C09996156 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):11
Diagnosis or signs:Checkup
Consult notes
06/03/2026 
History: o has noted stiffness recently 
mostly with back legs
previously in for LF lamenses which resolved with nsaids 
o just wondering if there are other options, should he take long term nsaids?
eduf normal 
still goes to park regularly, swims in pool 
no particular leg causing lameness

Objective:BAR timid but fine for check over 
T: ne
Lungs: Clear  
Cardiac: HR: 92 regular        Murmur: None
MM:Pink
CRT: 2 sec
Eyes: NAD
Ears: NAD
LN's: NAD
Skin: small dermal wart top of head, numerous soft s/c masses - palpate as lipomas
Abdo: NAD  comfortable no masses noted
MS: walking well in consult, a little slow to rise from sitting 
mild crepitus bilaterally in stifles and reduce ROM on hip extension 
FL's okay good rom 
no pain or boney swellings noted
Urogen: NAD
BCS: 6/9 
Dental: 0-1 great for age 

Assessment: djd/oa 

Treatment:zydax 1.4ml s/c 

Plan:zydax #2 in 7 days 
prn nsaids if sore
reduce caloric intake

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 09:46:47

History: o has noted stiffness recently 
mostly with back legs
previously in for LF lamenses which resolved with nsaids 
o just wondering if there are other options, should he take long term nsaids?
eduf normal 
still goes to park regularly, swims in pool 
no particular leg causing lameness

Objective:BAR timid but fine for check over 
T: ne
Lungs: Clear  
Cardiac: HR: 92 regular        Murmur: None
MM:Pink
CRT: 2 sec
Eyes: NAD
Ears: NAD
LN's: NAD
Skin: small dermal wart top of head, numerous soft s/c masses - palpate as lipomas
Abdo: NAD  comfortable no masses noted
MS: walking well in consult, a little slow to rise from sitting 
mild crepitus bilaterally in stifles and reduce ROM on hip extension 
FL's okay good rom 
no pain or boney swellings noted
Urogen: NAD
BCS: 6/9 
Dental: 0-1 great for age 

Assessment: djd/oa 

Treatment:zydax 1.4ml s/c 

Plan:zydax #2 in 7 days 
prn nsaids if sore
reduce caloric intake
2025-04-23T00:00:00Z 18:58:28
L.FORE
2025-04-23T00:00:00Z 00:00:00
H: gogin well, bar,e duf all ok. 
no vom/diarrhoea. 
but has been lame on l.fore last week or so. 
no knwon truma. 

S: BAr, stressed on exam. 

O: T 38.2, hr 90, mms pink, vcrt 1-2 sec,s pusle sok.
lungs clear.
eyes nad
ears nad
lns and
skin nad
abdo nad
ms: grade 2 lame l.fore? feels like some thicknening aorund elbow. 
very tense on exam in general. 

A: poss arthritis/flare?
fcp?
shulder?
cannot rule out osteosarc.

p; commence rest.metacam. if fialing to settle, then next step x-rays. if goign well, consider ongogin zydax etc. 

Previous claim history (16)

DateClaim #Diagnosis
2023-12-20C6667872VACCINATIONS OR HEALTH CHECKS
2023-12-20C6667872ALTERNATIVE THERAPIES
2023-06-13C5989533INGEST FOREIGN OBJECT
2023-04-24C5823946DENTAL (TOOTH) DISORDER
2023-04-24C5823946BLOOD SCREEN
2023-04-15C5792978DENTAL (TOOTH) DISORDER
2023-01-04C5445535MASS LESION - SKIN (CUTANEOUS)
2022-11-26C5327402VACCINATIONS OR HEALTH CHECKS
2022-04-12C4658392DIARROHEA
2021-11-02C4201855VACCINATIONS OR HEALTH CHECKS
2021-07-17C3914643SCOOTING
2018-05-21C1676078LETHARGY - PRESENTING COMPLAINT
2017-09-23C1376252OTITIS
2017-09-23C1394613EAR (AURAL) INFECTION
2017-02-20C1098590ERYTHEMA
2015-10-15C0634672HISTIOCYTOMA (CUTANEOUS, SKIN)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation140.002026-03-06
20000tstarc_arthritis_injection440.002026-03-06

UPM+

  • DG01126OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD))DSTP_osteoarthritis

Variant (sleepy_king)

ARTHRITIS
DSTP_osteoarthritis
Conf: 0.410
Threshold: 0.17
Above:
Correct?