C10031664 / invoice 10000
Species:CANINE
Breed:Irish Wolfhound
Age (years):1
Diagnosis or signs:Resp infection
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>- increased nasal stridor<br>- no coughing or sneezing<br>- was BAR yesterday but extremely lethargic today<br>- minimal eating and drinking today <br><br>E<br>- ears, eyes, nose: nose has serous discharge bilaterally, rest of nose dry<br>- cvs: normal rate + rhythm, no murmur auscultaed<br>- resp: increased rate (nervous), normal effort and normal bronchovesicukar sounds bilaterally, however narrowed nasal breathing sounds<br>- abdo: soft + comfy<br>-LNs: none palpable<br>- integument: one 2cm x 2cm soft subcut lump on right thorax and left thorax on mid lateral thorax, somehwat mobile and firm<br>- cytology: asking chloe<br>- temp 38.7<br><br>A<br>- considering lethargy and temp at higher range of normal, poss viral infection or early pneumonia <br><br>P<br>- amoxyclav 25mg/kg BID PO for 7 days then revisit next week<br>- call O with cytology results</p></html>
Animal clinical history (3 most recent)
2025-10-24T00:00:00Z 16:58:00
Very sore with L ear - no history of ear infectionsExaminationR ear NAD. Cytology - NADL ear - very red and inflammed ear, has a slightly matted bit of hair stuck to internal aspect of pinna - unable to remove as stuck to an ulcerated/cut region and Dudley very sore. Cytology - yeast +Discussed options for ear treatment, Eve opts for BNTPlan3ml BNT applied to L ear, book in for revisit in 7 days for another 2ml BNT to L ear. Revisit 7 days later to reswab both earsMacrolone short tapering course for 6 days
2025-08-05T00:00:00Z 14:45:00
CL spoke to Odoing well, non painful on palpation and swelling has completely resolved and not lame at alladvised continue abx for 28 days total and then consider rpt xraysHi Chloe,A few of us have looked at these rads as they are a little unusual. My first thought was Hypertrophic Osteodystrophy, although there is more lysis in the bones than I would often expect. There are changes in both legs, the left is much worse. Osteomyelitis is possible, but really rare, and particularly because multiple bones are affected I would consider this unlikely.I would treat with NSAIDS and see if there is significant improvement. Consider repeat radiographs in 1-2 weeks (earlier if not going well).Sincerely,Kirsten
2025-08-02T00:00:00Z 14:16:00
Nurse phone client back after surgery.How is the recovery? Going wellEDFU ok? All back to normalOk with giving medications (what are they)? Clindamycin (antibiotics): Give 3 tablets orally morning and night for 28 days. - Giving it easily
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-10-24 | C9400439 | EAR INFECTION |
| 2025-08-01 | C9040673 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2025-07-31 | C9036416 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_cytology | 55.00 | 2026-03-14 | — |
| 20000 | tstarc_consultation | 96.00 | 2026-03-14 | — |
| 30000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 102.02 | 2026-03-14 | — |
UPM+
- DG01527RESPIRATORY TRACT INFECTIONDSTP_respiratory_tract_infection_-_unspecified
Variant (sleepy_king)
MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.440
Threshold: 0.44
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description