C09978497 / invoice 10000

Species:CANINE
Breed:Poodle - Standard Cross
Age (years):11
Diagnosis or signs:See notes
Consult notes
Admit - Lump removal


as many lumps as possible. - sebaceous adenoma- large and irritated. 

No food
no medications
Nails. 


General anaesthesia
Physical exam findings:
H MURMUR?    (No)
Resp effort  (Nil)
ASA Status   (2) [I, II, III, IV or V]- likely concontrolled cushingson the Comp PreGA profile. 
Increased to ASA3

Premed 
Agent (Meth) (0.4) ml + 
Agent (Domitor) (0.07) ml
Route    (IM)

Vet and / or Nurse Initials (SKM BED)

Induction 
Agent (Alfaxan ) (3) ml
, 
Maintenance Isoflurane in O2 via (6.5) mm ET tube

Fluids (Hartmanns) flow rate () ml/hr
BP (90-115) systolic / (52-72) diastolic / (65-88) mean
BP dropping early in the procedure- increased IVF and decreased Iso- 


Turn off Isoflurane ()
Extubate ()
Standing ()

Quality of Induction (good)
Maintenance (top ups of alfaxan needed throughout low end BP fluids increased and lowered iso to 1.25)
Recovery (dysphoric)

Multiple X20
Sutaneous sebaceous adenoms removed 
All with crucite skin sutures to close. 
Sutured with Vicryl suture material as is known to chew. 

will wear a jacket at home. 

- Meloxicam oral liquid- start Wed PM/ 
- cephalexin 

Plan- recheck in 3 days/ 
sutures out in 10-14 days. 
ACTH stim test for cushings. 

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 08:23:00
Admit - Lump removal


as many lumps as possible. - sebaceous adenoma- large and irritated. 

No food
no medications
Nails. 


General anaesthesia
Physical exam findings:
H MURMUR?    (No)
Resp effort  (Nil)
ASA Status   (2) [I, II, III, IV or V]- likely concontrolled cushingson the Comp PreGA profile. 
Increased to ASA3

Premed 
Agent (Meth) (0.4) ml + 
Agent (Domitor) (0.07) ml
Route    (IM)

Vet and / or Nurse Initials (SKM BED)

Induction 
Agent (Alfaxan ) (3) ml
, 
Maintenance Isoflurane in O2 via (6.5) mm ET tube

Fluids (Hartmanns) flow rate () ml/hr
BP (90-115) systolic / (52-72) diastolic / (65-88) mean
BP dropping early in the procedure- increased IVF and decreased Iso- 


Turn off Isoflurane ()
Extubate ()
Standing ()

Quality of Induction (good)
Maintenance (top ups of alfaxan needed throughout low end BP fluids increased and lowered iso to 1.25)
Recovery (dysphoric)

Multiple X20
Sutaneous sebaceous adenoms removed 
All with crucite skin sutures to close. 
Sutured with Vicryl suture material as is known to chew. 

will wear a jacket at home. 

- Meloxicam oral liquid- start Wed PM/ 
- cephalexin 

Plan- recheck in 3 days/ 
sutures out in 10-14 days. 
ACTH stim test for cushings. 

Previous claim history (1)

DateClaim #Diagnosis
2026-02-11C09889978PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_blood_test164.802026-03-03
20000tstarc_anaesthesia_-_inhalation_anaesthetic435.002026-03-03
30000tstarc_anaesthesia_-_inhalation_anaesthetic255.002026-03-03
40000tstarc_suture_materials107.302026-03-03
50000tstarc_theatre_fee254.002026-03-03
60000tstarc_hospitalisation125.002026-03-03
70000tstarc_surgery_fee550.002026-03-03
80000tstarc_meloxicam54.102026-03-03
90000tstarc_antibiotics_-_cephalexin46.502026-03-03

UPM+

  • DG01008NEOPLASM - SEBACEOUS GLANDDSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.900
Threshold: 0.44
Above:
Correct?