C09998397 / invoice 10000

Species:CANINE
Breed:American Bulldog
Age (years):8
Diagnosis or signs:synovan injection
Consult notes
Monthly synovan injection 

- Diagnosed with hip dysplasia 2023 - Was on monthly synovan injections for this. 
- August 2025 hurt his leg at the park - Given beransa injection that month? Then continued this ongoing. 
- After discussion with owner, Suruli did not realise beransa is just pain relief, does nothing to support joints. 
- Elected to swap back to synovan this month and observe whether pain recurs. 
- If it does can do synovan/beransa combo monthly OR manage with tablet analgesia (better as needle reactive). 
- Recommended full health check/nail trim/lump check under sedation - gave estimate. 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 18:00:00
Monthly synovan injection 

- Diagnosed with hip dysplasia 2023 - Was on monthly synovan injections for this. 
- August 2025 hurt his leg at the park - Given beransa injection that month? Then continued this ongoing. 
- After discussion with owner, Suruli did not realise beransa is just pain relief, does nothing to support joints. 
- Elected to swap back to synovan this month and observe whether pain recurs. 
- If it does can do synovan/beransa combo monthly OR manage with tablet analgesia (better as needle reactive). 
- Recommended full health check/nail trim/lump check under sedation - gave estimate. 

Previous claim history (19)

DateClaim #Diagnosis
2026-02-06C09864281HIP DYSPLASIA
2026-01-06C09731390CORNEAL ULCER
2026-01-05C09740351CORNEAL ULCER
2026-01-05C09740351HIP DYSPLASIA
2025-12-09C09616242HIP DYSPLASIA
2025-11-21C09616228CORNEAL ULCER
2020-02-11C2720073INGEST FOREIGN OBJECT
2020-02-10C2719203VOMITING - OTHER - PRESENTING COMPLAINT
2020-02-09C2719198VOMITING - OTHER - PRESENTING COMPLAINT
2019-10-03C2475262INSECT BITE/STING
2019-10-03C2475262DISCHARGE - AURAL (EAR) - PRESENTING COMPLAINT
2019-08-12C2475257VACCINATIONS OR HEALTH CHECKS
2019-03-27C2169383BITE INJURY - DOG BITE
2019-01-07C2020166DESEXING
2018-11-04C1910196FOREIGN BODY, BONE
2018-11-04C1910617FOREIGN BODY, BONE
2018-10-24C1899550EAR INFECTION
2018-09-19C1899546LAMENESS RH
2018-07-07C1734563DIARROHEA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_arthritis_injection54.052026-03-06
20000tstarc_hospital_injection30.002026-03-06

UPM+

  • DG02268HIP DYSPLASIA, DEVELOPMENTALDSTP_hip_dysplasia

Variant (sleepy_king)

HIP DYSPLASIA, DEVELOPMENTAL
DSTP_hip_dysplasia
Conf: 0.940
Threshold: 0.64
Above:
Correct?