C09979507 / invoice 10000
Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):3
Diagnosis or signs:Consultation hx
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <p><strong>Vet: Nurse:<br>History:<br></strong>EDUD normally no v d or c<br>Diet:<br>Medications: none<br>Vaccination:<br>Parasite preventatives:<br>Behaviour:<br><br><strong>Examination:</strong><br>BAR<br>Cardiovascular: HR bpm, no murmur, or arrhythmia, femoral pulses=HR<br>MM pink, CRT <2<br>Respiratory: WNL, normal respiratory noises, no nasal discharge<br>Oral: NSF, G dental no gingivitis or recession<br>Eyes: clean and clear<br>Ears: clean and clear<br>Integument: normal skin and haircoat<br>Abdo palpation: soft and comfortable<br>Musculoskeletal: NAD<br>PLN: WNL<br>Urogenital: <br>Rectal:<br>T: <br>BCS: /9</p> </div> </div> </div> <div> <div> <div> <p>Assessment: Lump on right ear pinnar 8x8mm <br><br>Treatment:</p> </div> </div> </div> <div> <div> <div> <p>Plan:<br>1. when come for dental, do the sample of lump( O want to remove it)<br>2. <br>3. </p> </div> </div> </div></html>
Animal clinical history (3 most recent)
2026-02-16T00:00:00Z 12:15:00
Vet:NW (at the start) CK at the end dispensing the meds due to an emergency admitNurse:- NONEHistory:EDUD normally no v d or cDiet: RC SKIN, and wet w various proteinsMedications: noneVaccination:Parasite preventatives:Behaviour: divine*** drug rtn to meloxicam****Examination:BARCardiovascular: HR bpm, no murmur, or arrhythmia, femoral pulses=HRMM pink, CRT <2Respiratory: WNL, normal respiratory noises, no nasal dischargeOral: NSF, G1 mainly on the canines dental no gingivitis or recessionEyes: clean and clearEars: clean and clearIntegument: normal skin and haircoat. Mod swelling from the hock distally -- had exploration of FB 3/2/26mc&s > light bacterial growth sensitive to amoxy/clavAbdo palpation: soft and comfortableMusculoskeletal: NADPLN: WNLUrogenital:Rectal:T:BCS: /9Assessment:allergy component re RH distal hock swellingTreatment: conservative elected.14.88mg/kg amoxy/clav q12hrs 10 days0.44mg/kg preds q12hrs 5 days, then 0.44mg/kg q24hrs 5 daysPlan:1. If conservative tx not improving-- there is tissue in formalin (taken at time of exploration 3/2) to send for tissue culture or histo2. RV 7d
2026-02-13T00:00:00Z 12:04:00
Vet: Nurse:History:EDUD normally no v d or cDiet: Royal Caninm Skin Kibble + Wet food (different blends of protein and different brands as well)Medications: noneVaccination: Due todayParasite preventatives: UTDBehaviour: HAPPYNot shaking her head or scratching.Not interested in bandage.Seems back to normal selfExamination:BARCardiovascular: HR 122 bpm, no murmur, or arrhythmia, femoral pulses=HRMM pink, CRT <2Respiratory: WNL, normal respiratory noises, no nasal dischargeOral: NSF, G1 dental mostly on upper caninesEyes: clean and clearEars: clean and clearIntegument: normal skin and haircoat, surgical wound pretty much healed except at proximal portion proud flesh is still remaining approx 3mm size spot.Abdo palpation: soft and comfortableMusculoskeletal: NADPLN: WNLBCS: 5/9Assessment:Ear infection resolved, can start elocon maintenanceSurgery site healing well, tiny spot left but best to leave bandage off to dry out and scab over.Well for vacc todayTreatment:KC Nobivac Bb/Pi 2526207; 04/27Bandage from foot removedPlan:1. KC due in 20272. Maintain ears with elocon ongoing, no concerns for infection today3. bandage removed and not replaced today. recheck with nurse in 10 days post op, owner to prevent maceration and keep from water, strictly use e-collar to prevent licking
2026-02-09T00:00:00Z 13:56:00
Refunded client $83.75 over the phone back onto their card, as advised by MD (who said TR advised to give refund) as was charged twice for amoxyclav when had surgery last week and only took 7 tablets home
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-03 | C09847637 | FOREIGN BODY - CUTANEOUS (SKIN) |
| 2026-02-02 | C09839154 | FOREIGN BODY - LIMB |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 105.00 | 2026-03-03 | — |
UPM+
- DG02661MASS LESION - EAR (AURAL)DSTP_mass_lesion_-_ear_(aural)
Variant (sleepy_king)
FOREIGN BODY
DSTP_foreign_body_-_external_trauma
Conf: 0.450
Threshold: 0.90
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description