C10024884 / invoice 10000

Species:CANINE
Breed:Yorkshire Terrier
Age (years):4
Diagnosis or signs:Checkup
Consult notes
13/03/2026 Reason: bloody D+ 

History:
last week ate Crunchie, went to emergency, they said amount of choc fine
last 2 days D+ with blood
1st time this occurred
NO changes to environment
diet: cooked chicken breast, carrot 
NO other dogs 
still good appetite, NO V+
needs worming, skipped for 2 months

Vital Signs:
Temperature: 38.7 C
Heart Rate: 160 bpm 
Pulse rate: 160
Pulse character: strong and synchronous. 
Respiration Rate: sniffing 
MM: pink moist
CRT: 1 sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 3/5
Eyes: NAD
Ears: NAD
Nose: NAD
Oral Cavity: 1/4 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal , auscultation normal
Abdomen: slightly tense
Musculoskeletal: NAD
Neurological: normal mentation
Integument: NAD
Peripheral LNs: Normal size, symmetrical
Urogenital: NAD
Rectal exam: blood

DDx: HGE (scavenging, stress, parasites, bac, viral other), partial obstruction, other 

Plan: 
METRONIDAZOLE 50 mg PO BID, 5 days
continue plain cooked chicken breast + pumpkin flesh/white rice diet. NO carrots/extra fibre
INI return for bloods + x-rays

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 10:04:42
Reason: bloody D+ 

History:
last week ate Crunchie, went to emergency, they said amount of choc fine
last 2 days D+ with blood
1st time this occurred
NO changes to environment
diet: cooked chicken breast, carrot 
NO other dogs 
still good appetite, NO V+
needs worming, skipped for 2 months

Vital Signs:
Temperature: 38.7 C
Heart Rate: 160 bpm 
Pulse rate: 160
Pulse character: strong and synchronous. 
Respiration Rate: sniffing 
MM: pink moist
CRT: 1 sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 3/5
Eyes: NAD
Ears: NAD
Nose: NAD
Oral Cavity: 1/4 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal , auscultation normal
Abdomen: slightly tense
Musculoskeletal: NAD
Neurological: normal mentation
Integument: NAD
Peripheral LNs: Normal size, symmetrical
Urogenital: NAD
Rectal exam: blood

DDx: HGE (scavenging, stress, parasites, bac, viral other), partial obstruction, other 

Plan: 
METRONIDAZOLE 50 mg PO BID, 5 days
continue plain cooked chicken breast + pumpkin flesh/white rice diet. NO carrots/extra fibre
INI return for bloods + x-rays
2024-02-26T00:00:00Z 16:48:25
Reason: general check up with other dog 

History:
EDDU normal. o mentioned he limps after running whenever hes out, fine after a few minutes. o thinks left HLs
vaccinated in july at different clinic

Vital Signs:
Temperature: C
Heart Rate: wnl bpm 
Pulse rate:  wnl
Pulse character: strong and synchronous. 
Respiration Rate: wnl 
MM: pm 
CRT: <2 sec

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 3/5
Eyes: nad
Ears: nad
Nose: nad
Oral Cavity: mild tartar 
Heart / Lungs:eupnoeic , no dyspnoea, normal bronchovesicular sounds
Abdomen: comfortable
Musculoskeletal: ambulatory grade 1 MPL bilaterally
Neurological: neuro exam not performed
Integument: nad
Peripheral LNs: nad
Urogenital: nad
Rectal exam: not performed 

Assessment/Problem List:
MPL - possible cause of limping, consider consult with BA for potential surgery, especially if getting worse

Plan:
recheck if any concerns
2023-11-03T00:00:00Z 16:46:16
Just here for worming
Got vx done at another clinic back in July

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation98.002026-03-13
20000tstarc_antibiotics_-_metronidazole18.662026-03-13
30000tstarc_flea,_intestinal_worm_and_heartworm_control69.852026-03-13
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication

UPM+

  • DG02937FLEA/TICK/WORM CONTROLDSTP_routine_care_-_flea/tick/worm_preventative_medication
  • DG00986GASTROENTERITISDSTP_gastroenteritis

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.350
Threshold: 0.68
Above:
Correct?