C10007232 / invoice 10000
Species:CANINE
Breed:Kelpie Cross
Age (years):10
Diagnosis or signs:Admission
Consult notes
09/03/2026 need to send xrays to o after 09/03/2026 Admit for xrays preop check MM pink Teeth checked when sedated - NAD ( few missing from previous dental) Chest low grade heart murmur, PMI L side, HR 120/min, RR 36/min Abdo NAD Temp 38.8C tolerating manipulation FLs/HLs okay today, reasonable ROM no neck pain Does flinch when firm pressure applied to lumbosacral spine as before Bloods: HGB 20.7 g/dl (12.0 - 18.0) *HIGH* HCT 62.13 % (37.0 - 55.0) *HIGH* MCV 79 fl ( 60.0 - 77.0) *HIGH* MCH 26.3 pg ( 19.5 - 24.5) *HIGH* remainder haem WNL GLU 6.5 mmol/L (3.3 - 6.1) *HIGH* TP 68 g/L (54.0 - 82.0) normal remainder biochem WNL Tx: Administered butorphanol 0.2mg/kg (0.24ml) + midazolam 0.2mg/kg (0.48ml) good sedation DId need 0.5ml alfaxalone top up Taken three view chest xrays and lateral / VD views hips/ back/ neck/ FLs/ HLs Noted to have cardiomegaly Spondylosis deformans Lumbar spine and to lesser extent thoracic spine O happy to send rads for VIA interpretation TR will call o with report Wed, will email through to o also ( already emailed o rads as requested) smooth recovery ( did have 1.5cm lipoma on ventral chest, repeat FNA today still consistent with lipoma) Plan home with galliprant discussed re integrative medicine inc acupuncture, physio, laser "Hi Dr Nicol, If you could kindly review these xrays from Polly Kumarich, a 10 YO FN Kelpie cross that presented with mild to moderate lower back pain (responsive to NSAIDs) with a slightly hunched appearance at times. The owner reports sometimes she demonstrates hindlimb stiffness at home although this was less evident in consult. No discomfort was noted upon manipulation of her forelimbs/ hindlmbs, normal range of motion. Xrays of her back, neck, forelimbs and hindlimbs were taken under sedation. She does have a low grade heart murmur (cardiac echo Nov 2025 consistent with MMVD Stage B1) and had screening chest xrays under sedation. She is not demonstrating any clinical signs of CHF currently. Thank you kindly, Tanya"
Animal clinical history (3 most recent)
2026-03-09T00:00:00Z 11:32:12
Admit for xrays preop check MM pink Teeth checked when sedated - NAD ( few missing from previous dental) Chest low grade heart murmur, PMI L side, HR 120/min, RR 36/min Abdo NAD Temp 38.8C tolerating manipulation FLs/HLs okay today, reasonable ROM no neck pain Does flinch when firm pressure applied to lumbosacral spine as before Bloods: HGB 20.7 g/dl (12.0 - 18.0) *HIGH* HCT 62.13 % (37.0 - 55.0) *HIGH* MCV 79 fl ( 60.0 - 77.0) *HIGH* MCH 26.3 pg ( 19.5 - 24.5) *HIGH* remainder haem WNL GLU 6.5 mmol/L (3.3 - 6.1) *HIGH* TP 68 g/L (54.0 - 82.0) normal remainder biochem WNL Tx: Administered butorphanol 0.2mg/kg (0.24ml) + midazolam 0.2mg/kg (0.48ml) good sedation DId need 0.5ml alfaxalone top up Taken three view chest xrays and lateral / VD views hips/ back/ neck/ FLs/ HLs Noted to have cardiomegaly Spondylosis deformans Lumbar spine and to lesser extent thoracic spine O happy to send rads for VIA interpretation TR will call o with report Wed, will email through to o also ( already emailed o rads as requested) smooth recovery ( did have 1.5cm lipoma on ventral chest, repeat FNA today still consistent with lipoma) Plan home with galliprant discussed re integrative medicine inc acupuncture, physio, laser "Hi Dr Nicol, If you could kindly review these xrays from Polly Kumarich, a 10 YO FN Kelpie cross that presented with mild to moderate lower back pain (responsive to NSAIDs) with a slightly hunched appearance at times. The owner reports sometimes she demonstrates hindlimb stiffness at home although this was less evident in consult. No discomfort was noted upon manipulation of her forelimbs/ hindlmbs, normal range of motion. Xrays of her back, neck, forelimbs and hindlimbs were taken under sedation. She does have a low grade heart murmur (cardiac echo Nov 2025 consistent with MMVD Stage B1) and had screening chest xrays under sedation. She is not demonstrating any clinical signs of CHF currently. Thank you kindly, Tanya"
2026-03-09T00:00:00Z 08:41:22
need to send xrays to o after
Previous claim history (27)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09988688 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2026-01-22 | C09794317 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2026-01-22 | C09794317 | VACCINATIONS OR HEALTH CHECKS |
| 2024-01-05 | C6725456 | PAIN - SPINAL - PRESENTING COMPLAINT |
| 2023-08-30 | C6258827 | MASS LESION - SKIN (CUTANEOUS) |
| 2023-08-30 | C6258827 | TEETH CLEANING |
| 2023-01-25 | C5519643 | VACCINATIONS OR HEALTH CHECKS |
| 2022-02-02 | C4495661 | VACCINATIONS OR HEALTH CHECKS |
| 2022-02-02 | C4495661 | BEHAVIOURAL THERAPY |
| 2021-12-13 | C4312536 | BEHAVIOURAL THERAPY |
| 2020-11-26 | C3327389 | BEHAVIOURAL THERAPY |
| 2020-08-06 | C3079771 | DIARRHOEA - PRESUMED SELF-LIMITING |
| 2020-08-06 | C3079771 | BEHAVIOURAL THERAPY |
| 2020-05-27 | C2928424 | BEHAVIOURAL THERAPY |
| 2020-03-11 | C2779018 | VACCINATIONS OR HEALTH CHECKS |
| 2020-02-05 | C2779918 | BLOOD SCREEN |
| 2019-08-19 | C2396455 | BONE WEDGED IN MOUTH |
| 2019-04-03 | C2278568 | BEHAVIOURAL THERAPY |
| 2019-03-01 | C2144543 | VACCINATIONS OR HEALTH CHECKS |
| 2018-07-05 | C1734582 | PRURITUS - PRESENTING COMPLAINT |
| 2018-07-05 | C1734582 | ALTERNATIVE THERAPIES |
| 2018-05-16 | C1755872 | CONJUNCTIVITIS |
| 2018-03-01 | C1582014 | VACCINATIONS OR HEALTH CHECKS |
| 2017-12-15 | C1449873 | SKIN LESIONS |
| 2017-12-15 | C1449873 | PATELLA LUXATION - MEDIAL |
| 2017-11-26 | C1460589 | BONE WEDGED IN MOUTH |
| 2017-06-05 | C1244529 | PYODERMA - SUPERFICIAL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 275.00 | 2026-03-09 | — |
| 20000 | tstarc_hospitalisation | 59.59 | 2026-03-09 | — |
| 30000 | tstarc_procedure_fee_-_interpretation_fee | 259.88 | 2026-03-09 | — |
| 40000 | tstarc_procedure_fee_-_radiology | 385.69 | 2026-03-09 | — |
| 50000 | tstarc_sedation_for_procedure | 214.29 | 2026-03-09 | — |
| 60000 | tstarc_pain_relief | 120.12 | 2026-03-09 | — |
UPM+
- DG01663SPONDYLOSIS - LUMBARDSTP_spine_-_spondylosis
Variant (sleepy_king)
GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.500
Threshold: 0.37
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description