C09985293 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):1
Diagnosis or signs:Check up -lip is swollen
Consult notes
Dr Luke Hearnden
R side lower lip slightly swollen and inflamed skin
Skin on LF paw also inflamed
O thinks swelling was much worse last night
Was in the park yesterday prior to swelling

Physical Exam
Dr Luke Hearnden
DEM: Mentation BAR, lovely girl
BCS: BCS 5 out of 9
Neuro: NAD
Ears: Clean and comfortable
Eyes: Bright and clear
Oral: Great
MM colour: Colour Pink CRT <1 sec
Integument: R lips slightly swollen and crusty in corners of mouth, L side also slightly swollen. LFL between D3+4 on palmar aspect focal dermatitis. Remaining paws normal

V+ in consult after having a liver treat


Assessment
Dr Luke Hearnden
Definitive diagnosis:

Skin infection, dermatitis
Cause open
Discussion:

Possible to have been caused by insect bite/sting
Swelling improving but monitor
Re-check if worsening or not improving
Let us know if any more vomiting today

Previous claim history (6)

DateClaim #Diagnosis
2026-02-12C09896940MASS LESION - EYELID
2025-11-13C09985281FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
2025-09-04C9195467DESEXING
2025-07-02C8921060VACCINATIONS OR HEALTH CHECKS
2025-05-27C8921066VACCINATIONS OR HEALTH CHECKS
2025-05-27C8921066FLEA/TICK/WORM 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_-_cephalexin22.912026-03-04
40000tstarc_procedure_fee30.002026-03-04
50000tstarc_corticosteroids1.802026-03-04
60000tstarc_procedure_fee30.002026-03-04

UPM+

  • DG02378INSECT BITE(S)DSTP_insect_bite/sting

Variant (sleepy_king)

INSECT BITE(S)
DSTP_insect_bite/sting
Conf: 0.430
Threshold: 0.22
Above:
Correct?