C09998643 / invoice 10000

Species:CANINE
Breed:Australian Bulldog
Age (years):4
Diagnosis or signs:Revisit
Consult notes
06/03/2026 Sedation:

Medetomidine/ Butorphanol iv
Reversal with Atipamezole
Topped up with Propofol

Worked well and recovery uneventful 

06/03/2026 Reason: recheck

History:
Remains licking LHL paw, infections seems to have cleared but ongoing swelling on dorsal aspect paw (reported last time)
BAR DUDE normal
Has meloxicam at home

Examination:
BAR, lovely dog
HR 108, no murmur/arrhythmia
Panting, effort wnl, stertor++
T 38.6
MM pink and moist, crT<2secs, grade 1
Abdo palp nsf
Eyes ears nsf
LHL firm swelling dorsal aspect paw, cytology 5+ neuts, 2+ intra- and extracellular cocci.

Assessment:
*Firm swelling with history of grass seeds - recommend sedate and explore.

***ADMITTED***
Dr Taryn:
Sedation:
Medetomidine 0.1ml / Methadone 0.6ml 
Reversal with Atipamezole 0.1ml im
Worked well and recovery uneventful 

Probed and removed grass seed. Flushed with saline. 

Treatment:Metoclopramide and Maropitant injections
Amoxyclav 750mg bid 5days

Plan:cu 7days
Wear ecollar. 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 12:24:26
Reason: recheck

History:
Remains licking LHL paw, infections seems to have cleared but ongoing swelling on dorsal aspect paw (reported last time)
BAR DUDE normal
Has meloxicam at home

Examination:
BAR, lovely dog
HR 108, no murmur/arrhythmia
Panting, effort wnl, stertor++
T 38.6
MM pink and moist, crT<2secs, grade 1
Abdo palp nsf
Eyes ears nsf
LHL firm swelling dorsal aspect paw, cytology 5+ neuts, 2+ intra- and extracellular cocci.

Assessment:
*Firm swelling with history of grass seeds - recommend sedate and explore.

***ADMITTED***
Dr Taryn:
Sedation:
Medetomidine 0.1ml / Methadone 0.6ml 
Reversal with Atipamezole 0.1ml im
Worked well and recovery uneventful 

Probed and removed grass seed. Flushed with saline. 

Treatment:Metoclopramide and Maropitant injections
Amoxyclav 750mg bid 5days

Plan:cu 7days
Wear ecollar. 
2026-03-06T00:00:00Z 12:23:41
Sedation:

Medetomidine/ Butorphanol iv
Reversal with Atipamezole
Topped up with Propofol

Worked well and recovery uneventful 

Previous claim history (16)

DateClaim #Diagnosis
2026-02-20C09934245FOREIGN BODY, GRASS SEED
2025-12-03C09575527OSTEOARTHRITIS
2024-07-11C7460360Cruciate Disease - Right Leg
2024-05-09C7211861Cruciate Disease - Left Leg
2024-05-09C7211861Cruciate Disease - Right Leg
2024-03-18C7006512Cruciate Disease - Left Leg
2024-03-18C7006512Cruciate Disease - Right Leg
2024-03-18C7006512HIP DYSPLASIA
2024-01-03C6735053EAR INFECTION
2023-12-23C6681372EAR INFECTION
2023-12-07C6621649LAMENESS LH
2023-11-10C6515627LAMENESS LH
2023-11-10C6515627OTITIS EXTERNA
2023-10-24C6457146LAMENESS LH
2023-07-06C6083647BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS)
2023-01-18C5498454OTITIS EXTERNA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit68.002026-03-06
20000tstarc_diagnostic_test_-_cytology70.502026-03-06
30000tstarc_sedation_for_procedure154.502026-03-06
40000tstarc_hospitalisation69.502026-03-06
50000tstarc_surgery_fee86.002026-03-06
60000tstarc_fluid_therapy12.102026-03-06
70000tstarc_theatre_fee99.502026-03-06
80000tstarc_anti-nausea_medication37.672026-03-06
90000tstarc_anti-nausea_medication78.392026-03-06
100000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid67.902026-03-06

UPM+

  • DG00867FOREIGN BODY, GRASS SEEDDSTP_foreign_body_-_grass_seed

Variant (sleepy_king)

FOREIGN BODY, GRASS SEED
DSTP_foreign_body_-_grass_seed
Conf: 0.980
Threshold: 0.65
Above:
Correct?