C10029183 / invoice 10000

Species:CANINE
Breed:Miniature Dachshund - Smooth Haired
Age (years):1
Diagnosis or signs:Swollen lymph node
Consult notes
Reason for visit:

HISTORY
Submandibular LN have been big for around 8 weeks. Might be sleeping a bit more? have recently moved house and routines have changed so might be behavioural. 

EXAMINE 
Eyes: NAD
Ears: NAD
Oral Cavity: MM pink, CRT < 2sec
Teeth: NAD
Heart: HR 128, NAD
Lungs: NAD
Lymph Nodes: Mildly enlarged submandibular LN, rest NAD 
Ab. Palp: NAD
Integument: Area of alopecia on ventral neck
Musculoskeletal: NAD
Neuro: NAD
Urogenital: NAD

ASSESSMENT
ddx: reative LN (vaccination, allergies, infection, other?), Neoplasia (lymphoma/leukaemia)

TREATMENT

PLAN
Discussed next diagnostic options including LN aspirates, in house bloods, imagining etc. Owner elected to start with LN aspirates and in house bloods. 

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 17:29:00
Reason for visit:

HISTORY
Submandibular LN have been big for around 8 weeks. Might be sleeping a bit more? have recently moved house and routines have changed so might be behavioural. 

EXAMINE 
Eyes: NAD
Ears: NAD
Oral Cavity: MM pink, CRT < 2sec
Teeth: NAD
Heart: HR 128, NAD
Lungs: NAD
Lymph Nodes: Mildly enlarged submandibular LN, rest NAD 
Ab. Palp: NAD
Integument: Area of alopecia on ventral neck
Musculoskeletal: NAD
Neuro: NAD
Urogenital: NAD

ASSESSMENT
ddx: reative LN (vaccination, allergies, infection, other?), Neoplasia (lymphoma/leukaemia)

TREATMENT

PLAN
Discussed next diagnostic options including LN aspirates, in house bloods, imagining etc. Owner elected to start with LN aspirates and in house bloods. 

Previous claim history (23)

DateClaim #Diagnosis
2026-02-18C09960274INTOXICATION (POISONING), PLANT - GRAPE/RAISIN
2026-02-18C09960274FLEA/TICK/WORM CONTROL
2026-02-18C09960274HEARTWORM CONTROL
2026-02-18C09960280INTOXICATION (POISONING), PLANT - GRAPE/RAISIN
2026-02-05C09857576LYMPHADENOMEGALY - PRESENTING COMPLAINT
2026-01-14C09960287VACCINATIONS OR HEALTH CHECKS
2026-01-14C09960287HEARTWORM CONTROL
2026-01-14C09960287FLEA/TICK/WORM CONTROL
2026-01-14C09960312VACCINATIONS OR HEALTH CHECKS
2026-01-14C09960312FLEA/TICK/WORM CONTROL
2026-01-14C09960312HEARTWORM CONTROL
2026-01-06C09960255CONJUNCTIVITIS
2026-01-06C09960424CONJUNCTIVITIS
2025-09-18C09960233INTOXICATION (POISONING), DRUG - ACETAMINOPHEN (PARACETAMOL)
2025-09-18C09960298INTOXICATION (POISONING), DRUG - ACETAMINOPHEN (PARACETAMOL)
2025-04-03C09960224VACCINATIONS OR HEALTH CHECKS
2025-04-03C09960293VACCINATIONS OR HEALTH CHECKS
2025-03-03C09960209VACCINATIONS OR HEALTH CHECKS
2025-02-18C09960176INTOXICATION (POISONING), PLANT - GRAPE/RAISIN
2025-02-18C09960188INTOXICATION (POISONING), PLANT - GRAPE/RAISIN
2025-02-18C09960188FLEA/TICK/WORM CONTROL
2025-02-18C09960188HEARTWORM CONTROL
2025-02-17C09960162INTOXICATION (POISONING), PLANT - GRAPE/RAISIN

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation96.902026-03-13
20000tstarc_diagnostic_test_-_blood_test255.402026-03-13
30000tstarc_diagnostic_test_-_cytology65.002026-03-13
40000tstarc_diagnostic_test_-_blood_test63.802026-03-13

UPM+

  • DG02590LYMPHADENOPATHY - MANDIBULAR (SUBMANDIBULAR)DSTP_mass_lesion_-_lymph_node

Variant (sleepy_king)

LYMPHOMA (MALIGNANT)
DSTP_lymphoma
Conf: 0.450
Threshold: 0.19
Above:
Correct?
Reason (correct)