C10008187 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):0
Diagnosis or signs:Check Up
Consult notes
10/03/2026 Nurse: ADE

Consult Reason: Lame in hind leg

History:
Lame right hind leg
Owner though she could see something poking out of foot, tried to pull out
Has been otherwise well
EDDU normally

PE:
Demeanour- BAR
HR- xx, regular, no murmur
RR- Panting, lung fields clear bilaterally
Temp - 38.8
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums
Eyes/Ears- Clear/NAD
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - No swelling, excess heat in right hind leg. No pain on palpation, flexion and extension of all joints in RH leg. No FB or other abnormalities noted in foot 

Assessment:
Ddx soft tissue injury vs FB that has come out of foot
Discussed due to lack of findings on physical exam recommend NSAID trail and monitor - INI then to investigate further with radiographs

Treatment:
Meloxicam 21kg dose PO SID with food

Plan: 
If no improvement in 7 days then book in for radiogrpahs of right hind leg

Animal clinical history (3 most recent)

2026-01-28T00:00:00Z 16:11:09

History:
Final vaccinations
EDDU well, no vomiting, loves food
Last wormed when she was here.
Due for flea/tick

Parasite Prevention:
Up to date with worming? No - due today, was last done here at last vacc
Up to date with flea/tick prevention? No - o wanting done today

PE:
Demeanour- BAR
HR- 130bpm regular, no murmur
RR- lung fields clear bilaterally, panting
Temp - n/a
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums - deciduous dentiton
Eyes/Ears- Clear/NAD on eyes, inside pinnae a little brown debris, but otoscopically perfect. 
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation  - was upside down!
Urogenitals- NAD - clean
Skin/Coat- Healthy skin and coat
MSK - NAD

Assessment:
Good clinical health and fit for vaccination

Treatment:
Nobivac Bb Pi Batch 2526207, exp 04/2027
Bravecto 10-20kg 1 month chew
Milbermax 5-25kg tablet 

Plan:
C5 vaccination in 12 months
Worm, flea and tick treatment due in 1 month, monthly until 6 months old
Discussed desexing - ideally 12-15months
2025-12-30T00:00:00Z 11:46:42
Reason: Vaccination 

History:
Going well 
No issues or concerns 
BAR, EDUD as normal 
Loves going to the beach 
Due for second vaccination 

Diet: On puppy kibble unsure which brand and raw meats 

Parasite Prevention:
Up to date with worming? Yes
If so with what product and when? Due today
Up to date with flea/tick prevention? No
If so with what product and when? will purchase a spot on treatment for petstock 

Worming Action Plan Score: Low (<4) / Intermediate (4-6) / High ( >6)
Worming Management Plan: 

PE:
Demeanour- BAR
HR- 100, regular, no murmur
RR- sniffing, lung fields clear bilaterally
Temp - 38.2
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums, puppy dentition 
Eyes/Ears- Clear/NAD
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - NAD

Assessment:
Good clinical health and fit for vaccination
Discussed parasite control and worming guidelines, offered available products for flea/tick prevention of 3 monthly chews vs yearly injection

Treatment:
Nobivac DHP Batch 2519605, exp 07/2027
Nobivac Bb Pi Batch 2523706, exp 04/2027
Milbemax 5-25kg X1 

Plan:
Vaccination in 4 weeks
Will be purchasing flea and tick prevention for Willow 
Worming tablet purchased for other dog 

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation103.002026-03-10
20000tstarc_meloxicam46.412026-03-10

UPM+

  • DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.780
Threshold: 0.37
Above:
Correct?