C09988674 / invoice 10000

Reviewer

Species:CANINE

Breed:Pug

Age (years):7

Diagnosis or signs:Checkup | Checkup

Consult notes

25/02/2026 BC
---
SUBJECTIVE
Reason for visit/main concern: revisit IVDD and mass on lip.
EDUD normally, no CSV, normal level of energy. 
Much more mobile since laser treatment. 
Gabapentin course recently finished - noticed mobility slightly decreased, but still much better than it used to be
Current medication/supplements: Meloxicam, Amoxyclav. 

OBJECTIVE
BAR
mm pink and moist, CRT <2sec
Lymph nodes: normal submandibular, prescapular and popliteal
Cardiac auscultation: NAD, no murmur, no arrhythmia, strong synchronous pulse HR: 120bpm
Pulmonary auscultation: NAD, normal BV sounds, no resp effort RR: wnl
Eyes: NAD
Nose: NAD
Ears: NAD
Mouth: NAD
Dental Grade: 1/4
Abdominal palpation: NAD, soft, comfortable
Skin: previous mass now flat, hairless region
Neuro: NE, normal mentation, postural reactions intact, no ataxia
Myo-arthro-skeletal: no pain on spinal palpation 
BCS:5/9 

ANALYSIS
1. Spinal disease clinically resolving, no neurological deficits today.
2. Previous lip mass resolving - suspect infected pustule.
3. Mild dental disease.

PLAN
Continue with NSAIDs and Gabapentin for another 2 weeks (6 weeks since initial presentation), then revisit and consider weaning off medications.
Monitor closely for any relapse in neurological signs until then. If any relapse noted, strongly recommend advanced imaging.   |

Animal clinical history (3 most recent)

2026-02-25T00:00:00Z 15:54:50

BC
---
SUBJECTIVE
Reason for visit/main concern: revisit IVDD and mass on lip.
EDUD normally, no CSV, normal level of energy. 
Much more mobile since laser treatment. 
Gabapentin course recently finished - noticed mobility slightly decreased, but still much better than it used to be
Current medication/supplements: Meloxicam, Amoxyclav. 

OBJECTIVE
BAR
mm pink and moist, CRT <2sec
Lymph nodes: normal submandibular, prescapular and popliteal
Cardiac auscultation: NAD, no murmur, no arrhythmia, strong synchronous pulse HR: 120bpm
Pulmonary auscultation: NAD, normal BV sounds, no resp effort RR: wnl
Eyes: NAD
Nose: NAD
Ears: NAD
Mouth: NAD
Dental Grade: 1/4
Abdominal palpation: NAD, soft, comfortable
Skin: previous mass now flat, hairless region
Neuro: NE, normal mentation, postural reactions intact, no ataxia
Myo-arthro-skeletal: no pain on spinal palpation 
BCS:5/9 

ANALYSIS
1. Spinal disease clinically resolving, no neurological deficits today.
2. Previous lip mass resolving - suspect infected pustule.
3. Mild dental disease.

PLAN
Continue with NSAIDs and Gabapentin for another 2 weeks (6 weeks since initial presentation), then revisit and consider weaning off medications.
Monitor closely for any relapse in neurological signs until then. If any relapse noted, strongly recommend advanced imaging.

2026-02-20T00:00:00Z 09:12:54

Laser #5

30, 30, 48 for 5 min on lumbar spine
Did really well
RV booked with vet on 25/2
GAD

Previous claim history (14)

Date	Claim #	Diagnosis
2026-02-19	C09926395	MASS LESION - SKIN (CUTANEOUS)
2026-02-11	C09894147	INTERVERTEBRAL DISC DISORDER
2026-01-28	C09819535	GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2022-07-14	C4989552	KERATITIS
2021-01-20	C3458406	LAMENESS RF
2020-12-08	C3354601	Conditions
2020-10-20	C3239511	OTITIS EXTERNA
2020-10-13	C3239511	CYST
2020-10-13	C3239511	OTITIS EXTERNA
2020-10-13	C3239511	ACROCHORDON (FIBROEPITHELIAL POLYP, SKIN TAG)
2020-06-22	C3032034	MISCELLANEOUS CONDITIONS
2020-06-22	C3032034	PRESCRIPTION DIETS
2020-06-22	C3121412	VOMITING - OTHER - PRESENTING COMPLAINT
2020-06-02	C2979596	MISCELLANEOUS CONDITIONS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_anticonvulsant_medication_-_gabapentin	43.00	2026-02-25	—
20000	tstarc_consultation-revisit	84.00	2026-02-25	—

UPM+

DG02401INTERVERTEBRAL DISC DISORDERDSTP_spine_-_intervertebral_disc_disease

Variant (sleepy_king)

INTERVERTEBRAL DISC DISORDER

DSTP_spine_-_intervertebral_disc_disease

Conf: 0.910

Threshold: 0.90

Above: ✓

Correct?

Yes No