C09991573 / invoice 10000

Species:CANINE
Breed:Jack Russell Terrier
Age (years):13
Diagnosis or signs:Checkup
Consult notes
04/03/2026 here to rpt FNA on toe
lump has gone down and less inflammed and irritated
able to RPT FNA consious
rbc +++ neutrophils and acellular keratin  - burst inflammed cyst

plan to change - recc ab's 10 days then RV and remove lump
bloods today for prega check 
SC to resend up to date estimate

(removed charge from cytology as previous non diagnostic)

Stress leukogram, low platelets (MC looked at smear and lots of large platelets)

Albumin 45 * - dehydration?
Alkaline Phosphatase 174 * 
ALT130 *
Total Bilirubin 11 *
Blood Urea Nitrogen 11.8 * renal vs pre-renal
Calcium 3.28 * - need ionised calcium
Glucose 7.2 * - stress

5/3 YT
Need a morning urine sample to check USG
Run iCa or rpt bloods in 2-4 weeks fasted sample to check TCa
Mildly elevated hepatic parameters DDx hepatopathy, hepatitis

STO and advised as above.
Starts Ab ytd morning, 3 doses so far. Has a bit of soft stools this morning. No vomiting and eating well, gave meds with food.
Recheck fasted bloods and O to bring in a morning urine sample when back for recheck in 2 weeks.

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 08:20:59
here to rpt FNA on toe
lump has gone down and less inflammed and irritated
able to RPT FNA consious
rbc +++ neutrophils and acellular keratin  - burst inflammed cyst

plan to change - recc ab's 10 days then RV and remove lump
bloods today for prega check 
SC to resend up to date estimate

(removed charge from cytology as previous non diagnostic)

Stress leukogram, low platelets (MC looked at smear and lots of large platelets)

Albumin 45 * - dehydration?
Alkaline Phosphatase 174 * 
ALT130 *
Total Bilirubin 11 *
Blood Urea Nitrogen 11.8 * renal vs pre-renal
Calcium 3.28 * - need ionised calcium
Glucose 7.2 * - stress

5/3 YT
Need a morning urine sample to check USG
Run iCa or rpt bloods in 2-4 weeks fasted sample to check TCa
Mildly elevated hepatic parameters DDx hepatopathy, hepatitis

STO and advised as above.
Starts Ab ytd morning, 3 doses so far. Has a bit of soft stools this morning. No vomiting and eating well, gave meds with food.
Recheck fasted bloods and O to bring in a morning urine sample when back for recheck in 2 weeks.

Previous claim history (1)

DateClaim #Diagnosis
2026-02-25C09954050MASS LESION - SKIN (CUTANEOUS)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit84.002026-03-04
20000tstarc_diagnostic_test_-_cytology60.722026-03-04
30000tstarc_antibiotics_-_cephalexin58.202026-03-04
40000tstarc_diagnostic_test_-_blood_test201.002026-03-04

UPM+

  • DG01606SKIN (CUTANEOUS) CYSTDSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.480
Threshold: 0.44
Above:
Correct?