C09995030 / invoice 10000
Species:CANINE
Breed:Pug Cross
Age (years):11
Diagnosis or signs:vaccination PBB & PH
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>pbb & PH <br><br>is slowing down - isn't walking as much & eating the same <br><br>Exam ok other than wt and teeth <br><br>Needs a dental grade 3/4 plaque & tartar - est 1-2k depending what we find <br>Hard to hear heart as puffing and panting <br>Would def do chem 11 cbc before ga for dental - and listen to that heart well....</p> </div></html>
Animal clinical history (3 most recent)
2025-11-11T00:00:00Z 08:58:00
History - Sudden onset of lame in hindleg after jumping off deck yesterday. Sore this morning but has improved a bit during the morning.No history of lameness in past.Physcial exam - Difficult to examine (not nasty)LHL lameness grade 3/4 in walk.Pain seems to be around the stifle on full extension, not able to get anterior draw but tense. Unable to assess the hip ROM.Assesment - Open but possible strain - stifle vs hip.Plan -As first presentation start with rest and NSAIDs and INI then go forward to sedation and examination + x-rays.12 x Previcox 57mg - 1.5 SID 8d
2025-03-11T00:00:00Z 11:29:00
Hx:presented for annual vaccinationcough present for ~ 1 month, occasional terminal retchno change to resting resp effort/rate, no exercise intoleranceotherwise well, EDUF normalEx:BAR, anxiousBCS: 7/9MM: pink, moist CRT<2TEMP: 38.1CVS: HR 114,no murmur or arrythmia auscultated, SSFPRESP: RR panting, clear bronchovesicular lung sounds, normal effort/rate. URT stertor. no tracheal sensitivityOCULAR: nsfORAL: G2/4EARS: nsfLN: nsfABDO: soft, comfortable.MSK: no lameness observed, comfortable on examNEURO: nsfUROGEN: nsfINTEG: nsfAx: fit for vaccinationcoughing DDX: URT (BOAS, other), collapsing trachea, chronic bronchitis, other pulmonary diseaseTx:Nobivac Pi2/BB SC (B: Exp: )proheart sr12 SCPx:Discuss cough, next step chest rads and exam under sedation. O will consider if cough worsening
2023-11-17T00:00:00Z 11:45:00
Is licking feet too a bit...Ears have been at him for a week or two - seemed to get better then worse again - had a episode in 10/20 - see HxRight ear is worse than left - external inflamWax is typical dark yeasty stuffDermotic rx bid both earsAlso dexfort 1 mls scRest exam good for 8 year old pup really.If not improving soon, review wrt sedation to clean more thoroughly and do cytology to see what's there etc...
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2020-09-07 | C3152575 | GASTROINTESTINAL PROBLEMS |
| 2020-09-06 | C3148484 | GASTRITIS |
| 2020-07-19 | C3067021 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2020-01-08 | C2682524 | VACCINATIONS OR HEALTH CHECKS |
| 2020-01-08 | C2682524 | HEARTWORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 105.00 | 2026-03-06 | — |
| 20000 | tstarc_vaccination_(canine) | 38.83 | 2026-03-06 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
| 30000 | tstarc_heartworm_control | 145.00 | 2026-03-06 | upstreamDSTP_routine_care_-_heartworm_control |
UPM+
- DG02932VACCINATIONS OR HEALTH CHECKSDSTP_routine_care_-_vaccinations_or_health_checks
- DG02939HEARTWORM CONTROLDSTP_routine_care_-_heartworm_control
Variant (sleepy_king)
GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.220
Threshold: 0.37
Above: ✗
Correct?
Acceptable?
Reason (potential financial impact)
Diagnosis description