C09989831 / invoice 10000
Species:CANINE
Breed:West Highland White Terrier
Age (years):1
Diagnosis or signs:Prescription medication
Consult notes
05/03/2026 BP Sys - 64 m 05/03/2026 BP Sys - 60 m 05/03/2026 BP Sys - 61 m 05/03/2026 BP Sys - 61 m 05/03/2026 BP Sys - 61 m 05/03/2026 BP Sys - 54 m 05/03/2026 BP Sys - 51 m 05/03/2026 BP Sys - 66 m 05/03/2026 BP Sys - 66 m 05/03/2026 Reason: Castrate and tattoo Assessment: pre anaesthetic check prev anxiety related biting at prev vet. have pre-sedated with gaba 15mg/kg po and Trazadone 3mg/kg- minimal sedation in consult. Exam not performed as showed no inclination to come towards me O prefer not to hold for IM sedation. taken through to treatment room- blanket wrap to sedate- ADVISE NO LESS Once sedate - good rom limbs oral cavity well aligned- 401- poor enamel and smaller but secure. 301 few enamel deficits. R fore d4- dorsal deviation and curled nail. X-ray- poorly developed d4 O consent to remove R fore d4 at p3 Treatment: Sedated with acp/methone/medtomidine 0.07/0.22/0.09ml imi- deep sedation I/v catheter placed GA induced with propofol size 6.5 et tube Maintained with isoflurane bupivicaine 0.5ml into each testis Prescrotal incision Routine castration Suture material: 3-0 surgicryl ligatures and in s/c tissues no skin sutures Metacam post op 0.15ml sci R fore- removal d4 nail and p3 and digit pad 3-0 subcut and sucutic closure Bandaged placed size 20 buster collar. *Home with 10 days worth of Traz/Gaba to aid with recovery. 25mg traz, 100mg gaba BID Plan: Wound check in 10 days meloxicam 0.5ml po sid- start tomrorow keep bandage and surg site clean- change or remove bandage in 3-4 days time site checks in 10-14 days time.
Animal clinical history (3 most recent)
2026-02-17T00:00:00Z 11:21:17
24/9/25- base narrow canines removed @ 12 wks of age 14/10/25- final C5 History wriggly at vet escalating to avoid exam and vocalise at injection. - O reports is resitant to things he does want to do -no hx on whether trainer involved- has had information -nil medication. Plan gabapentin 100mg night before surg Day of surg- traz 25mg with gabapentin 100mg 4 hours before visit in 1/4 cup pate consistency food. - JC has emailed O . estimate emailed. Dispensed traz 25mg only 2 in stock- changed label with LMG/ evl
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09989564 | CLAW INJURY (TRAUMATIC) |
| 2026-03-05 | C09989564 | DESEXING |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_trazodone | 64.00 | 2026-03-05 | — |
| 20000 | tstarc_anticonvulsant_medication_-_gabapentin | 26.00 | 2026-03-05 | — |
UPM+
- DG02947BEHAVIOURAL THERAPYDSTP_behavioural_abnormality_and_therapy
Variant (sleepy_king)
CLAW INJURY (TRAUMATIC)
DSTP_claw_injury_-_traumatic
Conf: 0.370
Threshold: 0.38
Above: ✗
Correct?
Acceptable?
Reason (potential financial impact)
Diagnosis description