C09972606 / invoice 10000

Species:CANINE
Breed:Miniature Poodle
Age (years):1
Diagnosis or signs:See notes
Consult notes
28/02/2026 HISTORY:
Presented for: lump on belly
was desexed 6 months ago
noticed a lump yesterday, today feels bigger?
P not bothered by the lump
EDDU well

EXAM:
Mentation: BAR
MM: pm crt <2
LNs: wnl
CV: HR: 12bpm, no m/a
Resp: normal effort and bv sounds
Abdo: soft comfortable
MSK: amb x4, no lameness/ataxia
Integ: thickened sc tissue caudo ventral abdomen, no discomfort on palpation, non erytheamtous 

ASSESSMENT:
suspect suture reaction/scar tissue from desexing

PLAN:
offered meloxicam - O will monitor for now

COMMUNICATION:
revisit if swelling or discomfort

01/03/2026 HISTORY
Presented for lump on belly sore and red.
Noticed friday
Bigger saturday. 
Now red + swollen + maybe bigger. Sore to touch today. 

6m ago desexed. 
EDDU normal
No lethargy. 


EXAM
BAR, very nervous but tolerated exam well. 
HR 128bpm, no m/a
RR pant
Temp 39.3oC
Abdomen tense
MM pm, CRT <2s
Integument 8x3cm firm swollen areas either side of sx site. 1x1cm red raised area along midline along sx site. Small amounts of black suture material visible in sx site, slightly protruding from skin or just under skin. Unable to remove with traction. 
- US used to assess mass. Fluid filled pocked on midline. Abdominal wall appears intact. 
Small stab incision made into mass from midline. Pus +++++

ASSESSMENT
Infection at sx site- suspect due to ascending infection from protruding suture material. 

PLAN
Given meloxicam 0.2mg/kg SC. O has PO at home. Continue for 3-5d. 
Given noroclav BID for 8d. 

COMMUNICATION
Recheck in 1w. 

Animal clinical history (3 most recent)

2026-03-01T00:00:00Z 20:27:54
HISTORY
Presented for lump on belly sore and red.
Noticed friday
Bigger saturday. 
Now red + swollen + maybe bigger. Sore to touch today. 

6m ago desexed. 
EDDU normal
No lethargy. 


EXAM
BAR, very nervous but tolerated exam well. 
HR 128bpm, no m/a
RR pant
Temp 39.3oC
Abdomen tense
MM pm, CRT <2s
Integument 8x3cm firm swollen areas either side of sx site. 1x1cm red raised area along midline along sx site. Small amounts of black suture material visible in sx site, slightly protruding from skin or just under skin. Unable to remove with traction. 
- US used to assess mass. Fluid filled pocked on midline. Abdominal wall appears intact. 
Small stab incision made into mass from midline. Pus +++++

ASSESSMENT
Infection at sx site- suspect due to ascending infection from protruding suture material. 

PLAN
Given meloxicam 0.2mg/kg SC. O has PO at home. Continue for 3-5d. 
Given noroclav BID for 8d. 

COMMUNICATION
Recheck in 1w. 
2026-02-28T00:00:00Z 14:37:14
HISTORY:
Presented for: lump on belly
was desexed 6 months ago
noticed a lump yesterday, today feels bigger?
P not bothered by the lump
EDDU well

EXAM:
Mentation: BAR
MM: pm crt <2
LNs: wnl
CV: HR: 12bpm, no m/a
Resp: normal effort and bv sounds
Abdo: soft comfortable
MSK: amb x4, no lameness/ataxia
Integ: thickened sc tissue caudo ventral abdomen, no discomfort on palpation, non erytheamtous 

ASSESSMENT:
suspect suture reaction/scar tissue from desexing

PLAN:
offered meloxicam - O will monitor for now

COMMUNICATION:
revisit if swelling or discomfort

Previous claim history (1)

DateClaim #Diagnosis
2025-07-03C8950934VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours165.002026-02-28

UPM+

  • DG02100POST-OPERATIVE COMPLICATION - OTHER - PRESENTING COMPLAINTDSTP_post-operative_complication

Variant (sleepy_king)

POST-OPERATIVE COMPLICATION - OTHER - PRESENTING COMPLAINT
DSTP_post-operative_complication
Conf: 0.750
Threshold: 0.50
Above:
Correct?