C10031819 / invoice 10000
Species:FELINE
Breed:Domestic House Cat
Age (years):4
Diagnosis or signs:Acute vomiting
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div>Primary: last couple of days big vomits of hard food, then furballs (long). Yesterday changed to 3-4 times projectile (a big furball, thick), then brown liquid late last night. Behavior very withdrawn. This morning 1x little vomit. Some open mouth breathing. </div> </div> </div> <div> <div> <div> </div> </div> </div> <div> <div> <div>Secondary:<br> <ul> <li>Eating/drinking: inappetent. </li> <li>Vomiting/diarrhea: see primary, no diarrhoea. </li> <li>Urination/Defecation: urinated this morning. Owner unsure about defecation. </li> </ul> </div> </div> </div> <div> <div> <div><br>Tertiary:<br> <ul> <li>Indoor or outdoor: mixed. </li> <li>Diet: tiki mousse, Hills c/d </li> <li>Vaccination: not UTD </li> <li>Deworming: not UTD </li> <li>Other pets: 1 other cat. </li> <li>Medications: no </li> <li>Allergies: unknown </li> </ul> </div> </div> </div> <div><br>Physical exam<br> <ul> <li>Temp 39.2</li> <li>Mucous membranes. CRT: pink, moist, CRT <2s</li> <li>Eyes, ears, nostrils: wnl </li> <li>Mouth/Teeth: wnl </li> <li>Trachea: left submandibular lymph node slightly enlarged</li> <li>Heart auscultation no murmur/ arrhythmia</li> <li>Lung auscultation: clear bronchovesicular sounds, no crackling or wheezing. </li> <li>Abdominal palpation (bladder, kidneys, GIT): slightly muscle twitching</li> </ul> </div> <div>Diagnostics<br>- AFAST: no obvious obstruction, some drop out but no dilation oral side <br>- in house CBC/biochem--> moderate neutrophilia, biochem normal<br>- Urinalysis no bacteria or cystitis, USG 1.020</div> <div><br>Treatment plan<br>- Methone inj 0.21ml + durogesic patch 25mcg <br>- Cerenia inj 0.7ml sc </div> <div> <div> <div> </div> </div> </div> <div>Client communication<br>- Main differential is that she had temporary intestinal obstruction the past few days, currently no obstruction but warned owners that she may have another obstruction. The passing hairballs may have caused some gastroenteritis due to her pain on abdominal palpation and stress leukogram, and mild pyrexia. <br>- Clinical signs to watch out for the next few days: projectile vomiting, serial vomiting, inappetence, lethargy. <br>- If she is able to pass the rest of the hairballs and is back to her normal self, then sedation + full clip may be a good idea for her. </div></html>
Animal clinical history (3 most recent)
2024-05-22T00:00:00Z 17:30:00
Primary: Moved house 2 wks ago. However, has not pooped in 3-4 days (O gave laxative BID), also noticed that not eating as much as she used to it (unusual as she likes food) in last 5 days. O weighed her --> has lost weight. Secondary:Eating/drinking: not eating as much, drinking okay. Vomiting/diarrhea: noCoughing/sneezing: noUrination/Defecation: peeing okay, hasn't pooed in 4 days. Tertiary:Indoor or outdoor: indoor Diet: Hills urinary care. Vaccination: not UTDDeworming: not UTD. Medications: noAllergies: noPhysical examTemp: 38Mucous membranes. CRT: pink, moist, CRT<2sEyes, ears, nostrils: within normal limits Mouth/Teeth: within normal limits Trachea :within normal limits Heart auscultation: within normal limits Lung auscultation: within normal limits Abdominal palpation (bladder, kidneys, GIT): hard to palpate as she is fat. Diagnostics- X-ray lateral--> no signs of constipationTreatment plan- monitor for increased inappetence--> will need bloods if this occurs. - Gave sample of RC calm as she seems to be quite sensitive and shy. Also advised 1% decrease weight in food to carry out weight loss (cannot feel her ribs at the moment), and weigh her every 2 weeks.
2024-01-25T00:00:00Z 12:00:00
STO cancelled appointment as she has passed F+ this morning. Have suggested to give movicol in daily diet as O thinks frequently getting constipated.
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-05-22 | C7260881 | INAPPETANCE |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 115.88 | 2026-03-14 | — |
| 20000 | tstarc_diagnostic_test_-_urine_test | 89.86 | 2026-03-14 | — |
| 30000 | tstarc_diagnostic_test_-_blood_test | 257.37 | 2026-03-14 | — |
| 40000 | tstarc_opioids_-_methadone | 31.20 | 2026-03-14 | — |
| 50000 | tstarc_opioids_-_fentanyl | 58.08 | 2026-03-14 | — |
| 60000 | tstarc_anti-nausea_medication | 42.25 | 2026-03-14 | — |
UPM+
- DG02146VOMITING - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_vomiting
Variant (sleepy_king)
GASTROENTERITIS
DSTP_gastroenteritis
Conf: 0.560
Threshold: 0.68
Above: ✗
Correct?
Reason (correct)