora standard with added CPR and TLI<br>2) consider resting cortisol<br>3) Imaging, start with abdo u/s and if still no diagnosis may have to consider endoscopy and biopsy<br>explain to owners that if all this is normal then may be just his tendancy to vomit and need more food than most dogs but they don't necessarily have to do all of above if they don't want to.<br><br></p> </div> </div> </div></html>
Animal clinical history (3 most recent)
2026-01-10T00:00:00Z 10:03:00
finished antibtioics yesterdayremove bandagewalking normally in here, no limplooks good nowbathe with chlorhex 4th digit LFL nail removed and broken phalanxPlan: cover when walking outsideon lead walks only 1 week then resume normal activityput a donut on to stop lickingcan replace bandage if necessary to stop licking but if not licking bandage not requiredany concerns recheck
2026-01-05T00:00:00Z 13:55:00
Progressive VET Care Malvern EastReminders checked: yes/noHISTORY:Has now been weight bearing. Hasn't been bothered by the bandage.Well within himself. Has 1 dose of Meloxicam left. EXAMINATION:No sedation needed. Muzzled, gave treats and worked slowly to take off bandage. Healing well. Still a little swollen, but dry, no sign of infection. DIAGNOSIS:Healing post torn nail. TREATMENT: Bandage change - standard. Meloxicam tabs to go home with if needed.PLAN: Bandage change with KL this Saturday at GI. Reminders updated: na
2026-01-02T00:00:00Z 09:08:00
on meloxicam & clindamycin - still not putting any weight on it, o wondering if this is normal? - booked in for sedate & bandage change on mon0449833077
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-05 | C09712962 | CLAW INJURY (TRAUMATIC) |
| 2025-12-31 | C09694866 | CLAW INJURY (TRAUMATIC) |
| 2025-12-29 | C09684295 | CLAW INJURY (TRAUMATIC) |
| 2022-10-14 | C5225071 | FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT |
| 2022-07-26 | C4955587 | DIARROHEA |
| 2022-07-26 | C4955587 | FLEA/TICK/WORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-emergency/afterhours | 134.50 | 2026-03-07 | — |
| 20000 | tstarc_anti-nausea_medication | 87.07 | 2026-03-07 | — |
| 30000 | tstarc_probiotics | 61.51 | 2026-03-07 | — |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.730
Threshold: 0.68
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description