C09975094 / invoice 10000
Species:CANINE
Breed:Labrador
Age (years):7
Diagnosis or signs:Lameness
Consult notes
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 00:00 AM
Reason: Lameness investigation RFL - elbow pain Objective: Domitor (medetomitine 1mg/ml) 0.8ml + Torb 0.6ml IMGood level of sedationHR 56SPo2 98%X Ray: R-elbow - Lateral and AP marked osteophytic production with Ostoarthritic changes, small medial mouse evident medial coronoid process areaL-elbow Loss of clear edge of coronoid on lateral and small osteophytic change on AP evidentElected to assess hips as wellHip X-rays show reasonable femoral head coverageAssessment: R-elbow moderate to marked OA/ DJDLeft elbow mild OA changesPlan: RECOMMENDATIONSWould recommend joint support measures including1. Synovan course and maintenance2. Weight reduction is imperitive - Metabolic deit recommended- would target to slowly lose at least 12kg to reach 35-37kg and then reassess- consider mobility/metablc once can get weight off3. Supplements such as Antinol - antinflammatory already startedTreatment: Started synovan (Pentosan + Glucosamine) injection today #1/4On antinolRecommend metabolic Vital Signs
2026-03-02T00:00:00Z 00:00 AM
Reason: Meds?Carprieve for flare up lameness daysELbow DJD100mg sid - bid for 1-2 days when needed Vital Signs
Previous claim history (15)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-16 | C09912732 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2026-02-13 | C09912732 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2026-01-27 | C09912691 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2026-01-27 | C09912691 | EAR INFECTION |
| 2020-09-23 | C3213244 | OTITIS EXTERNA |
| 2020-09-23 | C3213244 | PODODERMATITIS |
| 2020-01-07 | C2647918 | EAR INFECTION |
| 2020-01-02 | C2639513 | OTITIS EXTERNA |
| 2020-01-02 | C2639513 | BITE INJURY - DOG BITE |
| 2019-12-06 | C2593960 | PODODERMATITIS |
| 2019-07-10 | C2326852 | LAMENESS LF |
| 2019-04-11 | C2175323 | OTITIS EXTERNA |
| 2019-04-02 | C2158091 | OTITIS EXTERNA |
| 2019-03-26 | C2158091 | UPPER RESPIRATORY INFECTION |
| 2019-03-26 | C2158091 | OTITIS EXTERNA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_sedation_for_procedure | 135.00 | 2026-03-02 | — |
| 20000 | tstarc_hospitalisation | 58.00 | 2026-03-02 | — |
| 30000 | tstarc_procedure_fee_-_radiology | 60.00 | 2026-03-02 | — |
| 40000 | tstarc_consultation-revisit | 88.00 | 2026-03-02 | — |
| 50000 | tstarc_procedure_fee_-_radiology | 94.00 | 2026-03-02 | — |
| 60000 | tstarc_prescription_diet | 220.00 | 2026-03-02 | upstreamDSTP_prescription_diets |
| 70000 | tstarc_procedure_fee_-_radiology | 195.00 | 2026-03-02 | — |
| 80000 | tstarc_arthritis_injection | 46.40 | 2026-03-02 | — |
UPM+
- DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness
Variant (sleepy_king)
ARTHRITIS
DSTP_osteoarthritis
Conf: 0.540
Threshold: 0.17
Above: ✓
Correct?
Reason (correct)