C10003697 / invoice 10000
Species:CANINE
Breed:American Staffordshire Terrier
Age (years):8
Diagnosis or signs:Revisit - check nail
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><br><p>Torn nail was repaired from LH paw on 02/02. Was doing well, now digiit is swollen<br>Was not putting any weight on, O gave gabapentin cap<br><br>Left hind paw - digit 4 - Digit slighty swollen, painful to touch<br><br>Treatment:<br>Amoxy/clav 500mg 1 bid for 10days<br>Carprofen tabs 50mg 1 bid for 5days then 1sid for next 5days<br>Revisit after 10days, advised may need x-rays if no improvement </p></html>
Animal clinical history (3 most recent)
2026-02-02T00:00:00Z 10:38:00
O noticed split nail of RH paw yesterday, sore when nail is touchedHistory of allergic skin disease, on apoquel tabsSubjective:Bright, alert and responsiveobjective:CVS, Resp, GIT, Temp, LNs, ears,: WNLEDUF - normalSkin: Mild erythema in pawsLeft hind paw - digit 4 - nail split, painful to touchRecommended sedation and trimming the nail from baseSedated with domitor and torbugesic 0.3ml each ivGood sedation achievedTrimmed the RH paw's 4th nail from base, cauterised with KMNO4.Clipped other nailsReversed sedation with antisedan 0.3ml i/mAdministered 500mg cephazolin iv and 1ml meloxicam injection s/cTreatment:Amoxy/clav tabs and meloxicam sypRevisit as necessary
2026-01-17T00:00:00Z 09:55:00
E-Claim submitted
2026-01-13T00:00:00Z 11:46:00
Was laying in bed, moved suddently, yelped and started to limp from LHL, Previously had MMP cruciiate surgery on LHL in Sept 2024. Had moderate to severe DJD in stiflesHistory of allergic skin disease, on apqouel tabsSubjective:Bright, alert and responsiveobjective:CVS, Resp, GIT, Temp, LNs, ears, : WNLEDUF - normalSkin: Mild erythema in pawsMSK:Subtle lameness from LHL, L stifle mild to moderately thickened, R stifle mildly thickened. Treatment:Complete restGabapentin 300mg 1 bid for 10daysCarprofen 50mg 1 bid for 5days then 1sid for next 5daysApoquel 16mg 1sid Revisit as necessary
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-02 | C09839927 | CLAW INJURY (TRAUMATIC) |
| 2026-01-13 | C09773313 | LAMENESS LH |
| 2026-01-13 | C09773313 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-08-05 | C9052454 | ARTHRITIS |
| 2025-05-27 | C8763820 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-04-10 | C8572160 | OTITIS EXTERNA |
| 2025-04-10 | C8572160 | DEGENERATIVE JOINT DISEASE |
| 2024-12-23 | C8115648 | ATOPY |
| 2024-12-23 | C8116460 | OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD)) |
| 2024-11-12 | C7936225 | ATOPY |
| 2024-10-10 | C7811687 | OTITIS EXTERNA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 62.40 | 2026-03-09 | — |
| 20000 | tstarc_carprofen | 35.45 | 2026-03-09 | — |
| 30000 | tstarc_food | 70.07 | 2026-03-09 | upstreamDSTP_general_exclusion |
UPM+
- DG00478CLAW INJURY (TRAUMATIC)DSTP_claw_injury_-_traumatic
Variant (sleepy_king)
CLAW INJURY (TRAUMATIC)
DSTP_claw_injury_-_traumatic
Conf: 0.860
Threshold: 0.38
Above: ✓
Correct?