C09985140 / invoice 10000

Reviewer

Species:CANINE

Breed:American Staffordshire Terrier Cross

Age (years):11

Diagnosis or signs:Medication check up/repeat

Consult notes

04/03/2026 Presented for Medication review. 
O has no concerns. EDUF wnl, no V/D. 
Still walking daily, no evidence of pain or difficulty to move. 
O happy w current medication regime. Hasn't needed to give paracetamol. 

Current meds: 60mg galliprant SID, gaba 300mg BID. 
Parasite control: nil
Vaccination status:nil 

Carpark Distance examination - couldn't approach / touch Mac. 
****O said she gave chill pills but zero evidence of sedation effect in Mac. 
Mentation:BAR
MM: not examined
CRT: not examined 
DS:not examined
Skin tent:not examined
LN: not examined
Ears: not examined
Eyes: not examined
HR: not examined
Chest not examined
Abdo Palpation: not examined
BCS:7-8/9
Temp: not examined
Rectal Exam: not examined
Skin: not examined
Joints/Gait: ambulatory, no lameness observed, obvious hip wiggle, mild muscle atrophy over bilateral HL. full MSK not performed  
Urogenital: not examined

Treatment in clinic: 
nil 

Problem List: 
OA - given O feels Mac is comfortable w current medication regime, happy to renew scripts for gaba + galliprant. NO evidence of further OA worsening since last visit however cannot properly perform MSK exam. O understands. 
Reccommended weightloss to reduce pressure on joints. Reduce food by 1/3 for 1-2months and assess response. 

Plan: 
Scripts renewed - Gabapentin 300mg BID, Galliprant 60mg SID 
Weight loss encouraged 

Communication:

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 10:09:33

Presented for Medication review. 
O has no concerns. EDUF wnl, no V/D. 
Still walking daily, no evidence of pain or difficulty to move. 
O happy w current medication regime. Hasn't needed to give paracetamol. 

Current meds: 60mg galliprant SID, gaba 300mg BID. 
Parasite control: nil
Vaccination status:nil 

Carpark Distance examination - couldn't approach / touch Mac. 
****O said she gave chill pills but zero evidence of sedation effect in Mac. 
Mentation:BAR
MM: not examined
CRT: not examined 
DS:not examined
Skin tent:not examined
LN: not examined
Ears: not examined
Eyes: not examined
HR: not examined
Chest not examined
Abdo Palpation: not examined
BCS:7-8/9
Temp: not examined
Rectal Exam: not examined
Skin: not examined
Joints/Gait: ambulatory, no lameness observed, obvious hip wiggle, mild muscle atrophy over bilateral HL. full MSK not performed  
Urogenital: not examined

Treatment in clinic: 
nil 

Problem List: 
OA - given O feels Mac is comfortable w current medication regime, happy to renew scripts for gaba + galliprant. NO evidence of further OA worsening since last visit however cannot properly perform MSK exam. O understands. 
Reccommended weightloss to reduce pressure on joints. Reduce food by 1/3 for 1-2months and assess response. 

Plan: 
Scripts renewed - Gabapentin 300mg BID, Galliprant 60mg SID 
Weight loss encouraged 

Communication:

2026-02-20T00:00:00Z 10:38:55

Hi Bree 
We will need to see Mac before dispensing the next round of medications (last visit August last year).  Pls call the clinic to arrange an appointment, and we can try him with some pre-visit anxiolytic drugs to possibly get a better examination done!
Regards, 
Dr Tessa Murray
Grantham St Vets

*Mac is a difficult dog - have dispensed the meds but we need to see him before the next supply

2026-02-19T00:00:00Z 15:25:12

Medication required (name and strength):Gabapentin 300mg
Current dosing:1 cap BID
Going well? Going well on current dose
Phone call taken by:AD
Dispensed by:

Medication required (name and strength):Galliprant 60mg
Current dosing: 1 tab SID
Going well? Going well on current dose
Phone call taken by:AD
Dispensed by:

Previous claim history (3)

Date	Claim #	Diagnosis
2026-02-20	C09958871	ARTHRITIS
2026-01-06	C09714746	ARTHRITIS
2025-12-31	C09693888	ARTHRITIS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	108.00	2026-03-04	—

UPM+

DG01126OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD))DSTP_osteoarthritis

Variant (sleepy_king)

ARTHRITIS

DSTP_osteoarthritis

Conf: 0.970

Threshold: 0.17

Above: ✓

Correct?

Yes No