C10001179 / invoice 20000

Species:CANINE
Breed:Kelpie Cross
Age (years):8
Diagnosis or signs:check right back leg
Consult notes

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 00:00 AM
Reason: Review - 1 WeekAppointment Notes: KMChased after dog at park and has hurt her knee further Examine:MSK: toe touching NWB lameness LHLLH stifle effusion and pain on extension ++Medial thickeningUnable to elicit TT or significant cranial drawerRH stifle thickenedAssessment: LHL acute on chronic CLDRH CCLDTreatment: Synovan (Pentosan + Glucosamine) injection #2Plan: Continue meloxicam antinflammatory daily Gabapentin 100mg 1-2 capsules q12-24hr as needed for pain relief/settlingConsider beransa ININext step exam under sedation/x-rays    Vital Signs    
2026-02-27T00:00:00Z 00:00 AM
Reason: Check Other Back LegAppointment Notes: zzLimping now on LHL last 1-2 weeks, initiating accident when got pushed as went to jump into cat and landed awkwardly on HL, splayed out Hobbling on walksHas been a bit better last few days On meloxicam dailyLFL lameness has been reducedExamine: MSK: LHL WB lameness evidentLH stifle has thickening and effusion ++Pain on extension Slight click palpable on ROM as well-ve drawer sign or TT L hip extension mildly restrictedRH stifle thickened as wellAssessment: LHL lameness - suspect CCL strain/partial tear Ddx: other supporting stifle ligament injury, meniscal injury, fractureTreatment: Synovan (Pentosan + Glucosamine) injection #1Meloxicam antinflammatory 1.5ml SID    Vital Signs    

Previous claim history (19)

DateClaim #Diagnosis
2026-02-19C09926914GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-12-30C09724974GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-12-30C09724974BEHAVIOUR DISORDER
2022-01-10C4384178LACERATION
2021-12-29C4477994LACERATION
2021-12-24C4348274LACERATION
2021-12-17C4327324LACERATION
2021-09-14C4124662VACCINATIONS OR HEALTH CHECKS
2021-09-14C4124662HEARTWORM CONTROL
2021-06-28C3863478DERMATITIS
2021-04-10C3659388NAIL BED INFECTION
2021-01-08C3428296WOUND - LACERATION
2021-01-06C3422736WOUND - LACERATION
2020-12-31C3407374WOUND - LACERATION
2020-08-18C3102726VACCINATIONS OR HEALTH CHECKS
2020-08-18C3102726HEARTWORM CONTROL
2020-05-26C2924418INGEST FOREIGN OBJECT
2019-12-10C2940216BEHAVIOUR DISORDER
2019-12-06C2605866MISCELLANEOUS CONDITIONS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_arthritis_injection36.502026-03-06
20000tstarc_consultation-revisit70.202026-03-06
30000tstarc_anticonvulsant_medication_-_gabapentin30.012026-03-06

UPM+

  • DG03249Cruciate Disease - Right LegDSTP_cruciate_disease
  • DG03248Cruciate Disease - Left LegDSTP_cruciate_disease

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.810
Threshold: 0.37
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description