C10028247 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):8
Diagnosis or signs:Gastro
Consult notes
Reason for visit: Stomach issues

HISTORY
Vomiting since Wednesday, at least twice daily
Mostly undigested food 
Last vomited this morning but no further today
Seems a little quieter today, not wanting to play
No really a toy eater but has been digging up and eating grass 

EXAMINE 
Eyes: NAD
Ears: NAD
Oral Cavity: NAD
Teeth:NAD
Heart:NAD
Lungs:NAD
Lymph Nodes: NAD 
Ab. Palp: mild discomfort in cranial abdo , rest NAD
Integument: skin tent <2s
Musculoskeletal: NAD
Neuro:NAD
Urogenital: NAD

ASSESSMENT
DDx: gastroenteritis, dietary indiscretion, foreign body, pancreatitis 

TREATMENT
Prevomax 3.2ml SC + cerenia 160mg 1/2 tab SID starting tomrrow night

PLAN
Discussed diagnostics vs conservative management
Owner elected to trial conservative management overnight, will represent in morning if still not well for xray and bloods 

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 16:18:00
Reason for visit: Stomach issues

HISTORY
Vomiting since Wednesday, at least twice daily
Mostly undigested food 
Last vomited this morning but no further today
Seems a little quieter today, not wanting to play
No really a toy eater but has been digging up and eating grass 

EXAMINE 
Eyes: NAD
Ears: NAD
Oral Cavity: NAD
Teeth:NAD
Heart:NAD
Lungs:NAD
Lymph Nodes: NAD 
Ab. Palp: mild discomfort in cranial abdo , rest NAD
Integument: skin tent <2s
Musculoskeletal: NAD
Neuro:NAD
Urogenital: NAD

ASSESSMENT
DDx: gastroenteritis, dietary indiscretion, foreign body, pancreatitis 

TREATMENT
Prevomax 3.2ml SC + cerenia 160mg 1/2 tab SID starting tomrrow night

PLAN
Discussed diagnostics vs conservative management
Owner elected to trial conservative management overnight, will represent in morning if still not well for xray and bloods 

Previous claim history (7)

DateClaim #Diagnosis
2025-10-24C9397013ARTHRITIS
2025-05-01C8654147ARTHRITIS
2025-04-24C8625352ARTHRITIS
2025-04-15C8599885GASTROINTESTINAL PROBLEMS
2025-04-09C8562275ARTHRITIS
2025-02-07C8302729VACCINATIONS OR HEALTH CHECKS
2023-01-05C5452535CONJUNCTIVITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation96.902026-03-13
20000tstarc_anti-nausea_medication58.502026-03-13
30000tstarc_anti-nausea_medication33.802026-03-13

UPM+

  • DG00986GASTROENTERITISDSTP_gastroenteritis

Variant (sleepy_king)

GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.650
Threshold: 0.68
Above:
Correct?