C09970449 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):7
Diagnosis or signs:Lameness, health check, update C5
Consult notes
Hx:
- Presenting problem: Helth check, intermittent lameness in FLs, more LFL than RFL but did pull dew claw RFL recently. Responds well to meloxicam prn, needs more. Otherwise doing well

- Eating: Normally
- Drinking: Normally
- Urinating: Normally
- Defecating: Normally

- Any V+/ D+/ coughing/sneezing None
- Current parasite prevention: UTD NGS
- Vaccination status? Overdue 
- Any current medication? meloxicam PO prn, antinol 1 tab SID
- Any other concerns None

PE: 
Mentation: BAR
Eyes: NAD
Ears: NAD
Nose: NAD
Mouth: ds 1/4, MM pink, CRT <2
Heart: HR 120bpm, regular, no murmur, pulses wnl
Lungs: NAD
Abdominal examination: NAD
Skin and coat: NAD
LN: NAD
Temp: Not taken
BCS 7 /9
 MCS A /D
Weight: 26.4kg

Ortho exam: 
- RFL NAD
- LFL Mild reduced ROM carpus, crepitus elbow
- RHL NAD
- LHL NAD
- Neck NAD
- Spine NAD

Assessment:
DJD L elbow and carpus
Recc bloods for general review and because on regular meloxicam. Collected R cephalic vein- send to IDEXX tomorrow
Overdue vaccination

Treatment:
Nobivac DHP SC
Nobivac KC IN


Plan: 
Increase to 2 antinol SID PO
Continue meloxicam at 22.5kg dose SID for 5-7 days when needed
Call with blood results once available
Recc synovan course

Due C5 in 12 months

Previous claim history (3)

DateClaim #Diagnosis
2025-01-09C8268604GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2024-11-13C7945325DEGENERATIVE JOINT DISEASE
2024-03-09C6977299LAMENESS LF

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours130.002026-03-01
20000tstarc_meloxicam108.802026-03-01
30000tstarc_procedure_fee14.002026-03-01
40000tstarc_vaccination_(canine)65.702026-03-01
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
50000tstarc_diagnostic_test_-_blood_test242.702026-03-01

UPM+

  • DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness

Variant (sleepy_king)

ARTHRITIS
DSTP_osteoarthritis
Conf: 0.430
Threshold: 0.17
Above:
Correct?
Reason (correct)