C09971222 / invoice 10000
Species:CANINE
Breed:Cavoodle
Age (years):6
Diagnosis or signs:Yelping in pain
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p>Thursday night yelped in pain when jumped off low couch. A couple more incidents that night of increasing severity. O went to ARH, no injuries located, presumptive IVDD. Sent home with meloxicam, gabapentin, fentanyl patch and was given methadone in clinic and seemed to improve.<br>Similar episode at christmas and intermittently since.~6 times since<br><br>Has been moderately comfortable with meds on board. Gabapentin 100mg BID and meloxicam SID.<br>Less interested in food. No v or d, seemed to struggle to toilet yesterday.<br><br>Exam:<br>BAR timid, shaking, HR 132bpm nad, RR pant nad, MM p/m/2s,LN nad, abdo tense but no splinting, T 38.5<br>EENO nad<br>MSK: no lameness on walk, all limbs nad, no proprioceptive deficits, no pain on palpation of spine. Full ROM in neck in all directions.<br><br>DDx spinal pain (OA vs IVDD) vs intra-abdominal pain (pancreatitis?)<br><br>Plan:<br>Admit for spinal xrays tomorrow. Continue on paid medication for now.<br>If xray is not diagnostic consider bloods and/or CT.<br><br><br>proprioception ok<br>fentanyl patch from thursday night R tarsus</p> </div> </div></html>
Animal clinical history (3 most recent)
2026-02-27T00:00:00Z 08:40:00
if gets worse - progresses to paralysis, then needs to go to ARH for CTmetacam ok to disp
2025-12-20T00:00:00Z 09:20:00
O is going away after xmasEating etc normallyRandomly yelped about 6 times or so over last weekYesterday yelped when he was just walking normallyStill not eating schmackos normally since dental Still jumping on things etcO:HR100, no murmurs, mm pink, crt <2Lungs clarAbdo comfyEars/eyes/nose: nsfDental: minimal tartar, no inflammation or masses presentMSK: no neck pain, no spinal pain, patellas and stifles ok, rest of joints ok, no pain responseA:Suspect pinched nerve or muscular spasmP:rest and monitor at homeIf worsens while they are on holiday ok to give metacam - O already has someThen recheck when they get back for poss xrays
2025-10-29T00:00:00Z 10:13:00
Nurse phone client back after surgery. called, phone was turned off. sent contact us txtHow is the recovery?EDFU ok?Ok with giving medications (what are they)?Meloxicam (anti-inflammatory): Give 11kg dose orally ONCE DAILY with food for 7 days. Stop if any vomiting or diarrhoea. Next due: TOMORROW MORNINGNoroclav (antibiotics): Give 1 tablet orally morning and night until finishedNext due: TOMORROW MORNINGRevisit: 7 days with vet
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-26 | C09961650 | TRAUMATIC INJURY |
| 2025-12-20 | C09655034 | MUSCLE SPASM |
| 2025-10-28 | C9413511 | PAIN - ORAL (MOUTH) - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 96.00 | 2026-03-02 | — |
UPM+
- DG02085PAIN - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_pain
Variant (sleepy_king)
PAIN - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_pain
Conf: 0.370
Threshold: 0.39
Above: ✗
Correct?