C09976812 / invoice 10000

Species:CANINE
Breed:Pug
Age (years):15
Diagnosis or signs:Pus coming from mouth
Consult notes
Appointment Notes: infected tooth? puss from mouth - sh H o noticed purulent discharge from right side of mouth 2 days ago but was otherwise finebut yesterday seemed sadis eating and drinkingcouldnt eatCS:Sedation - IVC 24g R ceph v; butorphanol 0.12mL + medetomidine 0.02mL IVR buccal mucosa covered in multiple black pigmented masses extending to caudal part of jawSuspect melanoma; option to biopsy to confirm but very unlikely to have a good prognosis - Os elected to go ahead.Alfaxan 1.5mL slow IV; flow by O22x small biopsy samples taken from mass Atipamezole 0.02mL IM reversalOnsior 2mg/kg (0.86mL) SC No complications.

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 3:52?pm
Appointment Notes: infected tooth? puss from mouth - sh H o noticed purulent discharge from right side of mouth 2 days ago but was otherwise finebut yesterday seemed sadis eating and drinkingcouldnt eatCS:Sedation - IVC 24g R ceph v; butorphanol 0.12mL + medetomidine 0.02mL IVR buccal mucosa covered in multiple black pigmented masses extending to caudal part of jawSuspect melanoma; option to biopsy to confirm but very unlikely to have a good prognosis - Os elected to go ahead.Alfaxan 1.5mL slow IV; flow by O22x small biopsy samples taken from mass Atipamezole 0.02mL IM reversalOnsior 2mg/kg (0.86mL) SC No complications.    Vital Signs    Weight: 8.6;       HeartRate: 104;       Temperature: 38.8;       

Previous claim history (5)

DateClaim #Diagnosis
2026-01-21C09793763OTITIS EXTERNA
2026-01-02C09699875MASS LESION - CONJUNCTIVAL
2025-12-17C09645073OTITIS EXTERNA
2016-02-21C3089763HEARTWORM CONTROL
2012-12-12C3089763HEAT STROKE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_anaesthesia_-_alfaxan66.492026-03-02
20000tstarc_surgery_fee100.002026-03-02
30000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid97.602026-03-02
40000tstarc_onsior_(robenacoxib)37.302026-03-02
50000tstarc_consultation106.002026-03-02
60000tstarc_sedation_for_procedure150.002026-03-02
70000tstarc_diagnostic_test_-_histopathology336.612026-03-02

UPM+

  • DG02758MELANOCYTIC NEOPLASM - MALIGNANT MELANOMADSTP_melanoma

Variant (sleepy_king)

MASS LESION - ORAL CAVITY (MOUTH)
DSTP_mass_lesion_-_oral
Conf: 0.450
Threshold: 0.38
Above:
Correct?
Reason (correct)