C10004815 / invoice 10000

Species:CANINE
Breed:Old English Sheepdog Cross
Age (years):4
Diagnosis or signs:Unspecified
Consult notes
09/03/2026 Presented for tail pain. PB


HISTORY: O mentioned they were on a holiday staying near a beach with Tilly when all of a sudden when they went to pick Tilly up and put her in the car she squealed in pain and kept her tail curled up. She is not willing to let anyone touch her tail but O is unsure how she could have hurt herself. PB

PHYSICAL EXAM: 
Attitude: BAR / FAS
BCS: 3/5
Heart/lungs: clear
MM: pink, moist
Skin Tent: normal
Dental Score: -
Abdomen: soft, comfortable
Skin: NAD, no external wounds on tail
Eyes: clear
Ears: clear
Temp: -
Lymph Nodes: nad
MSK/Neuro: tail wagging at distal end, but holding it out and not moving the proximal end
Rectal: not performed, VERY FAS for back end

DIAGNOSTICS: none

ASSESSMENT: ddx- tail injury, soft tissue vs bone

PLAN: trial pain medications, INI will need sedation and examination, possible radiographs of tail

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 13:15:36
Presented for tail pain. PB


HISTORY: O mentioned they were on a holiday staying near a beach with Tilly when all of a sudden when they went to pick Tilly up and put her in the car she squealed in pain and kept her tail curled up. She is not willing to let anyone touch her tail but O is unsure how she could have hurt herself. PB

PHYSICAL EXAM: 
Attitude: BAR / FAS
BCS: 3/5
Heart/lungs: clear
MM: pink, moist
Skin Tent: normal
Dental Score: -
Abdomen: soft, comfortable
Skin: NAD, no external wounds on tail
Eyes: clear
Ears: clear
Temp: -
Lymph Nodes: nad
MSK/Neuro: tail wagging at distal end, but holding it out and not moving the proximal end
Rectal: not performed, VERY FAS for back end

DIAGNOSTICS: none

ASSESSMENT: ddx- tail injury, soft tissue vs bone

PLAN: trial pain medications, INI will need sedation and examination, possible radiographs of tail

Previous claim history (6)

DateClaim #Diagnosis
2025-12-23C09666889OTITIS EXTERNA
2025-10-24C9516980VACCINATIONS OR HEALTH CHECKS
2025-10-24C9516980HEARTWORM CONTROL
2025-10-24C9516980FLEA/TICK/WORM CONTROL
2025-10-08C9326204ANAL SAC DISORDER
2025-09-23C9260752ANAL SAC DISORDER

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation124.902026-03-09
20000tstarc_anticonvulsant_medication_-_gabapentin58.002026-03-09

UPM+

  • DG01730TAIL INJURYDSTP_traumatic_injury

Variant (sleepy_king)

TRAUMATIC INJURY
DSTP_traumatic_injury
Conf: 0.650
Threshold: 0.66
Above:
Correct?