C09980853 / invoice 10000
Species:CANINE
Breed:Rottweiler
Age (years):7
Diagnosis or signs:Wound Closure
Consult notes
02/03/2026 History: Seen by AD, wound is open and needs a restitch. Dog is a bit aggressive, can't do much of an exam before sedation Plan: Admit for deep sedation and restitch Sedation: 0.8 mL butorphanol, 1.5 mL medetomidine, 0.2 mL ACP given IM. Took awhile, eventually down and able to place IV catheter Clipped area, local anaesthetic applied. Needing alfaxalone IV to permit debridement. Prepped, flushed wound Trimmed edges but had to stay fairly conservative in order to close the wound. Debrided the granulation bed as well. Closed subcut with simple interrupted 2/0 pds Placed Horizontal mattress sutures as well with 2/0 pds Placed 0 nylon skin sutures in crucuiate pattern. This is not the best suture material for this dog, as needs to be removed, BUT will hold better if we need to leave the sutures in longer. bandage applied STRONGLY advise buster collar and do not him lick! Remove bandage in 3 days please, OK for the owners to do at home but we should have a revisit to be sure wound is looking OK (at 3-5 days) 02/03/2026 History: lump removal x 3 2 weeks ago - O reports all went well on Thurs opened up RHL sx site from licking otherwise has been well edud fine, no v/d/c/s fasted for stitch up today Medications: nil, finished cephalexin yesterday Examination : Demeanour: BAR/aggressive - no FF meds given. Unable to examine well. O placed muzzle MM= pink RHL: lateral aspect of metatarsals has open wound approx 3cm diameter, appears clean Assessment: opened sx site due to self trauma Plan: advised could bandage and wound heal via second intention vs sedate/re-suture - O elects the latter admit to sedate (1.5ml medetomidine + 0.6ml butorphanol + 0.2ml ACP given IM with O) - can better examine and suture wound once sedated. 03/03/2026 Lisa came in to pick up the Traz and Gaba. Said Rocco is doing fine. Dressing still in place. Slighty quieter than normal but all fine. Due back Thurs with calming drugs for post op check.
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 12:56:08
Lisa came in to pick up the Traz and Gaba. Said Rocco is doing fine. Dressing still in place. Slighty quieter than normal but all fine. Due back Thurs with calming drugs for post op check.
2026-03-02T00:00:00Z 12:35:28
History: lump removal x 3 2 weeks ago - O reports all went well on Thurs opened up RHL sx site from licking otherwise has been well edud fine, no v/d/c/s fasted for stitch up today Medications: nil, finished cephalexin yesterday Examination : Demeanour: BAR/aggressive - no FF meds given. Unable to examine well. O placed muzzle MM= pink RHL: lateral aspect of metatarsals has open wound approx 3cm diameter, appears clean Assessment: opened sx site due to self trauma Plan: advised could bandage and wound heal via second intention vs sedate/re-suture - O elects the latter admit to sedate (1.5ml medetomidine + 0.6ml butorphanol + 0.2ml ACP given IM with O) - can better examine and suture wound once sedated.
2026-03-02T00:00:00Z 08:41:26
History: Seen by AD, wound is open and needs a restitch. Dog is a bit aggressive, can't do much of an exam before sedation Plan: Admit for deep sedation and restitch Sedation: 0.8 mL butorphanol, 1.5 mL medetomidine, 0.2 mL ACP given IM. Took awhile, eventually down and able to place IV catheter Clipped area, local anaesthetic applied. Needing alfaxalone IV to permit debridement. Prepped, flushed wound Trimmed edges but had to stay fairly conservative in order to close the wound. Debrided the granulation bed as well. Closed subcut with simple interrupted 2/0 pds Placed Horizontal mattress sutures as well with 2/0 pds Placed 0 nylon skin sutures in crucuiate pattern. This is not the best suture material for this dog, as needs to be removed, BUT will hold better if we need to leave the sutures in longer. bandage applied STRONGLY advise buster collar and do not him lick! Remove bandage in 3 days please, OK for the owners to do at home but we should have a revisit to be sure wound is looking OK (at 3-5 days)
Previous claim history (4)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-15 | C09915402 | MASS LESION - SKIN (CUTANEOUS) |
| 2020-02-17 | C2997574 | OTITIS EXTERNA |
| 2019-10-01 | C2474888 | HIP DYSPLASIA |
| 2019-07-15 | C2339037 | DIARRHOEA - PRESUMED SELF-LIMITING |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_sedation_for_procedure | 132.00 | 2026-03-02 | — |
| 20000 | tstarc_hospitalisation | 80.00 | 2026-03-02 | — |
| 30000 | tstarc_anaesthesia_-_local_anaesthesia | 39.24 | 2026-03-02 | — |
| 40000 | tstarc_surgery_fee | 300.00 | 2026-03-02 | — |
| 50000 | tstarc_bandages_and_dressings | 55.00 | 2026-03-02 | — |
| 60000 | tstarc_antibiotics_-_cephalexin | 84.00 | 2026-03-02 | — |
| 70000 | tstarc_meloxicam | 52.60 | 2026-03-02 | — |
| 80000 | tstarc_oxygen | 66.00 | 2026-03-02 | — |
| 90000 | tstarc_suture_materials | 66.00 | 2026-03-02 | — |
| 100000 | tstarc_anaesthesia_-_alfaxan | 94.00 | 2026-03-02 | — |
| 110000 | tstarc_anticonvulsant_medication_-_gabapentin | 35.00 | 2026-03-02 | — |
| 120000 | tstarc_trazodone | 59.35 | 2026-03-02 | — |
UPM+
- DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified
Variant (sleepy_king)
MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.920
Threshold: 0.44
Above: ✓
Correct?