C09985919 / invoice 10000

Species:CANINE
Breed:Pug
Age (years):10
Diagnosis or signs:Start Zydax
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>Reason: Start zydax<br><br>Hx; Presented by Greg<br>The last few evenings O has noticed that Pierre seems a bit stiff in his back legs and seems uncomfortable- wont jump up on the couch. still happy to eat and drink. still on apoquel for his skin.<br>O gave him 2 doses of meloxicam- on sunday night and monday night, none last night.<br>Pierre does seem more comfortable after the meloxicam.<br><br>Ex:<br>BAR, nice dog<br>Mm p crt &lt;2s<br>Teeth G0- not many left<br>HR 132<br>RR 20 <br>Integument good<br>Abdo palp NAD<br>Msk: Reduced ROM and hip extensions bilaterally. Stifles and patellas feel fine<br><br>Assessment:<br>likely arthritis<br><br>Tx:<br>Start zydax: 0.27mls s/c<br><br>Plan:<br>3 more weekly zydax (all booked and paid for) <br>Ok to give meloxicam when required whilst starting the course.</p></html>

Animal clinical history (3 most recent)

2025-11-25T00:00:00Z 08:57:00
Medication (drug/s + type/strength): Apoquel 3.6mgCurrent dose/s: 1 tab SIDAmount requested: a bottle of 100 plsIs patient currently well on medication? YLast check-up: 28.08.25Last Blood test: 29.09.25 at Ripponlea VetVet notes/plan (initials): TSK approvedMeds Made up + Checked (date+ NURSE/VET):Called (date + initial):
2025-10-29T00:00:00Z 10:39:00
Presented by GregPierre has been well. Is on meloxicam in the AM and panadol in the PMNo troubles eating.Extraction sites have healed well. But cos he doesnt have upper teeth left, his lower molars (carnassials) will be impinging on the hard palate until it has time to firm up.Plan:Ok to stop pain relief for nowDiscussed dental chews- difficult due to 3 pugs around and Oulu is on a special diet.O will try brushing- O can do maxigard wipes to see.
2025-10-22T00:00:00Z 10:19:00
BIB Greg today.1 week post opGoing okay, o says still not himself.Meloxicam SID and pandaol as needed.No concerns with his eating! Currently having balls of meat and soaked dry food.Dad says he was very painful the night of the procedure, even after meloxicam and panadol.Taken out the treatment area for STT to asses his mouth.Poc booked next Weds with STT.STT had a look at Pierre:There is an ulcer on his lower R lip- looks like that might be where the 104 was rubbing before it was previously removed?400 arcade has healed well108/109 extraction site- sutures have pulled through but granulation tissue is healthy.Same on the 208/209 site.Note that since the 309 and 409 are remaining- it is impacting on the 108/109/208/209 extraction site so it will take time to heal.Continue on meloxicam daily and soft foods and check back again in a week

Previous claim history (14)

DateClaim #Diagnosis
2025-01-10C8181649HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-03-12C7198685HYPERSENSITIVITY DISORDER (ALLERGY)
2023-11-30C6692220SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-09-19C5236313PANNUS - BILATERAL
2022-09-13C5236313PANNUS - BILATERAL
2022-09-03C5231705MISCELLANEOUS CONDITIONS
2022-09-03C5235494PANNUS - BILATERAL
2022-09-03C5293502PANNUS - BILATERAL
2022-08-31C5231705MISCELLANEOUS CONDITIONS
2022-08-31C5293523OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2021-03-17C3744459MISCELLANEOUS CONDITIONS
2020-12-10C3643312MISCELLANEOUS CONDITIONS
2020-11-20C3428275VACCINATIONS OR HEALTH CHECKS
2020-10-06C3351601Conditions

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation112.002026-03-04
20000tstarc_arthritis_injection203.502026-03-04

UPM+

  • DG00205ARTHRITISDSTP_osteoarthritis

Variant (sleepy_king)

ARTHRITIS
DSTP_osteoarthritis
Conf: 0.640
Threshold: 0.17
Above:
Correct?