C09987632 / invoice 10000

Species:CANINE
Breed:Dobermann
Age (years):6
Diagnosis or signs:Lump Removal.
Consult notes
04/03/2026 Anaesthetic - 
Pre-anaesthetic Findings(TPR) - TPR unremarkable. Has been seen by NA for a firm lump 4-5 cm diam sl R side ventral neck/thoracic inlet region. FNA has not been performed as too diff to restrain as hyperA
Premed - medet/meth   . Induction Agent(s) -val/ket    . Catheter location -  L Ceph  . Fluids Y   .
Maintenance Agent -  Isoflurane 
HR    Comment        - adeq
Po2   Comment       - adeq
ETCO2 Comment   -na
BP    Comment        -adeq
Temp Comment      -adeq
Other Anaesthetic Drugs  -nil
Recovery                   - Unremarkable.
  Surgery Record - Procedure - lumpectomy    . Positioning -dorsal
Clipped, Vacuumed, Prepped Chlorhex/Alcohol.
Incision Site(s)          - ventral neck etc
Findings                   -firm sl friable poorly encapsulated mass surrounded by fat and under the first layer of muscle.
Procedure/materials   - blunt dissected free, some of the tumour broke away so was resected separately. Then went back in and removed a lot of the surrounding fat so the sample sent for histo won't have a margin anyway so interpret as such. 
Discussion                -nails trimmed and cauteried
Closure/materials       -subcut contin pdo tacked down to deeper layer. skin rivermed crucifix
Outcome                    -  adeq
Medications              -meloxicam, ceph
Client Communication  -   went as well as able and will send of for histo and likely long term monitor the general region etc.              NB. Standard post op care includes 1/ Keep wound clean and dry and no bath for 1 week, 2/ Small meal only tonight, and 3/ Make sure not licking/pulling at wound otherwise will need an eliz collar. Recheck 2 weeks
 

Animal clinical history (3 most recent)

2024-12-27T00:00:00Z 10:57:10
Presented for sedate + nail clip

Sedated with 1.4mls butorphanol/1ml medetomidine IM
Sedation adequate 
Clipped all nails, heamorrhage controlled with ferric 
Reversed 1ml atipamazole IM 

Dispensed meloxicam 

Previous claim history (1)

DateClaim #Diagnosis
2020-10-01C3218313FOREIGN BODY - INTESTINAL, SMALL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_iv_catheterisation12.202026-03-04
20000tstarc_anaesthesia_-_inhalation_anaesthetic196.352026-03-04
30000tstarc_anaesthesia_-_inhalation_anaesthetic98.672026-03-04
40000tstarc_fluid_therapy48.402026-03-04
50000tstarc_iv_catheterisation1.372026-03-04
60000tstarc_equipments_-_extension_sets6.052026-03-04
70000tstarc_surgery_fee258.502026-03-04
80000tstarc_theatre_fee94.602026-03-04
90000tstarc_hospitalisation96.252026-03-04
100000tstarc_diagnostic_test_-_histopathology341.602026-03-04
110000tstarc_antibiotics_-_cephalexin43.352026-03-04
120000tstarc_meloxicam54.442026-03-04
130000tstarc_meloxicam21.682026-03-04

UPM+

  • DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.950
Threshold: 0.44
Above:
Correct?