C10026287 / invoice 10000
Species:CANINE
Breed:Pomeranian Cross
Age (years):6
Diagnosis or signs:Bloods, revisit
Consult notes
12/03/2026 ST Alex -Bossa is still not right, no faeces for a few days now (explained this is positive-likely that the prokolin has been effective) , no vomiting but also not really keen to eat anything and is eating grass. Discuss with o that we should prob recheck-repeat maropitant?, poss disp some for home +/- bloods/arrange imaging. O ok 12/03/2026 Reason: Revisit HGE History: Alex, Izabelle and son Thomas in today. V+ a few times on Friday (bile only). Haemorrhagic D+ developed the following day and has persisted despite courses of prokolin and metronidazole. Appetite has been up and down but still reduced. Bossa would normally love her food. No previous GI upsets in the past. No access to toxins. Diet is generally prime 100. Doesn't eat FBs that owners are aware of. Other dog at home is well. Medications: Paracetamol BID What preventative health cover is being used and is anything required during visit? Vaccination: UTD Worming: UTD Flea control: UTD HW prevention: UTD Examination: Mentation: BAR, anxious but good dog Body condition score: 5/9 MM: Pink, moist CRT: 1s HR: 140 RR: 20 LN: WNL Temperature: 38.4 Ocular: WNL Oral/dental stage: 2/5 Ears: WNL Cardiovascular: No audible murmur, WNL Respiratory: WNL Gastrointestinal: Generally tense. Rectum empty on rectal exam Integument: WNL Musculoskeletal:WNL Urogenital: WNL Neurological: WNL Problem list: 1) HGE - ddx infectious vs GI FB vs hypoA vs pancreatitis vs hepatopathy vs ARF vs AFR vs IBD vs other Treatment: - Bloods taken for GHP and CRP - Maropitant 0.43mL/4.3mg SC @ 5.40pm Plan: Discussed ddx with owners. I am concerned about chronicity of signs and would prefer to start investigation. Owners happy with this plan. Start with blood test, however even if results and WNL, would recommend abdo US as next step if clinical signs persist. SM to relay results to owner. -------------------------------------------------------- SM Results: CBC: mild increase plateletcrit (ddx low grade blood loss, inflammation, infection), rest WNL Biochem: WNL Lytes: WNL CRP: 34.6 STO with results. Bloods largely WNL apart from mild increase CRP. Recommendation as per TB: abdominal ultrasound next step if no improvement. O would like to monitor at home for a few more days before going ahead with scan. He will call tomorrow and let us know how they would like to proceed. Since coming home from the vet Bossa has had some water and some chicken. Bloods emailed to o on request.
Animal clinical history (3 most recent)
2026-03-12T00:00:00Z 17:20:38
Reason: Revisit HGE History: Alex, Izabelle and son Thomas in today. V+ a few times on Friday (bile only). Haemorrhagic D+ developed the following day and has persisted despite courses of prokolin and metronidazole. Appetite has been up and down but still reduced. Bossa would normally love her food. No previous GI upsets in the past. No access to toxins. Diet is generally prime 100. Doesn't eat FBs that owners are aware of. Other dog at home is well. Medications: Paracetamol BID What preventative health cover is being used and is anything required during visit? Vaccination: UTD Worming: UTD Flea control: UTD HW prevention: UTD Examination: Mentation: BAR, anxious but good dog Body condition score: 5/9 MM: Pink, moist CRT: 1s HR: 140 RR: 20 LN: WNL Temperature: 38.4 Ocular: WNL Oral/dental stage: 2/5 Ears: WNL Cardiovascular: No audible murmur, WNL Respiratory: WNL Gastrointestinal: Generally tense. Rectum empty on rectal exam Integument: WNL Musculoskeletal:WNL Urogenital: WNL Neurological: WNL Problem list: 1) HGE - ddx infectious vs GI FB vs hypoA vs pancreatitis vs hepatopathy vs ARF vs AFR vs IBD vs other Treatment: - Bloods taken for GHP and CRP - Maropitant 0.43mL/4.3mg SC @ 5.40pm Plan: Discussed ddx with owners. I am concerned about chronicity of signs and would prefer to start investigation. Owners happy with this plan. Start with blood test, however even if results and WNL, would recommend abdo US as next step if clinical signs persist. SM to relay results to owner. -------------------------------------------------------- SM Results: CBC: mild increase plateletcrit (ddx low grade blood loss, inflammation, infection), rest WNL Biochem: WNL Lytes: WNL CRP: 34.6 STO with results. Bloods largely WNL apart from mild increase CRP. Recommendation as per TB: abdominal ultrasound next step if no improvement. O would like to monitor at home for a few more days before going ahead with scan. He will call tomorrow and let us know how they would like to proceed. Since coming home from the vet Bossa has had some water and some chicken. Bloods emailed to o on request.
2026-03-12T00:00:00Z 08:27:25
ST Alex -Bossa is still not right, no faeces for a few days now (explained this is positive-likely that the prokolin has been effective) , no vomiting but also not really keen to eat anything and is eating grass. Discuss with o that we should prob recheck-repeat maropitant?, poss disp some for home +/- bloods/arrange imaging. O ok
2026-03-10T00:00:00Z 11:44:30
Wasn't eating yesterday but has this morning. No vomiting, some grass eating, poos today is still diarrhoea but slightly more substance to it, no blood. O happy to cont with metron, panadol and prokolin
Previous claim history (12)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-09 | C10004666 | GASTROINTESTINAL PROBLEMS |
| 2025-12-16 | C09638300 | PAIN - NECK (CERVICAL) - PRESENTING COMPLAINT |
| 2025-12-14 | C09625931 | INTOXICATION (POISONING) - THEOBROMINE/CHOCOLATE |
| 2022-03-17 | C4580447 | TRAUMATIC INJURY |
| 2022-03-12 | C4585644 | TRAUMATIC INJURY |
| 2021-10-27 | C4186264 | PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT |
| 2021-10-12 | C4152668 | HEARTWORM TEST OR BLOOD SCREEN |
| 2021-10-12 | C4152668 | DESEXING |
| 2021-10-12 | C4152668 | DEWCLAW REMOVAL |
| 2021-08-05 | C3963708 | VACCINATIONS OR HEALTH CHECKS |
| 2020-10-31 | C3268920 | BEHAVIOURAL THERAPY |
| 2020-10-31 | C3268920 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 90.00 | 2026-03-12 | — |
| 20000 | tstarc_anti-nausea_medication | 47.86 | 2026-03-12 | — |
| 30000 | tstarc_diagnostic_test_-_blood_test | 395.00 | 2026-03-12 | — |
UPM+
- DG00981GASTRITISDSTP_gastroenteritis
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.880
Threshold: 0.68
Above: ✓
Correct?