C10024817 / invoice 10000

Species:CANINE
Breed:Great Dane
Age (years):4
Diagnosis or signs:Blood Tests
Consult notes

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 9:11 AM
Discussed further with oOR progression: Slight improvement after beransaPreviously ataxia quiet acute - crashed into another dogGradually worse prior to beransa - sitting down much more frequently Diet- thyamine deficiency?- large breed advance- commercial diet unlikelyClinical Signs todayGood neck movement, poss some resistance when lifting neck up and back and when turning to right tried to bite? But doesnt vocaliseDoes dip back slightly down lumbar region but no obvious reactionNo rectal palp reaction but dont think I quite reach sacral regionFlexion of limbs wnlsNeuro - so challenging due to size but definitely reduced proprioception, knuckling reflex weak Temp 39Taken bloods today to check for underlying cause- inc hypo T4Plan rest over weekend, await results. PB to report on Tue and then discuss refer- for consult vs MRI    Vital Signs    

Previous claim history (10)

DateClaim #Diagnosis
2026-03-10C10007807DEGENERATIVE JOINT DISEASE
2026-03-05C09988190GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2026-02-06C09863305GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-01-06C8156963DISCHARGE - NASAL (NOSE) - PRESENTING COMPLAINT
2024-09-30C7763477MASS LESION - SKIN (CUTANEOUS)
2024-09-16C7710061MASS LESION - SKIN (CUTANEOUS)
2023-06-22C6022253LETHARGY - PRESENTING COMPLAINT
2023-06-15C5996758VOMITING - OTHER - PRESENTING COMPLAINT
2022-09-30C5151408CHERRY EYE
2022-09-30C5151408Preventative/Elective Procedure

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_blood_test233.002026-03-13
20000tstarc_consultation-revisit6.602026-03-13
30000tstarc_consultation-revisit80.402026-03-13

UPM+

  • DG00205ARTHRITISDSTP_osteoarthritis

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.480
Threshold: 0.37
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description