C09993910 / invoice 10000

Species:CANINE
Breed:Labrador Retriever
Age (years):13
Diagnosis or signs:Lump
Consult notes
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<p>Left flank- lump- fast growing only noticed last couple of days, very firm<br>isΒ  otherwise well<br>Due for beransa but will hold at this stage<br><br>Pe;<br>Large SC lump left flank area- feels adhered to abdominal wall is about 6 cm in diameter, very firm.<br>Cytology- Large population of round cells with large cytoplasm, group together around vacoulated material, multiple nucleoi in some cells, blood cells and pink stranded material<br><br>A; neoplasm- round cell?<br><br>Spoke to O- given rapid growth and cytologic signs would be concerned for a malignant cancer. Gave O option for surgical removal etc. O happy to proceed with surgery + histo given dog is otherwise well.<br><br>Est on file.<br>Advised of fasting<br>booked for tomorrow.</p>
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Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 14:47:00
Procedure:Anaesthesia:Pre-GA check- Thorax NADHR 88 PantingPre-anaesthetic blood results: Mild ALT - 350Fluids: Type Hartmanns (LRS) / Saline (NS) - Rate 165 ml/hrPremedication: Methadone 0.3 mg/kg Medetomidine 5 mcg/kg IMInduction: Induction agent: Alfaxan slow to effectMaintanence: Isoflurane - rebreathingQuality of anaesthesia: good nil complicationsPost operative Medication: Methadone 0.1 mg/kg IM in recoveryProcedure: Left fank lump removal.Made incision over lump cranial to caudal 15 bladeSC bluntly dissectedTranserve abdominal muscle over lump- made cut throught with metz scissorsExposure of lump- large lobulated, dark purple lump that looks adhered to muscle/muscle sheathHT help me elevate with blunt dissection, ended up cutting muscular attachments and clampingable to remove entire lump- had a friable fatty like tissue in the centre.flushed area saline tried to remove all debrissutured all muscle bellys back together with 2.0tacked down some of the muscles with simple interrupted to minimize dead spaceSC closed with 2.0 simple continuousSkin closed with cruciates 2.0REcovery smoothSTO- advised was horrible looking mass that adhered to muscle so some type of muscle tumor vs other.Gave option to send for histo - O wants to know what we are dealing with for future planning so happy to send off.Advised given nature and unable to get margins will likely grow back- quickly even- O understandsPLAN:Home on meloxicam- if still painful may need to add in gaba (has ALT increase so will avoid paracetamol)wound check in 3- 5 dayssutures out in 10- 14 days.Lump send to vetnostics for histo.
2026-01-31T00:00:00Z 11:03:00
Beransa Injection 20mg /mlBatch 798115Exp 05/26
2026-01-02T00:00:00Z 12:12:00
20mg/ml Beransa injection 1ml s/cb: 798115e: 05/2026

Previous claim history (23)

DateClaim #Diagnosis
2026-01-31C09834010ARTHRITIS
2026-01-02C09699345ARTHRITIS
2024-12-30C8136056DEGENERATIVE JOINT DISEASE
2024-04-26C7179192VACCINATIONS OR HEALTH CHECKS
2024-02-24C6919134PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINT
2023-12-27C6686822MASS LESION - SKIN (CUTANEOUS)
2023-12-21C6919553MASS LESION - SKIN (CUTANEOUS)
2023-04-13C5840347VOMITION & DIARRHOEA
2023-04-13C5840347DEGENERATIVE JOINT DISEASE
2021-11-24C4983689MISCELLANEOUS CONDITIONS
2020-03-06C4983701VACCINATIONS OR HEALTH CHECKS
2020-03-06C4983701HEARTWORM CONTROL
2020-01-28C4983695PYODERMA - DEEP
2019-11-05C4983676VACCINATIONS OR HEALTH CHECKS
2019-10-22C4983666VACCINATIONS OR HEALTH CHECKS
2019-10-22C4983666ALTERNATIVE THERAPIES
2019-08-28C4983660VACCINATIONS OR HEALTH CHECKS
2019-03-06C2658989VACCINATIONS OR HEALTH CHECKS
2019-03-06C2658989HEARTWORM CONTROL
2018-10-12C4983324GASTROENTERITIS
2018-10-12C4983324PRESCRIPTION DIETS
2018-02-16C2006704VACCINATIONS OR HEALTH CHECKS
2018-02-16C2006704HEARTWORM PREVENTATIVE MEDICATION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation110.002026-03-04β€”
20000tstarc_diagnostic_test_-_cytology77.842026-03-04β€”

UPM+

  • DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.850
Threshold: 0.44
Above: βœ“
Correct?