C09983162 / invoice 10000

Reviewer

Species:CANINE

Breed:Old English Sheepdog Cross

Age (years):1

Diagnosis or signs:Lump

Consult notes

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<p>History:<br><br>- Lump found on leg/tire area<br>- Not irritated by it, not scratching at it<br>- Otherwise well, no other issues<br><br>Physical Examination:<br><br>- Lump feels like a cyst, on skin surface<br>- Not fixed to underlying tissue<br>- Fluid aspirated on fine needle aspirate<br><br>Investigations/Laboratory:<br><br>- Fine needle aspirate performed<br>- Fluid obtained (not thick material typical of cyst)<br>- Cytology: no cells or bacteria indicating infection<br><br>Assessment &amp; Plan:<br><br>1. Benign cyst<br><br>- Impression: Benign cyst, likely sebaceous gland origin<br>- Cyst is encapsulated; draining alone will result in recurrence<br>- Location has limited skin for wound closure<br>- Surgical removal under general anaesthetic required<br>- No antibiotics required (no infection)<br>- No anti-inflammatories required (not inflamed)<br>- Desexing can be performed at same time under same anaesthetic<br>- Estimate to be emailed to owner<br>- Monitor at home; if irritated or rapidly enlarging, bring forward procedure<br><br>Key Takeaways:<br><br>- Monitor lump for irritation or rapid growth<br>- No treatment required at home<br>- Procedure and desexing can be combined under one anaesthetic<br><br>Next Steps:<br><br>- Estimate to be emailed<br>- Contact clinic with any questions or concerns<br>- Schedule procedure when ready</p>
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Animal clinical history (3 most recent)

2025-12-03T00:00:00Z 10:05:00

Cute dogNo concernsEDDU all normal at homehas started to not eat breakfast but thinks is being fussyPe; BAR, MM PM CRT <2eyes, ears NADLN's within normal limitsThorax- NADAbdo- NADT WNLA: ok to vacc. Discussed Lepto vacc. O declinedDiscussed desexing- can do anytime from now.P: Nobivac DHP + BB/Pi given SC

2024-12-23T00:00:00Z 15:27:00

History:Has been BAR EDDU normally, well at home.Parasite prevention: Nexgard Spectra UTDDiet: Puppy kibble + Prime 100 - fed BID-TID.Examine:1. Demeanour: BAR - lovely girl2. Vitals: HR = 136 RR = 20 MM = pink moist CRT <2s. Temp = Not taken.3. Body condition: Bcs 2/5 - lean.4. Auscultation: Normal - no audible murmur or arrhythmia. Normal bronchovesicular sounds on lung auscultation in all 4 quadrants.5. Oral cavity: Deciduous dentition. Base narrow L lower canine - still causing some mild contact/impression in to upper gingiva. Rest of dentition OK.6. Eyes: NAD7. Ears: NAD8. Skin: NAD9. Abdomen: Comfortable, soft. No palpable thickening, fluid wave or area of disocmfort.10. Peripheral LN's: NAD11. Perianal area: NAD12. No hernia or hind dew claws.Assessment:1. Base narrow L lower canine: Still ok to monitor. R/c once adult teeth erupt (~6-7m of age). Also discussed ball therapy to guide adult canine into correct positioning.2. Still quite lean - Rx high quality puppy kibble for large breed (Hills) & Feed TID currently.Treatment:Protech C4 S/cPlan:Desex at 12m of age.

2024-11-23T00:00:00Z 12:21:00

History:Has been BAR EDDU normally, well at home. Have owned her for 2 weeks. Parasite prevention: None so far. Unsure if she was wormed with the breeder.Diet: Adult kibble (Taste of the Wild). Fed BID.Vacc Hx: C3 + C2i 21/11/24Examine:1. Demeanour: BAR - sweetest puppy!2. Vitals: HR = 156 RR = 20 MM = pink moist CRT <2s. Temp = Not taken.3. Body condition: Bcs 2/5 - lean.4. Auscultation: Normal - no audible murmur or arrhythmia. Normal bronchovesicular sounds on lung auscultation in all 4 quadrants.5. Oral cavity: Deciduous dentition. Base narrow L lower canine - causing some mild contact/impression in to upper gingiva. Rest fo dentition OK.6. Eyes: NAD7. Ears: NAD8. Skin: NAD9. Abdomen: Comfortable, soft. No palpable thickening, fluid wave or area of disocmfort.10. Peripheral LN's: NAD11. Perianal area: NAD12. No hernia or hind dew claws.Assessment:1. Base narrow L lower canine: So far only cauing mild impression into upper gingiva, ok to monitor. Advised O that if it starts to cause trauma, will need extraction. Also discussed ball therapy to guide adult canine into correct positioning - will send handout.2. Lean Bcs - inappropriate diet & frequency. Rx large breed puppy kibble (Hills or RC) fed TID currently. Feed according to current weight of 7kg (ideal weight). Reassess next visit.Treatment:Protech C4 + C2i S/cBB POMilpro 1/2 5-25kg tablet PO.Plan:1. Booster C4 in 4 weeks.2. O to commence Nexgard Spectra.3. Milpro due again 7th Dec.4. Discussed delayed desexing - Rx 12m of age. O happy with this.5. Monitor L lower canine & weight at next visit.6. Discussed & Rx PPS.

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	110.00	2026-03-04	—
20000	tstarc_diagnostic_test_-_cytology	77.84	2026-03-04	—

UPM+

DG02648MASS LESIONDSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION

DSTP_mass_lesion_-_unspecified

Conf: 0.840

Threshold: 0.44

Above: ✓

Correct?

Yes No