C10000929 / invoice 10000

Species:CANINE
Breed:American Staffordshire Terrier
Age (years):2
Diagnosis or signs:Vaccination- limping
Consult notes
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<p>Limping from LFL this AM, running around fine but started to hold up her paw this AM<br>unsure what happened<br><br>Subjective:<br>Bright, alert and responsive<br><br>objective:<br>CVS, Resp, GIT, LNs, ears, skin: WNL<br>EDUF - normal<br><br>MSK:<br>LFL - intermittently lifting up paw when walking<br>lameness score 1/5<br><br>Ddx:<br>fit for vaccine<br>Soft tissue trauma vs other?<br><br>discussed Xrays as a good next step</p>
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<p>Treatment:<br>Compete rest<br>carflexin 50mg po sid 4 days only<br>administered bb/pi vaccine nobivac sc<br>Revisit as necessary </p>
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Animal clinical history (3 most recent)

2025-12-24T00:00:00Z 16:00:00
Limping from LHL since last few weeks, running around fine but when gets up after resting then holds LHL up.Subjective:Bright, alert and responsiveobjective:CVS, Resp, GIT, Temp, LNs, ears, skin: WNLEDUF - normalMSK:LHL - Very subtle lameness from LHL, Moderately painful on manipuation of L stifle, difficult o assess for cranial drawal sign, no pain on flexion and extension of any other jointsSoft tissue trauma vs Cranial cruciate ligament ruptureDiscussed GA, palpation of L stifle and x-rays of hips and stiflesTreatment:Compete restMeloxicam syp 1.5ml sid for 10-14daysGabapentin 300mg 1 bid for 15daysRevisit as necessary 
2025-01-25T00:00:00Z 14:33:00
E-Claim submitted
2025-01-25T00:00:00Z 14:21:00
Going well, no health issuesSubjective:Bright, alert and responsiveobjective:CVS, Resp, GIT, Temp, LNs, eyes, ears, skin: WNLEDUF - NormalTreatment:Administered  Nobivac C5   s/c

Previous claim history (4)

DateClaim #Diagnosis
2025-12-24C09676344GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-01-25C8248485VACCINATIONS OR HEALTH CHECKS
2024-09-21C7733803MASS LESION - SKIN (CUTANEOUS)
2024-05-10C7216317DESEXING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(canine)105.002026-03-06
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_carprofen19.722026-03-06

UPM+

  • DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.620
Threshold: 0.37
Above:
Correct?