C09994174 / invoice 10000
Species:CANINE
Breed:Whippet
Age (years):13
Diagnosis or signs:Limping
Consult notes
06/03/2026 HISTORY. BIB by father, NH spoke to Janine during consult, over the phone. - First occurrence of limping and pain in right foreleg, started last night and still limping this morning - No recent significant physical activity - Always indoors overnight - Ate well in the morning EXAM Heart: Murmur present - as prev loud HM. HR 128bpm. Right foreleg: Limping, almost not touching the ground this morning but lameness is barely noticeable during consult. Shoulders: Muscle soreness around both shoulders Right elbow: Uncomfortable when extended Right paw: small circular area of redness on palmar ID skin, not painful to touch General: Pain reaction when both forelegs are manipulated DIAGNOSIS - Musculoskeletal pain, possibly related to arthritis or injury PLAN 1. Rec strict rest. Rec Meloxicam for pain relief, reassess in one week - 1.5mg po sid 2. Option to add Paracetamol if needed - label printed with dose - ok to give 250mg po bid 3. Consider X-rays if no improvement with pain management 4. Applied Neocort cream to the red spot on the paw 5. Recheck early next week if pain persists
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 10:17:38
HISTORY. BIB by father, NH spoke to Janine during consult, over the phone. - First occurrence of limping and pain in right foreleg, started last night and still limping this morning - No recent significant physical activity - Always indoors overnight - Ate well in the morning EXAM Heart: Murmur present - as prev loud HM. HR 128bpm. Right foreleg: Limping, almost not touching the ground this morning but lameness is barely noticeable during consult. Shoulders: Muscle soreness around both shoulders Right elbow: Uncomfortable when extended Right paw: small circular area of redness on palmar ID skin, not painful to touch General: Pain reaction when both forelegs are manipulated DIAGNOSIS - Musculoskeletal pain, possibly related to arthritis or injury PLAN 1. Rec strict rest. Rec Meloxicam for pain relief, reassess in one week - 1.5mg po sid 2. Option to add Paracetamol if needed - label printed with dose - ok to give 250mg po bid 3. Consider X-rays if no improvement with pain management 4. Applied Neocort cream to the red spot on the paw 5. Recheck early next week if pain persists
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-24 | C09805264 | MASS LESION - SKIN (CUTANEOUS) |
| 2026-01-24 | C09805264 | HEART MURMUR |
| 2026-01-14 | C09756830 | MASS LESION - SKIN (CUTANEOUS) |
| 2026-01-12 | C09743381 | MASS LESION - SKIN (CUTANEOUS) |
| 2024-07-08 | C7444090 | HAEMANGIOSARCOMA - CUTANEOUS (SKIN) |
| 2024-01-11 | C6759909 | HAEMANGIOSARCOMA - CUTANEOUS (SKIN) |
| 2023-09-23 | C6343913 | VACCINATIONS OR HEALTH CHECKS |
| 2023-09-23 | C6343913 | HEARTWORM CONTROL |
| 2023-09-23 | C6343913 | FLEA/TICK/WORM CONTROL |
| 2023-05-20 | C5912024 | MASS LESION - SKIN (CUTANEOUS) |
| 2022-10-12 | C5187534 | HAEMANGIOSARCOMA - CUTANEOUS (SKIN) |
| 2022-09-28 | C5145817 | BEHAVIOUR DISORDER |
| 2022-09-28 | C5145817 | MASS LESION - SKIN (CUTANEOUS) |
| 2022-09-23 | C5128135 | CORNEAL ULCER |
| 2022-09-23 | C5128135 | BEHAVIOUR DISORDER |
| 2021-08-26 | C4060086 | HAEMANGIOSARCOMA - CUTANEOUS (SKIN) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 119.00 | 2026-03-06 | — |
| 20000 | tstarc_meloxicam | 58.80 | 2026-03-06 | — |
UPM+
- DG02077PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINTDSTP_clinical_signs_-_pain
Variant (sleepy_king)
GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.610
Threshold: 0.37
Above: ✓
Correct?
Reason (correct)