C09990013 / invoice 10000
Species:CANINE
Breed:Schnoodle
Age (years):9
Diagnosis or signs:Sore back
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>HISTORY<br>Presenting for: Canine patient presented for evaluation after slipping on a cover and subsequently standing in the lounge room with head down but still alert.<br>Diet: Normal<br>Current Meds: Shakes at home, not at clinic<br>Other:<br>- Bright and alert despite posture changes</p> <p>EXAM<br>Mentation: BAR<br>T: 38.6°C<br>MM: Pink<br>Behavioural: Anxious<br>Eyes: Normal<br>Ears: Normal<br>Nose: Normal<br>Throat: Normal<br>Oral: Normal<br>Cardiovascular: Normal<br>Respiratory: Normal<br>Abdominal: Tense when palpated, reacts with pain<br>Lymph Nodes: Normal<br>Integumentary: Normal<br>Neurologic: Normal<br>Musculoskeletal: Tense when moved around, suspected back pain<br>Urogenital: Normal<br>Rectal: Normal</p> <p>ASSESSMENT<br>Back pain - DDx: intervertebral disc disease, muscle strain, soft tissue injury</p> <p>PLAN<br>New Meds/Tx:<br>- Injectable meloxicam 0.32ml s/c<br>- Oral meloxicam sid 7 days starting tomorrow night<br>- 100mg gaba bid starting this am</p> <p>Additional Discussion:<br>- Expect improvement by tomorrow, may return to normal<br>- Continue medication for full week even if symptoms resolve<br>- Treat normally and encourage movement - current theory suggests activity is beneficial for back pain rather than rest<br>- Monitor for development of wobbliness in hind legs which would indicate more serious condition<br>- Recheck if not improving</p> <p>Client Comms:<br>- Return for recheck if not improving by tomorrow. May require imaging. </p></html>
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 10:15:00
HISTORYPresenting for: Archie presented for evaluation of decreased appetite and slower eating habits.Diet: - Decreased appetite noted over the past week - Takes longer to consume meals - Does not finish breakfast consistently - Owner reports he is less motivated to eat and will leave food for extended periodsNot able to exercise like normally does.Panting alot.Drinking more than normal. Yelping intermittently when touched in different areas. EXAMMentation: bright and well in consult. Wt: 7.9BCS:nT: 38.3HR:112 normal. No murmur or arrhythmia. R: PantingMM: pink. Dental disease- moderate with tartar and periodontal disease. Hydration: no skin tentingBehavioural: normalEyes: normalEars: normalNose: nThroat:nOral: see aboveCardiovascular: heart and lungs normal. Respiratory: Lungs clear. Abdominal: tense- not able to palpate well. Lymph Nodes: all LNs normal. Integumentary:nNeurologic:nMusculoskeletal: normal spine, FLs and HLs. Yelped once when neck turned to LHS but this not repeatable. Urogenital:nRectal:nASSESSMENTDecreased appetite - slower eating pattern over past weekDrinking more than normal. Panting. Less able to exercise/. PLANFull bloods. MM- bloods normal. O will monitor for the next few weeks. Next step sedate, xray chest and abdominal ultrasound. May also need urine test. O will let us know and get back to us if wanting further testing done.
2025-04-28T00:00:00Z 17:09:00
HISTORYPresenting for: Archie, 8y 4m canine, presented for routine vaccination and weepy eyeHistorical Conditions: Grade 2/6 heart murmurCurrent Meds: Heartworm prevention up to dateEXAMHR: 116Eyes: Mild conjunctivitis noted. No discharge or blepharospasm. Schirmer tear test: 15mm/30sec. Fluorescein stain negativeCardiovascular: Grade 2/6 heart murmur auscultatedDiagnostics: - Schirmer tear test: 15mm/30sec (normal)- Fluorescein stain: negative for corneal ulcerationASSESSMENTHeart Murmur - Grade 2/6 murmur, likely valvular in origin. Recommend echocardiogram prior to any general anaesthesiaAllergic Conjunctivitis - Mild, likely environmental in origin given lack of significant discharge or other ocular abnormalitiesPLANVaccinations:- C5 vaccine administered- Coronavirus vaccine administered- Leptospirosis vaccine administered- SR12 0.38mL administered- Discussed potential vaccine reactions including lethargy and allergic reactions within 2 hoursNew Meds/Tx:- Ophthalmic ointment with antibiotic/steroid combination prescribed for 5 daysClient Comms:- Discussed heart murmur - recommend echocardiogram ($600-700) before any future anaesthetic procedures- Annual monitoring of heart murmur recommended- Return to clinic if any vaccine reactions noted within 2 hours- Monitor eye for improvement with prescribed medication
2024-12-07T00:00:00Z 12:16:56
Examination Text:Reason: Boarding until 9/12Owner Contact Details: Laura 0409939506Emergency Number: Clair (mother) 0400396478Amount owner has approved to spend if not contactable: $500Regular Vet (if not EVH):evhDeposit taken (y/n): nVaccinations (done/needed): unsure on status. Heartworm prevention?:Flea tx (date given/type or needed) bravecto UTDMEDICATIONS: FEEDING: Hypro kibble + cooked chicken BIDBELONGINGS: green bag of goodiesSERVICES REQUESTED WHILE BOARDING: PROBLEMS NOTED AT HOME: none
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_anticonvulsant_medication_-_gabapentin | 33.40 | 2025-11-02 | — |
| 20000 | tstarc_meloxicam | 62.57 | 2025-11-02 | — |
| 30000 | tstarc_consultation-emergency/afterhours | 186.00 | 2025-11-02 | — |
| 40000 | tstarc_meloxicam | 44.89 | 2025-11-02 | — |
UPM+
- DG02077PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINTDSTP_clinical_signs_-_pain
Variant (sleepy_king)
PAIN - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_pain
Conf: 0.500
Threshold: 0.39
Above: ✓
Correct?