C09989787 / invoice 10000
Species:CANINE
Breed:Italian Lagotto Romagnolo
Age (years):4
Diagnosis or signs:ABM RV
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>Subjective:<br>- hind limb lameness episode, a few weeks ago<br>- Nick not completely sure if L or R by memory<br>- Regular vet advised cruciate workup/Sx<br>- Pulled up sound within 24 hrs, much better next day<br>- Returned to normal since, have moderated and toned down exercise in mean time<br>- Checked by Nicole Rous last week at Canterbury - decided to have rads and teeth clean<br>- Here for balance up and recheck<br><br>Objective:<br>- Better than visit a few weeks ago<br>- Unable to manually luxate patellas either way<br>- R thigh circumference ~38cm, L thigh circumference ~38-39cm<br>- Slight offload to L on pelvic sway<br>- I think R hind likely affected from exam today<br>- maybe Slightly different feel inside R knee. not obvious swelling or inflammation<br>- No drawer sign conscious<br>- NAD feet or hocks bilaterally<br>- Motioned everything in stand<br>- Soft tissue releases using vibration through both MFLs - three spirals and R laterals<br><br>Assessment:<br>- Possible pathology R hind<br>- Could be coming from higher up, screening rads important. Likely to be a reason he is always caught up in the pelvis on the R side<br><br>Plan:<br>- X-rays booked next Tuesday, will revisit plan with Nick after this<br>- Recommend extended hips, lateral pelvis/hips and both stifles</p></html>
Animal clinical history (3 most recent)
2026-01-29T00:00:00Z 13:00:00
29/01/2026Nick bought in todaySubjective:A few weeks ago wanting to sit while eating, seemed uncomfortable in back endHas improved since thenMain exercise controlled ball chasing and general walksObjective:- Pelvis extremely tight.- SI extension restriction bilaterally.- Lateral bend to the left restn- Banana posture - tips to the right.- Skin pretty tight over the whole body.- Thoracic inlet restn bi.- Scapular glide restn bi +++.- All aspects motioned manually.- Myofascial lines treated with vibrational release.- General laser setting three unwinds for three minutes.- Follow-up visit scheduled in 4-6 weeks - see what we are left with then maint after thatExtra water tonight, take it easy
2025-05-01T00:00:00Z 18:05:00
MatthewSubjective:Ball chasing once dailyDoing well after last treatment, no problemsObjective:Thoracic inlet rerstricted bilaterallyScapular glide restricted bilaterallyOA and TMJ goodLower cervices goodLeft L7-S1 lateral restriction-L hip mild restnSacroiliac restrictions bilaterally, left worseAssessment:Musculoskeletal restrictionsPlan:Myofascial lines treatment completed (all except left 3-spiral)General laser setting 3, unwind spine 3 minutesNext visit in 3-4 monthsnext visit consider exercise plans for HL muscle/core
2025-01-24T00:00:00Z 13:42:00
Please see attached file
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-09 | C09876483 | GASTROENTERITIS |
| 2026-02-03 | C09860291 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2026-01-29 | C09824111 | BACK PAIN |
| 2024-04-03 | C7063890 | CANINE HAEMORRHAGIC GASTROENTERITIS (HGE) |
| 2024-04-03 | C7075559 | CANINE HAEMORRHAGIC GASTROENTERITIS (HGE) |
| 2024-04-02 | C7075625 | CANINE HAEMORRHAGIC GASTROENTERITIS (HGE) |
| 2024-01-02 | C6702634 | MASS LESION - SKIN (CUTANEOUS) |
| 2024-01-02 | C6702634 | EAR INFECTION |
| 2023-12-29 | C6694545 | EAR INFECTION |
| 2023-12-18 | C6654859 | WOUND - LACERATION |
| 2023-12-16 | C6654847 | WOUND - LACERATION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 145.00 | 2026-03-05 | — |
UPM+
- DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness
Variant (sleepy_king)
PAIN - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_pain
Conf: 0.420
Threshold: 0.39
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description