C10027302 / invoice 10000

Reviewer

Species:CANINE

Breed:Alaskan Malamute

Age (years):12

Diagnosis or signs:Abdominal ultrasound

Consult notes

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<p>H: see AEC history<br>has been well at home last 2 days - eating and drinking<br>here for abdo u/s + recheck bp +- ACTH stim<br>E: dog very quiet but alert<br>mm's pale , hydration clinically normal<br>HR 60, no murmur<br>tense on abdo palp - reluctant to do deep palp <br>A: bradycardia , poss addison's? abdo lesion??<br>P: advised o do ultrasound first then will ring and discuss further w/up - ok for sedation (hopefully dog will not need) and FNA if indicated<br>o happy for ACTH stim etc if indicated<br><br>sound diagnosis: mass in the liver 5 x 4 cm and also likely mass in an adrenal gland<br>Discuss referral for CT scan etc<br>Owner declined, wants to spend time with Elsa before PTS</p>
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Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 16:23:00

Advised O since it has been since April last year, we will need to do a consultation first as we have not seen Elsa for a while. O understands. Booked in for Friday for a consult post AEC and also admit for u/s.Cost breakdown given to O as requested and also advised of cancellation fee for sound of $165O understands and will chat to wife tn or tmrw then call us back if he wants to cancel

2025-04-28T00:00:00Z 09:35:00

LMOM

2025-04-23T00:00:00Z 16:13:00

H: brought in dead rat from backyard 3 days ago, has had on and off diarrhoea sinceoff food today, vomitingwill eat treats but not kibblewormed 3 weeks ago, nexgardhas otherwise been well, drinking waterE: BAR, BCS 4/9Eyes, ears, nose nsfMMs pink, moist, mild hypersalivationLns wnlHR 80, no murmurLungs clearAbdo nsfTemp 38.2A: diarrhoea ddx dietary indiscretion vs otherP: 3ml prevomax SCpro-kolin BIDbland diet eg chicken and rice for 1 weekRV ini next week

Previous claim history (11)

Date	Claim #	Diagnosis
2026-03-10	C10012899	COLLAPSE
2025-04-23	C8619876	DIARROHEA
2024-12-06	C8042693	MASS LESION - SKIN (CUTANEOUS)
2023-08-04	C6169654	VACCINATIONS OR HEALTH CHECKS
2023-01-18	C5533731	FOREIGN BODY, GRASS SEED
2022-11-23	C5338544	SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-06-29	C4877781	VACCINATIONS OR HEALTH CHECKS
2022-06-29	C4879175	VACCINATIONS OR HEALTH CHECKS
2022-06-29	C4921623	VACCINATIONS OR HEALTH CHECKS
2021-06-25	C3854659	VACCINATIONS OR HEALTH CHECKS
2020-05-22	C2951882	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	106.00	2026-03-13	—
20000	tstarc_procedure_fee_-_ultrasound	680.00	2026-03-13	—

UPM+

DG02104PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINTDSTP_clinical_signs_-_abnormal_test_result

Variant (sleepy_king)

MASS LESION - HEPATIC (LIVER)

DSTP_mass_lesion_-_hepatic_(liver)

Conf: 0.140

Threshold: 0.90

Above: ✗

Correct?

Yes No

Reason (correct)