C09985124 / invoice 10000

Reviewer

Species:CANINE

Breed:Labrador Retriever

Age (years):8

Diagnosis or signs:Limping

Consult notes

04/03/2026 Reason:  check up
History: 
switched insurance recently, needs cruciate form 
eduf all normal 
no v+ or d+ 

Current medications: 

What Preventative health cover is being used and do you need to purchase any today?
Vaccination:
Worming: 
Flea control: 
Heartworm Prevention: 

Examine: 
Mentation: bar
Body condition score: 3
MM:  pm              CRT:  1.5
HR:  100              RR:pant
LN: wnl
Temperature: ne

Ocular: nad
Oral/Dental stage: 1
Ears: nad
Cardiovascular: no murmur 
Respiratory: nad
Gastrointestinal: comfortable on palp 
Integumentary & lumps (measurement, location): ventral chest 3x sc soft semi mobile ~1cm - 2cm masses
Musculoskeletal: comfortable in stifles, nil thickening, cranial drawer or tibial thrust. good rom in hips, no pain on spinal palp
Urogenital: nad
Neurological: nad

Problem List:
- lumps on chest 

Assessment: 
suspect lipoma, discussed fna vs monitoring 

Treatment: 

Plan: 
form completed for O
email clinical hx. 

Followup:

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 11:40:42

Reason:  check up
History: 
switched insurance recently, needs cruciate form 
eduf all normal 
no v+ or d+ 

Current medications: 

What Preventative health cover is being used and do you need to purchase any today?
Vaccination:
Worming: 
Flea control: 
Heartworm Prevention: 

Examine: 
Mentation: bar
Body condition score: 3
MM:  pm              CRT:  1.5
HR:  100              RR:pant
LN: wnl
Temperature: ne

Ocular: nad
Oral/Dental stage: 1
Ears: nad
Cardiovascular: no murmur 
Respiratory: nad
Gastrointestinal: comfortable on palp 
Integumentary & lumps (measurement, location): ventral chest 3x sc soft semi mobile ~1cm - 2cm masses
Musculoskeletal: comfortable in stifles, nil thickening, cranial drawer or tibial thrust. good rom in hips, no pain on spinal palp
Urogenital: nad
Neurological: nad

Problem List:
- lumps on chest 

Assessment: 
suspect lipoma, discussed fna vs monitoring 

Treatment: 

Plan: 
form completed for O
email clinical hx. 

Followup:

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	109.00	2026-03-04	—

UPM+

DG02574LIPOMADSTP_lipoma

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT

DSTP_clinical_signs_-_lameness

Conf: 0.490

Threshold: 0.37

Above: ✓

Correct?

Yes No

Acceptable?

Acceptable?Not acceptable — misleading outcome to client but no financial impactNot acceptable — potential financial impact

Reason (not acceptable — misleading)

Diagnosis description