C09979065 / invoice 10000
Species:CANINE
Breed:Siberian Husky
Age (years):9
Diagnosis or signs:Limping
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p><span style="font-weight: 400;">Have reminders been checked? Y</span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Has the owner been advised of this? Y</span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Hx: </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Last week O noticed limping. Unsure which leg as initially thought right and now more left. Better this week but still not back to normal. No known hx of trauma or big runs prior to limping starting. No hx of limping previously. Otherwise doing well. EDDU well and no coughing, sneezing, vomiting or diarrhoea. </span></p> </div> </div> <div> <div> <p><span style="font-weight: 400;">Diet: Mince + applause dry </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Prop: NGS (monthly) </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Meds: None </span></p> </div> </div> <div> <div> <p><span style="font-weight: 400;">Exam:</span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Eyes/ears: No discharge noted. Eyes clear.</span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Oral: MM pink and moist. Minimal build up present. </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Cardioresp: No murmur or arrhythmia. Lung sounds clear.</span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Integ: Coat in good condition.</span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">MSK: Toe touching lame on the LHL but suspect possible shifting lameness. Question if thickened over left thigh but difficult to assess due to fluff. Reactive to extension of both hips but worse for left. </span></p> </div> </div> <div> <p dir="ltr"><span style="font-weight: 400;">Plan: </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">DDx: Osteosarcoma vs hip dysplasia vs hip dislocation vs fracture vs osteomyelitis vs muscle/tendon injury vs other </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Discussed with O possible causes. Would recc admitting today for sedated xrays so can rule out some of the causes. O happy with the plan and singed consent form. </span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;"><br></span><span style="font-weight: 400;">Handed case to AH for xrays.<br>0.4mg/kg butorphanol + 25mcg/kg medetomidine IM - fantastic sedation <br>LV + VD of stifles - NAD. No obvious cranial drawer. VD of hips NAD. LV of spine & hips - NAD. Ortalanis + Bardens negative. No obvious thickening, heat, or pain on manipulation / palpation. <br><br>Reversed with 1.03mL Atipamezole<br>Delayed wakeup, quite sedate, could use a lower dosage in future<br><br>Meloxicam SID 7-10<br>Exercise restrict<br>Paracetamol BID-TID<br>Revisit if no improvement </span></p> </div></html>
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 97.00 | 2026-03-03 | — |
| 20000 | tstarc_hospitalisation | 95.00 | 2026-03-03 | — |
| 30000 | tstarc_meloxicam | 89.80 | 2026-03-03 | — |
| 40000 | tstarc_anaesthesia_-_alfaxan | 90.00 | 2026-03-03 | — |
| 50000 | tstarc_opioids_-_butorphanol | 84.69 | 2026-03-03 | — |
| 60000 | tstarc_sedation_for_procedure | 144.70 | 2026-03-03 | — |
| 70000 | tstarc_procedure_fee_-_radiology | 280.00 | 2026-03-03 | — |
| 80000 | tstarc_procedure_fee_-_radiology | 150.00 | 2026-03-03 | — |
UPM+
- DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness
Variant (sleepy_king)
GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.670
Threshold: 0.37
Above: ✓
Correct?