C09979576 / invoice 10000
Species:CANINE
Breed:Kelpie
Age (years):7
Diagnosis or signs:see hx
Consult notes
03/03/2026 Reason: Grass seed explore Physical Exam: See attached "Flowsheet Report" Laboratory Results: See attached - all WNL Patient Assessment: Patient Treatments: Medications - See attached "Flowsheet Report" IV Fluid Therapy - See attached "Flowsheet Report" Anaesthetic Record -See attached "Smartflow Anaesthetic Sheet" Surgical Record / Procedure Notes: R prescapular lnn WNL Sedated Cleaned paw thoroughly Interdigital area between D4 and D5 of RF thickened mainly on dorsal aspect of paw, mild No evidence of draining tract No evidence of sinus on palmer aspect of paw Placed 0.2ml lignocaine in swelling Small incision made over most thickened region dorsal paw - flushed copiously - clear saline no puruelent material and no evidence of FB found - leave to heal by second intention Suspect interdigital cyst/furunculosis as currently no evidence of FB Plan: Wound check in 10-14 days RV sooner if any concerns Medication to go home with: extend carprofen course to a full 10 day course Bathe paw SID with dilute chlorhex for next 5 days Discharging Vet: JW in person, SH over the phone
Animal clinical history (3 most recent)
2026-02-28T00:00:00Z 14:28:47
Reason: History: Dusty has been licking at his front paw for the last couple days. Today O noticed a large, reddened area between two of the toes that Dusty would not leave alone. Here today to have checked. EDVD: normal Current medications: nil Examine: Mentation: BAR Body condition score: 4/5 MM: P/M CRT: <2 HR: 92 RR: panting LN: nad Temperature: not taken Cardiovascular: no murmur, arrythmia Respiratory: no crackles, wheezes Integumentary & lumps (measurement, location): - Swollen interdigital region between digit 4 and 5 of RFL, small discharging sinus on underside of paw - Clipped, cleaned and gently expressed, only purulent material removed, suspicious of fb remaining. Problem List/Assessment: Swollen interdigital region between digit 4 and 5 of RFL, small discharging sinus on underside of paw. DDX: fb v furunculosis v cyst v neoplasia v other Plan: Offered medical tx with possibility of requiring surgical explore if not improving v surgical explore first to r/o fb. O has opted for latter. Advised e.collar and started on carprofen course. O has booked for surgical explore on Tues.
Previous claim history (8)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2019-08-19 | C2413735 | RESPIRATORY NOISE INCREASED - PRESENTING COMPLAINT |
| 2019-07-03 | C2317690 | VOMITING - PRESUMED SELF-LIMITING |
| 2019-04-12 | C2179700 | DESEXING |
| 2019-01-13 | C2020540 | INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT |
| 2019-01-04 | C2006260 | INTOXICATION (POISONING), PLANT (UNSPECIFIED) |
| 2019-01-03 | C2004529 | FOREIGN BODY - GASTRIC (STOMACH) |
| 2018-12-17 | C1988103 | OBEDIENCE TRAINING |
| 2018-12-13 | C1990125 | INTOXICATION (POISONING), PLANT (UNSPECIFIED) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_hospitalisation | 127.00 | 2026-03-03 | — |
| 20000 | tstarc_diagnostic_test_-_blood_test | 160.00 | 2026-03-03 | — |
| 30000 | tstarc_surgery_fee | 160.00 | 2026-03-03 | — |
| 40000 | tstarc_sedation_for_procedure | 212.00 | 2026-03-03 | — |
| 50000 | tstarc_chlorhexidine | 12.00 | 2026-03-03 | — |
| 60000 | tstarc_carprofen | 58.90 | 2026-03-03 | — |
UPM+
- DG02049MASS/SWELLING - OTHER - PRESENTING COMPLAINTDSTP_mass_lesion_-_unspecified
Variant (sleepy_king)
FOREIGN BODY, GRASS SEED
DSTP_foreign_body_-_grass_seed
Conf: 0.400
Threshold: 0.65
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description