C10004484 / invoice 10000
Species:CANINE
Breed:Corgi Cross
Age (years):11
Diagnosis or signs:Biopsy mass RIGHT lateral thorax
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>History: see previous, presented for mass biopsy today<br><br>Premed: buprenorphine / medetomidine with owner<br>Perfect heavy sedation<br>Induction: Propofol<br><br>Three view chest x-rays taken under premed : no obvious mets / invasion of thoracic cavity<br><br>Surgery: incision over the mass, located under the muscle layer. wedge biopsy x 2 taken (deep within the lesion - looks to be fatty tissue only). SC and INTRADERMAL sutures placed. Dressing placed. <br><br>Meloxicam 0.7 ml SC on recovery<br><br>Meloxicam per oral 1 ml SID, start tomorrow morning. Continue for 5 days<br><br>Plan: t-shirt to protect surgery site to be worn at all times for 10 days - change when soiled. <br>Strict rest for 3 days (confine to small area at home, take out on lead to toilet), then 10 min walks twice per day for days 4-7 post surgery, then 20 min walks twice per day until 14 days post surgery. <br>Owner to remove dressing in 3 days time. POC in one week to discuss recovery and (hopefully) results and next steps. If results consistent with lipoma, we can consider removal here</p> </div></html>
Animal clinical history (3 most recent)
2026-02-28T00:00:00Z 11:37:00
Results inconclusiveRecommend book for GA and surgical biopsy (wedge) - premed with owner. Verbal estimate of $800-900 for thisOnce histo through, discuss possible need for staging etc. Chest rads to be considered on the same day.
2026-02-25T00:00:00Z 17:22:00
History: see previous, presented today for lump check. ON antihistaminesLump 1: right lateral chest, large, sc, well demarcated, 15 cm diameter : 2x FNA taken on the same slide - for analysis. Lump 2: Right lateral thigh, sc, 1 inch diameter, well demarcated, has been present for some time. FNA = lipomaLump 3: left lumbar area, sc, 1 inch diameter, well dmarcated, has been present for some time. FNA = lipomaLump 4: right cranial thigh : dermal, raised, partially haired, pigmented, well demarcated, approx 1 cm diameter. FNA x 2 separate slides - for analysisBoth ears a little red. Applied novasoneBoth anal glands very full - expressed today. Likely 2ry to allergic flare. Recommend add in glandex to assistPlan: start fish oil 2000mg per day, antihistamines to be given prn, await FNA results. Some changes in mobility so if has surgeyr, will do PABT and then can discuss ongoing joint management plan.
2026-02-23T00:00:00Z 17:52:00
Presented for lump check and cytopoint. Cytopoint 30mg given SC - has just started to itch. Owner has noticed a number of lumps - some have been there for a significant period of time but are not changing. There is SC mass right lateral thigh that is more firm in nature, a partially haired raised lesion cranial right thigh that is new and a large SC mass right axillae that is rapidly growing. Due to risk of MCT in the raised lesion - recommend pre-med with antihistamines prior to FNA - owner consented. Plan: owner to give either 20mg loratadine or 20mg cetirizine once per day. Revisit with Dr HB for FNA of the masses. Some may be lipoma and external analysis may not be needed. Any that are not clearly lipoma should have external analysis, approx cost $200 per lump. Owner consented.
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-25 | C09955989 | MASS LESION - SKIN (CUTANEOUS) |
| 2026-02-25 | C09955989 | ANAL SAC IMPACTION |
| 2026-02-25 | C09955989 | ALTERNATIVE THERAPIES |
| 2019-10-04 | C2492336 | VACCINATIONS OR HEALTH CHECKS |
| 2018-07-27 | C2492340 | PRURITUS - PRESENTING COMPLAINT |
| 2018-07-27 | C2492343 | PRURITUS - PRESENTING COMPLAINT |
| 2017-12-18 | C1463002 | OTITIS EXTERNA : BIL |
| 2017-09-07 | C1323405 | VACCINATIONS OR HEALTH CHECKS |
| 2017-07-29 | C1324066 | KENNEL COUGH |
| 2017-07-25 | C1324066 | CONJUNCTIVITIS |
| 2016-10-24 | C0971458 | ALOPECIA - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_meloxicam | 55.36 | 2026-03-09 | — |
| 20000 | tstarc_anticonvulsant_medication_-_gabapentin | 34.40 | 2026-03-09 | — |
| 30000 | tstarc_procedure_fee_-_biopsy | 127.00 | 2026-03-09 | — |
| 40000 | tstarc_anaesthesia_-_inhalation_anaesthetic | 281.00 | 2026-03-09 | — |
| 50000 | tstarc_procedure_fee_-_radiology | 256.00 | 2026-03-09 | — |
| 60000 | tstarc_diagnostic_test_-_blood_test | 145.00 | 2026-03-09 | — |
| 70000 | tstarc_procedure_fee_-_radiology | 64.00 | 2026-03-09 | — |
| 80000 | tstarc_meloxicam | 35.11 | 2026-03-09 | — |
| 90000 | tstarc_suture_materials | 25.76 | 2026-03-09 | — |
| 100000 | tstarc_hospitalisation | 109.00 | 2026-03-09 | — |
| 110000 | tstarc_surgical_pack | 82.00 | 2026-03-09 | — |
| 120000 | tstarc_consultation-specialist | 54.00 | 2026-03-09 | — |
| 130000 | tstarc_diagnostic_test_-_histopathology | 282.30 | 2026-03-09 | — |
| 140000 | tstarc_elizabethan_(buster)_collar | 17.04 | 2026-03-09 | — |
UPM+
- DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified
Variant (sleepy_king)
MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.790
Threshold: 0.44
Above: ✓
Correct?