C09978470 / invoice 10000

Species:CANINE
Breed:Whippet
Age (years):13
Diagnosis or signs:General health and lump check
Consult notes
03/03/2026 
NURSE TE

REASON
- Lumps

HISTORY
Hemangioma's on RF paw burst late last week 
Ulcerated over the weekend 
Small skin tag/wart on head has also started to grow and bleed
Cauda equina syndrome - fecal smearing ongoing 

APPETITE: Increased
THIRST: Unchanged 
ACTIVITY: Low endurance 
DIET: Optimum wet food and kibble, 'Animals like us' 
TOILETING: No v or d 
CURRENT MEDICATIONS:
- Pregabalin 50mg BID 
- Metacam 15kg dose 

CLINICAL EXAMINATION
Mentation: Quiet but alert
MM: Pink, moist 
CRT: 2sec
Oral Exam and Dental Score: Gr0-1DD
Eyes: Bright
Ears: Externally NAD
BCS: 5/9
Lumps:
- Warty, bleeding lump on L temple 5mm
Abdominal palpation: Comfortable 
Lymph nodes:
Heart Rate: 120bpm
Respiratory Rate: 20bpm, Clear chest
Temperature: NT
Urogenital: NOAD
MSK:
Skin:
- D3-4 RF paw draining sinus 

CYTOLOGY - FNA
Bacteria ++

ASSESSMENT:
Suspected grass seed D3-4 RF 

DISCUSSION:
Draining sinus exploration recommended  
- FB not always located, repeated exploration may be required INI
Full GA for GS removal and excisional biopsy of ulcerated mass on head
Manuka honey onto warty lump until Thursday 

PLAN
Draining sinus explore and ex bio of warty lump of L temple Thursday with Dr Adam 

Previous claim history (17)

DateClaim #Diagnosis
2026-02-20C09940436LUMBAR PAIN
2026-02-19C09930558PAIN - SPINAL - PRESENTING COMPLAINT
2026-01-27C09818321LUMBAR PAIN
2026-01-13C09761657LUMBAR PAIN
2025-12-17C09644281LUMBAR PAIN
2025-12-08C09595420LUMBAR PAIN
2024-02-20C6913674ARTHRITIS
2023-11-21C6572981MASS LESION - SKIN (CUTANEOUS)
2023-11-14C6528233MASS LESION - SKIN (CUTANEOUS)
2023-11-09C6513996MASS LESION - SKIN (CUTANEOUS)
2023-10-31C6482315MASS LESION - SKIN (CUTANEOUS)
2023-10-31C6482315DENTAL (TOOTH) DISORDER
2023-10-17C6487179MASS LESION - SKIN (CUTANEOUS)
2023-08-15C6230049ARTHRITIS
2023-07-26C6230049LUMP
2016-01-19C0726655NECK PAIN
2014-08-14C0359570LAMENESS LH

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation135.002026-03-03
20000tstarc_diagnostic_test_-_cytology55.002026-03-03

UPM+

  • DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.860
Threshold: 0.44
Above:
Correct?