C09975450 / invoice 10000
Species:CANINE
Breed:Golden Retriever
Age (years):1
Diagnosis or signs:Check back LH paw pad - wound healing over
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <p><strong>History:</strong><br>Presenting for checkup and back left hind paw pad wound. Owner noticed wound a couple of days ago. Licking at it, won't let owner near it, bearing teeth when area approached. Slight limp a couple of days ago, now resolved. Breeder also called and said 2 other puppies in Maple's litter had back leg issues (presumed hip dysplasia?) so Chloe is abit concerned. No lameness noted. Otherwise well. EDDU normal.<br><br>Diet: Royal Canin dry food and Advanced wet food, switched approximately 2 months ago<br>Preventatives: NexGard spectra monthly<br>Vaccinations: UTD<br>Current medications: None<br><br><strong>Exam:</strong><br>BAR, happy, good girl<br>Mm pink, CRT <2s<br>Eyes – NAD<br>Ears – NAD<br>Dental comments if any: very mild early tartar PM4s, Gr 0-1<br>Skin / Integument – LH main pad approx 3cm round very superficial abrasion, half of the pad superficial layer has gone, the other half is there as a flap. Not particularly sore to touch, no discharge, no blood, very very superficial layer affected only.<br>Lymph nodes - NAD<br>Cardiovascular auscultation quality - Heart normal no murmur<br>Thoracic auscultation - NAD<br>Thyroid - NAD<br>Abdominal palpation – NAD<br>Urogenital system – NAD<br>Musculoskeletal – Hips extending well, not sore at full extension, good range of motion bilaterally<br>Neuro - N/A<br>Anal glands: N/A<br>BCS - 5/9<br><br><strong>In house diagnostics:</strong><br>None performed today<br><br><strong>Assessment:</strong><br>1. Back left hind paw pad wound - torn pad, outer layer missing, likely friction injury from sudden braking on abrasive surface<br>2. Very early dental disease<br><br><strong>Treatment:</strong><br>None today<br><br><strong>Plan:</strong><br>Conservative management for paw pad wound - cone at home to prevent licking, revisit Friday. If persistent, sedation and trimming of loose pad tissue recommended. Can consider hip xrays under same sedative if O keen. Antinol recommended for joint health given Golden Retriever predisposition to hip issues. Dental care discussed - introduce toothpaste on finger first, then progress to toothbrush focusing on molars.<br><br><strong>Client Communication:</strong><br>Discussed hall pad wound likely friction injury. Options include conservative management with cone or sedation and trimming. Owner opted to trial conservative approach first. Discussed Antinol for joint health prevention. Dental care instructions provided - start with toothpaste on finger, progress to toothbrush, focus on molars. Hip X-rays discussed but deferred for now given good hip extension on exam. Revisit Friday.</p> </div> </div> </div></html>
Animal clinical history (3 most recent)
2025-11-20T00:00:00Z 08:43:00
Sedivue said some WBC / RBC but AFB did sediment exam and did not see any.AYL notified ChloeAlready pre paid for today's u/a on 6/11.
2025-11-07T00:00:00Z 13:01:00
ST Chloe for suggestions to prevent UTIs in future due to her inverted vulva.Recommended cytsopro and also chlorhexidine wipes;
2025-11-05T00:00:00Z 08:28:00
Rpt UrinalysisSpecific Gravity >1.050pH 7.0 was 6.5Urine Protein neg was traceGlucose neg was negKetones neg was negBlood / Haemoglobin neg was 1+Bilirubin neg was negUrobilinogen norm was 2+Leukocyte Esterase neg was 3+White Blood Cells 26 /HPF was >50 /HPFRed Blood Cells 4 /HPF was 17 /HPFSO... on microscopy still has quite a few WBC present - we are resolving her issues but they are not resolved completely yet.Using my little eyes under the miscroscope >>>>MC Spoke to Chloe to advise that we will continue the abx for another 14days.So it works out cheaper for Chloe, dispensed 21x 400mg amoxyclav instead of 48x 200mg amoxyclav so Chloe to give Maple 3/4 of the 400mg amoxyclav BID until finished. (Alternatively to 1.5 200mg amoxyclav BID)To repeat urinalysis in 14 days time when abx are finished.Invoiced medication, urinalysis from yesterday, and urinalysis to be completed in 14 days time.
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-11-06 | C9453535 | URINARY TRACT INFECTION (UTI) |
| 2025-10-27 | C9409549 | URINARY TRACT INFECTION (UTI) |
| 2025-08-08 | C9069795 | DESEXING |
| 2025-07-24 | C9004353 | VOMITION |
| 2025-02-24 | C8370868 | GASTROENTERITIS |
| 2025-02-24 | C8370868 | PRESCRIPTION DIETS |
| 2025-01-30 | C8266518 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 104.50 | 2026-03-02 | — |
UPM+
- DG01945WOUNDDSTP_wound_or_laceration
Variant (sleepy_king)
WOUND - LACERATION
DSTP_wound_or_laceration
Conf: 0.860
Threshold: 0.60
Above: ✓
Correct?