C09996069 / invoice 10000

Species:FELINE
Breed:Domestic Short Hair
Age (years):11
Diagnosis or signs:Consult and medication
Consult notes
06/03/2026 Reason : lame and wounds
Date of first CSx :  last night

Hx :  noticed yesterday afternoon he came in lame on RHL (saw on camera that he ran through the cat door like he'd had a fright), also has scruffed dew claws and some wounds on feet.
Still eating, not sure re toileting 
Quieter than normal. 
Has outdoor access and sometimes visits the reserve behind them. 
Neighbours didn't hear any scuffles. 

Ex :   
Systems:
1. Eyes:NAD
2. Ears:NAD
3. Mouth:NAD
4. Heart:NAD
5. Respiratory/Nasal:NAD
6: Abdomen:NAD
7. Musculoskeletal: reluctant for exam RH foot but otherwise ok, no lameness in clinic. 
8. Neuro:NAD
9. Urogenital:NAD
10. Rectal/Anal glands: not examined
11. Skin: RH puncture side of foot. Scuffed torn nails front dew claws but rest of nails ok. 
12. BT:  not taken
13: Behaviour issues:no
14: Lymph nodes:NAD
15: Dental Score: 1/4
16: Body Condition Score: 3/5
17. Pain Score : 1-2/4 Colorado score
18. FAS Score : 1/5
19.Hydration status : WNL
20. Other findings: n/a

Current Medications and Doses:  apoquel BID

Problem List :  
1.   puncture RH
2.   scuffed dew claws

Assessment :   suspect cat fight

Plan :  meloxicam, bathing with saline solution and monitor. 
If lameness, swelling or discharge then need to add abx. 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 13:58:23
Reason : lame and wounds
Date of first CSx :  last night

Hx :  noticed yesterday afternoon he came in lame on RHL (saw on camera that he ran through the cat door like he'd had a fright), also has scruffed dew claws and some wounds on feet.
Still eating, not sure re toileting 
Quieter than normal. 
Has outdoor access and sometimes visits the reserve behind them. 
Neighbours didn't hear any scuffles. 

Ex :   
Systems:
1. Eyes:NAD
2. Ears:NAD
3. Mouth:NAD
4. Heart:NAD
5. Respiratory/Nasal:NAD
6: Abdomen:NAD
7. Musculoskeletal: reluctant for exam RH foot but otherwise ok, no lameness in clinic. 
8. Neuro:NAD
9. Urogenital:NAD
10. Rectal/Anal glands: not examined
11. Skin: RH puncture side of foot. Scuffed torn nails front dew claws but rest of nails ok. 
12. BT:  not taken
13: Behaviour issues:no
14: Lymph nodes:NAD
15: Dental Score: 1/4
16: Body Condition Score: 3/5
17. Pain Score : 1-2/4 Colorado score
18. FAS Score : 1/5
19.Hydration status : WNL
20. Other findings: n/a

Current Medications and Doses:  apoquel BID

Problem List :  
1.   puncture RH
2.   scuffed dew claws

Assessment :   suspect cat fight

Plan :  meloxicam, bathing with saline solution and monitor. 
If lameness, swelling or discharge then need to add abx. 
2026-03-04T00:00:00Z 10:41:52
Type: Medication Refill - Product: Medication Refill - Notes: Apoquel 5.4mg - Quantity: 15 - How is your pet? Have there been any changes to your pet's condition? What is the current medication dose?: Hi - can I pleas order 15 x Apoquel 5.4mg for AL please
2026-02-26T00:00:00Z 15:45:46
no tablets in stock, only chews - has had before O requested script rather than us dispense tabs 

Previous claim history (30)

DateClaim #Diagnosis
2026-01-29C09822225HYPERSENSITIVITY DISORDER (ALLERGY)
2024-01-08C6724906FLEA/TICK/WORM CONTROL
2024-01-05C6724906ALLERGY
2023-12-18C6659191DENTAL ILLNESS TREATMENT
2023-12-04C6618820DERMATITIS - ATOPIC
2023-10-30C6472064ALLERGY
2023-05-09C5871252DERMATITIS - ATOPIC
2023-02-07C5561312FLEA/TICK/WORM CONTROL
2023-02-07C5561312HEARTWORM CONTROL
2023-01-16C5561312ALLERGY
2022-12-07C5361383ALLERGY
2022-03-15C4583437DERMATITIS - ATOPIC
2021-07-12C3894510DENTAL ILLNESS TREATMENT
2021-07-12C3894510HEARTWORM TEST OR BLOOD SCREEN
2021-07-12C3894510FLEA/TICK/WORM CONTROL
2021-06-15C3824941VACCINATIONS OR HEALTH CHECKS
2021-05-25C3771125ALLERGY
2021-05-05C3720954DERMATITIS - ATOPIC
2021-03-23C3660083BLOOD IN FAECES
2021-03-02C3660083DERMATITIS - ATOPIC
2021-03-02C3660083PRESCRIPTION DIETS
2021-02-22C3539989DERMATITIS - ATOPIC
2020-12-08C3354983ALLERGY
2020-11-05C3282289ALLERGY
2020-11-05C3282289BEHAVIOURAL THERAPY
2020-10-13C3224600FLEA/TICK/WORM CONTROL
2020-10-13C3224600MISCELLANEOUS CONDITIONS
2020-10-13C3302804PYODERMA - SUPERFICIAL
2020-09-03C3138655GASTROINTESTINAL PROBLEMS
2020-09-03C3138655PRESCRIPTION DIETS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_meloxicam35.092026-03-06
20000tstarc_consultation130.002026-03-06

UPM+

  • DG00246BITE INJURY - CAT BITEDSTP_fight_or_bite_wound

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.570
Threshold: 0.37
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description