C09974145 / invoice 10000
Species:CANINE
Breed:Shih Tzu
Age (years):1
Diagnosis or signs:xrays
Consult notes
Raph presented for radiographs to investiage ongoign intermittent lameness of the left fore.Pre-sedation check OKSedated medetomidine / butophanolgood sedation achieved and radiographs of forelimbs (CH & KS)no obvious abnormality seen except increased periosteal new bone at the interosseous ligament of the left radius and ulna.- this may be an indication of inflammation - recommend we send radiographs to VIA for an opinion prior to possible referral to a surgeon (SASH, Medipaws)a good summary of the types of inflammation which may occur here is in this case report https://pmc.ncbi.nlm.nih.gov/articles/PMC4827737/sedation reversed with atipamazole and MM STO and showed radiographs at discharge.
Animal clinical history (3 most recent)
2026-02-23T00:00:00Z 3:45?pm
Raph presented for radiographs to investiage ongoign intermittent lameness of the left fore.Pre-sedation check OKSedated medetomidine / butophanolgood sedation achieved and radiographs of forelimbs (CH & KS)no obvious abnormality seen except increased periosteal new bone at the interosseous ligament of the left radius and ulna.- this may be an indication of inflammation - recommend we send radiographs to VIA for an opinion prior to possible referral to a surgeon (SASH, Medipaws)a good summary of the types of inflammation which may occur here is in this case report https://pmc.ncbi.nlm.nih.gov/articles/PMC4827737/sedation reversed with atipamazole and MM STO and showed radiographs at discharge. Vital Signs
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-05 | C09920248 | HEPATIC MICROVASCULAR DYSPLASIA |
| 2025-11-03 | C9441126 | HEPATIC MICROVASCULAR DYSPLASIA |
| 2025-11-03 | C9441126 | DESEXING |
| 2025-10-27 | C9430718 | HEPATIC MICROVASCULAR DYSPLASIA |
| 2025-06-18 | C8889268 | VACCINATIONS OR HEALTH CHECKS |
| 2025-05-23 | C8889268 | Grooming |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_miscellaneous | 439.30 | 2026-02-23 | upstreamDSTP_general_exclusion |
| 20000 | tstarc_sedation_for_procedure | 230.00 | 2026-02-23 | — |
| 30000 | tstarc_diagnostic_test_-_urine_test | 80.00 | 2026-02-23 | — |
| 40000 | tstarc_hospitalisation | 125.00 | 2026-02-23 | — |
| 50000 | tstarc_procedure_fee_-_radiology | 350.00 | 2026-02-23 | — |
| 60000 | tstarc_procedure_fee_-_radiology | 270.00 | 2026-02-23 | — |
UPM+
- DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness
Variant (sleepy_king)
GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.650
Threshold: 0.37
Above: ✓
Correct?