C09978264 / invoice 10000
Species:CANINE
Breed:Irish Wolfhound
Age (years):9
Diagnosis or signs:ES - Check up
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> </div> </div> <div> <p>Was in a dfight with other dog last night - has a few teeth/puncture marks around left ear - eve cleaned with iodine last night<br>Has been panting a lot recently<br>Owner was away for 5 weeks and she has gained 10kg<br>Struggling with her mobility, is around 10-11yo<br>Is on paracetamol 625mg BID + metacam 60kg dose SID<br><br>Examination<br>Heart - HR 68, no murmur or arrythmia<br>Lungs clear<br>mm pink and moist, CRT<2<br>Abdo comfortable, no palpable masses<br>MSK - struggles with mobility with getting up particularly<br>L ear - laceration about 2cm long immediately ventral to the ear canal entrance. Clipped the hair nearby and cleaned with iodine. A few superficial punctures on inner aspect of pinna<br>A few scabby regions in coat on dorsal neck and ventral neck, appear superficial<br><br>Assessment<br>Wound L ear - Discussed could stitch the ear wound, or can leave to heal which will be a slower process but should still go ok<br>Panting - ddx: weight, pain, neoplasia, other underlying condition<br><br>Plan<br>Discussed options for workup for panting - repeat bloods (were done in Nov and were normal) vs sedation for chest xrays Eve not wanting to put her through a sedation if can avoid. <br>Opts to trial gabapentin as additional analgesia for mobility as a first step. Discussed option of CBD oil as another option (mentioned Beransa but has had spinal issues in past so probably contraindicated)<br>Cephalexin BID for 10 days for ear, owner to keep clean with iodine, revisit if any concerns</p> </div></html>
Animal clinical history (3 most recent)
2025-12-05T00:00:00Z 11:44:00
O wanted a large tub of the neocort cream, called over to let them know we are able to get a 200g tub for them, O said she will call back to put payment through. Called & texted O the next day to confirm she still wanted the neocort cream, O never answered or replied so I didnt ordered it and took it off her bill.
2025-12-02T00:00:00Z 10:31:00
Doing well at home, EDUD all normal.Surgical sight looking okay, a little bit red where the staples are, CL approved removal of staples, O to send a photo in a weeks time to see how it looks, dispensed neocourt cream for the redness - apply 2 times daily for a week
2025-11-21T00:00:00Z 11:00:00
CL relayed results to O - monitor for any new future mammary massesINTERPRETATION:Left mammary gland: Mammary adenoma.Histologic tumour-free margins: Clear; the nearest peripheral margin is 2.5 mm, with 1.6 mm deep consisting of mammary gland.Left mammary gland: Mammary adenoma.Histologic tumour-free margins: Close; the nearest peripheral margin is 12.3 mm, with 0.4 mm deep consisting of connective tissue and skeletal muscle.Left mammary gland: Mammary adenoma.Histologic tumour-free margins: Clear; the nearest peripheral margin is 13.1 mm, with 9.5 mm deep consisting of mammary gland.COMMENTS:Left mammary gland: These tumours appear benign. Benign mammary neoplasms account for approximately 50-60% of surgically removed mammary tumours. Nonetheless, if there are enlarged regional lymph nodes these should be examined by cytology or histopathology. Female dogs that develop mammary neoplasms may develop additional independent tumours in the future. These will not necessarily be of the same histologic type and should be excised as soon as detected and evaluated histologically.
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-02 | C09566901 | MASS LESION - SKIN (CUTANEOUS) |
| 2023-12-12 | C6637559 | INTERVERTEBRAL DISC DEGENERATION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 96.00 | 2026-03-03 | — |
| 20000 | tstarc_antibiotics_-_cephalexin | 117.60 | 2026-03-03 | — |
| 30000 | tstarc_meloxicam | 190.34 | 2026-03-03 | — |
| 40000 | tstarc_anticonvulsant_medication_-_gabapentin | 84.30 | 2026-03-03 | — |
UPM+
- DG00247BITE INJURY - DOG BITEDSTP_fight_or_bite_wound
Variant (sleepy_king)
GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.180
Threshold: 0.37
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description