C09990733 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):0
Diagnosis or signs:Limping
Consult notes
01/03/2026 Reason: LFL lameness

History: Had a tumble at the park with larger dog yesterday and became lame on the LFL immediately after. No lameness in the past. Otherwise very well, EDUF all normal. 

Medications: Nil

What preventative health cover is being used and is anything required during visit?
Vaccination: UTD
Worming: UTD
Flea control: UTD
HW prevention: UTD

Examination: 
Mentation: BAR, lovely girl
Body condition score: 5/9
MM: Pink, moist           CRT: 1s
HR: 116              RR: 20
LN: WNL
Temperature: Not taken

Ocular: WNL
Oral/dental stage: WNL
Ears: WNL
Cardiovascular: WNL
Respiratory: WNL
Gastrointestinal: WNL
Integument: WNL
Musculoskeletal: Grade 2/5 LFL lameness. Repeatable pain on elbow flexion. Rest of orthopaedic exam WNL. 
Urogenital: WNL
Neurological: WNL

Problem list: 
1) LFL lameness, elbow pain - ddx soft tissue injury vs FCP vs OCD vs UAP vs panosteitis vs other

Treatment: Nil

Plan: Discussed ddx with Jeroen and daughters. Will trial meloxicam (1.9mg PO SID) and rest over the next 1-2 weeks, however if lameness persists then would recommend rads as next step. Advised that sometimes advanced imaging required, evening if rads are WNL (eg for FCP). 

Follow-up: CC 5 days

Animal clinical history (3 most recent)

2026-03-01T00:00:00Z 13:44:25
Reason: LFL lameness

History: Had a tumble at the park with larger dog yesterday and became lame on the LFL immediately after. No lameness in the past. Otherwise very well, EDUF all normal. 

Medications: Nil

What preventative health cover is being used and is anything required during visit?
Vaccination: UTD
Worming: UTD
Flea control: UTD
HW prevention: UTD

Examination: 
Mentation: BAR, lovely girl
Body condition score: 5/9
MM: Pink, moist           CRT: 1s
HR: 116              RR: 20
LN: WNL
Temperature: Not taken

Ocular: WNL
Oral/dental stage: WNL
Ears: WNL
Cardiovascular: WNL
Respiratory: WNL
Gastrointestinal: WNL
Integument: WNL
Musculoskeletal: Grade 2/5 LFL lameness. Repeatable pain on elbow flexion. Rest of orthopaedic exam WNL. 
Urogenital: WNL
Neurological: WNL

Problem list: 
1) LFL lameness, elbow pain - ddx soft tissue injury vs FCP vs OCD vs UAP vs panosteitis vs other

Treatment: Nil

Plan: Discussed ddx with Jeroen and daughters. Will trial meloxicam (1.9mg PO SID) and rest over the next 1-2 weeks, however if lameness persists then would recommend rads as next step. Advised that sometimes advanced imaging required, evening if rads are WNL (eg for FCP). 

Follow-up: CC 5 days
2025-12-30T00:00:00Z 14:02:35
Successful endoscopic removal of corn cob!
2025-12-29T00:00:00Z 19:12:02
Vaccine: DURAMUNE ADULT C3
Batch: 5262011
Expiry: 19-Feb-2027
Next Due: 28-Dec-2026

Previous claim history (3)

DateClaim #Diagnosis
2026-01-25C09808130INTOXICATION (POISONING), PLANT - GRAPE/RAISIN
2025-12-29C09689319INGEST FOREIGN OBJECT
2025-12-29C09697502INGEST FOREIGN OBJECT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours153.002026-03-01
20000tstarc_meloxicam65.952026-03-01

UPM+

  • DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.890
Threshold: 0.37
Above:
Correct?