C09982837 / invoice 10000

Species:CANINE
Breed:Miniature Bull Terrier
Age (years):5
Diagnosis or signs:Possible lump on top of left paw
Consult notes
Noticed an inflamed patch of skin on dorsal surface of FL paw a few weeks ago
Has been licking it
Wondering if it may be caused by wearing boots. Wears when out and about as paw pads get sore

Physical Exam
Dr Luke Hearnden
DEM: Mentation BAR
BCS: BCS 5 out of 9
Integument: FL paw 0.5cm hairless inflamed thickening above D2+3. Laterally on D5 some hair loss


Assessment
Dr Luke Hearnden
Definitive diagnosis:

Skin infection
Discussion:

Keep boots off while recovering. Likely an injury caused by boots

Plan
Dr Luke Hearnden
Give medication as directed and RV INI
Can call to extend course if needed

Previous claim history (20)

DateClaim #Diagnosis
2026-02-18C09922284HYPERKERATOSIS
2026-01-23C09802393CLAW INJURY (TRAUMATIC)
2026-01-16C09769183CLAW INJURY (TRAUMATIC)
2026-01-13C09750934CLAW INJURY (TRAUMATIC)
2026-01-09C09732001CLAW INJURY (TRAUMATIC)
2026-01-07C09720389CLAW INJURY (TRAUMATIC)
2025-12-08C09593018VACCINATIONS OR HEALTH CHECKS
2025-12-08C09593018HEARTWORM CONTROL
2025-12-08C09593018FLEA/TICK/WORM CONTROL
2022-01-12C4392809FRACTURE OF PELVIC LIMB - FEMUR
2022-01-11C4392809FRACTURE OF PELVIC LIMB - FEMUR
2022-01-11C4394828FOREIGN BODY, GRASS SEED
2022-01-11C4394828AVULSED TIBIAL CREST
2022-01-06C4374876FRACTURE OF PELVIC LIMB - FEMUR
2021-12-17C4333481DENTAL ILLNESS TREATMENT
2021-11-14C4233649EYE CONDITIONS
2021-11-09C4223034VACCINATIONS OR HEALTH CHECKS
2021-10-12C4223032VACCINATIONS OR HEALTH CHECKS
2021-10-12C4223032FLEA/TICK/WORM CONTROL
2021-10-12C4223032HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation120.002026-03-04
20000tstarc_diagnostic_test_-_pathology73.502026-03-04
30000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid28.182026-03-04
40000tstarc_procedure_fee30.002026-03-04
50000tstarc_meloxicam24.552026-03-04
60000tstarc_procedure_fee30.002026-03-04

UPM+

  • DG01364PODODERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.680
Threshold: 0.25
Above:
Correct?