C09975478 / invoice 10000
Species:CANINE
Breed:Hungarian Vizsla
Age (years):11
Diagnosis or signs:Checkup
Consult notes
24/02/2026 Reason: adult dog vaccination – 11 years old History Current health concerns: new lumps. EDUD normal, behaviour & energy at home normal, no recent v+/d+/c/s Diet: RC dry & wet Exercise: reduced mobility - doing shorter walks Parasite prevention (HW, intestinal worms, ectoparasites): simparica trio & HWI - will switch to plain simparica + fenpral Previous vaccines: due C5 Regular medications: occasional gabapentin for thunderstorms Weight change: gained 3 kg - new puppy, eating puppy food Examination Demeanour: BAR, lovely dog HR: 108 bpm, no audible murmur RR: pant T 38.4 °C Oral mucous membranes pink & moist, CRT <2 s Dental score: 1/4, both upper carnassials fractured tips, think no pulp exposure Abdomen tense but nonpainful, NAD on palpation Superficial lymph nodes NAD BCS: 7/9 Numerous lumps: - numerous soft subcut lumps - too many to practically sample - slightly firmer 2 cm moveable subcut mass in R flank fold - FNA taken - firm 8 mm dermal mass on back of head - prev FNA Assessment Fit for vaccination Senior dog - rec yearly bloods, 6 monthly health check. Declined bloods for now. Would benefit from dental - probe & xray carnassials Treatment Duramune C3 & Canigen KC given subcut Afilaria 1.5 given subcut Plan/recommendations Next vaccines due: KC Feb 2027, C3 Feb 2029. Parasite prevention: afilaria due Feb 2027, use up remaining simparica trio then switch to plain simparica + fenpral monthly. CM to call/text with FNA results, Os to monitor lumps for change/irritation 24/02/2026 FNA results of mass on R flank fold: clear oily material. Minimally cellular but a couple of adipocytes seen. --> likely lipoma, rec monitor only SMS sent to Sally to advise.
Animal clinical history (3 most recent)
2026-02-24T00:00:00Z 14:56:06
FNA results of mass on R flank fold: clear oily material. Minimally cellular but a couple of adipocytes seen. --> likely lipoma, rec monitor only SMS sent to Sally to advise.
2026-02-24T00:00:00Z 11:34:55
Reason: adult dog vaccination – 11 years old History Current health concerns: new lumps. EDUD normal, behaviour & energy at home normal, no recent v+/d+/c/s Diet: RC dry & wet Exercise: reduced mobility - doing shorter walks Parasite prevention (HW, intestinal worms, ectoparasites): simparica trio & HWI - will switch to plain simparica + fenpral Previous vaccines: due C5 Regular medications: occasional gabapentin for thunderstorms Weight change: gained 3 kg - new puppy, eating puppy food Examination Demeanour: BAR, lovely dog HR: 108 bpm, no audible murmur RR: pant T 38.4 °C Oral mucous membranes pink & moist, CRT <2 s Dental score: 1/4, both upper carnassials fractured tips, think no pulp exposure Abdomen tense but nonpainful, NAD on palpation Superficial lymph nodes NAD BCS: 7/9 Numerous lumps: - numerous soft subcut lumps - too many to practically sample - slightly firmer 2 cm moveable subcut mass in R flank fold - FNA taken - firm 8 mm dermal mass on back of head - prev FNA Assessment Fit for vaccination Senior dog - rec yearly bloods, 6 monthly health check. Declined bloods for now. Would benefit from dental - probe & xray carnassials Treatment Duramune C3 & Canigen KC given subcut Afilaria 1.5 given subcut Plan/recommendations Next vaccines due: KC Feb 2027, C3 Feb 2029. Parasite prevention: afilaria due Feb 2027, use up remaining simparica trio then switch to plain simparica + fenpral monthly. CM to call/text with FNA results, Os to monitor lumps for change/irritation
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2016-02-10 | C0801545 | URINARY INCONTINENCE |
| 2016-01-22 | C0798361 | ABSCESS |
| 2015-11-11 | C0682845 | PNEUMONIA - ASPIRATION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_vaccination_(canine) | 31.57 | 2026-02-24 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
| 20000 | tstarc_consultation | 114.00 | 2026-02-24 | — |
| 30000 | tstarc_vaccination_(canine) | 48.33 | 2026-02-24 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
| 40000 | tstarc_heartworm_control | 159.46 | 2026-02-24 | upstreamDSTP_routine_care_-_heartworm_control |
| 50000 | tstarc_diagnostic_test_-_cytology | 55.00 | 2026-02-24 | — |
| 60000 | tstarc_intestinal_worm_control | 44.46 | 2026-02-24 | upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication |
UPM+
- DG02574LIPOMADSTP_lipoma
Variant (sleepy_king)
LIPOMA
DSTP_lipoma
Conf: 0.650
Threshold: 0.15
Above: ✓
Correct?