C09988398 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):10
Diagnosis or signs:consultation and treatment
Consult notes
05/03/2026 Consultation nurse:
JW

Reason for presentation: Licking front R paw 

History for today:
OFF and ON licking since Tuesday 
O going away tonight 
Fletcher is boarding while o's are away 

Previous medical/surgical concerns:
- R eye superficial corneal ulceration since November 2025.
- L eye superficial corneal ulceration with grid keratotomy performed on 10/11/2025.
- RF digit 5 torn nail on 06/05/2024.
- Otitis externa L ear in November 2023.
- Recurrent paraphimosis when anxious.
- Multiple soft, mobile subcutaneous lumps assessed on 09/06/2023, suspected lipomas.

Current medications:
Eye drops -- Ocuflox and Clorsig

Diet: NA 

Examination:
Demeanour- BAR - little nervous 
Eyes & Ears-
Nose and Throat- 
Mouth/teeth/gums/dental grade- 
Thyroid- 
Resp rate-
Heart rate- 112bpm nil murmur 
Abdominal palpation- 
Urogenital- 
Musculoskeletal- 
BCS-
Coat/skin-
Anal sacs- 
Palpate lymph nodes- 
Temp-

Assessment:
Stained front R paw from licking / irritation 

Treatment:
Clipped Front R paw and clean with 
Ilium Neocort 

Plan: 
Use cone for 2-3 days 

Previous claim history (24)

DateClaim #Diagnosis
2026-01-28C09818726CORNEAL ULCER
2026-01-22C09796396CORNEAL ULCER
2026-01-10C09756761CORNEAL ULCER
2026-01-10C09756761OTITIS EXTERNA
2026-01-02C09701449CORNEAL ULCER
2018-10-19C1893288GRASS SEED
2018-09-03C1825998EAR INFECTION
2018-09-03C1825998HEARTWORM CONTROL
2018-09-03C1826011EAR INFECTION
2018-09-03C1826011HEARTWORM CONTROL
2018-06-22C1732819EAR INFECTION
2018-06-13C1732816EAR INFECTION
2018-05-26C1674566VACCINATIONS OR HEALTH CHECKS
2018-05-26C1674566EAR INFECTION
2018-01-29C1594979VOMITING - PRESUMED SELF-LIMITING
2017-12-20C1456284FLEA/TICK/WORM CONTROL
2017-11-18C1454555VACCINATIONS OR HEALTH CHECKS
2017-09-13C1331291VACCINATIONS OR HEALTH CHECKS
2017-09-13C1331291HEARTWORM CONTROL
2017-06-09C1219523EAR CONDITIONS
2017-05-22C1203594VACCINATIONS OR HEALTH CHECKS
2017-05-22C1203594EAR CONDITIONS
2016-06-10C0866575VACCINATIONS OR HEALTH CHECKS
2016-06-10C0866575HEARTWORM TEST OR BLOOD SCREEN

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation120.002026-03-05
20000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory42.152026-03-05

UPM+

  • DG01945WOUNDDSTP_wound_or_laceration

Variant (sleepy_king)

CLAW INJURY (TRAUMATIC)
DSTP_claw_injury_-_traumatic
Conf: 0.490
Threshold: 0.38
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description