C10004935 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):6
Diagnosis or signs:Checkup
Consult notes
09/03/2026 
Subjective/ Reason: limping

Objective:
Some time 2 days ago went out in courtyard and hurt leg possibly
2 nights ago was up on lounge with o and whimpering
Really flat yesterday and not energetic
Normally sits with owners on lounge but wouldnt jump up
When picked up in the wrong way would yelp
O took for walk, was able to go up and down stairs ok
Did a big wee at start of walk but was whimpering when having to hold up leg
O thinks LHL is the issue
UTD bravecto
Recently dx mmvd, on cardisure

MM pink, CRT <2s
Teeth are great
Abdomen comfortable
RHL ok
LHL resistant on full hip extension
Repeatable lumbosacral back pain
No obvious limping, running down hallway easily and up and down the stairs

Assessment:
LHL hip + back pain ?

Plan/ Treatment:
Start paracetamol 125mg BID + gaba 10mg/kg BID for pain
Rest for next week
Follow up end of week to check in

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 15:02:13

Subjective/ Reason: limping

Objective:
Some time 2 days ago went out in courtyard and hurt leg possibly
2 nights ago was up on lounge with o and whimpering
Really flat yesterday and not energetic
Normally sits with owners on lounge but wouldnt jump up
When picked up in the wrong way would yelp
O took for walk, was able to go up and down stairs ok
Did a big wee at start of walk but was whimpering when having to hold up leg
O thinks LHL is the issue
UTD bravecto
Recently dx mmvd, on cardisure

MM pink, CRT <2s
Teeth are great
Abdomen comfortable
RHL ok
LHL resistant on full hip extension
Repeatable lumbosacral back pain
No obvious limping, running down hallway easily and up and down the stairs

Assessment:
LHL hip + back pain ?

Plan/ Treatment:
Start paracetamol 125mg BID + gaba 10mg/kg BID for pain
Rest for next week
Follow up end of week to check in
2026-03-04T00:00:00Z 10:48:20
Spoke to Maree, O was in a meeting so couldn't really talk but said Ziggy was all fine and completely recovered.
NL

Previous claim history (20)

DateClaim #Diagnosis
2026-03-03C09978615MITRAL VALVE MYXOMATOUS DEGENERATION
2026-03-03C09978615DENTAL (TOOTH) DISORDER
2026-02-06C09876305HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-01-02C09702286HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-09-15C6315374OTITIS EXTERNA : BIL
2023-09-02C6274456ALLERGY
2023-07-22C6126090ALLERGY
2023-06-10C5982277HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-04-15C5791912HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-03-03C5649276ALLERGY
2022-11-02C5254959PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2022-10-25C5231290INGEST FOREIGN OBJECT
2022-07-02C4886279EAR INFECTION
2022-04-23C4683006EAR INFECTION
2022-04-16C4685326LETHARGY - PRESENTING COMPLAINT
2021-08-28C4022707INGEST FOREIGN OBJECT
2021-07-17C3909660EAR INFECTION
2021-07-07C3883973EAR INFECTION
2021-06-02C3796468EAR INFECTION
2021-06-02C3796468DIARROHEA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation115.002026-03-09
20000tstarc_anticonvulsant_medication_-_gabapentin90.052026-03-09

UPM+

  • DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness

Variant (sleepy_king)

PAIN - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_pain
Conf: 0.400
Threshold: 0.39
Above:
Correct?
Reason (correct)