C10007610 / invoice 10000
Species:CANINE
Breed:Cavoodle
Age (years):3
Diagnosis or signs:GapOnly Claim Insurance Summary
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div><em>The intention of the following template is to clarify the minimum requirements for veterinary notes. This should not be used if it is a first claim as it will likely go on hold for more information required.<br></em></div> <div> </div> <div><strong>GapOnly claim Insurance Summary</strong></div> <div> </div> <div> </div> <div> <p>First Clinic Signs: lump in right hind near hip region<br><br><br>Summary: Scout a 2y11mo cavapoo FS presented today for a lump check up. Has been there for a couple of days, but recently started bleeding. EDDU normal, nor bothered by it. Cleaned in consult and pus came out- left a 2mm hole opened that will heal by second intention.<br><br><br>Diagnosis: Infected follicle<br><br><br>Treatment: Chlorehex, amoxyclav for 10 days</p> </div></html>
Animal clinical history (3 most recent)
2025-07-25T00:00:00Z 09:14:00
REASON FOR VISIT: vaccination Is pet insured - IF A PUPPY/KITTEN Petplan IVC signed up today by ( ) after vet visit = Vaccination History - Parasite prevention - NEXGARD SPECTRAAny health problems - NOOn any medication - NOOn any special diet - NOPrevious Vet Hospital - Consultation notesHR / PR =132 RR =32 Temp = 38.2 MM =PINK OTHERS:O:EENT : Eyes clear no d/c or signs of inflammation.- No signs of dental dz - no nasal d/c - ears clean not inflamed or red NAD - no inc upper airway sounds THORAX: Lungs: normal BV sounds bilaterally; no crackles or wheezes detected - Heart auscultation: Normal rhythm, No arrhythmia, No murmur noted ABDO: Soft and comfortable on palpation, no pain or organomegaly noted, kidneys smooth and round , soft intestines with no inc in gut sounds LN: NAD & WNL INTEG: Coat is soft and clean; No lesions, inflammation or parasites detected.Genitourinary: NAD : no discharge or odour Bladder wnlMSk/NEURO: NADA: DDx - Healthy for vaccination P: C5 Vaccine Treatment Given / Medication dispensed : C5 vaccine R/V:BLOOD RESULTS:- OWNER OFFERED BLOODS - ACCEPTED OR DECLINED
2024-07-20T00:00:00Z 10:45:00
REASON FOR VISIT - Annual Health check & vaccination HISTORY- E/D/D/U all normal Exam - HR / PR = 124 RR = 28 MM = P+MBAR, mm-pink, moist, CRT<2EYES: PLR, dazzle, menace, palpebral reflexes wnl, pupils symmetrical in sizeNOSE: clear, no dischargeEARS: clear AUORAL: Normal scissor bite H/L: No murmurs auscultated, Normal respiratory sounds, eupneic, clearPLNS: no enlargementsABD: soft, no reaction to palpation, nsfM/S: ambulatory x 4 normal gait, no pain elicited on spinal palpation or manipulation of neck or extremitiesNEURO: cranial nerves intact, CP wnl x 4, normal gait, reflexes intact, nsfSKIN: no swellings or lesions notedUG: nsfAssessment - Healthy for vaccination, NO MLP , ears clean , heart normal no murmur Treatment - Canigen DHP Vaccine Batch 2232801 Expiry 10/2024Canigen KC Vaccine Batch 2220202 Expiry 05/2024HEARTWORM PREVENTION - Nexgard Spectra Plan - Return in 12 months for next health check and Vaccination.Other Treatment Given / Medication dispensed :
2023-08-08T00:00:00Z 11:13:45
REASON FOR ADMISSION: Spey ADMITTED BY : Time Staff Owner nameBeen well at home - YES NO (any issues/concerns) discussed bloods and cerenia, ( ok / declined)Fasted - YES NOVaccination Up to date - YES NOParasite prevention -Regular medication - Discussed bloods - Has she had a season / when - Any retained teeth - OTHER ESTIMATE: $ 450 - $500PRE GA BLOODS : DISCUSSED/OFFERED - DECLINEDPREOP CHECK HR / PR = RR = Temp = MM = BP = CURRENT MEDICATIONS : IVC / FLUIDS : Hartmans 48ml phr cephalic vein placement PREMED : Methadone 0.08ml ANAESTHESIA INDUCTION : Propofol 10mg/ml ( 2.88 ) ml IV HEATING: Heated anaesthetic circuit Heat Mat ET TUBE : ( ) F cuffedANAESTHESIA MAINTENANCE : Oxygen ( 2 ) L Isoflurane (2 ) % CIRCUIT - NRB PATIENT POSITIONING: LateralSURGERY REPORT: VET JM NURSE EK START TIME1050 FINISH TIME1115 Routine midline ovariohysterectomy - midline abdominal wound - localise right uterine horn and exteriorise ovary and pedicle. Double ligate pedicle using 2-0 Monosyn - resect ovary and allow pedicle to return to abdomen . Locate & repeat with left ovary. Identify uterine bifurcation and double ligate 2-0 Monosyn. Abdominal wound closure - 3 layers - Muscle single interrupted 2-0 Monosyn Intradermal - Continuous horizontal mattress 2-0 Monosyn Skin - Cruciate suture 2-0 Supramid OR Intradermals Monosyn 2-0TEETH = Recovery time - Extubation time - INTRAOP MEDS: Betamox LA Injection 0.48 ml SCPOST OP TREATMENT / MEDS: Meloxicam Injection 0.19 ml SCOTHER eg sr12, vacc etcMEDICATIONS TO GO HOME: Liquid Metacam DISCHARGE INSTRUCTIONS - Staff name / time / instructions given (EG routine post op info ,recovery ,feeding, wound care,meds. no skin sutures so need to return unless concern, bloods all wnl)Aftercare of Neutered Pets / Desexing certificate YES / NO
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 85.00 | 2026-03-10 | — |
| 20000 | tstarc_procedure_fee_-_wound_treatment | 35.00 | 2026-03-10 | — |
| 30000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 38.00 | 2026-03-10 | — |
| 40000 | tstarc_chlorhexidine | 11.00 | 2026-03-10 | — |
UPM+
- DG01607SKIN (CUTANEOUS) DISORDERDSTP_skin_-_dermatitis
Variant (sleepy_king)
WOUND - LACERATION
DSTP_wound_or_laceration
Conf: 0.310
Threshold: 0.60
Above: ✗
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description